What is the mechanism of action and role of our immune systme in fighting the Systemic Lupus Erythematosus.

CASE STUDY CHAPTER 49, HUMAN IMMUNODEFICIENCY VIRUS A.P. is a 36-year-old woman who was diagnosed with HIV DIAGNOSIS: ASYMPTOMATIC HIV INFECTION infection 2 weeks ago at a community outreach clinic. She has been feeling well for the past 2 years, and she maintains 1. List specific goals for treatment for this patient. a healthy, active lifestyle by exercising three to four times a 2. What drug therapy would you prescribe? Why? week and eating a balanced diet. Her medications include a 3. What are the parameters for monitoring success of the multiple vitamin and occasional antacids for heartburn, and therapy? she does not consistently use birth control methods. She has 4. Discuss specific patient education based on the pre- never received ART. She comes to your office for an initial scribed therapy. physical exam and blood work in preparation for treatment 5. List one or two adverse reactions for the selected agents initiation. The physical examination is unremarkable, and that would cause you to change therapy. the laboratory results are as follows: 6. What would be the choice for the second-line therapy? 7. What over-the-counter and/or alternative medications Electrolytes, serum creatinine, liver function tests: within would be appropriate for A.P.? normal limits 8. What dietary and lifestyle changes should be recom- Complete blood count with differential: within normal mended for this patient? limits 9. Describe one or two drug-drug or drug-food interac- CD4+ T-cell count: 400 cells/mm’ tions for the selected agents. Viral load: 1 10,000 copies/ml Genotype: No resistance mutations detected

1. Carefully read the following information.

This assessment task requires you to develop, implement and review a Personal Stress Management Plan, as well as use strategies from your plan to manage two stressful situations in the workplace involving colleagues and/or clients. You will develop your Plan during the time allocated for assessment in class or at home. However, the implementation of the Plan will be completed during your work placement as you will need to manage and report on the stressful situations.

1. Develop a Personal Stress Management Plan.

The first part of this assessment activity requires you to develop a Personal Stress Management Plan using the Personal Stress Management Template provided and following the instructions included in this template. Complete Section 1 of the Template only. Your assessor will advise you of the timing for submission, as well as where to complete the assessment. Remember that in the next activity you will be required to implement your Personal Stress Management Plan and use the strategies you have developed to manage two stressful situations in the workplace.

1. Implement the Personal Stress Management Plan.

Now that you have developed your Personal Stress Management Plan, you are required to implement it. This involves using strategies that you have identified in your plan to manage at least two stressful situations in the workplace that involve your work colleagues and/or clients. You can choose any two situations and you will use the Implementation section of your Personal Stress Management Plan to document the details of the stressful situations and the strategies you used to manage these. Complete Section 2 of the Template only. Your assessor will advise you of the timing for submission, as well as where to complete the assessment.

1. Evaluate stress reducing strategies.

Once you have developed your Personal Stress Management Plan and had the opportunity to implement stress management strategies, you are required to evaluate it. Complete the Section 3 of the Template section of your Personal Stress Management Plan only after you have had time to implement your plan. Completing the evaluation section will require you to describe the effectiveness of the stress management strategies you used and to make adjustments as required. It also requires you to access additional support. Your assessor will advise you of the timing for submission, as well as where to complete the assessment.

 

 

Personal Stress Management Plan Template

Instructions for use – carefully read through and answer all the questions.

Section 1 can be completed in class or at home – your assessor will let you know where and the timing for submission.

In Section 2 you will need to report on implementing stress management strategies and in relation to two stressful situations. You should complete this section during your work placement or whilst at work. Your assessor will speak to you about this in more detail.

Section 3 can be completed in class or at home – your assessor will let you know where and the timing for submission.

Include your name here:
Section 1: Personal Stress Management Strategies
List at least ten sources of stress in your job role (this will as per your job role at your work placement or if you are working in a health/ community services role)
List five of your own stress triggers related to work.
Describe how you respond to stress at work.  Give at least three examples.
List five strategies that you can use to prevent, reduce and manage stress at work. For the purposes of this assessment you will need to implement and monitor at least two of these strategies in relation to two stressful situations in the workplace that involve client or colleagues.  In the next section you will report on your implementation of these strategies.
Describe two strategies that you use at work to organise your workload and to ensure a work-life balance.
List two sources of internal support to assist with stress.
List two sources of external support to assist with stress.
Section 2: Implement stress management techniques
Describe the two stressful situations you experienced at work with clients and/or colleagues.
Describe stress management strategies that you have implemented to manage the stressful situations in the workplace that involve clients and/or colleagues.
In Section 1, you described how you organise your own workload.   Describe variations you have had to make to your work tasks based on unexpected factors and difficulties.
Section 3: Evaluate stress management techniques
Describe the effectiveness of the strategies that you have implemented.
Are any of the strategies you have implemented not working for you? If not, why not? What changes do you need to make? If the strategies you identified are working, instead describe what you would do if they were not working and adjustments you would make.
List two addition sources of support that you think would help you to achieve the outcomes of your personal stress management plan better.

Analyze the impact of health care technology to improve patient outcome (Hypertension) and also how does government policies/ nursing standards of practice correlate with health technology, care coordination and community resources for patients with hypertension.

Explain Indepth how care coordination and utilization of community resources can help a patient with hypertension. Also provide recommendations, and evidence from professional sources on how to care for patients with hypertension.