Which of the following is consistent with current literature regarding the epidemiology of dependent personality disorder? I” A Dependent personality is more common in men than in women. A dependent personality disorder is more common in young children than in I" older ones. C Persons with chronic physical illness in childhood may be most susceptible to t" this disorder. It… DElandConly
Ethnocentrism results in which of the following? i" A better understanding of various cultures and beliefs I… B Impeding the delivery of culturally competent care C Provides caregivers the ability to better care for patients of various I" cultures D Provides general principles that can be used to treat patients from a I” variety of cultures
Please give at least three examples of how the Health Education Empowerment methodology created by Paulo Freire can be applied to the work you are doing with your community. How will you use these principles to engage and empower your community to work collaboratively to improve their health? Discuss the role of the nurse in facilitating community empowerment designed to improve community health.
A 24-year-old male college student was presented at the ESU health clinic. He looked tired and pale. He presented because of a high fever and chest pain. He was afraid he was having a heart attack (a bad week of exams). He was examined immediately by the PA and an EKG strip was run. He had no evidence of acute heart problems. The attending physician visited the patient. He obtained the following history from the past 36 hours. The patient had a tight cough. He had significant muscle aches and pains. He had a bad headache and a fever of 101-103F.
The physician ordered a chest x-ray. It did not show any significant consolidated inflammation suggestive of pneumonia. The patient showed significant nasal drainage and a moderately tight, but productive cough on physical exam. He had a fever of 101F and generally inflamed mucous membranes. A rapid Strep test showed no evidence of Streptococcal infection and his tonsils and adenoids had been removed.
1. What type of infection do you believe he has? what microorganism is causing this disease?
2. From the complaint and physical examination, which of the symptoms lead you to your choice of agent? how did you come to that conclusion?
3. From the history, which of the information confirmed your choice? What is the treatment for this illness/disease?
4. Which of the following is most likely to follow this infection? How did you come to that solution of the treatment? In other words, why is it that treatment?
Please reference and cite and also keep both studies separated and numbered! And keep the answered questions and explanation together, about a paragraph for each question. thank you!
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Case study 6
A 70-year-old patient with Alzheimer’s disease was brought to the emergency room by the staff of a local nursing home. He presented as lethargic with a sallow complexity. He had an admission temperature of 102.4F and a respiratory rate
of 33/minute. During respiration, the right side of his chest moved better than the left. He showed dense consolidation of the lower lobe of the left lung on physical exam. A sputum sample revealed blood and a greenish color.
A chest x-ray showed tight consolidation of the left lung with evidence of formation of cavities in the lung tissue from cytotoxic damage. The patient complained of chills in the exam room, combined with his fever. A smear of his
sputum demonstrated no acid-fast bacteria.
1. What type of infection do you believe he has? what microorganism is causing this disease?
2. From complaint and physical examination, which of the symptoms lead you to your choice of agent? how did you come to that conclusion?
3. From the history, which of the information confirmed your choice? What is the treatment for this illness/disease?
4. Which of the following is most likely to follow this infection? How did you come to that solution of the treatment? In other words, why is it that treatment?
Please reference and cite and also keep both studies separated and numbered! And keep the answered questions and explanation together, about a paragraph for each question. thank you!
A 79 yr old woman comes into a walk-in clinic you are working as an NP with a chief complaint of increased urinary frequency and dysuria. Urinalysis reveals pyuria and positive nitrites. She mentions she has a “bit of kidney trouble-not too bad”. A recent evaluation of renal status is unavailable. What would you consider for therapy? Explain the rationale for therapy as well as considerations that you would include while prescribing this medication. Considerations should also include drug resistance and how you would assess this patient for the possibility of drug resistance.
Describe what a marketing report is. 3. Describe 3-5 approaches or best practices that the healthcare organization would use to market and promote new technology. 4. Summarize your understanding of the evolving healthcare market. A minimum of 3 academic sources should be cited in APA from the past 5 years.
You work as an RPN at a major metropolitan hospital on a medical unit.
Mr. Cote has end-stage Alzheimer’s Disease. He has had a stroke and is hospitalized in your unit. He can no longer swallow. Prior to the stroke, Mr. Cote did have some brief moments where he was lucid and able to converse. After his stroke, he deteriorated very quickly and no longer has any moments where he is lucid or has the capacity to make any decisions. His physical health has deteriorated and the healthcare team estimates that with a feeding tube, he may live another 2 to 6 months.
In the past month, Mr. Cote has pulled out his feeding tube twice. Now he needs to have his arms restrained to stop him from pulling out the tube. The healthcare team wants to stop all feeding and intravenous therapy and let Mr. Cote die.
His wife insists that he have a feeding tube. She says that if he does not have the feeding tube, she will be responsible for ending his life. She adds that if the team does not re-insert the tube when he pulls it out they will be responsible for his death.
Mrs. Cote says her husband does not know what he is doing and the tube must remain.
You are in a team meeting to discuss what to do next and your manager says to you. “You took a class that discussed ethics. What do you think is the right thing to do in this case?” Question:
What is the ethical dilemma? State specifically what the issue here is. What is the actual ethical dilemma the persons (nurse, client, Dr. etc) are facing in your scenario?
Identify the ethical principle and explain why?
What are the roles? Who was involved?who is responsible to make the decision? And who is affected by the decision, and why they are affected by the decision and/or scenario.
Some stress makes you react positively; stress can give runners the “edge” needed to make it through to the finish line. On the other hand, some stress can be harmful; it can increase the risk of developing health problems such as high blood pressure and cardiovascular disease. For this reason, stress can be divided into either eustress (good) or distress (bad). What are some positive ways you deal with stress? What are some negative ways you deal with stress? Be sure to include at least one goal that discerns a new coping skill you will utilize to decrease stress and cope healthily in the future.
Beneficence was defined as “The principle of beneficence entails a moral obligation to help other persons (for example, obligations of health professionals to assist patients) or to provide benefits to others. Beneficence involves both the protection of individual welfare and the promotion of the common welfare.” (Coughlin, 2008) Let us examine the topic of Beneficence in relation to the ethical dilemma below. At this point, I understand that it may be difficult to explain both individual and group dilemmas relating to public health ethics – which is exactly why I chose this case study. There are some clear individual ethical issues and tensions present due to the nature of the scenario and how as public health officials we have to act in the best interest of society as a whole. For this case study, you will need to tie in previous knowledge in public health and ethics related to research. Beneficence is not the only ethical tension in question here, but it is the focus to make sure you are using that lens to guide your best course of action. Public Health Ethics Case Study #1 Beneficence PUBH 3420 Introduction: [Three years ago, Jonathan, aged 23] decided to participate in a largescale biobanking project that was exploring how environment, lifestyle and behaviour contribute to the development of cancer. Very enthusiastic about this project and in solidarity with his mother-in-law who had been diagnosed with breast cancer, Jonathan provided blood and saliva samples to the PreHealth Project based in Winnipeg, Manitoba. At the assessment centre, hosted by the local hospital, Jonathan was asked to do a lifestyle questionnaire and provide authorization for the retrieval of pertinent information from his medical records. The consent form he signed before providing any samples or authorizing the retrieval of any data mentioned that both his data and samples would be stored securely for 50 years and that access would only be provided to researchers partaking in cancer research who had previously obtained the necessary scientific and ethical approval. The PreHealth Project is affiliated with a university in the region and the Research Ethics Board (REB) of that university’s Faculty of Medicine is in charge of approving any access requests. After providing his data and samples, Jonathan decided to leave the country to pursue a graduate degree in France without updating his new address with the PreHealth Project. Case: The Canadian government has recently declared a public health emergency following the propagation of a mutated strain of the Ebola virus. Every province in the country is striving to provide the necessary care to individuals affected by the latest strand of the virus and the same level of intense activity is seen in the research setting. In Manitoba, research has focused mainly on small groups of people considered most at risk of developing serious symptoms related to the new Ebola virus. To prevent future outbreaks, however, many researchers in the province believe it is necessary to undertake a larger study of genetic factors contributing to the development of severe symptoms. Only a study involving thousands of subjects could identify any genetic factors involved in this propagation, but no resource of this size is currently available for research on the new Ebola virus. Moreover, setting up a biobanking project specific to the Ebola virus would require a considerable amount of both time and funds before it could be effective and usable by medical researchers. This insufficiency is prompting several researchers to request access to biological materials and genetic information already stored in various pre-existing population biobanks for use as control groups. The university’s REB has received one such request. After a long debate, its full membership decided to authorize a Canadian researcher to access the data and samples collected by the PreHealth Project. The declared public health emergency led the REB members to decide that Public Health Ethics Case Study #1 Beneficence PUBH 3420 the proposed research is essential and that the infringement to the participants’ consent — that their data and samples only be used for cancer research — was justified in these exceptional circumstances. In normal circumstances, participants would have had to re-consent for such secondary use of their data and samples. On Jonathan’s return to the country, he learned through local media that PreHealth’s data and samples will be used for studies on the mutated strain of the Ebola virus. He felt concerned that his samples would be used for a purpose other than that he was informed of during the consent process. He also feels a bit betrayed by the project he so eagerly participated in on altruistic grounds. Jonathan decides to complain to the Faculty of Medicine of the university in question, and is contemplating legal action for improper use of his data and samples. Questions to guide your thinking: 1. What are the competing ethical issues at play? 2. What are the benefits and/or disadvantages for researchers to use a population biobank established for research on cancer to study genetic aspects of the mutated strain of the Ebola virus? 3. What possible repercussions could this dispute have on future participation in the PreHealth Project? 4. Do you agree with the decision made by the REB? If yes, why? If not, what would you have decided if you were an REB member?
Case Study;
Am a support worker in a homeless service that values person-centered care and harm minimization strategies. The service provides short-term (up to two weeks) accommodation and, in addition, provides direct case management services to people experiencing homelessness. My primary job is to support people to locate stable and long-term accommodation.
Casey is 17 years old and has lived on the streets for the past 12 months. She was thrown out of the home when she told her parents that she was gay.
Casey suffers from anxiety, regularly uses marijuana, tobacco, and alcohol, and occasionally smokes ‘crystal’ (methamphetamine). She has come to your service to seek assistance.
1. Explain what harm reduction strategies you would use with Casey.
2. Describe the category/categories of the drug/drugs Casey is using (e.g. depressant).
3. Describe your values that are relevant to this case study, and how they could influence your work with Casey.
4. Identify a service you could refer Casey to and write a referral for her (up to 300 words).
5. Identify how you would document and store Casey’s assessment and referral information according to confidentiality requirements.
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