A slow onset of negative symptoms Adequate response to typical neuroleptic medication An example of a nursing diagnosis for a client with schizophrenia is which of the following? powerlessness related to obsessive-compulsive behaviour OPost-trauma syndrome related to physical and sexual assault auditory hallucinations
A 68-year-old patient comes to see you with a complaint of increasing visual blurring, pain in one eye, halos around lights when driving at night, and some photophobia. Upon exams, you notice some conjunctival injections.
The nurse on the long-term care unit is concerned about the incidence of pressure ulcers in the facility. He has noted what feels like an increase in pressure ulcers for clients who have cognitive impairment. As he considers how to address this problem, it becomes clear that he must identify not only clients with cognitive impairment but also individuals with a combination of cognitive impairment and pressure ulcers.
He also notes that he would like to identify the clients with cognitive impairment who are most at risk before the pressure ulcers occur.
a. The nurse performs a retrospective chart audit on all current residents presently with cognitive impairment and pressure ulcers. This is known as what type of sampling?
This will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles. Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you
will have to “Apply
the Four Principles: Case Study” document includes the following:
This will formalize the four principles by organizing the data from the case study according to the relevant principles of
1, Medical Indications: Beneficence and Nonmaleficence
2, Patient Preferences: Autonomy
3, Quality of Life: Beneficence, Nonmaleficence, Autonomy
4, Contextual Features: Justice and Fairness
5, Describe how principles would be applied according to the Christian worldview.
Remember to use the topic materials. Include reference
Case Study: Healing and Autonomy
Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis and kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection.
The spread of the A streptococcus infection led to subsequent kidney failure. James’s condition was acute enough to warrant immediate treatment.
Usually, cases of acute glomerulonephritis caused by strep infection tend to improve on their own or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve.
The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God.
Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke.
They thought it more prudent to take James immediately to a faith-healing service instead of putting James through multiple rounds of dialysis. Yet, Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then.
Two days later the family returned and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier.
Had he not enough faith? Was God punishing him or James? To make matters worse, James’s kidneys had deteriorated such that his dialysis was now not a temporary matter and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors.
Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them was tissue matches.
James’s nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, and given regular dialysis, but would require a kidney transplant within the year.
Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’s brother Samuel.
Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in. Mike reasons, “This time around it is a matter of life and death.
What could require greater faith than that?”
References:
Read Chapter 3 from Practicing Dignity. https://www.gcumedia.com/digital-resources/grand-canyon-university/2020/practicing-dignity_an-introduction-to-christian-values-and-decision-making-in-health-care_1e.php
Read “Incorporating Spirituality into Patient Care,” by Orr, from the American Medical Association Journal of Ethics (2015).
https://journalofethics.ama-assn.org/article/incorporating-spirituality-patient-care/2015-05
View the online video, “New Testament Overview,” from the Bible Project, located on the YouTube website (2018). https://www.youtube.com/watch?v=Q0BrP8bqj0c&feature=youtu.be
View the online video, “Read Scripture: TaNaK/Old Testament,” from the Bible Project, located on the YouTube website (2018).
Explore the “Sacrifice and Atonement” webpage and watch the video, on the Bible Project website (2018). https://thebibleproject.com/explore/sacrifice-atonement/
Explore the “The Messiah” webpage and watch the video on the Bible Project website (2018). https://thebibleproject.com/explore/the-messiah/
View the “Understanding Health and Healing” media piece. https://www.gcumedia.com/tncc/whole-person-care/understanding
View the online video, “Word Study: Khata/Sin,” from the Bible Project, located on the YouTube website (2018).
The most effective nursing intervention to assist a client who is experiencing moderate anxiety is to: 1-Focus on anxiety reduction. 2-Probe the cause. 3-Investigate decomposition behaviours. 4-Accept the level of anxiety. 5-Support health coping behaviours. 6-Monitor levels of consciousness
Research and record the details of an interpreting and translation service available to community service organizations in your state/ territory. Include contact details and information on services provided.
Review Stacey Crider’s chart, what risk factors for the development of gestational diabetes mellitus are noted? 7. What does Stacey Crider’s physician suspect is the cause of her poorly controlled blood glucose levels? (Hint: See the physician’s impression in her medical record.)
8. Review Stacey Crider’s admission orders and list the orders that are related to her GDM. 9. Why are most oral hypoglycemic agents avoided during the prenatal period?
10. On admission, Stacey Crider was in preterm labour. This was treated with magnesium sulphate tocolysis. She was also given a course of betamethasone. What impact can betamethasone administration have on her gestational diabetes mellitus?
11. How does Stacey Crider’s physician plan to deal with these potential medication effects?
12. Stacey Crider’s other admission diagnosis is bacterial vaginosis (BV).
What is the relationship between the BV infection and her GDM? 13. Based on the Drug Handbook, complete the table below. Type of Insulin Onset of Action Peak Duration Lispro NPH
14. Consider lispro insulin’s rapid onset of action. What else should you check before giving Stacey Crider her injection? Stacey Crider regarding GDM.
Describe the relevance of the following documents for quality management of infection control in a dental setting . The current health technical memoranda (HTM 07-01) ( WHTM 07/01 in wales) on management and disposal of healthcare waste? C. Practice policies and audit records? D. Staff induction policy?
Identify unhealthy aspects of a community. Include information on the types of foods available, quality of housing and any other details that might decrease or challenge the health of the inhabitants of this area.
Discuss the difference between a Case-Control Study and an Intervention Study. Provide examples of the uses of both of these in the healthcare field. Describe the important ethical issues in designing and carrying out an intervention study
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