the NONPF Independent Practice Competency

How did the Human help achieve the goals of competency from the NONPF Independent Practice Competency: Provides patient-centred care recognizing cultural diversity and the patient or designee as a full partner in decision-making?

Describe how the iHuman virtual learning helped meet this competency.

Provide at least two specific examples.

The political process surrounding health care

How has this course, Healthcare Policy, Regulation, and Finance changed views on becoming involved in the political process surrounding health care? Discuss and reflect on the assigned topics in terms of:

How do the content and assignments meet the course objective(s)?

Provide examples of actual or potential applications of the course week’s concepts.

Successes or challenges had for the week regarding the course content.

What is different about the American Recovery and Reinvestment Act of 2009?

What is different about the American Recovery and Reinvestment Act of 2009? , and more recent programs compared to past programs? What did it do for healthcare? What did it do for analytics?

How did globalization change some people’s lives?

Mexican Government Advises Migrants (page 9). How did globalization change some people’s lives, How did the changes lead to a conflict? What was the proposed solution(s) to the conflict? How satisfactory was the solution to each party?

  • Can you imagine a way to avoid or resolve similar conflicts in the future, even if rapid globalization continues?
  • Over the years, in what ways has your region become more globalized?
  • How can you see the results of this today? If you cannot see the results of this today, why?

What are some signs that an infant is ready to try solid foods

What are some signs that an infant is ready to try solid foods (also called complementary foods)? How should new foods be introduced, and how often should a new food be introduced?

Unstable ischaemic heart disease

Mr. Jack Charles owns and manages a Market Garden mainly producing celery and herbs. He has hypercholesterolemia managed with Lipitor 40mg nocte. He and his son “Thomas” share this business together. Thomas has a wife and three young children aged 2, 4 and 6.

Mr. Jack Charles is a 78-year-old type 2 diabetic. He was first diagnosed in 1999 with hypertension then 2 years later as a type 2 diabetic. His wife Gladys has been managing his diet and medications until she died in 2010., his hypertension is managed with Aldomet 50mg daily, and his type 2 diabetes is managed with diet and Metformin 500mg slow release BD. He has been struggling to manage his health and work on the Farm.

Mr. Charles was admitted to a Private Hospital 65 days ago with unstable ischaemic heart disease. On admission, his BGL was 20 mmol/litre and he had polyuria, polydipsia and polyphagia. He required emergency Quadruple Coronary Artery Bypass Grafts (CABGs)that were complicated post-operatively by a Right Cerebrovascular Accident (RCVA).

 

After ten (10) days he was transferred to a Private Rehabilitation Centre to receive specialized post-stroke management. He has L leg weakness, L arm weakness and dysphasia as a result of his ischaemic stroke.

Medications in Rehabilitation 

Hypertension is now managed by Captopril 50mg TDS

Diabetes is now managed by TDS Actrapid Insulin 10 units

Hypercholesterolaemia us managed by Lipitor 80mg

Clexane 80mg BD subcutaneously

He will require Oral warfarin on discharge, dosage to be determined.

 

Q1.2  Seek information from Mr. Charles, and as appropriate, with family or carer to confirm their understanding of the condition and its impact.

What question/s would you ask Mr. Charles and his son “Thomas “to determine if they have an understanding of one of Mr. Charles’ chronic health conditions and its impact on their lives and activities of daily living?

 

Q1.3  In the Post Stroke Rehabilitation Program,

identify the current treatments given by teach of the following members of  the interdisciplinary health team

Medical Doctor, Nurse, Physiotherapist, Occupational Therapist, Speech Therapist

to Mr. Charles in rehab and on discharge.

 

Q1.4   Identify community-based care services that are available for Mr. Charles with a need for restorative or rehabilitation care.

 

 

Q1.5  Actively involve Mr Charles in the development of strategies to self-manage his condition. Describe the strategies, or design a program to help teach Mr Charles how to self-manage his Type 1 Diabetes and the introduction of insulin therapy.

Please make reference to:

  • Sugar free diet
  • The importance of BGL’s

The storage of insulin

 

Q2.1  Identify current contribution of other agencies and professionals in supporting Mr Charles. For the following agencies and professionals, determine their contribution in providing care for Mr Charles in hospital, or following discharge.

Please make reference to the following:

  • GP
  • Pharmacist
  • Centrelink
  • RDNS
  • Physiotherapy
  • Hydrotherapy
  • Diabetic nurse educator
  • Wound care nurse
  • Q2.2   Identify the level and type of contribution and support made by family or carer.
  • Q2.3   As a nurse, identify four (4) situations you will communicate with allied health professionals to describe Mr Charles progress.  Provide an example for each situation of how and what is communicated.
  •  Q2.4   Respond to variations in Mr Charles needs in the context of a coordinated service approach. Mr Charles is very sad and writes: “I can’t live like this.  I just want to die- and I know how to do it.”  As a nurse, how will you respond and what members of the health care team will you contact to help deal with this situation?

Q2.5 After consultation with the Endocrinologist and Diabetic Nurse Educator, Mr Charles has been told he will need to manage his insulin injections to help control his Type 1 Diabetes.  How will you as a nurse, educate and evaluate Mr Charles understanding of his diabetes and new management regime? Please make reference to the following:

  • Sugar free diet
  • Checking of BGL
  • Storage of insulin
  • Injection of insulin

The electronic health record

Two state troopers have just burst into your healthcare facility demanding immediate help in tracking down a prisoner on the run. They believe the man may be responsible for an area carjacking, and they have a written request for a description of any distinguishing physical characteristics, such as scars and tattoos. The electronic health record reveals that the man has a large heart on his upper arm with the name “Pookie” written inside it. However, the officers do not have a warrant for the information. Can you give it to them? Does it matter whether the fugitive has committed a violent or a nonviolent offence?

Reflection Journal for the concept of Development linked to your clients for the day

Please complete the Reflection Journal for the concept of Development linked to your clients for the day. Submit a Reflection Journal answering these 4 questions: Which other concepts related to the main concept in this scenario; explain why these concepts are important and how they are relevant to the scenario?

2. What abnormal signs and symptoms did you recognize and how did you prioritize your care of this patient?

3. How would you change your actions or interventions if you had a second chance to care for this patient?

4. How would you apply what you have learned from this scenario to future patients?

 

Please answer these questions on the patient below named Daanis Lafontain, you can easily google this but I need help with this so much.

Label the following structures: Aorta, Brachiocephalic artery (if seen), Left atrium, Left ventricle

Label the following structures: Aorta, Brachiocephalic artery (if seen), Left atrium, Left ventricle

    • Right atrium
    • Right ventricle
    • Pulmonary arteries
    • Posterior interventricular sulcus
    • Pulmonary veins

Are these properly labeled?

Medical-surgical unit for further evaluation and treatment

Jimmy Lewis is brought to the hospital emergency department by some friends. He had been vomiting for several days and was complaining of heart palpitations. Mr. Lewis is a 58-year-old white man who is homeless. He has not had any health care for at least 10 years. He is an alcoholic and drinks 1 quart of gin or vodka every day.

He does not have a job, and his family is all out of state. The emergency physician does an initial assessment and transfers him to a hospitalist, who admits him to a medical-surgical unit for further evaluation and treatment.

Mr. Lewis has lab work drawn. His electrolytes are as follows: sodium, 138 mEq/L; potassium, 3.1 mEq/L (low); chloride, 104 mEq/L; and magnesium, 1.5 mEq/L (low). His arterial blood gas measurements are as follows: pH, 7.48 (high); PaCO2, 40 mm Hg; and HCO3, 29 (high). Jamie Taylor, a 22-year-old nursing student, is assigned to Mr. Lewis. She reviews Mr. Lewis’ medical record before going in to assess him.

Question 1 After reviewing his chart and lab work, what fluid and electrolyte imbalances would Jamie determine?   Question 2 What type of acid-base imbalance is Mr. Lewis experiencing?

Question 3 The hospitalist orders an IV of D5NS to run at 125 mL/hr. What type of fluid is this? Question 4 Two hours after the IV is started, Mr. Lewis complains of pain at the insertion site. Jamie assesses the site and notes that it is cool to the touch around the site and is edematous. She tries to obtain a blood return and does not get any return.

This indicates what type of problem, and what action should she take?