Question 3: You are caring for a 29′ year-old woman who has presented to the emergency room with headache. nausea. and weakness of the right arm. A friend who brought her to the hospital reports that patient had trouble speaking and finding words, and seemed "a little confused and frustrated." but tells you that “speech has improyed.” The emergency room doctor suspects that this patient may be suffering from a migraine headache with aura, but has ordered an MRI to rule out something more serious.

1. What additional questions do you haye for this patient? 2. Tell us which parts of the physical exam you think would be most important. What sorts of abnormal findings would you be alert for? Below is the patient’s brain MRI. 3. Any idea of what the MRI suggests? 4. Should genetic testing of any sort be considered (after emergency care and once the patient is stabilized]?

Considering the Policy Process (Chapter 7 – Berkowitz in Mason, Levitt, & Chaffee), appraise a recent healthcare policy change on your unit or in your organization using the Policy Process.  This discussion may also present for you an opportunity to reflect back on a “burning question” that you may have as a nurse.

1. Problem:  What was the basis for the policy change?  What was the problem? How was it identified?
2. Evidence based rationale: What evidence was used to determine the problem was significant enough to result in a change?
3. Options:  Were there alternative options for consideration prior to developing the policy? How was the policy implemented?
4. Stakeholder Involvement: Who was informed and educated about the decisions and issues surrounding the problem, issue, policy?
5. Implementation: What were the actions steps to implementation?
6. Evaluation:  Did the policy work (resolve the problem it was designed to address)?  Were there any unintended consequences of the policy?  How likely will the policy impact change on the unit, in the organization or in your practice?

please put reference.

Presentation of ‘What is Wellbeing’ This is the 8 dimensions of wellness. You are required to create a presentation to discuss the 8 dimensions of wellbeing. For each dimension you will need to answer the following: Describe how you would explain his model of wellbeing to a client

• In Health:
  • Identify and explain 3 signs of wellness, i.e. What wellness looks like for a client.
  • Identify and explain 3 ways a client can maintain this wellness
• In Illness:
  • Identify and explain 3 signs to look for if the client is unwell
  • Identify and explain 3 strategies for recovery
• Identify and explain 3 ways to introduce a new client to this dimension
• Identify and explain 3 activities to promote ongoing development in the dimension
• Identify and explain 3 ways to support this dimension in their everyday life
• Identify and explain 3 ways to support this dimension in personal care
• Explain how these dimensions interrelate with each other, give 3 examples.

1.How can you apply the acquired knowledge in your role as a PSW in the Community Setting?  Few weeks later, Grace saw John (Mrs. Cross son) who came to visit his mom.  After his visit, Mrs. Cross appeared to be anxious and concerned. Two days after she shared her concerns with Grace.  Apparently, John decided to move from BC to Toronto. John lost his job due to COVID and the family struggled financially.

Cross’sJohn has two kids. His wife didn’t work for many years. John lived in Barb’s house when they came from BC for the funeral.

 He cannot stay there any longer. Mrs. Cross has a two-bedroom condo apartment. The apartment is rented. John is asking Mrs. Cross to allow his family to live there until they recover financially. He won’t be able to pay for the apartment, and asks Mrs.

Cross to support them money-wise. Mrs. Cross also mentioned that John asked her to change the Will, to make him her power of attorney (POA) and to write the apartment on his name.  One day, you overheard their phone conversation. John was yelling at Mrs. Cross. You heard him saying, “Who do you want to leave this apartment to?

I am your son, and it belongs to me. You have to help me and my kids.” Mrs. Cross made John her POA, but refused to change the Will and to write the apartment on his name. She allowed them to live in the apartment until he finds a job. She agreed to pay for the condo bills. 

Mrs. Cross still suffers from pain. Her arthritis got worse, and she needs to ambulate with a walker. Grace also noticed that Mrs. Cross got prescribed a new BP medication. During the last medical check-up, her BP was 178/97. 

On Monday, Grace was scheduled to assist Mrs. Cross with a shower and laundry. She enters the apartment @ 8 am and finds Mrs. Cross on the floor.  Grace noticed that the right leg is turned outwards and shorter than the other. Mrs. Cross is unconscious, and the right side of the face is not symmetrical to the left. 

Review the case study and identify 2 differential diagnoses (Asthma and Obstructive Sleep Apnea Syndrome) please provide rationales to support them. also discuss treatment plan for them.

Please use the two differential diagnoses provided

Please use and provide 3 peer review journals thank you

“My daughter has been coughing for the past 3 months.  She cannot even play & run with her playmates.” HPI:  3  1/2 year old Shelly has been seen several times in the office for colds, cough and wheezing.  She has been on Orapred 3 times in the past year for this.  No other meds have been given.

 PMH:  She was a term baby delivered without complication. No feeding, growth issues and is developmentally on target for age.  Mom does report 3 years ago Shelly was very sick in the hospital with an infection in New Jersey.  Immunizations are up to date.

Review of Systems: (obtained from mom)

General:  “A normal 3 year old, she just coughs all the time, and when she has a cold it settles in her chest!”

HEENT:  She sometimes has very dark circles under her eyes. I think it is from her not sleeping and coughing all night.

Chest/Resp:         Coughing, sometimes to the point of not catching her breath.  Maybe she is out of shape but she can’t play like her friends, she just coughs and has to stop. Coughs every day & night, especially in the winter. (FMH of both parent with Asthma)

Chest/Card:         No color changes

GI/GU:  Eats well, no issues

MSK/Extremities:   Walks without an issue

PE:

She is wheezing bilaterally, is unable to really take in a good breath, afebrile, and VSS.

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