What are some key performance indicators and measures for the risk of patient falls at hospitals? Please cite appropriate current literature to support the identification.

Care Search is funded by the Australian Government Department of Health. What are your immediate thoughts?

Discuss it among the team: use it for in-service education, to reflect on how your service practices, or just

to consider palliative care in a different context or setting.

1. Please discuss the role of family meetings early during admission. How might this benefit a patient,

family and care team?

2. What strategies for supporting staff and volunteers do you use for patients who are sometimes

challenging?

3. Discuss the roles of the multidisciplinary team for supporting people and families like Marjorie?

4. How might PCOC tools assist in assessing the care required by patients like Marjorie?

5. How might sudden cessation of medications (for example as a result of dysphagia) affect Marjorie’s

symptoms?

6. What are the different arrangements that can be made in relation to decision making for patients

who no longer have the capacity? Eg, Enduring Power of Attorney, General Power of Attorney.

https://www.studocu.com/en-us/document/st-paul-university-dumaguete/bachelor-science-in-nursing/professional-nursing-case-study-template/27514767

read this to answer those question

Chapter 28: Growth and Development of the School-Age Child 1, Gina has come into the primary care center with her mother Kris for an 11-year-old wellness examination. As the nurse prepares Gina for her examination, Kris asks to speak to the nurse outside the examination room.

Kris shares with the nurse her concerns about recent changes she has noticed in Gina. She explains that Gina’s body is beginning to change and she has made a number of comments about her body image. Kris is concerned about Gina’s self-esteem and emotional development.

(Learning Objectives 1, 2, and 3) a. What are some of the prepubescent changes school-age children experience that the nurse can share with Kris? b. What are some of the issues regarding body image that the nurse can teach Kris about?

c. What can the nurse teach Kris regarding self-esteem in school-age children to address her concerns?

Allison is a 35-year-old G2P1 F who is currently 6 weeks postpartum. She was induced for intrauterine growth restriction (IUGR delivered vaginally without complications. This morning, her husband found her difficult to rouse and confused so he called EMS.

The husband states she has been anxious since the birth of her child, but believes this is expected because the baby was small at birth and pediatricians are concerned about his growth.

Allison had nausea, vomiting and diarrhea for two days prior. Her milk supply has diminished and she has now switched to formula feeding.

The husband states they have not traveled recently and have no sick contacts.

Allison is still on maternity leave so she has been home caring for the infant. The husband has returned to work.

What additional history questions should we ask the husband at this time? Let’s come up with ten.

What initial nursing assessments should be performed?

Upon further questioning you learn:

PMH vitilaigo, hyperlipidemia, asthma

PSH none

SH: Allison works as a CRNA at a local hospital where she has been employed for 9 years. She walks for exercise but has been exercising less since the birth of the baby. She does not smoke or drink alcohol. She follows a vegan diet. She has been married to her husband Chad for 4 years. The couple recently purchased a new home right next to Allison’s mother which has been both a source of support but also stress at times.

ALL None

Meds simvastatin 10 mg daily, albuterol inhaler PRN

At this time, Allison is only minimally responsive to painful stimuli. She is unable to answer orientation questions and just keeps repeating her husband’s name. The nurse notes redness to her eyes and swelling around her eyelids. She has thyromegaly with +bruit and +thrill. There are no palpable nodules. Heart rate is rapid and irregular. Lungs have diffuse crackles bilaterally. Vital signs are as follows:

HR 145 bpm

BP 120/76 mmHg

RR 32 bpm

Temp 101°F

SpO2 89% on 4L nasal cannula

What should the nurse’s first action be?

What diagnostic tests do you anticipate will be ordered?

Her HR goes up to 155. AN EKG demonstrates atrial fibrilation. The patient becomes even less responsive and she is intubated for airway protection. She is transferred to the ICU. Her lab results are below:

Na 144 pH 7.33 TSH <0.005 (0.2-4.2 is normal)

K 5.0 pCO2 48 WBC 14K

Mg 1.0 HCO3- 24 Hgb 12.5

BUN 11 pO2 190 Hct 38%

Cr 0.7 Lactate 3.2 Plt 450K

What is going on with Allison?

She is treated with IV fluids, a beta blocker, and methimazole 20 mg PO BID. She starts doing much better clinically, she is in normal sinus rhythm and she is able to be extubated. She is transferred to the floor on hospital day 4 and now has the following test results: TSH <0.005, T4 9.0 (normal)

Thyrotrophin receptor antibody (TRAb) 30 (high)

ALT 150 U/L (normal is up to 42)

AST 102 u/L (normal is up to 37)

Alk phos 306 U/l (60-306)

Nuc med thyroid scan demonstrates diffuse increased uptake equal throughout the thyroid gland with no areas suggestive of a hot or cold nodule.

Thyroid sono demonstrates enlarged, hypervascular thyroid with no discrete nodules

What is concerning about her laboratory results and what could be causing it?

What do you think is the etiology of her thyroid condition?

What are her treatment options?

Allison opts to proceed with a total thyroidectomy. Post operatively, she complains of pins and needles in her hands and on exam, you note a positive Chvostek’s sign and positive Trousseau’s sign.

What surgical complication might Allison be experiencing?

What treatment should be ordered?

What patient counseling should be provided to a patient who has just undergone a total thyroidectomy? Any other meds we need to discuss?

Allison’s surgical pathology returns as follows:

Enlarged thyroid gland

R lobe tumor 0.5 papillary thyroid cancer, encapsulated, no lymphatic or angioinvasion.

Central neck lymph nodes 1/11 positive for papillary thyroid cancer. The tumor focus is 0.5 mm.

WHAT DO WE DO NOW!??!??

Let’s compose a care plan for Allison.

Everyone in the group will be asked to provide a nursing diagnosis and either a short or long term goal.

Case Studies Chapter 28: Growth and Development of the School-Age Child 1. Gina has come into the primary care center with her mother Kris for an 11-year-old wellness examination. As the nurse prepares Gina for her examination, Kris asks to speak to the nurse outside the examination room. Kris shares with the nurse her concerns about recent changes she has noticed in Gina. She explains that Gina’s body is beginning to change and she has made a number of comments about her body image.

Kris is concerned about Gina’s self-esteem and emotional development.

(Learning Objectives 1, 2, and 3) a. What are some of the prepubescent changes school-age children experience that the nurse can share with Kris? b. What are some of the issues regarding body image that the nurse can teach Kris about?

c. What can the nurse teach Kris regarding self-esteem in school-age children to address her concerns?

2. Don is a 10-year-old boy who is being seen by the school nurse today for a fall he experienced iccec some concern