What is the importance or value of obtaining descriptive statistics in the research design of your DPI project (Diabetes self efficacy and lower HA1C levels in adults with type 2 diabetes by using a journal to record exercise, diet and blood sugar levels?
Discuss the need for displaying statistics in graphic form.
Case Studies Chapter 25: Growth and Development of the Newborn and Infant 1. Jesus is the first-born son of Roberto and Marie Valez. The parents are very excited about the birth of their new son. They have brought Jesus into their nurse practitioner today for his first examination 3 days after his birth. Jesus was 7 Ibs 2 oz at birth and 19 in. His Apgar scores were 8 and 9.
There were no complications with his mother’s pregnancy or his delivery. Jesus’ parents have noticed that he has lost some weight since coming home.
Marie is breastfeeding Jesus and is concerned that she is doing something wrong. They also have several questions about Jesus. (Learning Objectives 1 and 4)
a. What can the nurse practitioner tell Marie regarding her concerns about Jesus’ weight loss? b. What questions should the nurse practitioner ask regarding Jesus’ nutrition, and what information can he or she offer to Marie regarding breastfeeding?
c. What anticipatory guidance can the nurse practitioner offer to Roberto and Marie regarding Jesus’ growth and development over the next several weeks?
Growth and Development of We Prestnogler 1. Donnie has brought his 4-year-old son, Isaac, to the pediatric free clinic for a kindergarten physical. Isaac is the older of two children of Donnie and Mary Smith. Donnie is employed as a farrier but his work does not provide insurance and he has come to a nurse-operated free clinic.
Donnie shares that Isaac enjoys spending time with his father when he is working with the.
horses, but he is concerned that Isaac has an imaginary friend named "Tackle." On physical examination, Isaac is 39 inches tall and weighs 35 Ibs. Donnie is a man of average height (5’9" with a slim build). Donnie is concerned that Isaac may be too small for his age. (Learning Objectives 1)
a. What can the nurse communicate to Isaac’s father about his physical growth? b. What can the nurse teach Isaac’s father about his cognitive and psychosocial development? c. What can the nurse teach Isaac’s father about his moral development?
Nina is the 5-year-old adopted daughter of Sarah and Tim Johnson. Nina is the Johnsons’ only child. They adopted Nina before her first birthday. The Johnsons have brought Nina to the clinic today to discuss some concerns about development. Nina is attending a public kindergarten.
Since beginning school, the Johnsons have noticed that they are catching Nina lying more. They are concerned that this may be a result of attending school.
In addition, they are concerned about her verbal development and note that her teacher reported that Nina seems to be stuttering or repeating the term "um" when speaking. She also has some difficulty with "sh" and "th" sounds.
When the Johnsons try to discuss these issues with Nina she becomes "very emotional" and retreats to her room. (Learning Objectives 2 and 6)
a. What can the nurse teach the Johnsons about lying in preschool children?
b. What can the nurse teach the Johnsons regarding stuttering and speech development with Nina? c. What can the nurse teach the Johnsons regarding emotional development in preschool children?
growl did development over the next several weeks? 2. Steve Shell has brought in his 9-month-daughter Emily for her wellness examination and immunizations. Steve is a single father raising his daughter after Emily’s mother was killed in a motor vehicle accident (MVA). Steve is doing a great job of raising Emily by himself, but he still has some concerns about his abilities as a father. He has several questions for the nurse practitioner.
The nurse practitioner’s examination of Emily is unremarkable and she is growing and developing as expected. (Learning Objectives 6 and 7)
a. What should the nurse practitioner include when teaching Steve about promoting healthy eating habits and appropriate sleep and rest?
b. What can the nurse practitioner offer Steve regarding promoting appropriate discipline with Emily?
c. Since Steve is a single parent and sole income earner, he is required to place Emily in daycare while he is at work. Steve is concerned about the effects of daycare on Emily’s development.
What can the nurse practitioner teach Steve about child care?
Bill and Ted are a domestic couple that has brought in their 30-month-old daughter, Victoria, complaining of a runny nose, cough, and low-grade fever. What can the nurse teach Bill and Ted regarding promoting appropriate discipline for Victoria? Bill and Ted adopted Victoria at birth. The biological mother was a teenager who chose to give her child up for adoption and Bill and Ted provided financial support to ensure that she received the appropriate prenatal care. Her pregnancy and delivery were unremarkable.
She has had no contact with Victoria or her fathers since birth.
The nurse practitioner determined that the symptoms are attributed to an upper respiratory tract infection (URI) or common cold and recommended that it be treated symptomatically.
While in the office, Bill and Ted have some questions regarding Victoria’s behavior.
They explain that she has become more defiant, repeatedly responding to their questions or commands with "no" or temper tantrums.
Neither Bill nor Ted has been a parent before adopting Victoria and they are concerned that they are to blame for her behavior. (Learning Objectives 1, 5, and 12) a.
What can the nurse teach Bill and Ted about the psychosocial or cognitive development of a toddler that would help them understand Victoria’s behavior?
c. What is "temperament" and how would it influence Victoria’s behavior?
Medical Case 5: Patient Introduction Skyler Hansen is an 18-year-old male diagnosed with type 1 diabetes 6 months ago. He was brought to the Emergency Department by his friends. The friends report that he started acting “weird” while they were playing basketball. He has not eaten anything for 5 hours. Skyler told them that he felt lightheaded and was going to lie down on the cement. They became nervous and decided to bring him in to the Emergency Department. The patient is drowsy, wakes with stimulus, has slurred speech, is diaphoretic, and is acting irrationally. Diagnosis: Diabetes Unit: ED
1. How did the scenario make you feel?
2. What management options would have been appropriate if Skyler Hansen had been alert and could swallow?
3. If Skyler Hansen’s acute hypoglycemic episode had not have been treated immediately, what could have happened?
4. If too much glucose were administered to Skyler Hansen while the health care team was trying to correct his blood glucose level, what could occur?
5. What key elements would you include in the handoff report for this patient? Consider the SBAR (situation, background, assessment, recommendation) format.
6. Describe age-appropriate patient teaching for Skyler Hansen and resources that may be helpful to him.
7. Discuss confidentiality and legal empowerment of 18-year-old patients such as in Skyler Hansen’s case.
8. What would you do differently if you were to repeat this scenario? How would your patient care change?
One key concept I learned is the concept of PQRST in the Health Assessment lab. Palliation, Quality, Region, Severity, Timing (PQRST) is a mnemonic that helps nurses assess a patient’s pain and all associated triggers/complications. This is important because pain is subjective data. It is a self reported symptom.
There is no specific way to identify pain except by believing what the patient is saying. However, the nurse can use this mnemonic to attempt to pinpoint the source of the pain. Identifying the source of the pain and triggers associated with it can help the nurse aid the patient better towards recovery.
Using PQRST for the initial assessment also creates a standard that all nurses can use to ensure a patients pain is addressed and taken care of.
As far as skills, I was able to learn the appropriate order for the head to chest assessment and effectively practice. Inspect, Palpate, Percuss and Auscultate are the steps to properly assess a patient without missing any part of the body. It is basic nursing. You basically start from the head and work your way down. This helps in shining a light on a patients most critical need.
Keeping this concept in mind along with this newly learned skill I am able to provide the best nursing care to my patients because I will address all aspects of their health. (peer response by your own words)
Create a teaching philosophy statement that explains your values and beliefs about
teaching and learning.
Learning is like _________________ because it ___________________________________
Teaching is like a _______________ because it ___________________________________
Knowledge is like _______________ because it ___________________________________
Environment is like _____________ because it ___________________________________
Choose one provision from the Antinuclear Antibody Code of Ethics. How is ethical behavior an integral part of being a nurse leader? How does one communicate the characteristics of a role model with this provision? Do ethics influence the leadership style of the nurse leader?
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