The Role of the nurse in CHIP healthcare program implementation

Explain the role of the nurse in CHIP healthcare program implementation. How is the role of the nurse different between design and implementation of healthcare programs?

Post Partum Hemorrhage

Post Partum Hemorrhage: What is postpartum hemorrhage? What are risk factors related to postpartum hemorrhage? What are causes of early & late postpartum hemorrhage?

Know information related to retained placenta, uterine atony, lacerations

Review management/interventions related to postpartum hemorrhage

Review medications- Pitocin, Cytotec, Methergine, Hemabate

 

Cervical lymphadenopathy

Jason Hornbuckle is not a happy boy. For the past 4 hours, he has complained of pain when he swallows, He is febrile (temperature 103 degrees) with tender, bilateral, cervical lymphadenopathy (enlarged lymph nodes).  has a headache, and has vomited twice. His mother decides to take the seven-year-old to his pediatrician. Upon examining Jason, the nurse finds that Jason’s pharynx, tonsils, and uvula are swollen and erythematous (red) and his tonsils are studded with white areas of exudate.

A Complete Blood Count (cbc) performed on a sample of Jason’s blood reveals that he has a leukocytosis (increased number of WBC) due to a neutrophilia (increased number of neutrophils).

Jason is diagnosed as having acute bacterial pharyngitis and treated
with phenoxymethyl penicillin for five days. A throat swab taken before
starting antibiotics grows beta-hemolytic streptococci (Group A). After three days of treatment, Jason’s temperature has returned to normal and he has made an uneventful recovery.

Questions 

1. Jason’s pharynx, uvula, and tonsils are swollen and red. What are the four cardinal signs of inflammation, and how does each relate to changes in the blood vessels at a site of inflammation?

2. The exudate on Jason’s tonsils consisted primarily of neutrophils, and the cbc that was performed indicated that the number of neutrophils in his circulation was increased. What role do neutrophils play in the resolution of a bacterial infection?

3. It is noted that Jason’s cervical lymph nodes were enlarged, a condition referred to as lymphadenopathy. Describe the structure and function(s) of lymph nodes, and list the other organs and tissues that comprise the lymphatic system.

4. Describe the anatomic location and function of tonsils.

5. Explain some of the steps needed to reduce fever and fight the infection?

How a nurse could serve as a change agent

Identify/describe one possible way; you as a community/public health nurse could engage in activism (How a nurse could serve as a change agent) to address issues of health inequity experienced by HIV  vulnerable populations.

  1. Describe one desired goal/outcome that you would like to achieve through your actions (engagement).
  2. Identify one legislator or political leader within your community that you would approach regarding the issue.
  3. Discuss how you would communicate your message with the representative?

History of type 2 diabetes and Coronary artery disease

54-year-old man with a history of type 2 diabetes and coronary artery disease is admitted to the coronary care unit with worsening angina and hypertension. His pain is controlled with intravenous nitroglycerin, and he is treated with aspirin, beta-blockers to lower his heart rate, and angiotensin-converting enzyme (ACE) inhibitors to lower his blood pressure. Cardiac enzymes are normal. He undergoes coronary angiography, which reveals no significant stenosis. By the next day, his urine output has diminished to 200 mL over 24 hours.

 

Patient found in NAD with decreased urine output. Na 140 mEq/L, K 5.3 mEq/L, Cl 104 mEq/L, CO2 19 mEq/L, and blood urea nitrogen (BUN) 69 mg/dL. His creatinine (Cr) level has risen to 2.9 mg/dL from 1.6 mg/dL on admission

 

 

need soap note and discussion

The Health bills and legislation

What are the health bills and legislation that are before Congress in Washington DC,  that  have implications for cost, quality, and/or access to health care?

How science helps people’s lives is really neat?

Revise these sentences? How science helps people’s lives is really neat! The job market ain’t getting any better, so you might as well go back to school.

 

 

 

  1. I want to go back to school so I can make big bucks after I graduate.

 

 

 

  1. The patient’s not gonna see the doctor if he doesn’t high tail it to the hospital on time.

 Smartphone technology and text messaging for weight loss

Stephens J. D, Yager, A. M, & Allen J. (2017). Smartphone technology and text messaging for weight loss in young adults (Links to an external site.): A randomized controlled trial. Journal of Cardiovascular Nursing, 32(1), 39-46.

  1. Was the design experimental, quasi-experimental, or nonexperimental? What specific design was used? Was this a cause-probing study? Given the type of question (Therapy, Prognosis, etc.), was the most rigorous possible design used?
  2. What type of comparison was called for in the research design? Was the comparison strategy effective in illuminating key relationships?
  3. If the study involved an intervention, were the intervention and control conditions adequately described? Was blinding used, and if so, who was blinded? If not, is there a good rationale for failure to use blinding?
  4. If the study was nonexperimental, why did the researcher opt not to intervene? If the study was cause-probing, which criteria for inferring causality were potentially compromised? Was a retrospective or prospective design used, and was such a design appropriate?
  5. Was the study longitudinal or cross-sectional? Was the number and timing of data collection points appropriate?
  6. What did the researcher do to control confounding participant characteristics, and were the procedures effective? What are the threats to the study’s internal validity? Did the design enable the researcher to draw causal inferences about the relationship between the independent variable and the outcome?
  7. What are the major limitations of the design used? Were these limitations acknowledged by the researcher and taken into account in interpreting results? What can be said about the study’s external validity?

The Difference between euthanasia and physician-assisted suicide

In your own words, describe the difference between euthanasia and physician-assisted suicide. Select an argument for or against either euthanasia or physician-assisted suicide. How would you defend your argument?

Ovarian teratomas diagnosis

In the assigned article, you read about ovarian teratomas diagnosis. This diagnosis, although rare, can cause patients to present with psychiatric symptoms. However, if not discovered, the patient can end up in respiratory arrest and/or cardiac arrest on the psychiatric unit. Think back over your experience to a time when a misdiagnosis may have had serious consequences to a patient. Research the disease and discuss it. What are the clinical manifestations?

What are common differential diagnoses? How common is the disease? What are the potential consequences of misdiagnosis? How can misdiagnosis be prevented?