Hodgkin  disease  

A.S.  was  recently diagnosed with  Hodgkin disease and scheduled for a  staging procedure. His previous axillary lymph node biopsy result was positive for Reed- Sternberg cells. The surgeon charted the results of the staging procedure as “stage I.”
Discussion Questions

1. What is the purpose of the staging procedure for A.S.?
2. How does Hodgkin lymphoma spread in the body, and what does “stage I”
signify for A.S.?
3. What is the difference between Hodgkin disease and non-Hodgkin
lymphoma?
4. What is the prognosis and predicted therapy for A.S. now that he has been
diagnosed with stage I Hodgkin disease?
5. What side effects might A.S. expect from this therapy?

 

 

 

Only need question 5 answered. thank you

Applied Research & Statistics II

These questions is from my class Statistics Nurse 436: Applied Research & Statistics II: 1). Identify the research design used and comment on its appropriateness given the study. 2). Describe the population used in the study. Comment on exclusion/inclusion criteria.

3) Discuss if there are any biases and threats to validity.

4.) Comment on the instruments used in the study, their reliability, and limitations.

5.) Critique the procedure used in the study.

6.) Comment on the type of statistical and power analysis used.

7). Identify if a potential conflict of interest was disclosed.

 

Please read 2 pages article below to answer the following questions:

Eckert et al., Reducing the Risk of Indwelling Catheter-Associated Urinary Tract Infection in Female Patients by Implementing an Alternative Female External Urinary Collection Device: A Quality Improvement Project. J Wound Ostomy Continence Nurs. 2020 Jan/Feb;47(1):50-53. doi: 10.1097/WON.0000000000000601. PMID: 31929443.

The Introduction of a fall safety and prevention program

QI question: In nursing staff in a skilled nursing facility (Population), what is the effect of the introduction of a fall safety and prevention program (Intervention), in comparison to before the introduction of the program (Comparison) on the nursing staff’s awareness about fall (Outcome) over 4 weeks (Time frame)?

 

1.  while conducting the QI project, suggest the following nursing implications .

1-1. education : (more than four sentences)

1-2. policy : (more than four sentences)

1-3. advocacy : (more than four sentences)

 

2. what are the Recommendations for future practice of the QI project ?

Signs of deficient fluid volume

Gloria has shown clear signs of deficient fluid volume, rather than a potential to develop the condition. Gloria’s postpartum hemorrhage prompted dizziness, fatigue, and uncontrolled bleeding. In turn, the combination of these side effects have compromised her fluid volume, resulting in a DFV diagnosis. While Gloria is still experiencing general soreness from her labor, she is not experiencing any acute pain or impairment to her tissue integrity.

\Additionally, addressing the DFV will ensure that Gloria will be able to distinguish complications related to her fluid volume should they arise.

1. Which other concepts relate to the main concept in this scenario; explain why these concepts are important and how they are relevant to the scenario? Main concept Fluids and Electrolytes and related concept nutrition, and perfusion

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?

 

For the above questions:

 

Identifies at least two (2) related concepts that are important in this scenario and thoroughly explains why they are important and relevant to the scenario.

 

Identifies at least 2 abnormal signs and symptoms and thoroughly explains how they would prioritize care of this patient.

 

Thoroughly explains at least 2 changes to actions or interventions if they had a second chance to care for this patient.

 

Thoroughly explains at least 2 ways they will apply what they have learned from this scenario to future patients.

Complaining of Fever & cough

A 57-year-old male presents to the office complaining of fever & cough. He states he felt healthy four days ago, then on the following day started to feel feverish and coughed up yellowish-green phlegm the next morning. His symptoms have progressively worsened. He also mentions right-side chest pain when he takes a deep breath. He states his wife was sick with milder similar symptoms one to two weeks ago. PMH: HTN & arthritis. Medication includes metoprolol and celecoxib. Smokes about a pack a day of cigarettes but denies ETOH or illicit drug use. No allergies to medication.

 

What is your working diagnosis and provide 3 appropriate differential diagnosis and justify your choice of differential diagnosis. 

 

Include reference

Who should get the Heart Transplant?

Who should get the Heart Transplant? Argue for the candidate that you believe should receive the heart using the applicable theories and principles, and describe any economic or medical issues described in the reading, which may help or hinder your candidate from receiving the heart you believe she or he deserves

 

Celeste is a 48-year-old physical therapist who works at a community hospital in Southern California. Celeste is well like and respected by both the staff and her patients. Celeste is a single mother of a 13-year-old girl, who attends 8th grade at a private Christian school. Celeste has battled chronic uncontrolled hypertension for years and a few years ago she was diagnosed with dilated cardiomyopathy that was managed with ACE inhibitors.

The past few months, Celeste’s health has been declining and she was recently admitted to the hospital with cardiac arrhythmias and blood clots.

Celeste is no longer able to work and her physician has informed Celeste her condition is no longer manageable with medical therapies. If Celeste does not get a heart transplant she most likely will not make it to the new year.

The entire hospital community, her daughter’s private school family, and her daughter are devastated. Due to her end stage cardiomyopathy, Celeste’s parents have moved in to help with Celeste’s daughter and her personal care.

 

Brandon is a 56-year-old construction worker who suffers from hypertrophic cardiomyopathy. Brandon is married to his high school sweetheart and they have two boys ages 11and 9 years old. For the past few months Brandon has been experiencing shortness of breath, especially at work, fatigue, bilateral lower leg and ankle edema as well as swelling in the veins of his neck. When Brandon started experiencing irregular heart beats he notified his doctor and went in for a check-up. Brandon was diagnosed with hypertrophic cardiomyopathy and was treated with Verapamil but is medication resistant and he now requires a heart transplant to survive.

 

A heart has become available and both Celeste and Brandon are an exact match. Who should get the heart?

 

 

Activity, Perspective, Articulation, Argument & Rebuttal structure
Possible pointsActual Points
Introduction & Perspective/3.0
Argument – using ethical theories and principals/8.0
Biblical relevance & Faith Integration/5.0
Conclusion/2.0
Rebuttal/2.0
Total

Actual points

/20.0

 

Team Brandon

Alzheimer’s disease

You are assigned to care for Mr. Andrasziuk, 85, who has Alzheimer’s disease. He often wanders from room to room and tries to open outside doors. He frequently displays increased agitation, confusion, and restlessness, especially in the evening. Most of the time, Mr. Andrasziuk is unable to feed himself and he is often incontinent.

He keeps repeating, “Help me, help me”, all day long. Answer these questions about how you would care for a person who has dementia:

How do you feel about caring for a person with these behaviours? o Frightened? o Angry? o Impatient?

▪ How do you deal with your feelings so that you can give care to the person? o Identify your feelings. o Describe how you deal with or manage those feelings.

At what stage of Alzheimer’s disease is Mr. Andrasziuk? o What signs and symptoms support your answer?

Why would it be ineffective to remind Mr. Andrasziuk of the date and time during your shift? o Relate your answer to your knowledge of Alzheimer’s disease.

Why is reminding a client of the date and time a good technique with some confused people and not with others? o Relate your answer to your knowledge of Alzheimer’s disease.

▪ Why does Mr. Andrasziuk’s behaviour become more agitated, confused, and restless toward evening? o What is this called? ▪ What methods could you use to make sure Mr. Andrasziuk receives the care needed to maintain good personal hygiene? o How could you get him to cooperate or participate in his care?

What parts of Mr. Andrasziuk’s behaviour would be most difficult for you to tolerate? o Explain why.

▪ What would you do if you found yourself becoming irritated and angry with Mr. Andrasziuk’s behaviour? o Describe several options. Read the questions carefully and take careful note of the verbs used e.g., feel, deal with, identify, describe, relate, why, what, how, explain; these are key words in guiding your answers.

Social model of disability

Development Using a Person-Centred Approach. What is meant by the term ‘social model of disability? Give an example of where, in the disability sector, competency and image enhancement could be used as a means of addressing devaluation.

 

3.
Discuss the principles of strength based practice and provided an example of this approach being applied in the disability sector.

 

4.
Describe three (3) ways you can support, advocate and empower a person to take their rightful place in the community.

The required response for this question is three (3) detailed examples

 

Example 1.

Example 2.

Example 3.

 

5.
Research an organisation in your local community.  List 4 ways they can assist a person to build on their capacity.

The required response for this question is the details of one (1) organisation AND four (4) detailed examples

 

Organisation.

Example 1.

Example 2.

Example 3.

Example 4.

6.
Explain the assessment processes relating to ongoing skills development.

A Cardiovascular accident

Situation: Mr. Delmar, 70 years old, suddenly could not lift his spoon nor speak at breakfast. He was rushed to the hospital unconscious. His diagnosis is a cardiovascular accident (CVA).

  1. Which of the following is the most important assessment during the acute stage of an unconscious patient like Mr. Delmar?           a. Level of awareness and response to pain b. Papillary re ilexes and response to sensory stimuli c. Coherence and sense of hearing d. Patency of airway and adequacy of respiration
  2. Considering Mr. Delmar’s condition, which of the following is most important to include in preparing Mr. Delmar’s bedside equipment?      a. Hand bell and extra bed linen c. Footboard arid splint

c. Sandbag and trochanter rolls            d. Suction machine and gloves

8. What is the rationale for giving Mr. Delmar frequent mouth care?

a. He will be thirsty considering that he is unable to take fluids

b. To remove dried blood when tongue is bitten during seizure

c. The tactile stimulation during mouth care will hasten return to consciousness

d. Mouth breathing in the case of most comatose patient causes oral mucosa to be dry and cracked

  1. One of the complications of prolonged bed rest is decubitus ulcer. Which of the following can BEST prevent is occurrence? a. Massage reddened areas with oil/lotion b. Turn patient frequently every 2 hours c. Use special water mattress d. keep skin clean and dry

Levels of support

There are different government and private sectors and charitable and voluntary organizations who provide varying levels of support depending on the level of funding and resources they have. Discuss some funding and support that is available to clients