General Survey and Health History (graded)
Casey is a 17-year-old high school student admitted to the ER with a compound fracture of the left leg obtained falling at the local skateboard park while practicing for a national competition. He has never been hospitalized before. His mother has been notified and is on her way. The EMTs gave him morphine and he reports his pain level as “okay.”
• What part of the interview and examination can be done prior to his mother’s arrival?
• As you enter the room for the first time, what should you observe as part of the general survey?
• As you complete his history, what areas are especially important?
• What are the important developmental considerations for Casey?
The Older Adult (graded)
Jean is a 68-year-old female admitted for a total hip replacement. In her interview you learn that she has a history of obstructive sleep apnea (OSA) with a neck circumference of 16 inches and snores much of the night. She is 5’7” and weighs 265 pounds. She states she is sleepy throughout the day. Her other medical history includes: hypertension treated with angiotensin II receptor blockers (ARB), Diabetic with an Hgb A1c over 8%. Hypercholesteremia treated with a Statin drug. Coronary Artery Disease (CAD) with a history of a drug eluting cardiac stent placed 14 months ago and currently on Plavix and ASA. History of gastroesophageal reflux disease (GERD) and is on Prilosec. Her husband has a history of cerebral vascular accident (CVA) several years ago.
• What medications should she take pre-op and what should she hold?
• Should Jean be allowed to continue ASA pre-operatively?
• Should cardiology be consulted on this matter?
• What are Jean’s risks for diabetes complications? What concerns do you have about her social support system?
•
week 4
Assessment of the Skin (graded)
Describe a patient with an abnormal skin symptom or group of symptoms such as a rash, an itch, redness, a lesion, or wounds. Do not limit yourself to these examples.
• What questions would you ask as part of your focused assessment?
• What history might be associated with the symptom, if any?
• What are the known risk factors for this condition?
• What physical examination techniques would you use?
• What patient education would you give the patient?
• Find a nursing journal article about these symptoms.
Assessment of the Head and Neck (graded)
Choose one area of the head and neck and then select a common complaint (symptom or group of symptoms) patients may have in that area. For example, you may select headaches, earaches, ringing in the ears (tinnitus), sinus drainage and pain, sore throat and cough, and so on. Do not limit yourself to these examples.
• What questions would you ask as part of your focused assessment?
• What history would be associated with the symptom?
• What are the risk factors for this condition?
• What physical examination techniques would you use?
• What patient education would you give the patient?
• Find a nursing journal article about this symptom or condition.
• What history would be associated with the symptom?
/in /by CarlosGeneral Survey and Health History (graded)
Casey is a 17-year-old high school student admitted to the ER with a compound fracture of the left leg obtained falling at the local skateboard park while practicing for a national competition. He has never been hospitalized before. His mother has been notified and is on her way. The EMTs gave him morphine and he reports his pain level as “okay.”
• What part of the interview and examination can be done prior to his mother’s arrival?
• As you enter the room for the first time, what should you observe as part of the general survey?
• As you complete his history, what areas are especially important?
• What are the important developmental considerations for Casey?
The Older Adult (graded)
Jean is a 68-year-old female admitted for a total hip replacement. In her interview you learn that she has a history of obstructive sleep apnea (OSA) with a neck circumference of 16 inches and snores much of the night. She is 5’7” and weighs 265 pounds. She states she is sleepy throughout the day. Her other medical history includes: hypertension treated with angiotensin II receptor blockers (ARB), Diabetic with an Hgb A1c over 8%. Hypercholesteremia treated with a Statin drug. Coronary Artery Disease (CAD) with a history of a drug eluting cardiac stent placed 14 months ago and currently on Plavix and ASA. History of gastroesophageal reflux disease (GERD) and is on Prilosec. Her husband has a history of cerebral vascular accident (CVA) several years ago.
• What medications should she take pre-op and what should she hold?
• Should Jean be allowed to continue ASA pre-operatively?
• Should cardiology be consulted on this matter?
• What are Jean’s risks for diabetes complications? What concerns do you have about her social support system?
•
week 4
Assessment of the Skin (graded)
Describe a patient with an abnormal skin symptom or group of symptoms such as a rash, an itch, redness, a lesion, or wounds. Do not limit yourself to these examples.
• What questions would you ask as part of your focused assessment?
• What history might be associated with the symptom, if any?
• What are the known risk factors for this condition?
• What physical examination techniques would you use?
• What patient education would you give the patient?
• Find a nursing journal article about these symptoms.
Assessment of the Head and Neck (graded)
Choose one area of the head and neck and then select a common complaint (symptom or group of symptoms) patients may have in that area. For example, you may select headaches, earaches, ringing in the ears (tinnitus), sinus drainage and pain, sore throat and cough, and so on. Do not limit yourself to these examples.
• What questions would you ask as part of your focused assessment?
• What history would be associated with the symptom?
• What are the risk factors for this condition?
• What physical examination techniques would you use?
• What patient education would you give the patient?
• Find a nursing journal article about this symptom or condition.
Discuss alternative courses of action that could be taken by the counselor to rectify each dilemma.
/in /by CarlosDiscuss alternative courses of action that could be taken by the counselor to rectify each dilemma.
Read the case study provided and identify all three of the ethical dilemmas presented.
Describe the nature and all dimensions of the three ethical issues.
Identify the ethical code numbers and definitions of each issue presented using both the APA and ACA codes.
Discuss alternative courses of action that could be taken by the counselor to rectify each dilemma.
Describe the implications of each alternative action; lay out the limitations and advantages of each alternative considered.
Choose one course of action and provide a justification for this selection.
Describe the ethical decision-making model (from your course materials) you used throughout the process to arrive at a final decision (i.e., Forrester-Miller and Davis). Make sure you outline each step.
Identify the criteria you will use to evaluate the success of your education in this case study
/in /by CarlosInternal Code : MAS3732 Nursing Assignment Scenario: John is currently receiving his last cycle of adjuvant chemotherapy for colorectal cancer. As the Cancer Care Coordinator at this hospital, you will be meeting with him to provide education with regards to his discharge and self-management plan following the end of his active treatment. Question : In preparation for your meeting with John, you are to develop a discharge and self-management plan for discussion with him. Before discussing the plan with John and his family, you are to consider the principles of communication and outline strategies that will facilitate effective education about his discharge and self-management plan. Identify the criteria you will use to evaluate the success of your education in this case study. 18 total views, 2 views today
Evaluate the efficacy of the measures that the new contracts in question afford and rationalize whether or not these improvements have provided optimal solutions to today s complex concerns of integrity in health care performance
/in /by CarlosContracts and Antitrust Protocols Based on the Criminal Aspects of Health Care From the scenario differentiate between the concepts of criminal law antitrust and health care as they apply to U.S. health law in the 21st Century. Conceptualize the primary ways in which these laws apply to U.S. health care administrators.Criminal Law can be described as a way to obtain public order and safety within an organization. According to Pozgar & Santucci criminal law has been seen as a system of regulating the behavior of individuals and groups in relation to societal norms at large in which civil law is aimed primarily at the relationship between private individuals and their rights and obligations under the law. Criminal law applies to U.S health care administrators by providing caution for those involved in health care fraud the 21st century federal government is prepared to investigate and prosecute health care organizations for criminal wrong doing. In addition the government has developed corporate compliance programs to help organizations be compliant with the laws and to ensure that health care organization are compliant with laws and procedures for providing services. In addition the Antitrust Act was developed to assist with areas of concern with health care organizations to include reduced market competition price fixing actions that bar or limit new entrants to the field preferred provider arrangements and exclusive contracts Pozgar & Santucci (2016).With the Antitrust Act physicians are able to bring action for denial of hospital medical staff privileges based on allegation that the hospital in conspiracy with other physicians is illegally denying competition among physicians. Analyze the general transition of U.S. health laws based on criminal misconduct in health care to the creation of contract laws as predicated within the Sherman Antitrust Act. Evaluate the efficacy of the measures that the new contracts in question afford and rationalize whether or not these improvements have provided optimal solutions to today s complex concerns of integrity in health care performance.The general transition of U.S Health Laws based on criminal misconduct in health care to would be that its elements and IMPORTANCE of contract law s and antitrust has increased pertaining to healthcare organizations and professionals. According to Pozgar & Santucci (2016) a contract serves to provide one or more of the parties with a legal remedy if another of the parties does not perform his or her obligations. In which health care contracts serve to minimize misunderstandings and offer a means for the parties of a contract to resolve and disputes that may arise. Because contracts are commonly used in health care setting it is very important for health care organizations integrity. In which these improvements have provided optimal solutions to complex concerns within the health care organization.ReferencesHSA515 Week 4 Scenario (Resources) Health Care Policy Law and Ethics; Criminal Law Antitrust and Health Care (2016)Pozgar G.D. & Santucci N. (2016). Legal aspects of health care administration. (12ed.) Sudbury MA: Jones & Bartlett Learning
Provide at least three citations with full references to credible nursing scholarly articles supporting your definitions and discussion
/in /by CarlosHealth care Qualitative data analysis can be quite complex and time-consuming. Whether the research design is descriptive or uses a specific qualitative methodology such as phenomenology, the researcher will need to consider all the data that is generated from data gathering. Most qualitative data are gathered from interviews, and the results are examined for themes and patterns. 1.Please describe and discuss how themes and patterns emerge from the analysis of data. 2.Use the thematic findings from a credible qualitative nursing research study to demonstrate your description. Be sure the study you use is different from the qualitative study for the major Assignment. Please attach the study for others to view. 3.Provide at least three citations with full references to credible nursing scholarly articles supporting your definitions and discussion