CORRECT This is the best choice, because Tylenol is a non-opioid analgesic, and it will not cause CNS depression. eff is medicated and reports that his headache is relieved. The nurse continues to monitor Jeff's vital signs, and his neurologic status is assessed using the Glascow Coma Scale (GCS). About an hour later, Jeff's Glascow Coma Scale rating changes from 13 Diminished neurologic status. CORRECT The GCS numerical rating ranges from 3 to 15, with 15 being the best rating, and 3 indicating a poor prognosis and high mortality rate.
For example, the idea that by keeping everything abnormally clean and organised the thought that something negative will happen to you will be prevented. As these thoughts are recurring and repetitive, the compulsions that follow them are also. In order to be clinically diagnosed with OCD, these symptoms have to have been persistent for a minimum of two weeks and the other symptoms from other disorders from the Axis ll must be absent. A strength of the classification and diagnosis of OCD is that it has a very high inter-rater reliability. In the context of OCD, this measures the extent to which two different clinicians agree on the diagnosis of the same patient.
Brown: Do the benefits of lowering cholesterol outweigh the risks of taking the medication? Physician: Yes Mr. Brown I believe they do. As of right now your cholesterol level is not too high. However, your LDL is very high and your HDL is very low. It is only a matter of time until your cholesterol is raising towards high risk heart disease levels.
LSI Self Assessment GM 591: Keller Graduate School Part I: Personal Thinking Styles (primary, backup, limiting) My primary style of thinking and acting is the avoidance style. Human Synergistic International states that a person with the avoidance thinking style generally lays low when things get difficult and stressful. This type of person tends to avoid conflict and can have trouble making decisions. This type of person can also be non-committal due to the difficulty in making decisions. My 92 percentile score in this avoidance category means I scored higher than 92% of a group of 9,207 people that previously took this life styles inventory self evaluation.
It is very important to remember that hearing and vision loss is normal with aging and that when we perform our assessments we should talk slowly and annunciate clearly so the patient can understand any direction or education that is given (GCU, 2012). While observing the skin, it is most important to check for skin break down and this is most often seen with patients in long term care facilities or in the hospital setting but can be seen in the outpatient side, most likely a patient that does not ambulate very much or is wheelchair bound. Poor wound healing or
Nursing Sensitive Indicators Nurse sensitive indicators included in this case are Mr. J’s use of restraints, complications of pressure ulcers, and patient satisfaction. Had the nurse who was caring for Mr. J been aware about the risks of pressure ulcer development with the use of restraints, the beginning stage of a pressure ulcer could have been prevented. Better RN assessment of Mr. J’s restraints, repositioning Mr. J every two hours and a thorough skin assessment should be done at every shift. The NA should be instructed to notify RN if they see anything out of the ordinary with patients, such as the redness to the lower spine of Mr. J. The nursing staff assigned to Mr. J will need additional training about restraints as far as appropriate use of restraints and how to care for a patient who is restrained.
Short-term opioid analgesics may be helpful for patients with moderate to high intensity pain, although x-ray study including flexion/extension views should be performed, to rule out ligament injury or fracture, prior to starting any treatment in these patients. In patients with headache but no neurologic symptoms, persistent headache can be associated with a closed head injury, irritation of the greater occipital nerve, cervical facet injury (C2-4 most typically), or cervical muscle tension. A positive response to physical therapy or manipulation would be expected in most cases with a musculoskeletal origin, whereas if the symptoms are associated with a closed head injury, a positive response would not be expected and the patient should be further evaluated. Patients with symptoms of closed head injury should be monitored for difficulty with activities of daily living, work activities, and relationships. If complaints persist for more than 2 months, patients should be referred for neuropsychological evaluation.
My score was a 1.88, I scored low in this trait. I agree with my score because I don’t suffer from any depression or high anxiety problems.
Preventing Falls in the Hospital Setting Schuyler Manuel Western Governor’s University Preventing Falls in the Hospital Setting Section A Olrich, T., Kalman, M., & Nigolian, C. (2012). Hourly Rounding: A Replication Study. MEDSURG Nursing, 21(1), 23-36. Background Information The author adequately outlined the purpose statement as determining the effect of hourly rounding on fall rates, call light use, and patient satisfaction. These are significant concerns due to their effects on hospital reimbursement in current days.
Reality orientation is one of the most widely used management strategies for dealing with people with dementia (Holden and Woods, 1995). It aims to help people with memory loss and disorientation by reminding them of facts about themselves and their environment. As I said earlier Trudy would have lucid periods where she knew she was in hospital. At these times I could say “Trudy you are staying in hospital for the moment Paddy is not well enough to take care of you at the moment”. Trudy would accept this and understand that I was a nurse and I was there to help.