1 Meet the Patient: Nancy Jackson, a 72-year-old Caucasian female, is brought to the Emergency Department at St. John's Medical Center, a Catholic facility, by her daughter, Gail. Mrs. Jackson, who asks the staff to call her Nancy, is complaining of right-sided weakness, a severe headache, and just not feeling well for the last 24 Hours. Clinical Manifestations: The Emergency Department (ED) nurse is completing the admission assessment. Nancy is alert but struggles to answer questions. When she attempts to talk, she slurs her speech and appears very frightened.
B) Observe the area behind Jeff's ears. Other manifestations of a basilar skull fracture include tinnitus, facial paralysis, hearing difficulty, epistaxis, and CSF (cerebral spinal fluid) leakage from the nose or ears. The nurse is concerned about the rhinorrhea that Jeff is experiencing. 2. What methods can the nurse use to determine if the drainage is CSF?
2. Which assessment takes priority while the nurse provides oral care?A) Assess the sides of the oral cavity for any open sores. Feedback: INCORRECT Considering the client’s recent history of nausea and vomiting, another assessment takes priority at this time. B) Observe for excessive dryness of the mucus membranes. Feedback: CORRECT Because the client has a recent
Points Earned: 0.0/1.0 Correct Answer(s): D 7. The nurse is completing an admission interview and assessment on a client with a history of Parkinson's disease. Which question should provide information relevant to the client's plan of care? A) Have you ever experienced any paralysis of your arms or legs? Feedback: INCORRECT B) Have you ever sustained a severe head injury?
The researcher, did not talk to the beachgoers, nor interact with the participants. The target population used in this study was families with children ranging from infants to adolescents and a few adolescent groups. The variables were ages of the family members, genders of the members, types of protections used. At the end of the observation the researcher went to several local stores that sold sundries for the sun, and discussed the amount of daily sales of sunglasses and sunscreens sold on a busy weekend. Discussion Studies supports the notion that parents can be viable change agents for child behaviors and adds to the growing literature that indicates that the quality of the family relationship is critical to the success of such interventions.
Group 3: Skin Assessment Case Scenario Facilitator: Monica Hill Note taker: Jocelyn Huber Participant: Christine Hunt Maryville University Group 3: Skin Assessment Case Scenario R. H. is a 26 year old female that presents to the local health clinic with complaints of two red, scaly patches on her left hand. She states that the spots started about 2 weeks ago and that the first one appeared to be poison ivy. After the vesicles cleared R.H still complained of itching. Since initially seeing the two spots on her hand she has also noticed two new lesions, one above her left eyebrow and a small one above her right upper lip. She has used over-the-counter medications, believed to be steroid cream, antibacterial cream, and anti-itch cream, but they have not helped.
* Shape change * Colour change * Irregular * Diameter * Bleeding * Shape change * Colour change * Irregular * Diameter * Bleeding PREVENTION To prevent yourself from skin cancer you must slip, slop, slap, seek and slide. SLIP: When wearing clothes try to cover most of yourself with protective clothing which cover the front and back of neck. SLOP: You should wear sunscreen when outside preferably with SPF 30+ and also you should get water resistant so that if any water gets on you it will not come off repeat every 2 hrs. SLAP: When outside you should also wear a bucket hat or broad brimmed hat the caps do not completely protect you from the sun. SEEK: When outside you should avoid the sun and stay in shade and also try
Failure to Diagnose Phillosophy 200, Healthcare Ethics and the Law February 3, 2011 Presenting Ethical Dilemma A Physician Assistant requests an Ethics Committee to help decide if a patient should be told that his terminal lung cancer was discovered two years ago, but not followed up for treatment. Medical Indications A 30 year old man was diagnosed with terminal lung cancer. He is married with four children and was just told of his prognosis last week. The patient is competent and is able to make sound decisions. Two years prior, a routine x-ray shows that there was an 8mm spot (Stage 1) where the current tumor is now.
Ethical and Nursing Sensitive Indicators When caring for any client a nurse needs to culturally aware and competent when providing care for them. Having a general awareness is a start but if a patient were to present with a cultural preference the nurse could ask the client to educate them or be proactive in teaching themselves so they can provide optimal culturally competent care. In this particular case study the client Mr. J, a retired Jewish rabbi, has been recently hospitalized after being treated for a right hip fracture after falling at home and having a diagnosis of mild dementia. A. Nursing-sensitive indicators are defined as “the structure, process and outcomes of nursing care.” These indicators help define the structure in which nursing care is given by the “supply of nursing staff, the skill level of the nursing staff, and the education/certification of nursing staff.” The goal of nursing-sensitive indicators is to provide paramount education that help improve patient outcomes on items such as falls and pressure ulcers, thus when there is greater nurse education and quality of care they are likely to be preventable or treated appropriately (American Nurses Association, 2014). In the case of Mr. J his daughter noticed a red, depressed area over Mr. J’s lower spine while the CNA was getting him out of bed.
Thus halting the spread of this illness. One of the areas I have started to change and would continue to change is my exposure to the sun. My make-up currently contains an SPF but I need to make sure that I apply sunscreen all over my exposed skin to limit the result of too much sun exposure. I also use a broad brimmed hat, an umbrella that is lined underneath, sunglasses, and also sunscreen lip balm. Another way I would be proactive is to make an appointment for an examination by a dermatologist.