Assessment Report for Mr. Brown LaMont Barre Duncain College Assessment Report for Mr. Brown Good morning Mr. Brown. My name is LaMont. I am a physician’s assistant and I will be discussing the results of your recent cholesterol panel. During this appointment we will be reviewing the significance of your results as it directly relates to your heart as well as, formulating a plan of care to help you maintain a healthy lifestyle. Before we begin, are there any specific questions that you have about cholesterol and how it can affect your health?
Timmins F, (2007) Communication Skills: Information giving, Nurse Prescribing, 5(10) pp.437-441 Timms L (2011) Effect of nutrition on wound healing in older people: a case study British Journal of Nursing, 9 (12), pp. 4-10. Turnbull B (2008) High-flow humidified oxygen therapy used to alleviate respiratory distress, British Journal of Nursing, 17 (19), pp. 1226-30. Vernon T (2002) Nutrition for Healing: everyone’s responsibility.
Bloom’s taxonomy states that the steps in this stage are remembrance, understanding, applying, analyzing, evaluating, and creating (Bloom, 1956). In these steps the patient learning can be evaluated by looking at each step in depth. For example if a patient is diagnosed with diabetes, the nurse will see if the patient can remember how to perform a blood glucose test properly by return demonstration, the nurse will ask questions to see if the patient can verbalize the correct low-carb diet choices, and see if the patient can put the pieces of education together to see if the patient understands the need for these life style changes. If the patient is unable to do these things then the nurse will have to go back and re-educate the
Interventions and the evaluation method must be appropriate to the desired outcomes. Provide rationale for each nursing diagnosis, and explain how PES, NANDA, NOC, and NIC apply to each diagnosis. * Use a minimum of three peer-reviewed resources, and create an APA formatted reference page. Nursing Diagnosis 1: Imbalanced Nutrition: less than body requirements Actual metabolic needs in excess of intake with weight loss R/T to increased caloric requirements and difficulty ingesting or absorbing sufficient calories secondary to cancer. (Ackley and Ladwig, 2014) | Desired Outcome 1 | Desired Outcome 2 | Nursing Intervention 1Explain the need for adequate consumption of carbohydrates, fats, proteins, vitamins, mineral and fluids.
CU1672 – UNDERSTAND AND MEET THE NUTRITIONAL REQUIREMENTS OF INDIVIDUALS WITH DEMENTIA 1.4 EXPLAIN THE IMPORTANCE OF RECOGNISING AND MEETING AN INDIVIDUAL’S PERSONAL AND CULTURAL PREFERENCES FOR FOOD AND DRINK. The Dietary needs of an individual in our care will need to be assessed to ensure that we can provide for our clients dietary requirements. This might be as a result of a medical reason such as diabetes, medication they are prescribed, allergies against certain foods like nuts, they may have to have a gluten free diet, or the patient may be under or overweight and require a specialist diet. In recognising our client’s right to have a choice in the food they eat we should ensure our clients maintain as an individual, and we should promote a positive mental health to our clients.
The primary outcome will be the change in diabetes and depression medication adherence rates. Secondary outcomes will be the difference between study arms in the mean hemoglobin A1C and depression burden as measure by Patient Health Questionnaire-9 (PHQ-9). The tertiary outcome is the personnel cost of the intervention based upon the number of pharmacist and nursing care hours spent with
Dynamics, 17(1), 8-11. This article addresses the strategies used by ICU nurses to reduce the incidence of VAP. It outlines how VAP is started, from the aspiration of secretions from the esophagus/pharynx to the lungs. Oral health and diligent care from the nurses is demonstrated as one of the important things to prevent the patient from developing an infection. Evidenced based care is stressed an the development of protocols and care standards in the ICU is encouraged.
* Patients who have been well controlled on metformin who develop illness or laboratory abnormalities should be assessed for ketoacidosis or lactic acidosis. Assess serum electrolytes, ketones, glucose, and, if indicated, blood pH, lactate, pyruvate, and metformin levels. If either form of acidosis is present, discontinue metformin immediately and treat acidosis.Lab Test Considerations: Monitor serum glucose and glycosylated hemoglobin periodically during therapy to evaluate effectiveness of therapy. May cause false-positive results for urine ketones.Assess renal function before initiating and at least annually during therapy. Discontinue metformin if renal impairment occurs.
Philadelphia: Wolters Kluwer Health/ Lippincott Williams & Wilkins. Smith, A. C. (2013). Effect of telemonitoring on re-admission in patients with congestive heart failure. Medsurg Nursing, 22(1), 39-44. Retrieved from
Existing descriptive epidemiology provides the data and tentative hypotheses for public health to move on to the second phase of epidemiologic study, analytic epidemiology. The CDC presents the results of analytic epidemiology in the Children’s Food Environment State Report, 2011 where it presents opportunities for community action in relation to “selected behaviors, environments, and policies that affect childhood obesity through support of healthy eating” (CDC, 2011). The analytic epidemiology conducted by federal and private organizations test the tentative theories of the descriptive epidemiology and plan, implement and test programs to reduce the morbidity and mortality of the health disparities of childhood