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NURS1068 Lecture 5: NURS 1068 WEEK 2 NOTES

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peterliban
13 Jun 2022
School
George Brown College
Department
Nursing
Course
NURS1068
Professor
Anagaile Soriano

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Document Summary

Age: birth to 9 yrs: system: mouth = dental health, health promotion, regular dentist visits, floss, brush daily and fissure sealants. D supplements: fecal occult blood test and prostate digital exam and prostate specific antigen test. Age: 65 yes: systems: heart and neck vessels = hypertension and cva; eyes = glaucoma and cataracts, health promotion, route bp assessments, limit fat and cholesterol, visual screening. Health history forms contain information in categories: biographical data, reason for seeking care, present health/history of past illnesses, family history, review of all systems, functional assessment of daily living activities. Week 2- pain assessment: the fifth vital sign. Initiated or caused by primary lesion or dysfunction of nervous system: caused by injury to either pns or cns or both, challenging because pain can be severe and difficult to manage. Cutaneous: derived from skin surface and subcutaneous tissue, superficial with sharp, burning sensation.

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Related Questions

Pay-for-performance (P4P) initiatives link reimbursement to health care performance criteria to promote the right care for every patient every time, regardless of a patient's ethnicity, gender, geographic location, and socioeconomic status, patients receive “right care." Which is an example of a P4P initiative?

a. Medicare physician fee schedule

b. hospital inpatient prospective payment system

c. intensity of services and severity of illness

d. hospital value-based purchasing program


Include the following in your Day-in-the-Life Scenario:

In what setting are you located?

Who are your most regular patients?

What is the problem the client is presenting, e.g., weak heart due to perfusion/bypass, lack of range of motion due to knee injury, etc.?

What kind of very general activities would you prescribe?

What is the description of at least one tool from the list in the lesson, along with an interpretation of the data it produces? (You may need to do additional research, so be sure to include a list of Works Cited for your teacher.)

What is a situation in which there is a potential hazard for one of your clients, and how did you respond to that situation? This could be a heart attack, a fainting spell, dangerous equipment, etc.

What is a situation in which you had to work with another member of the health team in order to get the best outcome for your patient?

What is a situation in which you had to educate the patient on what kind of exercise you were providing and why?

What ethical situation came about in which you had to check out the ASEP Code of Ethics, or, base your reaction on your own understanding of past ethical discussions?

What situation occurred in which you had to explain certification and licensure to the client?

You can combine all of these sections into interaction with just one client or describe a whole day with various clients

Mrs. Tom, a 79 year old female presents to the ER with complaints of a persistent productive cough, fatigue, fever and shortness of breath. Mrs. Tom reports that she has had a persistent cough and shortness of breath with activity for several months. She was given a prescription for antibiotics for a presumed infection 4 weeks ago, with only slight improvement in symptoms. Her past medical history includes stroke 6 months ago. She also smokes 20 cigarettes per day. On exam, she has a fever with decreased lung sounds bilaterally to auscultation with the right side slightly more obvious than the left. She is obviously short of breath and presents with 4-word dyspnea. Her vital signs are BP 110/70, HR 99, SP02 94% on 4 L of oxygen via nasal prongs, Temp 38.9.

 

  1. Identify the infection of inflammatory response that Mrs. Tom is experiencing? (2)

 

  1. Explain the pathology of how smoking affects the innate defense system of the lungs? (5)

 

  1. What diagnostic tools could you expect to be used in this case? (xray,CT,laboratory data etc). (2)

 

  1. Identify risk factors that Mrs. Tom has that are associated with the diagnosis? (3)

 

 

  1. Internal medicine assesses Mrs. Tom and orders a STAT lactate and arterial blood gasses. Based on the patient’s vital signs above, what would you expect to see in the results of these tests? (5)