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- Mr. Avery had a stroke. He has hemiplegia, receptive aphasia, and dysphagia. Explain how you will plan to perform the care measures listed below. : 1.Dressing and undressing him 2.Assisting him with food and fluids 3.Performing a safety check of the room Direct the question no need to write them all only what is importantMr. Avery had a stroke. He has hemiplegia, receptive aphasia, and dysphagia. Explain how you will plan to perform the care measures listed below. : 1 transferring him from bed to w/c 2.Communicating with him 3.Dressing and undressing him 4.Assisting him with food and fluids 5.Performing a safety check of the roomMrs. Govinda, 75, was admitted to the hospital after repeated episodes of pneumonia.Despite aggressive antibiotic therapy, her condition rapidly deteriorated and she diedunexpectedly 1 week after being admitted to the hospital. Mrs. Govinda’s oldest son, wholived nearby and frequently cared for his mother, arranged for the funeral and visited withrelatives. He misses his mother and cries occasionally but managed to return to work thefollowing week. The youngest son had difficulty attending the funeral, has been unable tosleep or eat, cannot concentrate at work, and cannot believe that his mother is dead. Themiddle son did not weep at the funeral and had little to say to his brothers or other relatives.He returned home to another state but has remained distant. He is back to work but feelsvery fatigued and apathetic.a. From the data provided, describe the phase of bereavement being experienced byeach of the three surviving sons.b. How might your own feelings about death affect the care…
- You are having a difficult shift. You report to Mrs. Moskowitz's room. As part of the pleasantries you exchange, she asks you how you are. What is an inappropriate response to her question? I am glad to be here. How was your visit with your son?I am happy to see you. How is your hip healing?I am fine, thank you. How are you feeling today?I am having a terrible shift. Nothing is going well for me today.Shirley Smith Age: 52Race: CaucasianGender: FemaleHeight: 68 inchesWeight: 153 lb. (69.4 kg) Occupation: Retired Marital Status: Widowed Religion: AgnosticAllergies: None knownAddress: Assisted Living facilityImmunizations: Up to date HistoryShirley's husband died unexpectedly 2 months ago, which is the time she enteredan assisted living facility. Shirley states she has become depressed from the lossof her husband and the inability to physically do activities she desires due to theCOPD.Shirley presents to the ER with difficulty breathing and shortness of breath atrest, and increased fatigue. The patient is currently on 2 Liters of oxygen nasalcanula at all times. Shirley smoked cigarettes for 32 years and just recently quit 2months ago when she was put on full-time oxygen.Past medical history: hysterectomy at the age of 48, Gastroesophageal refluxdisease (GERD), and Atrial Fibrillation. MedicationsPrednisone (HOLD) 20 mg oral DailyPantoprazole 40 mg oral DailyWarfarin 5 mg oral…Shirley Smith Age: 52Race: CaucasianGender: FemaleHeight: 68 inchesWeight: 153 lb. (69.4 kg) Occupation: Retired Marital Status: Widowed Religion: AgnosticAllergies: None knownAddress: Assisted Living facilityImmunizations: Up to date HistoryShirley's husband died unexpectedly 2 months ago, which is the time she enteredan assisted living facility. Shirley states she has become depressed from the lossof her husband and the inability to physically do activities she desires due to theCOPD.Shirley presents to the ER with difficulty breathing and shortness of breath atrest, and increased fatigue. The patient is currently on 2 Liters of oxygen nasalcanula at all times. Shirley smoked cigarettes for 32 years and just recently quit 2months ago when she was put on full-time oxygen.Past medical history: hysterectomy at the age of 48, Gastroesophageal refluxdisease (GERD), and Atrial Fibrillation. MedicationsPrednisone (HOLD) 20 mg oral DailyPantoprazole 40 mg oral DailyWarfarin 5 mg oral…
- Sheila, an RPN has been working at the Victoria General Hospital for the last 15years. The first seven years she worked on a busy medical unit where she was part-time and worked both days and nights and the equivalent of full time hours because shewent in more or less whenever she was called. She really enjoyed the work on this unitbut when a full-time posting came up on the Palliative Unit she really felt she shouldapply as she was getting married, saving to buy a house and thought it was veryimportant to have more stable work. Sheila was the successful applicant in competingfor this position. She was thrilled and eager to work in another area of nursing;Palliative Care.Sheila has been working on this unit for 8 years now. She has really found thework on the Palliative Unit to be very rewarding; supporting families as they deal withthe end stages of life; losing a loved one. Recently, she is beginning to find 12 hourdays, nights and weekends and the intensity of the care along with…Please help at the earliest urgentlyA visiting nurse is performing a family assessment of ayoung couple caring for their newborn who was diagnosedwith cerebral palsy. The nurse notes that the mother’s hairand clothing are unkempt, the house is untidy, and themother states that she is “so busy with the baby that I don’thave time to do anything else.” What would be the priorityintervention for this family?a. Arrange to have the infant removed from the home.b. Inform other members of the family of the situation. c. Increase the number of visits by the visiting nurse.d. Notify the care provider and recommend respite care forthe mother.
- Mary O'Keefe calls the Inner City Health Care office in a panic. Gwen Carr, CMA (AAMA), answers the telephone. Mary: "Oh my God, help me. I need Dr. King." Gwen: "This is Ellen Armstrong, Who is this calling? What is the situation?" Mary: "It's my haby, oh God, get Dr. King." Gwen: "Dr. King is unavailable, but we can help you. Now, tell me your name." Mary: "It's Mary O'Keefe. Help me, I think my baby is dead." Gwen: "Are you at home?" Mary: "Yes" Gwen: "Ok. Try to calm down. Speak slowly and tell me what's happened." Mary: "My son Chris pried the plug off an outlet and he's electrocuted himself!" Mary cries. "He's just lying there. I'm so scared, if I touch him, will I electrocute myself? Oh my God, my baby, my baby. What should I do?" Gwen, who has been writing down the details on a piece of paper, motions to Joe Guerrero, another CMA (AAMA) in the office, and hands him her notes. Joe immediately accesses the O'Keefe address from the patient database and uses…Upon presentation:An 18-month-old female arrives by ambulance at the emergency department. Theparamedics report that there was no known history of any recent trauma, and no knownfever, vomiting, or other unusual behavior. There were no known ingestions ormedications in the household. There was no evidence of trauma.Interview and History:At 9 PM the previous night, Ella was described by her mother as appearing more quietthan usual. They had spent the day traveling from the grandmother's house and Ella hadbeen carsick so had not eaten very much during the day. When they got home, Ella hadsome water and went to bed. Ella slept longer than usual and was found unresponsive by her mother at 9AM; at this time her mother called 911.Follow-up tests:1. Blood glucose: 23 mg/dL (normal range 90 – 125 mg/dL)2. Repeat blood glucose: 50 mg/dL following administration of glucagon3. Urinary acids: Markedly elevated levels of glutaric, ethylmalonic, and dicarboxylicacids; ketones absent4. Serum free…Should a pharmaceutical representative ever take precedence over scheduled patient appointments?