Marta is suffering from dementia that is caused by a lifetime of alcoholism. She lives at home with her husband Bill, who also drinks a lot of alcohol. A HACC worker visits three times a week. Today her HACC worker notices bruises on Marta's arms. This is the third time this month that she has had bruises. When she asks Marta about them she just looks ahead and says nothing, humming in her normal way. When she asks Bill what happened he says, 'I dunno -silly old cow keeps falling over. She was probably drunk again and fell out of bed.; The worker looks at the bruising pattern. She thinks that it looks more like someone has grabbed Marta very hard. a) How can the worker tell from the bruising pattern how the injury is likely to have occured? How could this be different from bruising that occured due to falling out of bed? b) What actions must the worker take to report the suspected abuse? c) What professional support service could Marta be referred to for assistance?

Mr. James Thompson, a 65-year-old male, presents with insomnia complaints. He has a known cognitive impairment, with a Mini-Mental State Examination (MMSE) score of 12. He reports difficulty falling asleep and staying asleep, often wandering around at night. He is currently not taking any medications. Which medication option should be selected to manage his insomnia? What are the possible adverse effects of the selected medication?   Please answer at your own easy words. Answer should be to the point.

Which medication is the physician most likely to order for a patient experiencing alcohol withdrawal syndrome?

Florence is a patient on the ward. She is 89 years old and has been admitted for a back injury sustained whilst skateboarding. Florence is usually very active and has a health life style. However, due to her age, the injury is quite severe and will need surgery. Tomorrow she is due to have surgery. Florence has a habit of sneaking food, and she also is annoyed that she is not able to get out of bed due to the injury. A number of times, she has tried to get up to move around, however this would be very bad for her injury. The day shift had to help her back into bed each time. She also spills drinks often but doesn’t tell anyone she has done it.  The task is to successfully get Florence to surgery tomorrow. She needs to go through the 8 hours of nil by mouth before the surgery. She must also keep as still as possible, as she has already aggravated her back condition by trying to get up and move. As her nurse or doctor, how would you manage the risks around preparing for Florence’s…

You are assigned to care for Mr. Cruise, 85, who has Alzheimer's disease. He often wanders from room to room and tries to open the outside doors. He frequently becomes agitated and restless, especially in the evening. Most of the time, Mr. Cruise is unable to feed himself and is often incontinent. He keeps on repeating, “Help me! Help Me!” all day long. Why would it be ineffective to o remind him of the date and time of your shift? Why is he more agitated in the evenings? What part of Mr. Cruise’s behavior would be most difficult to tolerate?

If someone was to resort in cannibalism, but instantly rejects ever committing such a horrific act. Should they receive medical assistance immediately? From medical point of view, how would any medical professional approach such a different and disturbing situation? What are some cope methods?

You are responding to a private residence for an 80-year-old female, with altered mental status. The husband called 911. When you arrive, their adult son is on the scene. He was not aware of the 911 call and says his dad has dementia and must have gotten scared and called just before he got there. He says his mom is a diabetic and this is a pretty common occurrence, but he's not sure how it happened this time.  The son said her blood sugar was 400, and he was just about to administer her normal dose of insulin. He says that since her sugar is so high, he wants to increase the dose. He is willing to sign a refusal on her behalf. Do you allow him to give the insulin? Assume the insulin is not expired and is prescribed to her. If yes, do you allow the refusal? Why or why not? Explain your decision to the son, including what is happening on a physiologic level (in terms a layman can understand) What is the long-term solution for this situation of repeated episodes of hyperglycemia?

A 24 yrs old female nursing student, who is working 4 nights in a week and studying full time doesn’t get enough sleep and eat on go or skip meals. She starts to feel run down and lethargic. She began to notice infected toenail. She is also feeling thirsty quite often and craving for sweets. She is also urinating frequently. She had to call sick on the work. When she went to get sick certificate, doctor assesses her BGL which is 19mmol/L, her HR124bpm, BP 98/56, spo2 100% and temp 37.2. She weighs 62kg. Please develop SMART goals for her care as her caring nurse. Devise holistic nursing actions (at least 6) in order of priority and specify if it is a dependent or independent nursing action. You must consider the medical, pharmacological, social and psychological requirements of the patient. Also provide relevant evaluate outcomes for each action.

Patient lives with her husband in a double storey house located 150kms from the nearest medical facilities. The bedrooms, toilet and shower are all upstair There is also a downstairs toilet Patient can transfer independently and is normally mobile with an altered gait and often needs to use a walking stick. However, states that she is currently not walking very much ‘my joints are too sore and stiff’ and needs help from her husband to climb up the stairs. She doesn’t drive so social connections are very limited Currently reports not being able to sleep properly and only managing 2-3 hours per night due to the pain in her joints She has a good appetite and states that she adheres to her diabetic diet Her husband does the housekeeping, but the patient is able to cook their meals. Is compliant with her prescribed medication but relies heavily on over the counter anti-inflammatory medications and bush remedies Relies on her husband to assist her with ADL’s due to her mobility Has…

Mrs. Laura Smith, a 45-year-old female, presents with insomnia complaints. She has a history of mild depression and a previous issue with pethidine abuse (opioid). She reports difficulty falling asleep, staying asleep, and experiencing early morning awakenings. She also mentions occasional feelings of sadness. Which medication option should be selected to manage insomnia in this patient? What are the contraindications (if any) of the selected medication?   Please answer at your own easy words. Answer should be to the point (Specific).   Don't use AI answering this question!