Do you agree or disagree with the following statement
Description
Do you agree or disagree with the following statement: “When you share fluid with someone, you are also sharing fluid with everyone they have previously shared with.” Explain your answer.
Caring for older HIV-positive men who have sex with men
Description
Find on LIRN the following article and submit a summary of 2 pages in APA format:
Caring for older HIV-positive men who have sex with men. (Ridgers, Hazel). Nursing Standard
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Family nurse practitioner essay
please write an essay using this topic: “why do you want to become a Family Nurse Practitione ”
Paragraph 6
Please write a Paragraph answering to this discussion below with your opinion. Please include citations and references in alphabetical order in case of another source.
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When a disaster hits different cultures they still hold on to spirituality, beliefs and values. The help that is given will show great value and usually spirituality will be heightened during this time. People may question their faith based on the disaster that has been laid upon them. The volunteers and medical personal that approach these victims will need compassion, understanding and show dignity and respect with beliefs and as a human being (Varghese, 2010). Ethical and cultural awareness is needed to properly care and communicate. Nurses, providers and volunteers can listen and communicate and may even show support by prayer. Many times victims and even the help will question why this has happened and why is there not enough supplies. These are difficult questions and prayer and working together is important to move forward. Nurses can keep open communication and let people know what they can do and all the people that are helping their country. This will bring up the spirit when people know others will help. Nurses can stay positive and always try to encourage others to help each other.
Reference
Varghese, S. B. (2010, December 22). Cultural, ethical, and spiritual implications of natural disasters from the survivors’ perspective. In Critical care nursing clinics of North America . Retrieved August 14, 2018, from https://www.ncbi.nlm.nih.gov/pubmed/?term=Cultural%2C+ethical%2C+and+spiritual+implications+of+natural+disasters+from+the+survivors’+persp
Topic 5 DQ 1
Please write a paragraph with your opinion based on the text bellow. Please include citations and references in case you need to used for the question:
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Elements of a comprehensive health assessment of a geriatric patient described in Physical Examination and Health Assessment includes the incorporation of, “the physical examination and assessments of mental status, functional status, social and economic status, pain, and examination of the physical environment for safety concerns (Jarvis, 2016, p. 831). Special considerations that the nurse should keep in mind while performing this assessment is recognizing that the assessment may take longer to perform and that some areas of assessment should be performed during daily activities such as grooming, meal times, and toileting. It is important for the nurse to understand that an individual with multiple health issues may experiences increased fatigue and this could also be a result of some mediations. The nurse should ensure that the older adult is using glasses and hearing aids and can provide written instructions when necessary. The nurse should also face the patient, use a low tone of voice, and speak slowly and clearly. The older adult should be included in the decision-making process which boosts their self-esteem and establishes rapport. The nurse should have a large enough space to assess mobility with assistive devices and stand close to the patient to prevent falls. The nurse can be provided with detailed information on how the adult functions as well as areas of concern by completing a comprehensive health assessment and physical exam (Grand Canyon University, 2012).
References
Grand Canyon University. (2012). NRS-434 Lecture 5. Retrieved from https://lc-ugrad3.gcu.edu/learningPlatform/user/users.html? NSR-434VN Lecture 5
Jarvis, C. (2016). Functional Assessment of the Older Adult. In Physical Examination and Health Assessment (7 ed. (pp. 831-844). Retrieved from http://evolve.elsevier.com
Topic 5 DQ 1
Please write a paragraph with your opinion based on the text bellow. Please include citations and references in case you need to used for the question:
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The comprehensive assessment of an older adult requires knowledge of not only normal aging changes but also the consequences of chronic diseases, genetic makeup, and lifestyle. A comprehensive geriatric assessment is multidimensional and incorporates the physical examination as well as assessments of mental status, functional status, social and economic status, pain, and examination of the physical environment for safety concerns (Jarvis, 2015). The nurse would assess if the patient was able to perform activities of daily living as well as a complete head to toe assessment. During the assessment the nurse would keep in mind the normal and expected changes that take place as people get older such as hearing and vision loss, change in skin elasticity, hair color changes, loss of subcutaneous fat and decreased height due to thinning of the bones. If the nurse notices hearing loss it would be important to speak clearly and slowly facing the patient during discussion and to not mistake difficulty hearing or loss of vision to mental status change. Skin and nail assessment can lead to knowledge about hydration, cardiac, and nutrition status.
When assessing the geriatric patient in the hospital it is wise to consider if the patient is mobile enough to get by at home. Can the patient go up and down stairs? Does the patient drive? Can the patient see the phone numbers on the phone to call for help? Does the patient have a support system? These are all questions that should be in the nurse’s mind during a comprehensive assessment.
Special consideration to emotional state should take place with the geriatric assessment. It is important to treat the patient with respect and dignity in this stage of life. Do not refer to patients as Honey, Grandma, Grandpa or Sweetheart, but rather Sir, Ma’am, Mr. or Mrs. Many families live across state borders and are not readily available to the geriatric patient who may need extra support. The nurse should be knowledgeable about resources in the surrounding community such as home care, transportation services, social groups, meals on wheels and other low cost organizations that may help to improve the quality of life of a geriatric patient.
Reference
Jarvis, C. (2015). Physical Examination and Health Assessment, 6th Edition. St. Louis, Missouri: Elsevier Saunders
Topic 5 DQ 2
Please write a paragraph with your opinion based on the text bellow. Please include citations and references in case you need to used for the question:
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Part of the nurse’s assessment when providing end of life care should include understanding the patient’s wishes regarding death (Grand Canyon University, 2012). Advance directives are instructions given by the patient in the event they can no longer make decisions for themselves, at which time a representative will be appointed to carry out the patient’s decisions. Many elderly people want to die in their home although barriers such as a fear of death, family burden, poor discharge planning, and the patient’s condition can hinder the ability to make this possible (Imperial College London, n.d. )When care is coordinated, effective communication takes place, and the patient is supported by family and health care providers it is possible to make this last wish a reality. The nurse should document patient’s wishes as soon as possible to ensure a strong support system and early recognition of the need of end of life services. This will allow the coordination of services quickly and effectively.
References
Grand Canyon University. (2012). NRS-434 Lecture 5. Retrieved from https://lc-ugrad3.gcu.edu/learningPlatform/user/users.html?
Imperial College London. (n.d.). The Last Peace. Retrieved from https://www.kingsfund.org.uk/sites/default/files/m.
Topic 5 DQ 3
Movie Character Presentation (STEPMOM) By: Shannon Burtis Background of Movie Character Functional
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Assessments Analysis of Health Assessment Overview of Presentation Additional Observations Nursing Considerations Conclusion References Background of Movie and Character A family struggles with managing multiple life challenges • Divorce • Terminal illness • Transitioning into a blended family unit Main Character: Jackie (Susan Sarandon) • Former publisher • Full time mother • Diagnosed with cancer Functional Assessments Health Perception/Health Management Nutrition/Metabolic Pattern of Elimination • Routine follow up appointments • Diagnosed with cancer • Weight loss during chemotherapy • Provides healthy family meals • Nausea/Vomiting related to chemotherapy • No complaints of constipation • No complaints of diarrhea Assessment Continued Pattern of Activity/Exercise Conceptual/Perceptual Pattern Pattern of Sleep and Rest • Active mother • Walks/dances • Horseback riding • Positive attitude/Hopeful to win her fight against cancer • Expresses self clearly and logically • Bachelor’s degree or higher (Publisher) • Appears tired • Inability to sleep/rest related to increased anxiety and fear for children • Established bedtime routine Pattern of Self Perception and Self Concept Role/Relationship Patterns Sexuality/Reproductive Patterns • Shock and disbelief • Pain • Anger • Bargaining • Depression • Acceptance and hope • Independent • Single Mother • Daughter/Son = important relationships • Recently divorced • Lack of trust in Isabela (stepmom) • Two healthy children • Comfortable with sexuality Assessment Continued Assessment Complete Pattern of Coping and Stress Tolerance • Talks about problems • Ability to compromise • Coping mechanisms work well Pattern of Values and Beliefs • Strong family values • Co-parenting is important • Family/Past co-worker support • Fears for her children’s wellbeing • Believes that death is imminent • Accepts her cancer diagnosis Analysis of Health Assessment Normal assessment findings • Appears to be a healthy, well adjusted, single mom in beginning of movie • Within normal weight range before chemotherapy • Healthy eating habits • Energy level meets demands of an active lifestyle before cancer diagnosis • Attends routine follow up doctors appointments • No complaints of constipation/diarrhea • Seven stages of grief Abnormal or risk-based findings • Recurrent cancer • Weight loss related to chemotherapy • Increased fatigue • Nausea/Vomiting Additional Observations Cultural Mixed rural/city Geographical New York Religious Ethnic No mention of religious affiliation Caucasian Spiritual Belief of afterlife Nursing Considerations Nursing Diagnosis Interventions Resources Imbalanced nutrition related to nausea and vomiting as evidence by weight loss Health promotion-Educate on the importance of maintaining proper nutrition Health prevention-Encourage patient to have small, frequent feedings Health maintenance: Obtain weekly weight Casa De La Luz Hospice American Cancer Society Conclusion This comic-drama portrays the struggles of a women named Jackie who is experiencing divorce and a terminal diagnosis of cancer as she assimilates to the idea of another women named Isabela replacing her as a mother. The family overcomes many trials as they transition into a blended unit and accept their new roles. Once compromise is found between the two women, Jackie is able to let Isabela into her children’s lives and the family becomes one. “They can have us both. I have their past, you can have their future.” References American Cancer Society. (2018). Find Support Services Programs and Services in your Area. Retrieved from https://www.cancer.org/treatment/support-programsand-services.html Casa De La Luz Hospice. (2016). Why Casa De La Luz? Retrieved from https://casahospice.com/ Columbus, C. (Director), Barnathan, M. (Producer), Finerman, W. (Producer), & Radcliffe, M. (Producer). (1998). Stepmom [Motion picture]. USA: 1492 Pictures.
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Topic 5 DQ 3
MOVIE CHARACTER PRESENTATION: “MY SISTER’S KEEPER” BY: JAMIE FALLIGAN AUGUST 19, 2018 NRS-434VN
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OVERVIEW OF PRESENTATION ➢Summary of the disease Acute Promyelocytic Leukemia ➢Functional Health Pattern Assessment (FHP) of the client; movie character “Kate” ➢Observed health patterns of the client ➢Nursing diagnosis including interventions ➢Available resources MEET THE CLIENT ➢Name: Kate Fitzgerald ➢Age: 15 ➢Diagnosed with acute promyelocytic leukemia at age 2. ➢Sister, Anna, was conceived with the intent of becoming a genetic match for Kate. FUNCTIONAL ASSESSMENTS ➢ Health Perception/Health Management • Client is aware she has APL that will eventual result in her death • Current health issues include frequent epistaxis, bruising, vomiting, anemia, neutropenia, and fatigue • To maintain health, client takes prescribed medications and avoids those with acute illnesses due her immunocompromised state ➢ Nutrition/Metabolic • Client is underweight • Intake is less than recommended requirements due to decreased appetite and nausea caused by chemotherapy treatments ➢ Pattern of Elimination • Reports diarrhea due to current chemotherapy treatment • Current renal failure resulting in minimal urination ASSESSMENT CONTINUED ➢ Pattern of Activity/Exercise • No active exercise program and minimal activity due to fatigue, shortness of breath, and bone pain ➢ Conceptual/Perceptual Pattern • Client is currently in the 9th grade • Normal mental and sensory functions • Experiences joint and bone pain with activity ➢ Pattern of Sleep and Rest • Sleeps >8 hours each night • Takes frequent naps and rest periods frequently throughout the day ASSESSMENT COMPLETE ➢Pattern of Coping and Stress Tolerance • Client copes by keeping a daily diary and discussing feelings with her parents • Discusses illness with other cancer patients during her chemotherapy sessions, which helps her cope ➢Pattern of Values and Beliefs • Feels that everyone should live life to their fullest • No religious affiliation • Supportive family and friends ANALYSIS OF HEALTH ASSESSMENT ➢Normal assessment findings • Role/Relationship Pattern • Pattern of Coping and Stress Tolerance ➢Abnormal or risk-based findings • Nutrition/Metabolic Pattern • Pattern of Elimination ADDITIONAL OBSERVATIONS ➢ Cultural • American ➢ Geographical • Lives with her family in Rhode Island ➢ Religious • No specific religious affiliation ➢ Ethnic • Caucasian ➢ Spiritual • Shows alleviation of fear and loneliness during her last days of life. NURSING CONSIDERATIONS ➢ Nursing Diagnosis • Risk for Infection related to Neutropenia Secondary to Chemotherapy ➢ Interventions • Encourage a well-balanced diet • Teach measures for prevention of infection, such as proper hand washing and avoiding those with infectious illnesses • Educate patient and family members on signs of infection, including elevated temperature, cough, sore throat, mouth sores, and any area that appears to be infected ➢ Resources • CancerCare • Leukemia Research Foundation CONCLUSION ➢Acute promyelocytic leukemia (APL) presents similarly in children and adults. ➢Previously considered a highly lethal form of leukemia, APL is now the most curable subtype of adult acute myeloid leukemia (AML). ➢Rapid treatment is key to a positive outcome. ➢Today, cure rates can be as high as 98% if diagnosed and treated rapidly. REFERENCES ➢CancerCare. 2012. About us. Retrieved from http://www.cancercare.org/about ➢Clark, P. A., Drain, M., & Malone, M. P. (2003). Addressing patients’ emotional and spiritual needs. Joint Commission Journal on Quality and Safety, 29(12), 659-670. Retrieved from https://doi.org/10.1016/S1549-3741(03)29078-X ➢Colón, Y. (2017). Ethnic diversity and cultural competency in cancer care. Oncology Issues, 22(5), 28-31. Retrieved from https://doi.org/10.1080/10463356.2007.11883357 REFERENCES ➢ Leukemia Research Foundation. 2018. About us. Retrieved from http://leukemia-research.org/ ➢ St. Jude Children’s Research Hospital. (2018). Leukemias: Acute promyelocytic leukemia (APL). Retrieved from https://www.stjude.org/disease/acute-promyelocyticleukemia.html?vgnextoid=9c0c061585f70110VgnVCM1000001e0215acRC ➢ Walker, D., & Held-Warmkessel, J. (2010). Acute promyelocytic leukemia: An overview with implications for oncology nurses. Clinical Journal Of Oncology Nursing, 14(6), 747-759. doi:10.1188/10.CJON.747-759.
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nursing diagnosis for UTI patient
one paragraph.
Used the nursing process to develop a plan of care for physiological nursing diagnosis.
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