Nursing Archives - Page 240 of 464

In which race and ethnic groups is DM more prevalent? Based on C.B. clinical manifestations, please compile the signs and symptoms that she is exhibiting that are compatible with the Diabetes Mellitus Type 2 diagnosis.

November 8, 2021/in Nursing /by Sam

Case Study

Endocrine Function:
C.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe who had high blood sugar and cholesterol levels three years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed that her fasting blood sugar was 141 and her cholesterol was 225. However, she felt “perfectly fine at the time” and could not afford any more medications. Except for a number of “female infections,” she has felt fine until recently. Today, she presents to the Indian Hospital general practitioner complaining that her left foot has been weak and numb for nearly three weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. However, she reports that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6 months alone.

Case Study Questions

In which race and ethnic groups is DM more prevalent? Based on C.B. clinical manifestations, please compile the signs and symptoms that she is exhibiting that are compatible with the Diabetes Mellitus Type 2 diagnosis.
If C.B. develop a bacterial pneumonia on her right lower lobe, how would you expect her Glycemia values to be? Explain and support your answer.
What would be the best initial therapy non-pharmacologic and pharmacologic to be recommended to C.B?

Sometimes as an associate diagnosis and a complication, patients with constipation could have anemia. Would you consider that possibility based on the information provided on the case study?

November 8, 2021/in Nursing /by Sam

Case Study

Gastrointestinal Function:
R.H. is a 74-year-old black woman, who presents to the family practice clinic for a scheduled appointment. She complains of feeling bloated and constipated for the past month, some-times going an entire week with only one bowel movement. Until this episode, she has been very regular all of her life, having a bowel movement every day or every other day. She reports straining most of the time and it often takes her 10 minutes at a minimum to initiate a bowel movement. Stools have been extremely hard. She denies pain during straining. A recent colonoscopy was negative for tumors or other lesions. She has not yet taken any medications to provide relief for her constipation. Furthermore, she reports frequent heartburn (3–4 times each week), most often occur-ring soon after retiring to bed. She uses three pillows to keep herself in a more upright position during sleep. On a friend’s advice, she purchased a package of over-the-counter aluminum hydroxide tablets to help relieve the heartburn. She has had some improvement since she began taking the medicine. She reports using naproxen as needed for arthritic pain her hands and knees. She states that her hands and knees are extremely stiff when she rises in the morning. Because her arthritis has been getting worse, she has stopped taking her daily walks and now gets very little exercise.

Case Study Questions

In your own words define constipation and name the risk factors that might lead to develop constipation. List recommendations you would give to a patient who is suffering from constipation. You might use a previous experience you might have.
Based on the clinical manifestations on R.H. case study, name and explain signs and symptoms presented that are compatible with the constipation diagnosis. Complement your list with signs and symptoms not present on the case study.
Sometimes as an associate diagnosis and a complication, patients with constipation could have anemia. Would you consider that possibility based on the information provided on the case study?

If you live in an urban centre, are there particular communities that face challenges maintaining their health and meeting their potential? If you work in a health facility, is there one population that has higher rates of admission? If you live in a rural setting, are there certain groups that have unmet needs, or who are at risk for poor health?

November 8, 2021/in Nursing /by Sam

Concept Map: Community Health Promotion – Application to Your Practice

NOTE: This assignment is submitted in 2 parts. Assignment 1A – a draft concept map is the first submission of the course and is graded as pass/fail. Assignment 1B is the last submission of the course, which includes an improved concept map and a scholarly paper).

This assignment will provide the student with the opportunity to create a concept map of a community health promotion. You may find it helpful to email your instructor early to share the community as client focus you have chosen with a brief description of why.

When choosing a topic, consider the health needs of your community. If you live in an urban center, are there particular communities that face challenges maintaining their health and meeting their potential? If you work in a health facility, is there one population that has higher rates of admission? If you live in a rural setting, are there certain groups that have unmet needs, or who are at risk for poor health? Thinking about the community around you may help when you try to focus on one group that you would like to research and write about throughout the course.

Between assignment 1 A and 1 B, students will demonstrate growth in learning. Assignment 1A outlines your initial understanding of the target community and demonstrates you have considered relevant factors and the determinants of health impacting your community. At the end of the course, concept map and scholarly paper (assignment 1B) will build on earlier course work. The concept map in the final course submission (1B), will have increased depth and detail. The scholarly paper will introduce the target community and analyse 4 chosen community health concepts and demonstrate how concepts relate to the community’s overall health.

Discuss how nurses can intervene with this sub-population, as well as suggested changes to the health care system in order to assist this sub-population.

November 8, 2021/in Nursing /by Sam

Sub-population within a population

For this assignment you will write a paper in which you explore an emerging sub-population within the older adult age group. This sub-population may include aging individuals with intellectual disabilities, aging adults living on the streets, aging individuals who are incarcerated, as well as those aging with HIV/AIDs. Within this paper you will address: who is included in this sub-population (e.g., ages, living situations); the issues of aging within this sub-population; issues related to housing this sub-population; how nurses can intervene with individuals within this sub-population; as well as larger system implications (e.g., housing, palliative care). Before you begin Assignment 4, discuss your selected topic with your tutor. Note, if you would like to propose another sub-population different from those listed above, you are most welcome to do so; however, Check with your tutor prior to choosing another sub-population.

Assignment will be marked according to the following grading criteria:

Sub-population described

Literature review presented (including a minimum of five journal articles).

Discussion of issues faced by this sub-population, including health status and challenges to receiving health care; housing and any other pertinent issues.

Discussion which includes how nurses can intervene with this sub-population, as well as suggested changes to the health care system in order to assist this sub-population.