Thank you for the feedback. You're right that including more in-text citations would have strengthened the responses. In the future, I will aim to better support my answers with references as appropriate. The comments provide helpful guidance on how I can continue improving my summarization and analysis skills.
Pain in the elderly. How to better understand and rate it.Ross Finesmith M.D.
It is often difficult to determine the amount of pain an elderly person is experiencing.This is complicated by dementia and verbal impairment. This presentation describes helpful methods to assess pain in the elderly.
An Internet questionnaire to predict the presence or absence of organic patho...Nelson Hendler
The Pain Validity Test, developed by a team of physicians from Johns Hopkins Hospital, is available over the Internet, at www.MarylandClinicalDiagnostics.com. The test can predict, with 95% accuracy, which patient will have abnormalities on medical tersting, i.e. who has a valid complaint of pain. The test takes only 5 minutes to set up a patient, 15 minutes for a patient to take the test, and results are available immediately after completion. The test has been admitted as evidence in court cases in over 30 cases in 8 states.
Pain in the elderly. How to better understand and rate it.Ross Finesmith M.D.
It is often difficult to determine the amount of pain an elderly person is experiencing.This is complicated by dementia and verbal impairment. This presentation describes helpful methods to assess pain in the elderly.
An Internet questionnaire to predict the presence or absence of organic patho...Nelson Hendler
The Pain Validity Test, developed by a team of physicians from Johns Hopkins Hospital, is available over the Internet, at www.MarylandClinicalDiagnostics.com. The test can predict, with 95% accuracy, which patient will have abnormalities on medical tersting, i.e. who has a valid complaint of pain. The test takes only 5 minutes to set up a patient, 15 minutes for a patient to take the test, and results are available immediately after completion. The test has been admitted as evidence in court cases in over 30 cases in 8 states.
Assessment and management of complex pain conditionsSaurab Sharma
This was a presentation made at NITTE University during their first Physiotherapy Conference where I was invited as a Speaker. I am posting this thinking if this will be useful revision for those who attended and may be of some use to those who could not listen.
IMMEDIATE EFFECT OF CHANDRANADI PRANAYAM ON HEART RATE VARIABILITY AND CARDIO...Yogacharya AB Bhavanani
Diabetes mellitus (DM) and hypertension (HT) are widely prevalent psychosomatic lifestyle disorders that often coexist. Chandranadi pranayama (CNP), an exclusive left nostril breathing technique, has been reported to be useful in reducing heart rate (HR) and blood pressure (BP) in normal subjects as well as hypertensives and is part of yoga therapy schedules for patients of HT and DM. This study investigated the immediate effects of 5 minutes of CNP on HR, BP and heart rate variability (HRV) in patients of HT, DM and in those having both (DMHT). Thirty nine participants receiving standard medical care from the department of medicine, JIPMER were recruited. HR, BP and short- term supine HRV were recorded before and after 5 minutes of CNP. Analysis showed significant (p < 0.05) fall of HR and BP indices in all three groups with no difference between groups. However in short term HRV analysis, there were differences between the responses of DM and HT patients with regard to mean RR and mean HR. Preexisting intergroup differences with regard to SDNN, RMSSD, HF power and total power were negated after the performance of CNP. Pre-post intra group comparisons showed significant increases in Mean RR and Mean HR in both HT and HTDM groups while there were significant increases in LFnu and LF/HF ratio with significant decrease in HFnu in DM group. The post CNP responses of DM group in Mean RR, SDNN, Mean HR, RMSSD, LF power and total power were contrary to responses in the other groups. This is the first report comparing immediate effects of CNP in patients of HT and DM. The reduction in HR and BP indices in all three groups may be attributed to an overall normalization of autonomic cardiovascular rhythms along with improvement in baroreflex sensitivity irrespective of the disorder. The HRV findings are more complicated but show a trend towards a normalization of the pre existing autonomic differences between groups that is typical of Yoga techniques. HRV changes in DM patients were contrary to HT and DMHT patients in many parameters and this may be due to a greater degree of cardiac autonomic neuropathy in them. Further studies are required to enable better understanding of mechanisms involved as well as to determine how long such effects persist. We recommend the addition of this simple and cost effective technique to regular management protocols of HT and DM.
This paper appeared in Yoga Mimamsa 2013; 45 (1&2): 1-13.
Clinical reasoning is one of the pillars for good physiotherapy practice. It is an integral component of evidence based practice. It is a thought process that develops over time in a clinician. The first step is to start thinking of a clinical problem.
The lecture is delivered to first year physiotherapy students at Kathmandu University School of Medical Sciences, Nepal. The students will continue with case discussion using similar model proposed by Mark Jones and Darren Rivett in his book. Further real cases and the cases in Mark Jones will be discussed in the subsequent classes over the Bachelor of Physiotherapy course.
Chronic Tension-type headache is the most common type of headache encountered in clinical setup. This study aims to examine the clinical profile of patients suffering from chronic Tension-type headache.
Austin Journal of Sleep Disorders is an open access, peer review Journal publishing original research & review articles in all fields of sleep disorders. Austin Journal of Sleep Disorders provides a new platform for researchers, scientists, scholars and academicians to publish and find recent advances in treatment of sleep disorders.
Austin Journal of Sleep Disorders is a comprehensive Open Access peer reviewed scientific Journal that covers multidisciplinary fields. We provide limitless access towards accessing our literature hub with colossal range of articles. The journal aims to publish high quality varied article types such as Research, Review, Short Communications, Case Reports, Perspectives (Editorials), Clinical Images.
Austin Journal of Sleep Disorders supports the scientific modernization and enrichment of research community by magnifying access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed member journals under one roof thereby promoting knowledge sharing, collaborative and promotion of multidisciplinary science.
Mental Stress Evaluation using an Adaptive ModelIDES Editor
Chronic stress can have serious physiological and
psychological impact on an individual’s health. Wearable
sensor systems can enable physicians to monitor physiological
variables and observe the impact of stress over long periods of
time. To correlate an individual’s physiological measures with
their perception of psychological stress, it is essential that
the stress monitoring system accounts for individual
differences in self-reporting. Self-reporting of stress is highly
subjective as it is dependent on an individual’s perception of
stress and thus prone to errors. In addition, subjects can tailor
their answers to present their behavior more favorably. In
this paper we present an adaptive model which allows recorded
stress scores and physiological variables to be tuned to remove
biases in self-reported scores. The model takes an individual’s
physiological and psychological responses into account and
adapts to the user’s variations. Using our adaptive model,
physiological data is mapped efficiently to perceived stress
levels with 90% accuracy.
Assessment and management of complex pain conditionsSaurab Sharma
This was a presentation made at NITTE University during their first Physiotherapy Conference where I was invited as a Speaker. I am posting this thinking if this will be useful revision for those who attended and may be of some use to those who could not listen.
IMMEDIATE EFFECT OF CHANDRANADI PRANAYAM ON HEART RATE VARIABILITY AND CARDIO...Yogacharya AB Bhavanani
Diabetes mellitus (DM) and hypertension (HT) are widely prevalent psychosomatic lifestyle disorders that often coexist. Chandranadi pranayama (CNP), an exclusive left nostril breathing technique, has been reported to be useful in reducing heart rate (HR) and blood pressure (BP) in normal subjects as well as hypertensives and is part of yoga therapy schedules for patients of HT and DM. This study investigated the immediate effects of 5 minutes of CNP on HR, BP and heart rate variability (HRV) in patients of HT, DM and in those having both (DMHT). Thirty nine participants receiving standard medical care from the department of medicine, JIPMER were recruited. HR, BP and short- term supine HRV were recorded before and after 5 minutes of CNP. Analysis showed significant (p < 0.05) fall of HR and BP indices in all three groups with no difference between groups. However in short term HRV analysis, there were differences between the responses of DM and HT patients with regard to mean RR and mean HR. Preexisting intergroup differences with regard to SDNN, RMSSD, HF power and total power were negated after the performance of CNP. Pre-post intra group comparisons showed significant increases in Mean RR and Mean HR in both HT and HTDM groups while there were significant increases in LFnu and LF/HF ratio with significant decrease in HFnu in DM group. The post CNP responses of DM group in Mean RR, SDNN, Mean HR, RMSSD, LF power and total power were contrary to responses in the other groups. This is the first report comparing immediate effects of CNP in patients of HT and DM. The reduction in HR and BP indices in all three groups may be attributed to an overall normalization of autonomic cardiovascular rhythms along with improvement in baroreflex sensitivity irrespective of the disorder. The HRV findings are more complicated but show a trend towards a normalization of the pre existing autonomic differences between groups that is typical of Yoga techniques. HRV changes in DM patients were contrary to HT and DMHT patients in many parameters and this may be due to a greater degree of cardiac autonomic neuropathy in them. Further studies are required to enable better understanding of mechanisms involved as well as to determine how long such effects persist. We recommend the addition of this simple and cost effective technique to regular management protocols of HT and DM.
This paper appeared in Yoga Mimamsa 2013; 45 (1&2): 1-13.
Clinical reasoning is one of the pillars for good physiotherapy practice. It is an integral component of evidence based practice. It is a thought process that develops over time in a clinician. The first step is to start thinking of a clinical problem.
The lecture is delivered to first year physiotherapy students at Kathmandu University School of Medical Sciences, Nepal. The students will continue with case discussion using similar model proposed by Mark Jones and Darren Rivett in his book. Further real cases and the cases in Mark Jones will be discussed in the subsequent classes over the Bachelor of Physiotherapy course.
Chronic Tension-type headache is the most common type of headache encountered in clinical setup. This study aims to examine the clinical profile of patients suffering from chronic Tension-type headache.
Austin Journal of Sleep Disorders is an open access, peer review Journal publishing original research & review articles in all fields of sleep disorders. Austin Journal of Sleep Disorders provides a new platform for researchers, scientists, scholars and academicians to publish and find recent advances in treatment of sleep disorders.
Austin Journal of Sleep Disorders is a comprehensive Open Access peer reviewed scientific Journal that covers multidisciplinary fields. We provide limitless access towards accessing our literature hub with colossal range of articles. The journal aims to publish high quality varied article types such as Research, Review, Short Communications, Case Reports, Perspectives (Editorials), Clinical Images.
Austin Journal of Sleep Disorders supports the scientific modernization and enrichment of research community by magnifying access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed member journals under one roof thereby promoting knowledge sharing, collaborative and promotion of multidisciplinary science.
Mental Stress Evaluation using an Adaptive ModelIDES Editor
Chronic stress can have serious physiological and
psychological impact on an individual’s health. Wearable
sensor systems can enable physicians to monitor physiological
variables and observe the impact of stress over long periods of
time. To correlate an individual’s physiological measures with
their perception of psychological stress, it is essential that
the stress monitoring system accounts for individual
differences in self-reporting. Self-reporting of stress is highly
subjective as it is dependent on an individual’s perception of
stress and thus prone to errors. In addition, subjects can tailor
their answers to present their behavior more favorably. In
this paper we present an adaptive model which allows recorded
stress scores and physiological variables to be tuned to remove
biases in self-reported scores. The model takes an individual’s
physiological and psychological responses into account and
adapts to the user’s variations. Using our adaptive model,
physiological data is mapped efficiently to perceived stress
levels with 90% accuracy.
Nursing Management Gibbs Model of Reflectionemilyparker01
Myocardial infarction occurs due to inadequate blood supply to the heart muscles, leading to sudden premature death. The condition leads to permanent damage to the heart muscles (Kushner FG, 2009). The total number of deaths attributed by cardiovascular disease numbers to 30.5% worldwide showcasing the graveness of the condition. In Australia, measure portions of the myocardial infarction patients suffers from ventricular fibrillation prior to getting any medical aid or intervention. According to 2011 statistics, the total number of deaths due to cardiovascular disease accounts for 45,600 which shares 31% of the total number of deaths occurred in the same year.
Nursing Case Study of a Patient with Severe Traumatic Brain Injuryrubielis
This details the critical care nurse's role in caring for a patient with severe traumatic brain injury, managing ICP and brain oxygenation. Ties in closely with Orem's self-care deficit theory for nursing.
This is an ARDS case study presentation done by a group of Respiratory care students in UOD:
Aziza AlAmri, Fay AlBuainain, Mashail AlRayes, Nora AlWohayeb, Salma Almakinzi .
The original case study:(http://www.researchgate.net/publication/50399037_Acute_Respiratory_Distress_SyndromeA_Case_Study)
format of case study : a Nursing point of view. it includes all the headings or points about which the information regarding the patient needs to be collected and helps to write a detailed case study
Nursing Assignment Sample on Nursing Case StudyMary Jones
John is a 60-year old male admitted into a rehabilitation unit post left hip replacement. John is complaining of pain and is reluctant to move out of bed, despite being encouraged by doctors and nurses.
Identify 2 actual nursing diagnoses and one potential nursing diagnoses, relevant to John’s condition.
While working as interns, we were tasked with the project of collecting different leadership games to be used for a leadership camp of high school students.
Submission Ide 2d45bb31-11c9-48c9-ad0a-90ec4312d98c61 SI.docxdavid4611
Submission Ide: 2d45bb31-11c9-48c9-ad0a-90ec4312d98c
61% SIMILARITY SCORE 6 CITATION ITEMS 19 GRAMMAR ISSUES 0 FEEDBACK COMMENT
Internet Source 0%
Institution 61%
Liliane Kouame
casestudyofMrsJ..docx
Summary
925 Words
Running head: CASE STUDY OF MRS. J. 1
Case Study of Mrs. J.
Liliane Kouame
Grand Canyon University
05/29/2020
CASE STUDY OF MRS. J. 2
Clinical Manifestations
On account of Mrs. J for the case study being talked about, a few clinical signs exist. The
patient appears to be anxious and will, in general, ask if, at some point, she is going to die. Patients
patient notwithstanding a full set of vital signs and telemetry could help as well if different
innervations, for example, the administered prescriptions were of any significance to the Patient's
wellbeing. To determine other significant nursing interventions, auscultation of Mrs. J's heart, lung
fields, and the mid-region can be critical.
Heart Failure Prevention
An adherence to bodyweight management, having moderate exercises, adoption of a
healthy lifestyle by quitting smoking behaviors, and medication are examples of management and
prevention measures of the majority of cardiovascular disease. For patients to comply with
medication and treatment protocols, nurses are believed to play an essential role in providing case
management strategies as far as patient support is concerned through lifestyle modification and
education. Patients should draw a clear correlation between the increased risk of MI, HTN, and
CAD and physical activities. Hence, patients' risk for heart disease and other comorbidities will
significantly decline when they incorporate physical exercise in their daily program as it will
improve the patient’s rate of blood pressure and reduction in body weight (Brown et al., 2011).
Polypharmacy: Nursing Implications
In the healthcare field, polypharmacy is a collateral application of different medications
prescribed and used by a patient (). Polypharmacy is linked with risks such as potential interactions
between different sets of drugs, non-compliance, as well as falls. Thus, healthcare practitioners are
responsible for preventing polypharmacy by first, ensuring an accurate medicine list, guaranteeing
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Student: Submitted to Grand Canyon University
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.
For this assignment activity, I want you to answer the questions beLilianaJohansen814
For this assignment activity, I want you to answer the questions below. Refer to module and text book readings.
Give rationales for all of your answers.
Identify and define the
most commonly used
data collection methods for qualitative research?
What are the most commonly used data collection methods used for each of the following qualitative research traditions:
Ethnography
Phenomenology
Grounded Theory
Relative to the Heikkinen et al. article, answer the following questions and include supporting rationales.
What data collection methods were used (be sure to include nurse measures, patient measures, and physiologic measures)?
What are the strengths and weaknesses of each data collection method?
"BELOW IS THE ARTICLE"
ISSUES AND INNOVATIONS IN NURSING PRACTICE
Prostatectomy patients’ postoperative pain assessment in the recovery room
Katja Heikkinen MNSc RN
Lecturer, Turku Polytechnic and Department of Nursing, University of Turku, Turku, Finland
Sanna Salantera¨ PhD RN
Adjunct Professor, Department of Nursing, University of Turku, Turku, Finland
Marjaana Kettu RN
Head of Department, Ophtalmology Clinic, Turku University Central Hospital, Turku, Finland
Markku Taittonen MD PhD
Consultant Anaesthesiologist, Department of Anaesthesiology and Intensive Care, Turku University Central Hospital, Turku,
Finalnd
Accepted for publication 16 February 2005
Correspondence:
Katja Heikkinen,
Department of Nursing,
University of Turku,
FIN – 20014,
Turku,
Finland.
E-mail:
[email protected]
HEIKKINEN K., SALANTERA¨ S., KETTU M. & TAITTONEN M. (2005) Journal of Advanced Nursing 52(6), 592–600
Prostatectomy patients’ postoperative pain assessment in the recovery room
Aim. This paper reports a study to assess the usability and use of different pain assessment tools and to compare patients’ and nurses’ pain assessments in the recovery room after prostatectomy.
Background. Pain assessment is the first step towards providing adequate pain relief but poses problems because of the subjective nature of the pain experience and the lack of quantifiable measurements. Pain tools have been tested in several clinical settings, but not in the recovery room.
Methods. Data were collected in the recovery room from 45 consecutive patients who had undergone prostatectomy by asking them to evaluate their pain intensity using visual analogue scale, numeric rating scale and verbal expressions. One of two research nurses measured patients’ pain at regular intervals and at the same time as the patients. Physiological parameters were also evaluated. Data were analysed as frequencies and percentages. Sum variables were formed and results were analysed using Spearman’s rank correlation, Pearson’s correlation and with multiple regression analysis.
Results. Patients varied in their ability to assess the intensity of their pain using different tools, but assessments were correlated with each o ...
Running Head Case study1Case study 5Case Stud.docxtodd271
Running Head: Case study 1
Case study 5
Case Study
Walden University
Name
NURS – 6630N
March 9, 2019
Case Study
Optimizing the dosing of medicines for neonates and children remains a challenge. The importance of pharmacokinetic (PK) and pharmacodynamics (PD) research is recognized both in medicines regulation and pediatric clinical pharmacology, yet there remain barriers to undertaking high-quality PK and PD studies. While these studies are essential in understanding the dose–concentration–effect relationship and should underpin dosing recommendations, this review examines how challenges affecting the design and conduct of pediatric pharmacological studies can be overcome using targeted pharmacometric strategies. Model-based approaches confer benefits at all stages of the drug life-cycle, from identifying the first dose to be used in children, to clinical trial design, and optimizing the dosing regimens of older, off-patent medications. To benefit patients, strategies to ensure that new PK, PD and trial data are incorporated into evidence-based dosing recommendations are needed.
The client selected is an African American child having depression with normal development milestone. Other aspects reveal that the child has high ratings in depression scale. The criterion is used to diagnose the child.
Decision point one
In this case, we had to prescribe the first choice of drug to get an effective effect. Some Selective serotonin reuptake inhibitors (SSRIs) are the drugs of choice to use in children with depressive disorder. The best medicine is Zoloft having sertraline. Now we decided the starting dose and that was 25mg to be administered orally. According to Vitiello (2012), if the medicine does not work in starting dose, we need to increase the dose. The child had been prescribed Zoloft and he came back with no change in his mental health.
Decision point two
If the drug is not working in a low dose, we need to increase the dose. Decision point two involved increasing the dose from 25mg to 50mg.The purpose of increasing the dose was to lower the depressive symptoms. Being within the range, we expected minimal desired effects (Stahl, 2013). Giving a single dose is more likely to give persistent desired effects in client. The patient experienced 50 percent decrease in symptoms. Hence Zoloft was successful in managing the patient’s depression. You must be cautious about the side effects of sertraline. One of the major is suicidal thoughts.
Decision point three
Decision point three is to decide if the dose will be maintained or increased to get rid of symptoms completely. The best decision is to maintain the dose because if the patient has shown 50 percent improvement then he will show more with the passage of time. His dose had been maintained now he further experienced decrease in symptoms. The best treatment is the complete remission as it is the main aim in contemporary psychopharmacology (Stahl, 2013). Then I recommended.
Scholarly research paper. This research paper investigates the patient and how they respond to treatment of spinal injuries over a specified amount of time and how their pain level was affected depending on the form of rehabilitation used. References included.
Assignment 2 Assessing and Treating Patients With SleepWake Disord.docxsalmonpybus
Assignment 2: Assessing and Treating Patients With Sleep/Wake Disorders
Sleep disorders are conditions that result in changes in an individual’s pattern of sleep (Mayo Clinic, 2020). Not surprisingly, a sleep disorder can affect an individual’s overall health, safety, and quality of life. Psychiatric nurse practitioners can treat sleep disorders with psychopharmacologic treatments, however, many of these drugs can have negative effects on other aspects of a patient’s health and well-being. Additionally, while psychopharmacologic treatments may be able to address issues with sleep, they can also exert potential challenges with waking patterns. Thus, it is important for the psychiatric nurse practitioner to carefully evaluate the best psychopharmacologic treatments for patients that present with sleep/wake disorders.
Reference: Mayo Clinic. (2020).
Sleep disorders
. https://www.mayoclinic.org/diseases-conditions/sleep-disorders/symptoms-causes/syc-20354018
To prepare for this Assignment:
Review this week’s Learning Resources, including the Medication Resources indicated for this week.
Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients with sleep/wake disorders.
The Assignment: 5 pages
Examine
Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult.
You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.
At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.
Introduction to the case (1 page)
Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
Which decision did you select?
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #2 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resou.
Evidence-Based Practices & Nursing
Introduction
Normally, PICOT format is helpful in formulation of questions in an evidenced based clinical practice. PICOT generated questions generally fall under for main categories of clinical practices. These include; therapy, prevention, diagnosis, etiology as well as Prognosis. The essential elements in PICOT questions. The PICOT format is valuable in addressing research questions comprehensively. Five elements are normally addressed including; population, intervention, comparison, outcome and time as well (Riva, Malik, Burnie, Endicott, & Busse, 2012).
Summary of Case Study
The ever increasingly high incidence of breast cancer conditions has posed serious challenges in the nursing profession. Provision of appropriate healthcare to the cancer patients has been lacking leading to adverse effects of the proliferation of cancerous cells which further worsen the conditions of the patients. As primary care, clinicians have the responsibility to stressing providing healthcare services within healthcare facilities as well as monitoring treatment in home based facilities to help manage cancer condition. Most cancer patient need clinicians who practice evidence-based clinical practices (Riva, Malik, Burnie, Endicott, & Busse, 2012).
Research Question
In cancer patients receiving chemotherapy, will they have better white blood cell count monitoring with a follow-up at home versus follow-up at a health care facility during their treatment?
PICOT Format
1) P-Population: Patients aged 18-60 years-old, breast cancer who have not received chemotherapy in the past six months are subjected to the treatment. Patients with other serious health conditions such as heart diseases were excluded in the study. 30 patients, with 15patients stationed at the healthcare facility while the other 15 patients receiving home-based care, are expected to take part in the study.
2) I -Intervention: The patients will receive dosage based on the age, sex and health general body health as well as the stage of cancer cells proliferation in the body. The patients are required take the prescribed drugs at regular intervals. The subjects will be subjected to treatment under the same during the research study.
3) C-Comparison: All the subject regardless of variations in their level of dose requirement will be subjected to the same treatment for the same duration, 3months. Standardized treatment will be given to subjects with no extreme variations in their level of dose requirement and would be used as an active control group. Using this strategy, it will be possible to minimize the non-specific effects due to a group of the patient receiving treatment within the healthcare.
4) O-Outcome: The response in chemotherapy treatments will be check by examining the numbers of defective cancerous cells in the body tissues. The patients will report to the theatre in order to be examined by an oncologist. The results will be recorded i ...
Language Disorders and Speech Disordersemilyparker01
Kuder’s article first describes the differences between speech, language and communication so that it can be understood properly to identify its characteristics and to study it in reference to language disorders. It describes the necessary components of communication to find out the problems in a speech disorder patient. He moves further to present a case study of a nine year old student named Kevin who is good in maths but faces difficulty in words. He tries to write short sentences and produces poorly organized sentences. His teacher Mrs. Ross notices this and feels like helping him but she fails to understand the nature of his problem. Kevin lags behind when he goes to play with his other school friends and it is likely that he would fall in difficulty in pursuing his academic and social life if nothing is done to take care of his problem.
Psychological Changes in a Human When He Grows Oldemilyparker01
When one considers the different transitions associated with the human life stages, many of them are associated with childhood, youth and middle age and are talked about and studied more than the life transitions that happen during old age. One such transition in the last decades of human life is becoming a grandparent. In this essay we are going to look at the elements of this transition and its impact on relationships and concepts of self as well as what the literature has to say about this stage of life.
Psychological Wellbeing and Risk Factor of Aboriginal Communityemilyparker01
You are a counsellor in a local community health centre. A member of the local Aboriginal community has approached you because she is worried about her 17-year-old son who has been feeling ‘winyarn’ (sad) for a long time. Over the past month she has noticed a marked change in her son’s behaviour. She says he has been ‘flying off the handle’ over minor frustrations and become aggressive towards her when she has tried to ask him ‘what’s wrong?’ She has contacted you now because he has begun talking about killing himself over the past few days.
Negligence, in law, is a breach of a legal duty. This law has its roots primarily from the Tortious liability. This becomes evident whenever there is a breach of a duty. Such parameters are set up by the law towards persons with an action of breach leading to un-liquidated damages.
Inherent Province of the Law of Tort (1931) (Richard Smellie 2002)
“Tort” originated from the Medieval Latin word “tortum” meaning, something twisted. It has high implications for a civil wrong leading to injury and arising mainly because of failure to act. The law ensures that action for damages is brought, and is independent of any contract. Simply negligence is a careless act of failure to impart, due care and required attention or concern. Thus negligence has fixed legal duties imposed by law. It is based out of conduct, not agreement (contract) or the protection of an interest (nuisance or defamation).
Prioritization of Complex Health Issuesemilyparker01
Diabetes has prevailed and is rising in tandem increasing with the growth in population rate. Most diabetics believe that nurses and physicians need to provide them with complete knowledge of the disease. Most even believe that a leading role has to be taken up by nurses in the treatment of diabetes by educating care as existing clinical and trials of observational clinical framework shown to determine the capability of the nurses in providing effective care at low costs
Understanding of Communication and Language Difficultiesemilyparker01
From the literature I understood that language “comprehension,” is not a simple single skill – to actually comprehend spoken language involves a multi stage process which starts from the reception of a sound stimulus at the ears and involves the ability to classify the speech sounds and relate them to a mental dictionary, to interpret the words heard using the order in which they are spoken and the tonal inflections, to relate what is heard to the social and psychological context and ultimately choose from multiple possible meanings to the correct one meant by the speaker (Bishop, 1997).
Business Model for Emerging Technologiesemilyparker01
The organization is the GFI WebMonitor which lets its customer define the web filtering and policies of web browsing, helping to enforce an effective policy of Internet usage. The organization provides capability to administrators for either allowing or restricting access to several categories of websites along with setting time or threshold bandwidths with regard to particular user or regarding the basis of IP.
Language Disorders and Speech Disordersemilyparker01
Intellecap is a global provider of consulting and investment banking services
A key driver of fast-paced global development within the clients
Client presence in industries namely – Development finance institutions, private sector investors, foundations, governments and inclusive and social businesses
Intellecap’s main objective is to create a more cohesive system for distribution of knowledge among all industry participants
In sociology, social community or actions are referred as the act, which includes actions as well as the reactions of the agents or individuals. Max Weber mentions that an action is considered as social, if all the acting individuals take account of others behavior and orient that in their course.
Case Studies Analysis Law of Financial Institutions and Securitiesemilyparker01
The regulatory framework in the country of Australian of monitoring and regulating financial institutions and banks lies essentially with multiple regulators in the Australian Prudential Regulation Authority (APRA), Australian Securities and Investments Commission (ASIC) , and the . The APRA is committed to promoting sound risk management practices among the banks and ensuring that the banks’ behavior is within the norms and limits that have been set out in their regulatory framework.
Research Appraisal of a Clinical Practice Guidelineemilyparker01
With the advent of new technologies in the health sector, the needs of health care have kept pace with the new technology. A growing patient numbers, growing dimensions of disease and emerging disease, no doubt forcing the health care professionals to run after the development of new drugs and technologies for combat. At the same time, patient safety and quality health care delivery are buzzing priority for every country and every health care organization.
Centrifugal pumps belong to the subclass of dynamic axisymmetric fluid absorbing turbo machinery which transports fluid by converting the rotational kinetic energy to the hydrodynamic fluid flow. The rotational motion can be achieved either by a motor or an internal combustion engine. Centrifugal pumps are commonly used in water, petroleum, sewage and petrochemical pumping.
Nursing Case Study: 14 year old diagnosed with Insulin Dependent Diabetesemilyparker01
Case Study Questions
1. Briefly note the ‘problem’ that exists for Meredith.
2. Make a list of the things you think are the most ethically/legally significant factors in the scenario. In other
words, consider what Meredith would have to take into account if her thinking and decisions are to be
ethically or legally appropriate in this situation.
3. List two options available to Meredith, which are, in your opinion the most obvious courses of action, given
what she takes the problem to be.
4. Develop an argument/rationale for the stance taken by Meredith.
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1. Psychological Wellbeing and Risk Factor of Aboriginal Community
Case Study: Nursing Management in Pathophysiology
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Abstract
To deliver optimum patient care, nurses must be equipped with skills, knowledge and
attitudes towards pain, pain assessment and management. These skills must be guided by best
available evidences to prevent any type of harm to the patients. Pain assessment is an integral
part of pain management (Hall-Lord, 2006). In the above case study, the patient complains of
pain in his chest and neck. The complicacy of non-self-reporting pain, even though absent
and as per patient self-reporting he is experiencing pain, there are certain challenges for a
nurse to assess pain.
The patient condition shows no change from the previous status where he was recorded GCS
13 E3, V3 and M6. The above pain rating on GCS scale implies the patient responds to voice,
uttering of words may be inappropriate and some abnormal flexion’s can be observed on
painful stimuli. But the motor response rating implies he is fine with the motor response as 6
demonstrates the patient obeys the normal orders (lankova, 2006). On contrary to this, the
patient complains of consistent pain in his right side chest and back. These contradicting
views self-reported and evidence based literature act as a challenge for the nurse to assess the
pain for the patient.
In such cases, it is essential to apply the evidence based strategy than any other pain
measuring scale. The following strategy will be maintained for obtaining data about Mr.
Brown pain
To get a self-report from the patient, which in the contemporary scenario behaves as the
single most reliable factor to start with (Herr K, 2004)
4. 2
PART A
Answer 1. To deliver optimum patient care, nurses must be equipped with skills, knowledge and
attitudes towards pain, pain assessment and management. These skills must be guided by best
available evidences to prevent any type of harm to the patients. Pain assessment is an integral
part of pain management (Hall-Lord, 2006). In the above case study, the patient complains of
pain in his chest and neck. The complicacy of non-self-reporting pain, even though absent and as
per patient self-reporting he is experiencing pain, there are certain challenges for a nurse to
assess pain.
The patient condition shows no change from the previous status where he was recorded
GCS 13 E3, V3 and M6. The above pain rating on GCS scale implies the patient responds to
voice, uttering of words may be inappropriate and some abnormal flexion’s can be observed on
painful stimuli. But the motor response rating implies he is fine with the motor response as 6
demonstrates the patient obeys the normal orders (lankova, 2006). On contrary to this, the patient
complains of consistent pain in his right side chest and back. These contradicting views self-
reported and evidence based literature act as a challenge for the nurse to assess the pain for the
patient.
In such cases, it is essential to apply the evidence based strategy than any other pain
measuring scale. The following strategy will be maintained for obtaining data about Mr. Brown
pain
-To get a self-report from the patient, which in the contemporary scenario behaves as the single
most reliable factor to start with (Herr K, 2004).
Commented [A1]: The start is appropriate and well referenced
Commented [A2]: Analysis well-constructed and the flow among
sections is smooth.
5. 3
-Going through patient medical history for pain assessment forms another important part, since
every small change at the physical level may induce pain at certain points (Wilson, 2007).
- Consideration of recently applied medical interventions since any procedures applied might be
causing pain.
- Taking data from her wife, to understand the pathophysiology of pain, pain behavior (if she has
previously seen such pain in his husband during hospital admission or home based treatment).
-At times physiologic conditions are underestimated, but they can be the least indicators for pain
so this need to be evaluated in Mr. Brown case.
-Patient behavior at times provides valuable clues for pain identification such as changing
positions, sitting positions can enumerate where the pain is occurring, frequency of pain and
severity of pain (Pasero C, 2002).
So these strategies will be maintained to assess the pain in Mr. Brown.
Answer 2. There can be different reasons for back and chest pain- The pain can be due to
infection in the pleura, which can result in rubbing of two linings of lungs inside and outside thus
causing pain at different points at chest. The rationale is the pleura inflammation can be caused
by pneumothorax, lungs collapse, and pneumonia, which has been already diagnosed in Mr.
Brown.
6. 4
Answer 3. Opiates are in general used to treat pain or manage the pain in patients who do not
respond to non-steroidal anti-inflammatory drugs. As evidence suggests in patients with end
stage cardiac or respiratory disorders sustained release low dose morphine can beneficial in
reducing pain as well as shortness of breath (Parshall, et al., 2011). Thus, this therapy is justified
in the above case study.
Answer 4. Going through the patient medical history the following assessments are to be made
for Mr. Brown prior to morphine 2.5-5mg administration intravenously. The patient must be
assessed for head injuries, severe renal issues or problems if he has or not, increased intracranial
pressure, severe liver problems, etc. Even a small dosage of morphine administration may lead to
abnormal cerebral circulation (Naqvi F, 2009).
The patient will be assessed for any type of medical allergies to morphine like drugs or
previously used medications that contains morphine like products. If the patient has COPD,
asthma or serious respiratory disorder the morphine must be administered with proper
consultation. To assess the side effects, the following assessments will be carried out –
Breathing pattern observation. (Shallow and slow breathing is generally expected).
Assess the patient for any type of seizure and convulsions
Assessment of cognitive and motor skills in the patient.
Urine input and output as urination abnormality can be seen, a patient must be assessed for
bleeding (nose, mouth, rectum, vagina) etc.
Commented [A3]: Short and crisp
7. 5
While the above assessments will be carried out for heavy side effects of morphine, the
lesser known side effects are headache, dizziness, nausea and vomiting, weight loss, diarrhea etc.
PART 7
Answer 1. In a case of end of life decision which is taken by hospital authority the nurse’s role
comes under ethical committee scanner as well as ethical guidelines scanner. Since, the nurse has
spent almost every day from the day of admission knowing that the patient doesn’t have much
time with him the nurse must showcase that they are positive about his case and he is responding
well from his condition (D. M. Westphal and S. A. McKee, 2009). His needs must be addressed
in order to fulfill all his wishes. The environment must be kept positive in order to give the
patient enough strength mentally to face the discomfort he is having. Making a patient’s life
much better (quality wise) at the end stage of life should be the goal of nurse.
Answer 2. In the above case, it is essential to convince Mrs. Brown for DNR order given by the
doctor. Mrs. Brown must be made to understand that the prognosis in case of Mr. Brown was
very poor starting from the day of admission, while all sorts of biochemical and biophysical tests
have been done, he is not able to participate in the disease recovery process. So in order to follow
ethical approach and guidelines, Mrs. Brown must be intimated the decision taken by the doctor
and what are its implications for her and other family members. Being a nurse, trust and empathy
must be shown to Mrs. Brown in order to convince as well as give her emotional support (S. Fry
Commented [A4]: Adding justificatons when answering is
appropriate
8. 6
and N. A. Warren, 2007). Mrs. Brown could be allowed to take daily care of her husband in
order to have some sort of satisfaction. While the approach in these situations are very debatable,
but with no option left and extreme poor prognosis, this decision seems to be best fitting the
ethical and professional code of conduct benchmark (K. T. Kirchhoff, 2000). Commented [A5]: Appropriately referenced
9. 7
REFERENCES
D. M. Westphal and S. A. McKee, 2009. End-of-life decision making in the intensive care unit:
physician and nurse perspectives,. American Journal of Medical Quality, , 24(3), pp. 222-228.
Hall-Lord, M. L. B., 2006. Registered nurses’ and student nurses’ assessment of pain and distress
related to specific patient and nurse characteristics.. Nurse Education , 26(5), pp. 377-387.
Herr K, S. K. M. P. e. a., 2004. ain intensity assessment in older. Clin J Pain., Volume 20, pp.
207-219.
K. T. Kirchhoff, V. S. L. W. A. H. B. V. C. a. T. C., 2000. Intensive care nurses' experiences
with end-of-life care. American Journal of Critical Care, , 9(1), pp. 36-42.
lankova, A., 2006. The Glasgow Coma Scale: clinical application in Emergency Departments.
Emergency Nurse, 14(8), pp. 30-35.
Naqvi F, C. F. F. S., 2009. Evidence-based review of interventions to improve palliation of pain,
dyspnea, depression. Geriatrics, 64(8), pp. 8-10.
Parshall, M., Schwartzstein RM, P. O. D. & Dyspnea., A. T. S. C. o., 2011. An official American
Thoracic Society statement: update on the mechanisms, assessment, and management of
dyspnea. American Journal of Respiratory and Critical Care Medicine, 185(4), pp. 435-452.
Pasero C, M. M., 2002. Pain in the critically ill.. Am J Nurs., Volume 102, pp. 59-60.
S. Fry and N. A. Warren, 2007. Perceived needs of critical care family members: a
phenomenological discourse,. Critical Care Nursing Quarterly,, 30(2), pp. 181-188.
10. 8
Wilson, B., 2007. Nurses knowledge of pain. Journal of Clinical Nursing, 16(6), pp. 1012-1020.
Faculty Comments:
The work has appropriate answers as expected. Short and crisp answers have been framed
with a clear demarcation of the asked questions. The work would have been better with
little more efforts in referenecing.