HLSC 102 Dr. Dunbar Case Study #2 A Difficult Pregnancy A Nurse.pdf
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HLSC 102: Dr. Dunbar Case Study #2: \"A Difficult Pregnancy\" A Nurse Practitioner\'s dilemma \"Aaaargh!\" Susan P., Family Nurse Practitioner, felt extremely frustrated as she left Room 12. She had just spent the last 30 minutes with Lydia L., a developmentally disabled, 30- weeks-pregnant, 19-year-old Latina. \"What\'s wrong, Susan?\" asked Bernie C.M., the group\'s social worker \"I\'ve just spent the last half-hour with Lydia L., you know, the pregnant girl I\'m just so upset! She\'s missed several appointments, even though I had the nurses call her. She was late today, as usual. She\'s missed several important tests that need to be done during the second trimester. She\'s here today with another urinary tract infection because she didn\'t finish all the antibiotics from the last infection--they made her sick and she didn\'t call us to let us know she had stopped them, even though I gave her specific verbal and written instructions. Now she\'s got large quantities of ketones in her urine. On top of that, her blood type is Rh negative. I\'ve worked hard to try to prevent anything from happening. I just don\'t know what to do! \"I understand your frustration. What was her excuse for missing the appointments?\" asked Bernie. \"That\'s just it!\" exclaimed Susan. \"She has no excuse. She just sits there and smiles. She doesn\'t seem to hear me. The more I try to talk to her, the quieter she becomes Any luck setting up help for her? I know she\'ll need it with her mom out of the picture and her boyfriend working, said Bernie. \"Another frustration. The red tape. The forms they want filled out. I just know she won\'t have any help when that baby comes. Susan sat down and held her face in her hands. \"This is just what I tried to avoid by keeping her here with us in our family practice rather than transferring her to the high-risk clinic at Children\'s Hospital. I didn\'t want her to \"get lost,\" but that seems to be exactly what has happened. What should I do? Solution 1. False: Care comes before frustation although the NP\'s frustration and concerned are justified regarding Lydia\'s case. 2.False.The NP does not understands the clinical care required in Lydia\'s case now when the ketone level is high and she is Rh negative. 3.True: The patients psycho-social issues have been adequately addressed by Susan the NP. 4. True:Since Lydia is a psychiatric patient hence Father\'s Right allow her boyfriend to make decisions about the medical care of the unbornchild. 5.False: First the NP should consult a GP regarding the health issue and care must be provided first to recover from the illness then NP can recommend Lydia for a consultation with Social Work..
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CASE STUDYLupe is a 45-year-old Mexican American woman. She has .docx
CASE STUDY
Lupe is a 45-year-old Mexican American woman. She has two adult children, a son and a daughter, as well as one granddaughter. She lives in a small apartment near her mother, now in her late 60s. Lupe visits her mother several times a week to check on her health and her emotional state. Although she is relatively self-sufficient, Lupe’s mother expects this kind of attention from her daughter. Lupe has always been very responsible and concerned about the well-being of her family members. Even though this takes a lot of her time, she faithfully attends to her mother’s needs without complaint.
When Lupe’s children were young, she and her children’s father lived together. He left the family after a few years, however, because he found the stress of family life to be overwhelming. In particular, he felt that he could not make enough money to support two children. Although he and Lupe were never legally married, she considered them to be a “married” couple. Single now for 16 years, she feels that she would like to meet someone with whom she could share her life. This is a new feeling for Lupe. Until recently, she was too distracted with the problems of raising her children to think about herself. Now she feels that she only has a limited amount of time left to pursue some of her own wishes. She can envision herself, like her mother, old and alone, and that prospect disturbs her. She has started to attend social functions at her church and has accepted some social invitations from members of the congregation. Lupe feels comfortable with this approach, because she is very close to the members of her parish community.
Lupe’s life has recently become more complicated. Her daughter, Lucia, and her 2-year-old granddaughter, Eva, have moved in with her. Lucia and her boyfriend, Tomas, were living together and were planning to marry. Their relationship deteriorated after the baby’s birth, and the couple fought frequently. Lucia accused Tomas of spending too much of his paycheck on frivolous things. Tomas, in response, withdrew even further, spent more time with his friends, and continued to spend money as he pleased. Lucia finally took the baby and threatened not to come back.
In addition to this, Lupe was injured on her job as a practical nurse in a large hospital. She was trying to prevent a patient from falling and hurt her back in the process. She will need to receive physical therapy, which means she will be out of work for a few months. Her physician, noticing her depressed mood, referred her to a counselor at the local mental health clinic.
Discussion Questions
1.
What are the developmental stresses (age-related) and contextual stresses (nonnormative) in Lupe’s life at the present time? Consider her age, family role, and cultural context.
2.
What are Lupe’s sources of strength? What aspects of her cognitive functioning and her personality might support her resilience in the face of difficulties?
3.
What is the potential impact of Lucia’s r ...
Answer below discussion. Two paragraphs and two references no later .docx
Answer below discussion. Two paragraphs and two references no later than 5 years.
This week’s discussion questions caused a lot of reflection on how I practice nursing. The questions led me to reflect on what type of nurse I am. Am I doing the best I can, or have I done the best I could? While considering the six ways of knowing I kept coming back to unknowing. The act of being unaware or not being able to fully understand what the patient is experiencing or going through (Heath, 1998). That is how I approach every patient. I have no preconceived notion that I have even the faintest idea of what they must be feeling. It is the ability to be fully present of yourself and open to the patient and their life. The other is empirical knowing. Empirical knowing is the first introduction we have in nursing school. Understanding the science, the epidemiology, the physical nature of the illness or medical situation. I believe there is a lot of value in empirical knowing, as the patients want us to know why and how to do what we do. They place a lot of trust in us to do the right thing. It is part of our daily responsibility to assess and monitor therapeutic response to treatment (Zander, 2007).
Though the entire 6 ways of knowing were brand new to me and it took me some time to reflect on my understanding of these concepts, I fear the two I have put the least focus on in the past but am keenly aware of their implications are emancipatory and aesthetic knowing. This is not to say that I did not practice the art of nursing, using my years of experience to draw on and I am astutely aware of the social, cultural, and political implications of those in my care. I never was able to put a name or definition to them. Emancipatory knowing, the ability to be astutely aware of the social injustices and be able to act in a way to reduce the negative impact of these inequalities (Peart & MacKinnon 2018). Aesthetic knowing, the ability to interpret the patient’s behavior or expression of self and then asking what this means (Zander, 2007). Aesthetic knowing in a simpler phrase might be considered that gut feeling a nurse often refers to.
I am reminded of a recent experience I had when I was given the privilege to assist another nurse on a home visit. This nurse is an incredible pediatric nurse. I admire her aesthetic way of knowing and how she is so patient and kind with the children she cares for. This young boy, age 11, was recently diagnosed with Pediatric Autoimmune Neurological Disorders Associated with Streptococcal Infections (PANDAS). It is a horrid and unexpected disease that takes an otherwise perfectly healthy child and they become severely paranoid, have expressions of sudden onset OCD type behaviors, and a myriad of other symptoms (International OCD Foundation, n.d.). This young boy was to receive Intravenous Immunoglobulin (IVIG) at his home, requiring placement of a peripheral IV. I was called in for re.
Considerations for pregnancy and the postnatal period
Trudy Williams
Maternal Medicine Specialist Midwife
St Georges Foundation Trust
1. Julie is a 35-year-old with bipolar II disorder. After her t.docx
1. Julie is a 35-year-old with bipolar II disorder. After her third child was born, she had a severe depressive episode. She attempted suicide by taking 25 Xanax pills. She is back in the hospital with depression after having a 2-week hypomanic episode. She has not been taking her medications.
a. What responsibility does the health care organization have to Julie?
b. What structures are needed at a hospital to ensure that Julie will get the care she needs?
c. What is the nurse’s responsibility regarding the health promotion activities directed toward Julie?
2. Stephane, a 15-year-old Haitian refugee who is living at a center for children of refugees, has a severe cough and fever. She is curled up in a corner of the community room wrapped in a towel. She looks like she has been crying.
a. How can the nurse ensure culturally competent care?
b. List three priorities for the nurse regarding the cultural values, beliefs, and possible practices that Stephane may have.
Submission Instructions:
Your initial post should be at least 500 words
APA style
2 academic sources.
.
Caso 24 La paciente es una joven de 24 años. Es soltera, vive c
Caso 24
La paciente es una joven de 24 años. Es soltera, vive con sus padres y su hermana menor en un departamento en un quinto piso. Trabaja como vendedora en un comercio pequeño en un suburbio de la ciudad.
Motivo de consulta: Después de discutir con sus padres amenazó con matarse saltando por la ventana. Los padres no sabían qué hacer y llamaron al médico de familia, el que los derivó a un servicio de psiquiatría. La paciente había estado en su habitación escuchando heavy metal rock en su estéreo. Tenía el volumen muy alto, entonces sus padres fueron a su habitación y le pidieron que bajara “esa música de locos” . Ella se rehusó y comenzó otra pelea. Cuando su madre apagó el estéreo, la paciente abrió la ventana y amenazó con saltar. Después de mucho discutir a los gritos, aceptó ser enviada al hospital. Una vez allí aceptó quedarse, sólo porque “la situación en la casa se había vuelto casi imposible”. De acuerdo a sus padres, esta situación había sido “catastrófica” los últimos cinco años. La paciente podía ser bastante agradable por momentos, pero se enojaba y se volvía peleadora enseguida sin razón aparente. Parecía contenta y satisfecha durante una hora o mas, y de repente se quejaba de que la vida no valía la pena ser vivida. En varias ocasiones se fue de la casa para ir a vivir en un pequeño departamento sóla. Pero, luego de cada oportunidad, volvió después de un tiempo para vivir con sus padres nuevamente. Nunca parecía saber qué era lo que realmente quería, dijeron sus padres. Sus planes para el futuro eran totalmente irreales y de todas maneras cambiaba los mismos en forma constante.
Antecedentes: de acuerdo con sus padres, la paciente había sido una chica normal hasta su adolescencia. Alrededor de los trece años, se volvió más difícil. Aunque era una niña inteligente, tenía problemas en la escuela. Tenía muy buenas notas en las materias que le interesaban, pero fracasaba completamente en las que no le gustaban. Además, sus profesores se quejaban de que era muy indisciplinada . En su casa tenía muchas discusiones con sus padres y su hermana por causas triviales. A los 15 años, se le pidió que cambie de escuela porque había fracasado en las materias. Insistió en que quería ingresar en una escuela técnica, lo que hizo. Era la única mujer de su curso y un año después abandonó porque no le gustaba más la escuela. Comenzó un curso de arte en otra escuela pero pronto desertó de todo y comenzó a trabajar en un negocio como vendedora. En los siguientes años cambió de trabajo con frecuencia. En tres ocasiones, se quedó sin trabajo por varios meses. Había comenzado un nuevo trabajo cuatro meses antes de ser internada y estaba considerando cambiarlo de nuevo.
Los padres de la paciente dijeron que ella no tenía amigos estables y que rompía las relaciones sin mayores razones. Sus relaciones con otros jóvenes fueron descriptas como “íntimas” pero ...
Sample Verbatim Process Recording Clinical Practice with Indi.docx
Sample Verbatim Process Recording: Clinical Practice with Individuals, Families,
and Small Groups
Verbatim recording should only be used for selected parts of an interview.
Student name: Linda Talbot Date of session: Dec. 1 Number of session: 3
Client Identifying Info: Ms. B. is a 58-year-old West Indian woman. She is the biological
mother of a nine-year-old boy, Kenny, in the Residential Treatment Center.
Reason(s) for referral, presenting problem(s or relevant background information): Kenny
has a history of psychiatric hospitalization and was allegedly abused by his father. He arrived at
our program in September. The agency requires that I see Ms. B. twice a month, however she
only comes monthly and she offers different reasons why she cannot come more frequently.
Focus of this session:
In this excerpt, I'm talking with Ms. B. on the telephone regarding her visits to the Agency. In
the first part of the call, she expressed her disappointment that she came all the way from
Brooklyn (a 2 hour trip) to the agency to see Kenny, but a unit supervisor denied her the right to
see her son because she didn't follow the correct visiting procedure. Then we spoke about her
future visits to Kenny and other agency requirements. I began by telling her that she has to visit
Kenny more frequently and that she has to contact us beforehand.
Selective Verbatim Dialogue/Content Thinking/Feelings and Reactions
Ms. B: I'm a little disappointed because I did
not see my son after making such a long trip.
Worker: I'm really sorry that this happened but
the agency has specific visitation procedures. I
want to remind you that you are not allowed to
walk to the cottage without contacting with my
supervisor or me. You have to call before you
come.
Ms. B: I'm an old lady. I cannot make such a
long trip every week.
Worker: I understand your situation but your
son Kenny needs to see that his mother is
giving him the support that he needs right now.
He needs to see that his family cares about
him.
Ms. B: (sounding very upset) I cannot go to the
agency so many times because I have doctors'
I feel very badly for Ms. B., but I am scared to
hear her anger.
I also feel annoyed with Ms. B. because she
should have called ahead of time. I told her the
rules and hopefully this will solve the problem.
I don’t want to hear how hard it is for Ms. B. I am
upset for Kenny and I want her to understand his
needs.
appointments and I need time for myself too.
Worker: I understand what you're going
through, but my job is to inform you about the
agency requirements.
Ms. B: I cannot visit my son every Sunday
because I have to go to church. God is the only
one that gives me the support I need. I can only
come every other Sunday.
Worker: I understand that God is very
important to you, but right now .
Recommended
CASE STUDYLupe is a 45-year-old Mexican American woman. She has .docx
CASE STUDY
Lupe is a 45-year-old Mexican American woman. She has two adult children, a son and a daughter, as well as one granddaughter. She lives in a small apartment near her mother, now in her late 60s. Lupe visits her mother several times a week to check on her health and her emotional state. Although she is relatively self-sufficient, Lupe’s mother expects this kind of attention from her daughter. Lupe has always been very responsible and concerned about the well-being of her family members. Even though this takes a lot of her time, she faithfully attends to her mother’s needs without complaint.
When Lupe’s children were young, she and her children’s father lived together. He left the family after a few years, however, because he found the stress of family life to be overwhelming. In particular, he felt that he could not make enough money to support two children. Although he and Lupe were never legally married, she considered them to be a “married” couple. Single now for 16 years, she feels that she would like to meet someone with whom she could share her life. This is a new feeling for Lupe. Until recently, she was too distracted with the problems of raising her children to think about herself. Now she feels that she only has a limited amount of time left to pursue some of her own wishes. She can envision herself, like her mother, old and alone, and that prospect disturbs her. She has started to attend social functions at her church and has accepted some social invitations from members of the congregation. Lupe feels comfortable with this approach, because she is very close to the members of her parish community.
Lupe’s life has recently become more complicated. Her daughter, Lucia, and her 2-year-old granddaughter, Eva, have moved in with her. Lucia and her boyfriend, Tomas, were living together and were planning to marry. Their relationship deteriorated after the baby’s birth, and the couple fought frequently. Lucia accused Tomas of spending too much of his paycheck on frivolous things. Tomas, in response, withdrew even further, spent more time with his friends, and continued to spend money as he pleased. Lucia finally took the baby and threatened not to come back.
In addition to this, Lupe was injured on her job as a practical nurse in a large hospital. She was trying to prevent a patient from falling and hurt her back in the process. She will need to receive physical therapy, which means she will be out of work for a few months. Her physician, noticing her depressed mood, referred her to a counselor at the local mental health clinic.
Discussion Questions
1.
What are the developmental stresses (age-related) and contextual stresses (nonnormative) in Lupe’s life at the present time? Consider her age, family role, and cultural context.
2.
What are Lupe’s sources of strength? What aspects of her cognitive functioning and her personality might support her resilience in the face of difficulties?
3.
What is the potential impact of Lucia’s r ...
Answer below discussion. Two paragraphs and two references no later .docx
Answer below discussion. Two paragraphs and two references no later than 5 years.
This week’s discussion questions caused a lot of reflection on how I practice nursing. The questions led me to reflect on what type of nurse I am. Am I doing the best I can, or have I done the best I could? While considering the six ways of knowing I kept coming back to unknowing. The act of being unaware or not being able to fully understand what the patient is experiencing or going through (Heath, 1998). That is how I approach every patient. I have no preconceived notion that I have even the faintest idea of what they must be feeling. It is the ability to be fully present of yourself and open to the patient and their life. The other is empirical knowing. Empirical knowing is the first introduction we have in nursing school. Understanding the science, the epidemiology, the physical nature of the illness or medical situation. I believe there is a lot of value in empirical knowing, as the patients want us to know why and how to do what we do. They place a lot of trust in us to do the right thing. It is part of our daily responsibility to assess and monitor therapeutic response to treatment (Zander, 2007).
Though the entire 6 ways of knowing were brand new to me and it took me some time to reflect on my understanding of these concepts, I fear the two I have put the least focus on in the past but am keenly aware of their implications are emancipatory and aesthetic knowing. This is not to say that I did not practice the art of nursing, using my years of experience to draw on and I am astutely aware of the social, cultural, and political implications of those in my care. I never was able to put a name or definition to them. Emancipatory knowing, the ability to be astutely aware of the social injustices and be able to act in a way to reduce the negative impact of these inequalities (Peart & MacKinnon 2018). Aesthetic knowing, the ability to interpret the patient’s behavior or expression of self and then asking what this means (Zander, 2007). Aesthetic knowing in a simpler phrase might be considered that gut feeling a nurse often refers to.
I am reminded of a recent experience I had when I was given the privilege to assist another nurse on a home visit. This nurse is an incredible pediatric nurse. I admire her aesthetic way of knowing and how she is so patient and kind with the children she cares for. This young boy, age 11, was recently diagnosed with Pediatric Autoimmune Neurological Disorders Associated with Streptococcal Infections (PANDAS). It is a horrid and unexpected disease that takes an otherwise perfectly healthy child and they become severely paranoid, have expressions of sudden onset OCD type behaviors, and a myriad of other symptoms (International OCD Foundation, n.d.). This young boy was to receive Intravenous Immunoglobulin (IVIG) at his home, requiring placement of a peripheral IV. I was called in for re.
Considerations for pregnancy and the postnatal period
Trudy Williams
Maternal Medicine Specialist Midwife
St Georges Foundation Trust
1. Julie is a 35-year-old with bipolar II disorder. After her t.docx
1. Julie is a 35-year-old with bipolar II disorder. After her third child was born, she had a severe depressive episode. She attempted suicide by taking 25 Xanax pills. She is back in the hospital with depression after having a 2-week hypomanic episode. She has not been taking her medications.
a. What responsibility does the health care organization have to Julie?
b. What structures are needed at a hospital to ensure that Julie will get the care she needs?
c. What is the nurse’s responsibility regarding the health promotion activities directed toward Julie?
2. Stephane, a 15-year-old Haitian refugee who is living at a center for children of refugees, has a severe cough and fever. She is curled up in a corner of the community room wrapped in a towel. She looks like she has been crying.
a. How can the nurse ensure culturally competent care?
b. List three priorities for the nurse regarding the cultural values, beliefs, and possible practices that Stephane may have.
Submission Instructions:
Your initial post should be at least 500 words
APA style
2 academic sources.
.
Caso 24 La paciente es una joven de 24 años. Es soltera, vive c
Caso 24
La paciente es una joven de 24 años. Es soltera, vive con sus padres y su hermana menor en un departamento en un quinto piso. Trabaja como vendedora en un comercio pequeño en un suburbio de la ciudad.
Motivo de consulta: Después de discutir con sus padres amenazó con matarse saltando por la ventana. Los padres no sabían qué hacer y llamaron al médico de familia, el que los derivó a un servicio de psiquiatría. La paciente había estado en su habitación escuchando heavy metal rock en su estéreo. Tenía el volumen muy alto, entonces sus padres fueron a su habitación y le pidieron que bajara “esa música de locos” . Ella se rehusó y comenzó otra pelea. Cuando su madre apagó el estéreo, la paciente abrió la ventana y amenazó con saltar. Después de mucho discutir a los gritos, aceptó ser enviada al hospital. Una vez allí aceptó quedarse, sólo porque “la situación en la casa se había vuelto casi imposible”. De acuerdo a sus padres, esta situación había sido “catastrófica” los últimos cinco años. La paciente podía ser bastante agradable por momentos, pero se enojaba y se volvía peleadora enseguida sin razón aparente. Parecía contenta y satisfecha durante una hora o mas, y de repente se quejaba de que la vida no valía la pena ser vivida. En varias ocasiones se fue de la casa para ir a vivir en un pequeño departamento sóla. Pero, luego de cada oportunidad, volvió después de un tiempo para vivir con sus padres nuevamente. Nunca parecía saber qué era lo que realmente quería, dijeron sus padres. Sus planes para el futuro eran totalmente irreales y de todas maneras cambiaba los mismos en forma constante.
Antecedentes: de acuerdo con sus padres, la paciente había sido una chica normal hasta su adolescencia. Alrededor de los trece años, se volvió más difícil. Aunque era una niña inteligente, tenía problemas en la escuela. Tenía muy buenas notas en las materias que le interesaban, pero fracasaba completamente en las que no le gustaban. Además, sus profesores se quejaban de que era muy indisciplinada . En su casa tenía muchas discusiones con sus padres y su hermana por causas triviales. A los 15 años, se le pidió que cambie de escuela porque había fracasado en las materias. Insistió en que quería ingresar en una escuela técnica, lo que hizo. Era la única mujer de su curso y un año después abandonó porque no le gustaba más la escuela. Comenzó un curso de arte en otra escuela pero pronto desertó de todo y comenzó a trabajar en un negocio como vendedora. En los siguientes años cambió de trabajo con frecuencia. En tres ocasiones, se quedó sin trabajo por varios meses. Había comenzado un nuevo trabajo cuatro meses antes de ser internada y estaba considerando cambiarlo de nuevo.
Los padres de la paciente dijeron que ella no tenía amigos estables y que rompía las relaciones sin mayores razones. Sus relaciones con otros jóvenes fueron descriptas como “íntimas” pero ...
Sample Verbatim Process Recording Clinical Practice with Indi.docx
Sample Verbatim Process Recording: Clinical Practice with Individuals, Families,
and Small Groups
Verbatim recording should only be used for selected parts of an interview.
Student name: Linda Talbot Date of session: Dec. 1 Number of session: 3
Client Identifying Info: Ms. B. is a 58-year-old West Indian woman. She is the biological
mother of a nine-year-old boy, Kenny, in the Residential Treatment Center.
Reason(s) for referral, presenting problem(s or relevant background information): Kenny
has a history of psychiatric hospitalization and was allegedly abused by his father. He arrived at
our program in September. The agency requires that I see Ms. B. twice a month, however she
only comes monthly and she offers different reasons why she cannot come more frequently.
Focus of this session:
In this excerpt, I'm talking with Ms. B. on the telephone regarding her visits to the Agency. In
the first part of the call, she expressed her disappointment that she came all the way from
Brooklyn (a 2 hour trip) to the agency to see Kenny, but a unit supervisor denied her the right to
see her son because she didn't follow the correct visiting procedure. Then we spoke about her
future visits to Kenny and other agency requirements. I began by telling her that she has to visit
Kenny more frequently and that she has to contact us beforehand.
Selective Verbatim Dialogue/Content Thinking/Feelings and Reactions
Ms. B: I'm a little disappointed because I did
not see my son after making such a long trip.
Worker: I'm really sorry that this happened but
the agency has specific visitation procedures. I
want to remind you that you are not allowed to
walk to the cottage without contacting with my
supervisor or me. You have to call before you
come.
Ms. B: I'm an old lady. I cannot make such a
long trip every week.
Worker: I understand your situation but your
son Kenny needs to see that his mother is
giving him the support that he needs right now.
He needs to see that his family cares about
him.
Ms. B: (sounding very upset) I cannot go to the
agency so many times because I have doctors'
I feel very badly for Ms. B., but I am scared to
hear her anger.
I also feel annoyed with Ms. B. because she
should have called ahead of time. I told her the
rules and hopefully this will solve the problem.
I don’t want to hear how hard it is for Ms. B. I am
upset for Kenny and I want her to understand his
needs.
appointments and I need time for myself too.
Worker: I understand what you're going
through, but my job is to inform you about the
agency requirements.
Ms. B: I cannot visit my son every Sunday
because I have to go to church. God is the only
one that gives me the support I need. I can only
come every other Sunday.
Worker: I understand that God is very
important to you, but right now .
As a clinical social worker it is important to understand group .docx
As a clinical social worker it is important to understand group typology in order to choose the appropriate group method for a specific population or problem. Each type of group has its own approach and purpose. Two of the more frequently used types of groups are task groups and intervention groups.
For this Assignment, review the “Cortez Multimedia” case study, and identify a target behavior or issue that needs to be ameliorated, decreased, or increased. In a 2- to 4-page report, complete the following:
Choose either a treatment group or task group as your intervention for Paula Cortez.
Identify the model of treatment group (i.e., support, education, teams, or treatment conferences).
Using the typologies described in the Toseland & Rivas (2017) piece, describe the characteristics of your group. For instance, if you choose a treatment group that is a support group, what would be the purpose, leadership, focus, bond, composition, and communication?
Include the advantages and disadvantages of using this type of group as an intervention.
REQUIRED resource for assignment
A Meeting of an Interdisciplinary Team
Paula has just been involuntarily hospitalized and placed on the psychiatric unit, for a minimum of 72 hours, for observation. Paula was deemed a suicidal risk after an assessment was completed by the social worker. The social worker observed that Paula appeared to be rapidly decompensating, potentially placing herself and her pregnancy at risk.
Paula just recently announced to the social worker that she is pregnant. She has been unsure whether she wanted to continue the pregnancy or terminate. Paula also told the social worker she is fearful of the father of the baby, and she is convinced he will try to hurt her. He has started to harass, stalk, and threaten her at all hours of the day. Paula began to exhibit increased paranoia and reported she started smoking again to calm her nerves. She also stated she stopped taking her psychiatric medications and has been skipping some of her
HIV
medications.
The following is an interdisciplinary team meeting being held in a conference room at the hospital. Several members of Paula’s team (HIV doctor, psychiatrist, social worker, and OB nurse) have gathered to discuss the precipitating factors to this hospitalization. The intent is to craft a plan of action to address Paula's noncompliance with her medications, increased paranoia, and the pregnancy.
Click one the above images to begin the conversation.
Physician
Dialogue 1
Paula is a complicated patient, and she presents with a complicated situation. She is HIV positive, has Hepatitis C, and multiple foot ulcers that can be debilitating at times. Paula has always been inconsistent with her HIV meds—no matter how often I explain the need for consistent compliance in order to maintain her health. Paula has exhibited a lack of insight into her medical conditions and the need to follow instructions. Frankly, I was astonished an.
Eight Texts
Typography assignment at Ringling College of Art and Design to set various kinds of texts into a cohesive format.
Bobby was hospitalized 6 days ago for appendicitis. After an app.docx
Bobby was hospitalized 6 days ago for appendicitis. After an appendectomy following a perforated appendix, he now has an open incision requiring BID dressing changes and contact isolation due to a hospital acquired MRSA infection. It is anticipated that he will be here for 5-10 more days for long term antibiotic therapy and wound care. He is 13 years old. He has been afebrile for 24 hours. The wound is open with minimal serous drainage.
He is withdrawn and relates "just tired" when you inquire about how he is this morning. Last week he shared his interest in school. Gets A's in math, computer science and was supposed to be competing in the school science fair this week.
What do you know about the adolescent and the appropriate developmental level?
Keeping his diagnosis in mind, what about visitation?
Is socialization a need?
What other questions should you ask?
Group B Response
It is 10 pm and you make assessment rounds and find Bobby crying. You ask him what his pain level is. What pain scale are you using?
He says he misses his family and wonders when they are going to come to get him and take him home? He relates his dad told him to be brave but he couldn't stay with him since
Bobby was going to be in the hospital for such a long time and his dad had to work. He has 2 other brothers older than him. You also notice that his tray is untouched.
In addition to Erikson's theory of development, children have fear of loss. What is Bobby's fear?
(do not forget the interdisciplinary team members)
Video:
Pre-operative teaching
Discussion B: Group B will complete the initial post, Group A will respond to the post.
Tina is 5 years old, lives with her mother and grandmother. Mother works 2 jobs to help support her mother and her daughter. Tina is well cared for but is now admitted for a cardiac catheterization due to the Ventricular Septal Defect (VSD) that was noted at birth.
Tina has an extensive history of respiratory infections and a nursing diagnosis of 'activity intolerance'. Her mother relates that she does not allow her to play organized or competitive games due to her health. Tina smiles broadly when you come in the room to begin the pre-operative checklist. She starts to ask you a question when her grandmother tells her she must stay in the bed. "The nurse knows what she is doing and you will just be in the way." Tina continues to smile at you but moves back to the bed.
You have identified some unique family dynamics, please relate.
What is the Erikson developmental level that Tina should exhibit? And where do you think she is?
How can you assist in the developmental growth?
What education can you give to Tina and her grandmother pre operatively?
What will she expect post operatively?
Group A Response
You begin to explain that the first thing you will need to get done is an I.V. Tina's grandmother doesn't give you a chance to ask her to help. She excuses herself and says she can't watch. She will go to the cafeteria and r.
1. Share your perception of someone who has developed a substance .docx
1. Share your perception of someone who has developed a substance use illness with mood-altering substances. What are your beliefs about the characteristics, strengths and weaknesses of this individual? Discuss your capability to assist this individual in a personal face-to-face session where this person is requesting your assistance.
2. INDIVIDUAL SESSION BACKGROUND INFORMATION: This older Jewish woman's husband died after a long illness. She was referred to the practitioner by the hospital social worker after surgery for cancer. The hospital social worker described her as a woman with many strengths who is discouraged, depressed, and angry. The sessions are held in her home and the practitioner comes to her. Answer and post these questions prior to watching the first video. • How would you prepare for a first meeting with this client? • What are your hunches about what the client might be thinking, feeling, and expecting? • What are your concerns about working with this client? • What, if any, personal issues would working with this client bring up for you?
3. FAMILY SESSION BACKGROUND INFORMATION: This African American and Caucasian family includes three boys ranging in age from 7 to 13 years old. This family was referred by the school counselor who is concerned about the low grades of the oldest boy. In the initial phone call, the mother mentioned that she and her husband have serious disagreements about discipline. All of these sessions occur in the family counselor's office. Answer and post these questions prior to watching the first video. • How would you prepare for a first meeting with this client? • What are your hunches about what the client might be thinking, feeling, and expecting? • What are your concerns about working with this client? • What, if any, personal issues would working with this client bring up for you?
4. GROUP SESSION BACKGROUND INFORMATION: Psycho-educational support group: This group of women live in a low-income area of an urban community. Responding to an identified need, the local neighborhood community center announced a group for mothers who wanted to talk about issues such as parenting, stress, and family life. The group sessions will be held at the community center. Answer and post these questions prior to watching the first video. • How would you prepare for a first meeting with these clients? • What are your hunches about what the clients might be thinking, feeling, and expecting? • What are your concerns about working with these clients? • What, if any, personal issues would working with these clients bring up for you? Post answers and engage in a discussion with your colleagues about this case.
Marcus Hill is the temporary practitioner in a large nursing home in a city of 25,000 in the Midwest. He is filling in for Julie Anderson, who is on medical leave. Marcus is a tall, African-American man in his 30s. He has 6 years of experience as a nursing home practitioner and now works for a private ...
Description For the case provided, read the information and answer .pdf
Description: For the case provided, read the information and answer the associated questions as a
group.
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 years ago. Shortly after
becoming a resident, she suffered a cardiac arrest and was found to be unresponsive by the staff;
CPR was initiated for a total of 20 minutes prior to return of spontaneous circulation. She has an
advanced directive stating that she agrees to transfer to an acute care facility, but other options,
such as CPR and intubation, were not explicitly addressed in this document. She has no formal
Power of Attorney.
Initially, Mrs. B. had lived at your facility watching TV for most of the day. She was wheelchair
bound and required assistance with most activities of daily living (ADLs). Her husband lives at
your facility with her and is quite frail with moderate dementia. Mrs. B. is frequently visited by
her large extended family, which comprises 4 children and 5 grandchildren. She is known to
have cancer throughout much of her body, moderate dementia, a very bad heart, and type-2
diabetes.
After her cardiac arrest and a short stay in the Hospital ICU, Mrs. B. is brought back to your
facility able to breathe on her own, but with a moderate -severe brain injury caused by lack of
oxygen after her cardiac arrest; this has left her unable to communicate in any meaningful way
with others. She is receiving thickened fluids as her source of nutrition and hydration but is only
able to consume about half of the calories that would be needed to keep her at her current weight.
Unfortunately, her health begins to decline further shortly after returning.
The team decides to hold a family conference with the residents children and proposes a plan of
treatment that would focus on comfort care only, excluding CPR if needed again. The patients
eldest daughter does not agree and states that her mother is a fighter and wanted to live to be 100
years old so that she could receive a letter from the Queen. The daughter asks that her mother be
transferred back to the acute care hospital to receive the care of experts
1 of 3
HLTH9224
SPRING 2020
and so that she could be seen by a surgeon for surgery and chemotherapy for her cancer.
The treating physician discusses the case with the intensivist on call at the hospital over the
telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident
would not benefit from further invasive treatment. The intensivist at Hospital holds a family
conference with the family and team at the LTC home over the telephone. He identifies himself
as an expert in the field. The older daughter reiterates their requests to the intensivist.
Part 3
Recommendations for Actions (1 page maximum)
Provide your evaluations and recommendations with rationale. Recommendations should be
supported by findings from the analysis..
Mrs. B. is 97 years old, and was admitted to your LTC faci.pdf
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 years ago. Shortly after
becoming a resident, she suffered a cardiac arrest and was found to be unresponsive by the staff;
CPR was initiated for a total of 20 minutes prior to return of spontaneous circulation. She has an
advanced directive stating that she agrees to transfer to an acute care facility, but other options,
such as CPR and intubation, were not explicitly addressed in this document. She has no formal
Power of Attorney.
Initially, Mrs. B. had lived at your facility watching TV for most of the day. She was wheelchair
bound and required assistance with most activities of daily living (ADLs). Her husband lives at
your facility with her and is quite frail with moderate dementia. Mrs. B. is frequently visited by
her large extended family, which comprises 4 children and 5 grandchildren. She is known to
have cancer throughout much of her body, moderate dementia, a very bad heart, and type-2
diabetes.
After her cardiac arrest and a short stay in the Hospital ICU, Mrs. B. is brought back to your
facility able to breathe on her own, but with a moderate -severe brain injury caused by lack of
oxygen after her cardiac arrest; this has left her unable to communicate in any meaningful way
with others. She is receiving thickened fluids as her source of nutrition and hydration but is only
able to consume about half of the calories that would be needed to keep her at her current weight.
Unfortunately, her health begins to decline further shortly after returning.
The team decides to hold a family conference with the residents children and proposes a plan of
treatment that would focus on comfort care only, excluding CPR if needed again. The patients
eldest daughter does not agree and states that her mother is a fighter and wanted to live to be 100
years old so that she could receive a letter from the Queen. The daughter asks that her mother be
transferred back to the acute care hospital to receive the care of experts
1 of 3
HLTH9224
SPRING 2020
and so that she could be seen by a surgeon for surgery and chemotherapy for her cancer.
The treating physician discusses the case with the intensivist on call at the hospital over the
telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident
would not benefit from further invasive treatment. The intensivist at Hospital holds a family
conference with the family and team at the LTC home over the telephone. He identifies himself
as an expert in the field. The older daughter reiterates their requests to the intensivist.
Modified from: http://champlainethics.ca/case-studies-consent-and-capacity/
Part 1
Summary of Facts (In point form is fine) (1 page Maximum) Simply use APA heading to
designate. A suggested opening might be:
Summary of Facts
The summary of facts for Mrs. Bs case are as follows: (1 page maximum)
Mrs. B. was.....
The...
The family....
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 y.
Keeping one patient out of the ER
Read more about how we helped one patient stay out of the ER, saving her time and saving her employer from incurring expensive claims costs.
Briefly explain four functions of stems. SolutionFunction of S.pdf
Briefly explain four functions of stems.
Solution
Function of Stems:
1. It helps store water , as in cacti, and the products of photosynthesis, as in the trunk of sago
palm (Metroxylon sagu) and sweet palm (Argenga pinnata) which store large stock of starch
2. Young green stem also performs a minor role in the production of food through the process of
photosynthesis, but in some species (e.g. cactus) the stem is the chief photosynthesizing organ
3. It supports the leaves, flowers and fruits and connect them with roots. In trees and shrubs the
main stem or trunk provides a strong columnar structure from which branches are attached
raising the leaves upward to be expressed more fully to the sun
4. The plant stem serves as a means of asexual reproduction in many species..
AVR was one of the first microcontroller families to use A. on-chip .pdf
AVR was one of the first microcontroller families to use A. on-chip flash memory for program
storage B. one-time programmable ROM, EPROM, or EEPROM C. both A and B
EMBEDDED SYSTEMS is a computer system with a dedicated function within a larger A.
digital and logical system B. mechanical or electrical system C. both A and B An integrated
circuit that contains all the functions of a central processing unit of a computer is A.
Microprocessor B. Microcontroller C. Both A and b A main system bus, ram, rom/flash, and
typically a set of other devices such as a programmable interrupt controller, analog/digital
converters, any number of general purpose 10 devices A. Microcontroller B. Microprocessor
C. None of the above ASSEMBLY LANGUAGE is an assembly (or assembler) language, often
abbreviated asm, is a A. low-level programming language for a computer B. high-level
programming language for a computer A. C. both A and B
Solution
AVR was one of the first micro controller families to use on chipflash memory for program
storage
Embedded syatems are mechanical or electrical syatems
An integrated circuit that has all functions of a cpu is micro processor
Assembler language is low level programming language for a computer
A main system........... Micro processor.
Complete the implementation of the binary search tree started in cla.pdf
Complete the implementation of the binary search tree started in class. You know you are done
when the main function runs correctly with all commented lines uncommented, and printing
shows the expected behavior of a BST.
CODE:
# TODO: implement inorder
# TODO: implement find
# TODO: implement maximum, minimum
# TODO: implement successor, predecessor
# TODO: implement delete
def main():
bst = Node(3, None)
for k in [5, 7, 4, 5, 6]:
bst.insert(k)
# print(bst.inorder())
# for k in [4, 3, 6, 2, 1, 7]:
# print(\"find {}: {}\".format(k, bst.find(k) != None))
# for k in [4,3, 2]:
# n = bst.find(k)
# if n != None:
# s = n.successor()
# print(\"successor of {}: {}\".format(k, s.key if s != None else None))
# s = n.predecessor()
# print(\"predecessor of {}: {}\".format(k, s.key if s != None else None))
# s = n.delete()
# print(\"deleted {}\".format(s.key))
# print(bst.inorder())
class Node:
def __init__(self, key, parent):
self.key = key # self is Python for \"this\"
self.parent = parent
self.left = None
self.right = None
def inorder(self):
\'\'\'returns list of the keys in an inorder traversal of the tree rooted at self\'\'\'
# TODO: replace \"pass\" keyword with actual code
# Hint: li.append(value) appends a value to list li
# Hint: li = list1 + list2 returns the concatnenation of list1 and list2
# Hint: use dot notation to call method: inorder(node) ---> node.inorder()
# To test: uncomment line 10 and click \"Run\"
li = [] # empty list
if self.left is not None:
pass
pass
if self.right is not None:
pass
return li
def insert(self, key):
\'\'\'inserts a new node with given key into subtree rooted at self node\'\'\'
if key < self.key:
if self.left is None: # None is Python for null, \"is\" = \"==\", \"is not\" = \"!=\"
self.left = Node(key, self)
else:
self.left.insert(key)
else:
if self.right is None:
self.right = Node(key, self)
else:
self.right.insert(key)
def find(self, key):
\'\'\'returns a node in the subtree rooted at self with this key or
None if no such key exists\'\'\'
# Hint: similar to insert()
# Test: uncomment lines 11 and 12, click \"Run\"
pass
def minimum(self):
\'\'\'returns the node with minimum key in the subtree rooted at self\'\'\'
pass
def maximum(self):
\'\'\'returns the node with maximum key in the is subtree rooted at self\'\'\'
pass
def successor(self):
\'\'\'returns successor of the self node or None if it does not have one\'\'\'
# TODO: fill the if statement
if self.right is not None:
pass
c, p = self, self.parent
while p is not None and c is p.right:
c, p = p, p.parent
return p
def predecessor(self):
\'\'\'returns the predecessor of the self node or None if it does not have one\'\'\'
pass
def delete(self):
\'\'\'deletes the self node from the tree and returns that node\'\'\'
parent, left, right = self.parent, self.left, self.right
# case 0: no children
if left is None and right is None:
if parent is not None:
if self is parent.left:
parent.left = None
else:
parent.right = None
return self
# case 1: one or two children, no pa.
A researcher was interested in studying Americans email habits. She .pdf
A researcher was interested in studying Americans email habits. She suspected that Americans
spend less than 7 hours a week answering their email.The General Social Survey in 2004
included a question that asked about the number of hours that the respondent spend on email per
week. The General Social Survey in 2002 asked 1,264 respondents this question. The sample
mean number of hours was 6.02 and the sample standard deviation was 7.80. Find the test
statistic.A. 4.47
Solution
Test Statistic
Population Mean(U)=7
Sample X(Mean)=6.02
Standard Deviation(S.D)=7.8
Number (n)=1264
we use Test Statistic (t) = x-U/(s.d/Sqrt(n))
to =6.02-7/(7.8/Sqrt(1263))
to =-4.47
ANS:B.-4.47.
A 50 mL stock sample of cells is diluted 110 six times. If 0.1 mL o.pdf
A 50 mL stock sample of cells is diluted 1/10 six times. If 0.1 mL of the most dilute sample
generates 75 colonies on an agar plate, calculate the original concentration of bacteria present in
the original sample?
Solution
Answer:
Given:
Dilution factor= 1/10^6
Number of colonies= 75
Volume of sample = 0.1 mL to the plate
CFU/ml = ?
cfu/ml = (no. of colonies)/ dilution factor x volume of culture plate
cfu/ml = (75)/ (1/10^6 x 0.1)
cfu/ml = 75 x 10^7.
Why are clocks (or timers) discussed in the context of IO systems.pdf
Why are clocks (or timers) discussed in the context of I/O systems?
Solution
1) Time operations are not standard across all systems.
2) A timer can be used to trigger operations and to measure elapsed time. It can be set to trigger
an interrupt at a specific future time, or to trigger interrupts periodically on a regular basis to take
place.
3) Provide current time, elapsed time, etc..
More Related Content
Similar to HLSC 102 Dr. Dunbar Case Study #2 A Difficult Pregnancy A Nurse.pdf
As a clinical social worker it is important to understand group .docx
As a clinical social worker it is important to understand group typology in order to choose the appropriate group method for a specific population or problem. Each type of group has its own approach and purpose. Two of the more frequently used types of groups are task groups and intervention groups.
For this Assignment, review the “Cortez Multimedia” case study, and identify a target behavior or issue that needs to be ameliorated, decreased, or increased. In a 2- to 4-page report, complete the following:
Choose either a treatment group or task group as your intervention for Paula Cortez.
Identify the model of treatment group (i.e., support, education, teams, or treatment conferences).
Using the typologies described in the Toseland & Rivas (2017) piece, describe the characteristics of your group. For instance, if you choose a treatment group that is a support group, what would be the purpose, leadership, focus, bond, composition, and communication?
Include the advantages and disadvantages of using this type of group as an intervention.
REQUIRED resource for assignment
A Meeting of an Interdisciplinary Team
Paula has just been involuntarily hospitalized and placed on the psychiatric unit, for a minimum of 72 hours, for observation. Paula was deemed a suicidal risk after an assessment was completed by the social worker. The social worker observed that Paula appeared to be rapidly decompensating, potentially placing herself and her pregnancy at risk.
Paula just recently announced to the social worker that she is pregnant. She has been unsure whether she wanted to continue the pregnancy or terminate. Paula also told the social worker she is fearful of the father of the baby, and she is convinced he will try to hurt her. He has started to harass, stalk, and threaten her at all hours of the day. Paula began to exhibit increased paranoia and reported she started smoking again to calm her nerves. She also stated she stopped taking her psychiatric medications and has been skipping some of her
HIV
medications.
The following is an interdisciplinary team meeting being held in a conference room at the hospital. Several members of Paula’s team (HIV doctor, psychiatrist, social worker, and OB nurse) have gathered to discuss the precipitating factors to this hospitalization. The intent is to craft a plan of action to address Paula's noncompliance with her medications, increased paranoia, and the pregnancy.
Click one the above images to begin the conversation.
Physician
Dialogue 1
Paula is a complicated patient, and she presents with a complicated situation. She is HIV positive, has Hepatitis C, and multiple foot ulcers that can be debilitating at times. Paula has always been inconsistent with her HIV meds—no matter how often I explain the need for consistent compliance in order to maintain her health. Paula has exhibited a lack of insight into her medical conditions and the need to follow instructions. Frankly, I was astonished an.
Eight Texts
Typography assignment at Ringling College of Art and Design to set various kinds of texts into a cohesive format.
Bobby was hospitalized 6 days ago for appendicitis. After an app.docx
Bobby was hospitalized 6 days ago for appendicitis. After an appendectomy following a perforated appendix, he now has an open incision requiring BID dressing changes and contact isolation due to a hospital acquired MRSA infection. It is anticipated that he will be here for 5-10 more days for long term antibiotic therapy and wound care. He is 13 years old. He has been afebrile for 24 hours. The wound is open with minimal serous drainage.
He is withdrawn and relates "just tired" when you inquire about how he is this morning. Last week he shared his interest in school. Gets A's in math, computer science and was supposed to be competing in the school science fair this week.
What do you know about the adolescent and the appropriate developmental level?
Keeping his diagnosis in mind, what about visitation?
Is socialization a need?
What other questions should you ask?
Group B Response
It is 10 pm and you make assessment rounds and find Bobby crying. You ask him what his pain level is. What pain scale are you using?
He says he misses his family and wonders when they are going to come to get him and take him home? He relates his dad told him to be brave but he couldn't stay with him since
Bobby was going to be in the hospital for such a long time and his dad had to work. He has 2 other brothers older than him. You also notice that his tray is untouched.
In addition to Erikson's theory of development, children have fear of loss. What is Bobby's fear?
(do not forget the interdisciplinary team members)
Video:
Pre-operative teaching
Discussion B: Group B will complete the initial post, Group A will respond to the post.
Tina is 5 years old, lives with her mother and grandmother. Mother works 2 jobs to help support her mother and her daughter. Tina is well cared for but is now admitted for a cardiac catheterization due to the Ventricular Septal Defect (VSD) that was noted at birth.
Tina has an extensive history of respiratory infections and a nursing diagnosis of 'activity intolerance'. Her mother relates that she does not allow her to play organized or competitive games due to her health. Tina smiles broadly when you come in the room to begin the pre-operative checklist. She starts to ask you a question when her grandmother tells her she must stay in the bed. "The nurse knows what she is doing and you will just be in the way." Tina continues to smile at you but moves back to the bed.
You have identified some unique family dynamics, please relate.
What is the Erikson developmental level that Tina should exhibit? And where do you think she is?
How can you assist in the developmental growth?
What education can you give to Tina and her grandmother pre operatively?
What will she expect post operatively?
Group A Response
You begin to explain that the first thing you will need to get done is an I.V. Tina's grandmother doesn't give you a chance to ask her to help. She excuses herself and says she can't watch. She will go to the cafeteria and r.
1. Share your perception of someone who has developed a substance .docx
1. Share your perception of someone who has developed a substance use illness with mood-altering substances. What are your beliefs about the characteristics, strengths and weaknesses of this individual? Discuss your capability to assist this individual in a personal face-to-face session where this person is requesting your assistance.
2. INDIVIDUAL SESSION BACKGROUND INFORMATION: This older Jewish woman's husband died after a long illness. She was referred to the practitioner by the hospital social worker after surgery for cancer. The hospital social worker described her as a woman with many strengths who is discouraged, depressed, and angry. The sessions are held in her home and the practitioner comes to her. Answer and post these questions prior to watching the first video. • How would you prepare for a first meeting with this client? • What are your hunches about what the client might be thinking, feeling, and expecting? • What are your concerns about working with this client? • What, if any, personal issues would working with this client bring up for you?
3. FAMILY SESSION BACKGROUND INFORMATION: This African American and Caucasian family includes three boys ranging in age from 7 to 13 years old. This family was referred by the school counselor who is concerned about the low grades of the oldest boy. In the initial phone call, the mother mentioned that she and her husband have serious disagreements about discipline. All of these sessions occur in the family counselor's office. Answer and post these questions prior to watching the first video. • How would you prepare for a first meeting with this client? • What are your hunches about what the client might be thinking, feeling, and expecting? • What are your concerns about working with this client? • What, if any, personal issues would working with this client bring up for you?
4. GROUP SESSION BACKGROUND INFORMATION: Psycho-educational support group: This group of women live in a low-income area of an urban community. Responding to an identified need, the local neighborhood community center announced a group for mothers who wanted to talk about issues such as parenting, stress, and family life. The group sessions will be held at the community center. Answer and post these questions prior to watching the first video. • How would you prepare for a first meeting with these clients? • What are your hunches about what the clients might be thinking, feeling, and expecting? • What are your concerns about working with these clients? • What, if any, personal issues would working with these clients bring up for you? Post answers and engage in a discussion with your colleagues about this case.
Marcus Hill is the temporary practitioner in a large nursing home in a city of 25,000 in the Midwest. He is filling in for Julie Anderson, who is on medical leave. Marcus is a tall, African-American man in his 30s. He has 6 years of experience as a nursing home practitioner and now works for a private ...
Description For the case provided, read the information and answer .pdf
Description: For the case provided, read the information and answer the associated questions as a
group.
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 years ago. Shortly after
becoming a resident, she suffered a cardiac arrest and was found to be unresponsive by the staff;
CPR was initiated for a total of 20 minutes prior to return of spontaneous circulation. She has an
advanced directive stating that she agrees to transfer to an acute care facility, but other options,
such as CPR and intubation, were not explicitly addressed in this document. She has no formal
Power of Attorney.
Initially, Mrs. B. had lived at your facility watching TV for most of the day. She was wheelchair
bound and required assistance with most activities of daily living (ADLs). Her husband lives at
your facility with her and is quite frail with moderate dementia. Mrs. B. is frequently visited by
her large extended family, which comprises 4 children and 5 grandchildren. She is known to
have cancer throughout much of her body, moderate dementia, a very bad heart, and type-2
diabetes.
After her cardiac arrest and a short stay in the Hospital ICU, Mrs. B. is brought back to your
facility able to breathe on her own, but with a moderate -severe brain injury caused by lack of
oxygen after her cardiac arrest; this has left her unable to communicate in any meaningful way
with others. She is receiving thickened fluids as her source of nutrition and hydration but is only
able to consume about half of the calories that would be needed to keep her at her current weight.
Unfortunately, her health begins to decline further shortly after returning.
The team decides to hold a family conference with the residents children and proposes a plan of
treatment that would focus on comfort care only, excluding CPR if needed again. The patients
eldest daughter does not agree and states that her mother is a fighter and wanted to live to be 100
years old so that she could receive a letter from the Queen. The daughter asks that her mother be
transferred back to the acute care hospital to receive the care of experts
1 of 3
HLTH9224
SPRING 2020
and so that she could be seen by a surgeon for surgery and chemotherapy for her cancer.
The treating physician discusses the case with the intensivist on call at the hospital over the
telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident
would not benefit from further invasive treatment. The intensivist at Hospital holds a family
conference with the family and team at the LTC home over the telephone. He identifies himself
as an expert in the field. The older daughter reiterates their requests to the intensivist.
Part 3
Recommendations for Actions (1 page maximum)
Provide your evaluations and recommendations with rationale. Recommendations should be
supported by findings from the analysis..
Mrs. B. is 97 years old, and was admitted to your LTC faci.pdf
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 years ago. Shortly after
becoming a resident, she suffered a cardiac arrest and was found to be unresponsive by the staff;
CPR was initiated for a total of 20 minutes prior to return of spontaneous circulation. She has an
advanced directive stating that she agrees to transfer to an acute care facility, but other options,
such as CPR and intubation, were not explicitly addressed in this document. She has no formal
Power of Attorney.
Initially, Mrs. B. had lived at your facility watching TV for most of the day. She was wheelchair
bound and required assistance with most activities of daily living (ADLs). Her husband lives at
your facility with her and is quite frail with moderate dementia. Mrs. B. is frequently visited by
her large extended family, which comprises 4 children and 5 grandchildren. She is known to
have cancer throughout much of her body, moderate dementia, a very bad heart, and type-2
diabetes.
After her cardiac arrest and a short stay in the Hospital ICU, Mrs. B. is brought back to your
facility able to breathe on her own, but with a moderate -severe brain injury caused by lack of
oxygen after her cardiac arrest; this has left her unable to communicate in any meaningful way
with others. She is receiving thickened fluids as her source of nutrition and hydration but is only
able to consume about half of the calories that would be needed to keep her at her current weight.
Unfortunately, her health begins to decline further shortly after returning.
The team decides to hold a family conference with the residents children and proposes a plan of
treatment that would focus on comfort care only, excluding CPR if needed again. The patients
eldest daughter does not agree and states that her mother is a fighter and wanted to live to be 100
years old so that she could receive a letter from the Queen. The daughter asks that her mother be
transferred back to the acute care hospital to receive the care of experts
1 of 3
HLTH9224
SPRING 2020
and so that she could be seen by a surgeon for surgery and chemotherapy for her cancer.
The treating physician discusses the case with the intensivist on call at the hospital over the
telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident
would not benefit from further invasive treatment. The intensivist at Hospital holds a family
conference with the family and team at the LTC home over the telephone. He identifies himself
as an expert in the field. The older daughter reiterates their requests to the intensivist.
Modified from: http://champlainethics.ca/case-studies-consent-and-capacity/
Part 1
Summary of Facts (In point form is fine) (1 page Maximum) Simply use APA heading to
designate. A suggested opening might be:
Summary of Facts
The summary of facts for Mrs. Bs case are as follows: (1 page maximum)
Mrs. B. was.....
The...
The family....
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 y.
Keeping one patient out of the ER
Read more about how we helped one patient stay out of the ER, saving her time and saving her employer from incurring expensive claims costs.
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Ethics of Screening Programmes and Treating Asylum Seekers - Script #2 Aches ...
Ethics of Screening Programmes and Treating Asylum Seekers - Script #2 Aches ...
As a clinical social worker it is important to understand group .docx
As a clinical social worker it is important to understand group .docx
Walden Module 6 Pathophysiology Knowledge Check.docx
Walden Module 6 Pathophysiology Knowledge Check.docx
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Bobby was hospitalized 6 days ago for appendicitis. After an app.docx
A celebrity patient is admitted to the Your friend Jennifer.pdf
A celebrity patient is admitted to the Your friend Jennifer.pdf
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1. Share your perception of someone who has developed a substance .docx
Description For the case provided, read the information and answer .pdf
Description For the case provided, read the information and answer .pdf
Mrs. B. is 97 years old, and was admitted to your LTC faci.pdf
Mrs. B. is 97 years old, and was admitted to your LTC faci.pdf
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Briefly explain four functions of stems. SolutionFunction of S.pdf
Briefly explain four functions of stems.
Solution
Function of Stems:
1. It helps store water , as in cacti, and the products of photosynthesis, as in the trunk of sago
palm (Metroxylon sagu) and sweet palm (Argenga pinnata) which store large stock of starch
2. Young green stem also performs a minor role in the production of food through the process of
photosynthesis, but in some species (e.g. cactus) the stem is the chief photosynthesizing organ
3. It supports the leaves, flowers and fruits and connect them with roots. In trees and shrubs the
main stem or trunk provides a strong columnar structure from which branches are attached
raising the leaves upward to be expressed more fully to the sun
4. The plant stem serves as a means of asexual reproduction in many species..
AVR was one of the first microcontroller families to use A. on-chip .pdf
AVR was one of the first microcontroller families to use A. on-chip flash memory for program
storage B. one-time programmable ROM, EPROM, or EEPROM C. both A and B
EMBEDDED SYSTEMS is a computer system with a dedicated function within a larger A.
digital and logical system B. mechanical or electrical system C. both A and B An integrated
circuit that contains all the functions of a central processing unit of a computer is A.
Microprocessor B. Microcontroller C. Both A and b A main system bus, ram, rom/flash, and
typically a set of other devices such as a programmable interrupt controller, analog/digital
converters, any number of general purpose 10 devices A. Microcontroller B. Microprocessor
C. None of the above ASSEMBLY LANGUAGE is an assembly (or assembler) language, often
abbreviated asm, is a A. low-level programming language for a computer B. high-level
programming language for a computer A. C. both A and B
Solution
AVR was one of the first micro controller families to use on chipflash memory for program
storage
Embedded syatems are mechanical or electrical syatems
An integrated circuit that has all functions of a cpu is micro processor
Assembler language is low level programming language for a computer
A main system........... Micro processor.
Complete the implementation of the binary search tree started in cla.pdf
Complete the implementation of the binary search tree started in class. You know you are done
when the main function runs correctly with all commented lines uncommented, and printing
shows the expected behavior of a BST.
CODE:
# TODO: implement inorder
# TODO: implement find
# TODO: implement maximum, minimum
# TODO: implement successor, predecessor
# TODO: implement delete
def main():
bst = Node(3, None)
for k in [5, 7, 4, 5, 6]:
bst.insert(k)
# print(bst.inorder())
# for k in [4, 3, 6, 2, 1, 7]:
# print(\"find {}: {}\".format(k, bst.find(k) != None))
# for k in [4,3, 2]:
# n = bst.find(k)
# if n != None:
# s = n.successor()
# print(\"successor of {}: {}\".format(k, s.key if s != None else None))
# s = n.predecessor()
# print(\"predecessor of {}: {}\".format(k, s.key if s != None else None))
# s = n.delete()
# print(\"deleted {}\".format(s.key))
# print(bst.inorder())
class Node:
def __init__(self, key, parent):
self.key = key # self is Python for \"this\"
self.parent = parent
self.left = None
self.right = None
def inorder(self):
\'\'\'returns list of the keys in an inorder traversal of the tree rooted at self\'\'\'
# TODO: replace \"pass\" keyword with actual code
# Hint: li.append(value) appends a value to list li
# Hint: li = list1 + list2 returns the concatnenation of list1 and list2
# Hint: use dot notation to call method: inorder(node) ---> node.inorder()
# To test: uncomment line 10 and click \"Run\"
li = [] # empty list
if self.left is not None:
pass
pass
if self.right is not None:
pass
return li
def insert(self, key):
\'\'\'inserts a new node with given key into subtree rooted at self node\'\'\'
if key < self.key:
if self.left is None: # None is Python for null, \"is\" = \"==\", \"is not\" = \"!=\"
self.left = Node(key, self)
else:
self.left.insert(key)
else:
if self.right is None:
self.right = Node(key, self)
else:
self.right.insert(key)
def find(self, key):
\'\'\'returns a node in the subtree rooted at self with this key or
None if no such key exists\'\'\'
# Hint: similar to insert()
# Test: uncomment lines 11 and 12, click \"Run\"
pass
def minimum(self):
\'\'\'returns the node with minimum key in the subtree rooted at self\'\'\'
pass
def maximum(self):
\'\'\'returns the node with maximum key in the is subtree rooted at self\'\'\'
pass
def successor(self):
\'\'\'returns successor of the self node or None if it does not have one\'\'\'
# TODO: fill the if statement
if self.right is not None:
pass
c, p = self, self.parent
while p is not None and c is p.right:
c, p = p, p.parent
return p
def predecessor(self):
\'\'\'returns the predecessor of the self node or None if it does not have one\'\'\'
pass
def delete(self):
\'\'\'deletes the self node from the tree and returns that node\'\'\'
parent, left, right = self.parent, self.left, self.right
# case 0: no children
if left is None and right is None:
if parent is not None:
if self is parent.left:
parent.left = None
else:
parent.right = None
return self
# case 1: one or two children, no pa.
A researcher was interested in studying Americans email habits. She .pdf
A researcher was interested in studying Americans email habits. She suspected that Americans
spend less than 7 hours a week answering their email.The General Social Survey in 2004
included a question that asked about the number of hours that the respondent spend on email per
week. The General Social Survey in 2002 asked 1,264 respondents this question. The sample
mean number of hours was 6.02 and the sample standard deviation was 7.80. Find the test
statistic.A. 4.47
Solution
Test Statistic
Population Mean(U)=7
Sample X(Mean)=6.02
Standard Deviation(S.D)=7.8
Number (n)=1264
we use Test Statistic (t) = x-U/(s.d/Sqrt(n))
to =6.02-7/(7.8/Sqrt(1263))
to =-4.47
ANS:B.-4.47.
A 50 mL stock sample of cells is diluted 110 six times. If 0.1 mL o.pdf
A 50 mL stock sample of cells is diluted 1/10 six times. If 0.1 mL of the most dilute sample
generates 75 colonies on an agar plate, calculate the original concentration of bacteria present in
the original sample?
Solution
Answer:
Given:
Dilution factor= 1/10^6
Number of colonies= 75
Volume of sample = 0.1 mL to the plate
CFU/ml = ?
cfu/ml = (no. of colonies)/ dilution factor x volume of culture plate
cfu/ml = (75)/ (1/10^6 x 0.1)
cfu/ml = 75 x 10^7.
Why are clocks (or timers) discussed in the context of IO systems.pdf
Why are clocks (or timers) discussed in the context of I/O systems?
Solution
1) Time operations are not standard across all systems.
2) A timer can be used to trigger operations and to measure elapsed time. It can be set to trigger
an interrupt at a specific future time, or to trigger interrupts periodically on a regular basis to take
place.
3) Provide current time, elapsed time, etc..
why the SSB receiver re-injects the missing carrier Why add the c.pdf
why the SSB receiver re-injects the missing carrier? Why add the carrier back in after
downshifting the incoming modulated signal instead of before
why the SSB receiver re-injects the missing carrier? Why add the carrier back in after
downshifting the incoming modulated signal instead of before
Solution
Re-injection of carrier is done by BFO,this re-injection of carrier allows easy de-modulation of
RF and even IF signal also.if injected carrier is at the wrong frequencyrelative to the station then
the audiio will become disorted..
80 µl of 10^-5 dilution of E. coli culture was plated on LB agar and.pdf
80 µl of 10^-5 dilution of E. coli culture was plated on LB agar and incubated at 37 degree
Celsius overnight. Next day, you observed 212 colonies on this plate. Based on this information,
calculate the viable count (cfu/mL) of the original E. coli culture.
Solution
Colony forming units (CFU)/mL (from plate C) = (no. of colonies x dilution factor) / volume of
culture plate
Number of colonies observed is = 212
Dilution factor is = 10^5
Volume of culture plate =80 µl
Colony forming units (CFU)/mL (from plate C) = 212*10^5/ 0.08 ml
= 26.50* 10^7 CFU/ml.
Which of the following statements about pyruvate is most accurate P.pdf
Which of the following statements about pyruvate is most accurate? Pyruvate can be produced
only from carbohydrates; Pyruvate dehydrogenase complex does not belong to the Krebs cycle.
Therefore, pyruvate dehydrogenase is not a step-controlling enzyme for the Krebs cycle;
Pyruvate can be reversibly converted to phosphoenolpyruvate by pyruvate kinase; Pyruvate is a
main precursor of oxaloacetate in the Krebs cycle; Pyruvate dehydrogenase converts pyruvate to
acetyl CoA and generates one NADH that is equivalent to 2ATP if the NADH is transferred to
mitochondria via glycerol 3-phosphate shuttle system.
Solution
Correct answer is B
Pyruvate dehydrogenase complex does not belong to Krebs Cycle.Therefore pyruvate
dehydrogenase is not a step controlling enzyme for krebs cycle.
PDH complex catalyses the conversion of Pyruvate into Acetyl CoA. Acetyl CoA then enters
Krebs cycle and forms oxaloacetate. Therefore action of PDH comples does not determine the
control of krebs cycle,..
Which CLI modes let you use the show running-config commandA. Use.pdf
Which CLI modes let you use the show running-config command?
A. User
B. Privileged
C. Global Configuration
D. Setup
E. All of the above
Solution
B is correct. You can run the show running-config command in Privileged (Enable) modes.
A, C, D, and E are incorrect. A, C, and D are incorrect because the show running-
configcommand is not available in these modes. E is incorrect because choices A, C, and D are
incorrect..
What is meant by star activity with respect to a restriction enz.pdf
What is meant by \"star activity\" with respect to a restriction enzyme.
I just need a 1-2 sentence explanation
Solution
1. Star activity is a general property of Restriction endonuclease.
2. During some non-standard reaction conitions, specific restriction enzymes are can cleave the
sequences which are similar , but not identical ,to their efined recognition seqences.
3.Such kind of soecificity has been calle \" Star activity\"..
Type III hypersensitivities are also referred to as immune complex me.pdf
Type III hypersensitivities are also referred to as immune complex mediated hypersensitivities.
Which cell is responsible for clearing the antibody-antigen complexes that are formed? In type I
hypersensitivity, prior sensitization to the antigen/allergen is not required because it\'s an
immediate type of reaction. True False Which cell types participate in antibody mediated
attacks of either cells or red blood cells in type II hypersensitivities?
Solution
Hypersensitive is the group of unfavourable reactions produced by the normal Immune system. It
includes allergies and Autoimmunity. Type-III immunity is immune complex mediated diseases
that include Serum sickness, Rheumatoid arthritis etc. The mediators are IgG, complement and
Neutrophills.
7. Answer is Macrophages.
8. False: Prior sensitization with allergin, leads to IgE production, then they bind to mast cells.
Again encounter wits same allergin, bind to these mast cell bound IgE. Finally leads to
degranulation and Type-1 hypersensitivity.
9. All three types of cells: Macrophages, NK cells and Neutrophils.
True, False, Uncertain with Explanation(a) Including an interacti.pdf
True, False, Uncertain with Explanation:
(a) Including an interaction term between two independent variables, X1 and X2, allows for the
measurement of the effect of a unit increase in X1 and X2, above and beyond the sum of the
individual effects of a unit increase in the two variables alone.
Solution
When an interaction is present, the lines in a graph of the means will not be parallel. Another
way of describing the interaction is to say that the effects of one factor are not the same at all
levels of the other factor.Also we woll say that “the simple effects are different,” because a
simple effect looks at the effects of one factor at each level of the other factor.
An interaction effect is a change in the simple main effect of one variable over levels of the
second. An A X B or A BY B interaction is a change in the simple main effect of B over levels
of A or the change in the simple main effect of A over levels of B.In either case the cell means
cannot be modeled simply by knowing the size of the main effects. An additional set of
parameters must be used to explain the differences between the cell means. These parameters are
collectively called an interaction.
If interaction is significant, determine whether interactions are important. If not, can examine
main effects
If interaction present & important, determine whether interaction is simple or complex.
. For simple interactions, can still talk about the main effects of A at each level of B
For complex interaction, must simply consider all pairs of levels as separate treatments.
If interaction effects are very small compared to main effects or only apparent in a small number
of treatments, then they are probably unimportant.
We can proceed by keeping interaction in the model, but using marginal means for each
significant main effect individually
The interaction effect is so large and/or pervasive that main effects cannot be interpreted on their
own.
This is TRUE statement..
Traits that are detrimental to the long-term survival of an individu.pdf
Traits that are detrimental to the long-term survival of an individual can occur in a population
(select all that apply):
a. if they arise due to a mutation.
b. Never
c. when the trait increases an individual\'s chance of reproducing.
d. because there has to be variation in the population.
e. if they enter the population through gene flow from another habitat where the traits are
favorable.
Solution
a. if they arise due to a mutation.
d. because there has to be variation in the population..
The sampling distribution of the sample mean is the probability dist.pdf
The sampling distribution of the sample mean is the probability distribution of all
a. the sample statistics and their probability of occurrence..
b. the normal population parameters and their probability of occurrence..
c. the possible sample means and their probability of occurrence.
d. sample means.
Solution
sample means..
The lantana has which inflorescence morphology type campanulte tub.pdf
The lantana has which inflorescence morphology type? campanulte tubular cruciform rotate
ligulate The rose has which inflorescence morphology type? campanulte tubular cruciform
rotate ligulate The fig is which type of fruit? Simple - Legume Simple - Drupe Simple - Berry
Multiple Aggregate
Solution
19- lantana has campanulate inflorescence
20-Rotate
21-Multiple fruit or false fruit.
The intensity of the sound of traffic at a busy intersection was mea.pdf
The intensity of the sound of traffic at a busy intersection was measured at 2.0 × 101 W/m2. Find
the decibel level. (Round your answer to the nearest whole number.)
Solution
Sound intensity of traffic at a busy intersection is given by I = 2×10^1 W/m².
Now,
Reference sound intensity Io = 10^12 W/m² (Threshold of hearing)
Reference sound intensity level LIo = 0 dB (Threshold of hearing level)
we need to find sound intensity level LI in dB when entering sound intensity I = 2×10^1 W/m².
Sound intensity level LI = 10×log (I / Io) dB = 10×log (2×10^1 / 10^12)=10*11.30 dB
= 113.01 dB
=113dB on round off.
The garden pea is described as self-fertilizing. What does this .pdf
The garden pea is described as \"self-fertilizing.\" What does this mean and why was this
significant to the success of Mendel\'s inheritance experiments?
Solution
The pea plant which Mendel chose for conducting experiments, is most ideal for controlled
breeding, since it can easily be subjected to cross pollination as well as self pollination. This
gives the success to Mendel\'s inheritance experiments.
The main other resons for mendal success are.
The equation for the time of one swing of a pendulum is given by T = .pdf
The equation for the time of one swing of a pendulum is given by T = 2 pi Squareroot L/32
where T is the time in seconds, pi almostequalto 3.14, & L is the length in feet. What is the
length of the pendulum if it makes one (1) swing in 4 seconds, according to the formula?
Solution
T=2*pi*(L/32)^.5
Squaring on both sides
(T/(2*pi))^2=L/32
Given time =4 sec
L/32= (4/(2pi))^2
L/32= 4/10
L=128/10
L=12.8
Length of pendulum =12.8 units
L/32=.
The assumption that arrivals follow a Poisson probability distributi.pdf
The assumption that arrivals follow a Poisson probability distribution is equivalent to the
assumption that the time between arrivals has
a normal probability distribution
an exponential probability distribution
a uniform probability distribution
a Poisson probability distributiona.
a normal probability distributionb.
an exponential probability distributionc.
a uniform probability distributiond.
a Poisson probability distribution
Solution
The assumption that arrivals follow a Poisson probability distribution is equivalent to the
assumption that the time between arrivals has b. an exponential probability distribution.
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● Which MuleSoft products are in scope?
For Upcoming Meetups Join Mysore Meetup Group - https://meetups.mulesoft.com/mysore/
YouTube:- youtube.com/@mulesoftmysore
Mysore WhatsApp group:- https://chat.whatsapp.com/EhqtHtCC75vCAX7gaO842N
Speaker:-
Shubham Chaurasia - https://www.linkedin.com/in/shubhamchaurasia1/
Priya Shaw - https://www.linkedin.com/in/priya-shaw
Organizers:-
Shubham Chaurasia - https://www.linkedin.com/in/shubhamchaurasia1/
Giridhar Meka - https://www.linkedin.com/in/giridharmeka
Priya Shaw - https://www.linkedin.com/in/priya-shaw
Shyam Raj Prasad-
https://www.linkedin.com/in/shyam-raj-prasad/
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Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
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