...Skelt is a 75-year-old female who was admitted to an extended care facility for rehabilitative care following a cerebrovascular accident (CVA). She has right-sided hemiplegia. 1. Go to www.jointcommission.org and locate the National Patient Safety Goals (NPSGs). Which ones are appropriate for Mrs. Skelt? - Program to improve communication between caregivers - Drug safety program - Infection Prevention Program Associated with Health - Fall reduction program - Pressure ulcer prevention program - Suicide Risk Assessment Program 2. At 7:00 PM, the off-going nurse is giving a report to the oncoming nurse who will care for Mrs. Skelt until 7:00 AM. What are the components of the SBAR process that the off-going...
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...Health Promotion Review of Literature Introduction Optimum health is an important resource for personal, social and economic development. The goal of achieving optimum health for all is only imaginable by the joint effort of not only the health sector but also government and non-governmental organizations, media and for the most part individuals and the community. Health promotion emphases on accomplishing parity in health and its deed targets at dropping variances in present-day health status and safeguarding equal opportunities and resources to empower all individuals to attain their fullest wellbeing. The focus of health promotion has flourished from disease prevention to promoting wellness and improving living standards. According to World Health Organization “health promotion is the process of enabling people to increase control over, and to improve, their health. It moves beyond a focus on individual behavior towards a wide range of social and environmental interventions”. The chief objective is to increase health awareness among individuals, families and community through providing of information and health education thereby making them responsible for their own health, the health of others in the community and be responsible conserving the natural environment around them. Nurses are involved in promoting health whether in a hospital or in the community. They play an active part in all phases of care, to inspire and aid an increasing state of wellbeing...
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...Veteran Health Administration Disability Claims Introduction The United States Armed Forces serve the nation selflessly; therefore, they deserve the compensation guaranteed to them by the federal government, especially after engagement in combat. American troops are will begin departing from Afghanistan this year after 11 years at war; however, it seems that the government is not committed in compensating former armed service personnel. This is due to the increasing number of veterans’ claims accumulating in the Veterans Affairs offices. Combat has severe impact on veterans and this impact may not only be physical, but mental as well. Many veterans suffer from post-traumatic stress disorder after witnessing the events of war. As a result, many cannot hold jobs to their families. Regardless of their service, there are more than 400,000 veterans who have not yet received resolution of their disability claims. A claim is considered a backlog case if it takes more than 125 days to be processed. Some veterans have been forced to wait over two years and hence suffered severe financial strains. Problem Statement Due to the wars in Iraq and Afghanistan, a vast number of disabled veterans have flooded the Veterans Health Administration system. Although it is the largest health care system in America, it has failed to effectively care for its veterans. There are currently over 400,000 unprocessed medical...
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...Introduction Health assessment means different things to different people. Barkauskas, Stoltenberg-Allen, Baumann and Darling-Fisher (2002) consider health assessment as the systematic collection of data that health professionals, such as nurses, can use to make decisions about how thy will intervene to promote, manintain or restore health. In this paper, discussion about nursing assessment form of Queen Elizabeth Hospital (figure 1) and Gordon’s functional health pattern (figure 2) are presented, and comparisons between these two assessments on the aspects of structure, comprehensiveness, and applicability will be explained. Comparison between hospital assessment and Gordon’s functional health patterns Queen Elizabeth Hospital admission assessment form and the Gordon’s functional health pattern assessment form also can showed the evaluation of Ms Wong’s condition, Ms Wong was admitted to QEH because of slip and fell with left patella fracture. Both assessment forms had clear subjective and objective data on health perception and elimination pattern. It can provide data for us to making nursing diagnosis and care plan. However, there are something difference in terms of structure, comprehensive and applicability of these two assessment. Structure The format of Gordon’s Functional Health Patterns Assessment form is simple categories and concise typology. This layout is clustering and is easier to understand and complete. However, hospital assessment forms...
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...------------------------------------------------- Functional Health Patterns Community Assessment Guide * Functional Health Pattern (FHP) Template Directions: This FHP template is to be used for organizing community assessment data in preparation for completion of your collaborative learning community (CLC) assignment. Address every bulleted statement in each section with data or rationale for deferral. You may also add additional bullet points if applicable to your community. Value/Belief Pattern Predominant ethnic and cultural groups along with beliefs related to health. * Caucasian 69.9% * Hispanic 17% * Black 5.8% Predominant spiritual beliefs in the community that may influence health. * Christian (several mega churches in the community) * Catholic * New Age, Wiccan ( Predominantly in the Old Colorado City and Manitou areas) Availability of spiritual resources within or near the community (churches/chapels, synagogues, chaplains, Bible studies, sacraments, self-help groups, support groups, etc.). * New Life Church (Mega Church) * Focus on the Family ( church and Christian Publishing company) * St. Mary’s (Parish and school) * Corpus Christi (Catholic church and school) * Colorado Christian School and Church * Temple Shalom (Jewish Synagogue and Community Center) * MADD * Al-Anon * AA * Penrose- St. Francis Health System offers health clinics, support group for cancer pt’s and family, breastfeeding...
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...Acupuncture research in Cerebrovascular Accident induced hemiplegia. By Introduction to Cerebrovascular Accident and Hemiplegia Cerebrovascular Accident also known as stroke can broadly be described as an interruption of the blood supply to the brain. Without blood the brain cells are staved of oxygen, and can begin to die within minutes if the blood supply is completely cut off. It is this cellular death which has the greatest influence on the sequelae or after math of the stroke. Hemiplegia is the most common sequelae of stroke, this medical condition characterised by paralyses of one side of the body. It is similar to, but should not be confused with hemiparesis which is when one side of the body is weak but still mobile. While the leading cause of hemiplegia is a Cerebrovascular Accident, it is not the only cause, other neural conditions such as a unilateral pyramidal (UMN) lesion may also cause hemiplegia. It is difficult to discuss Hemiplegia without also discussing Stroke, similar to cause and effect, if stroke is the cause then hemiplegia is effect. A sudden stroke can be deadly, and how well someone recovers or if they recover depends largely on how fast they receive treatment. In Australia the most popular method for identifying stroke is the FAST test: * Face – Check their face. Has their mouth dropped? * Arms – Can they lift both arms? * Speech – Is their speech slurred? Do they understand you? * Time – Time is critical. If you see any of these...
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...Health History and Screening of an Adolescent or Young Adult Client Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client. Student Name: Date: Biographical Data Patient/Client Initials: C. M Phone No: Address: Birth Date: Age: 15 Sex: Female Birthplace: Marital Status: Single Race/Ethnic Origin: White Occupation: Student Employer: N/A Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?) Income is adequate for life style, patient is a High School Student at the current time, and lives at home with parents, there is a concern regarding her health, regarding asthma, bronchitis at this time. Patient is unemployed, but is covered under parents insurance BCBS. Source and Reliability of Informant: Patient is a poor historian, but patients mother is present at the time and is a good historian for patient. Past Use of Health Care System and Health Seeking Behaviors: There is a previous use of Health Care System for hospitilation, mother states that the patient does not usually have any health seeking behaviors. Present Health or History of Present Illness: Patient during the past 3 days has developed a progressive cough with mild production of green phlegm, and nasal congestion, that has not been relieve with OTC medication...
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...Western Governors University Professional Roles and Values In this essay I will explain the differences between a Professional Nursing Organization, PNO, and a Regulatory Agency, such as the Board of Nursing, B.O.N., give two examples of how provisions from a nursing code of ethics influence my practice, discuss four traits from the ANA’s code of ethics that will be brought to an interdisciplinary team of healthcare professionals. I will identify a nursing theory and explain how it has influenced my professional practice as well as discuss the contributions of one historical nursing figure has impacted my nursing practice, including modern-day application. I will tell you of a scenario in which I safeguarded two of the following principles for a patient. (Beneficence, Nonmaleficence, Respect for autonomy, and Justice). A. Functional differences between Regulatory Agencies and Professional Nursing Organizations: Functional differences between a professional nursing organization and regulatory agencies can be can be described as Professional organizations advocate for the nurses, whereas regulatory agencies, like the Board of Nursing, regulates nursing licensure and nursing practice. The BONs main duty is to ensure the safety of the public and the patients being served by nurses. Professional nursing organizations provide a group of nurses a way of communicating, sharing information, provide education, lobbying for necessary changes in order to make advances in the nursing...
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...my back is killing me.” Past Health History Asthma ________ Emphysema _______ Bronchitis ________ Pneumonia ________TB________ Angina ______ MI ______ Anemia ______ Hypertension _______ Rheumatic Fever _______ Pacemaker _______ Peripheral Vascular Disease _________ Blood Disorders _________ Stroke _________ Skin Disease ______ Bladder Infections _Kidney Disease ___________ Ulcers ________ DM _________ Dental Problems _________ Fractures _________Congenital Heart Defects Surgeries Family Health History Condition Family Members Condition Family Members Heart Disease Mom died of heart attack Tuberculosis Hypertension Asthma Stroke Mental Illness Diabetes Alcoholism Cancer Aunt died of mylethoma Kidney Disease Other Health Problems in Family: _________________________________________________________________ Medications Prior to Admission: (List) Prescription: She only takes aspirin and pain medications, but she doesn’t know the exact medications. Nonprescription: None Allergies and Reactions: Identify the drugs allergic to and describe the client’s response to them: 1.) Penicillin – Drug: causes...
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...Health History and Screening of an Adolescent or Young Adult Client Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client. Student Name: ss | Date: 12/11/14 | Biographical Data | Patient/Client Initials: mkl | Phone No: 442-898-7721 | Address: | Birth Date: | Age: 22 | Sex: F | Birthplace: | Marital Status: S | Race/Ethnic Origin: Caucasian | Occupation: Student | Employer: N/A | Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?)Unemployed, BC/BS of California | Source and Reliability of Informant:Self | Past Use of Health Care System and Health Seeking Behaviors: Patient has had regular annual exams growing up. Patient is current on all vaccinations/immunizations. Patine sees PMD annualy. Resently she saw Endocrinologyst to r/o hormonal disbalance due to exess facial hair grow and acne problem. | Present Health or History of Present Illness:Good. Hx of HAV, abnormal liver panel test | Past Health History | General Health: (Patient’s own words)“I am in a good health. I do have problem with acne and I am using Proactive to treat it. I am still trying to loose weigh and working out 3-4 times a week. | Allergies: (include food and medication allergies) NKDA | Reaction:N/A | Current Medications:Multivitamins, Ca, Supplements | ...
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...Health History and Screening of an Adolescent or Young Adult Client Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client. Student Name: Shannon landrum | Date:04/08/16 | Biographical Data | Patient/Client Initials:VPL | Phone No:270-543-8411 | Address:1645 Fairview road Bremen key | Birth Date:02/16/06 | Age:16 | Sex:female | Birthplace: Greenville, KY | Marital Status: single | Race/Ethnic Origin: Caucasian | Occupation: student | Employer: none | Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?)Does not work, father provides insurance | Source and Reliability of Informant:parents | Past Use of Health Care System and Health Seeking Behaviors:Frequent checkups at primary physician | Present Health or History of Present Illness:tonsillitis | Past Health History | General Health: (Patient’s own words)Over all good health with frequent sore throats | Allergies: (include food and medication allergies) NKDA | Reaction: | Current Medications:Oral birth controlAmoxicillin BID x 7 days r/t tonsillitis | Last Exam Date:03/21/16 | Immunizations:Up to date, had at 15 | Childhood Illnesses: tonsillitis | Serious or Chronic Illnesses:Had RSV at age 13 months, reoccurring tonsillitis...
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...Health History and Screening of an Adolescent or Young Adult Client Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client. Student Name: Leigh Hinson | Date: 10/19/2015 | Biographical Data | Patient/Client Initials: ECN | Phone No: 910-654-1107 | Address: 6893 Princess Ann Rd. Evergreen NC 28438 | Birth Date:7-20-1999 | Age: 16 | Sex:F | Birthplace: Whiteville, NC | Marital Status:Single | Race/Ethnic Origin: White | Occupation: Cashier | Employer: Food Lion | Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?) She is a full time high school student. She works a part time job as a cashier at a local Food Lion. Her parents and grandparents help her financially. She receives health insurance from her parents. | Source and Reliability of Informant: Patient is very reliable and dependable. | Past Use of Health Care System and Health Seeking Behaviors: None | Present Health or History of Present Illness: Constipation | Past Health History | General Health: (Patient’s own words)Patient states she is in overall good health. | Allergies: (include food and medication allergies) Strawberries | Reaction: Hives | Current Medications:None | Last Exam Date: 4/2015 | Immunizations: All immunizations are up to date. | Childhood...
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...Health History and Screening of an Adolescent or Young Adult Client Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client.    Nursing Diagnoses: Based on this health history and health screening, identify three nursing diagnoses that would be applicable for this client as well as your rationale for your selection of each nursing diagnosis. Include: One “actual” nursing diagnosis with rationale for choice of this diagnosis. One wellness nursing diagnosis with rationale for choice of this diagnosis. One “risk for” nursing diagnosis based on the health screening with rationale for choice of this diagnosis. © 2011. Grand Canyon University. All Rights Reserved. Student Name: Beth Chiappara Date: October 16, 2014 Biographical Data Patient/Client Initials: AR Phone No: 951 244-6197 Address: 23055 Canyon Lake CA 92587 Birth Date: 02/14/89 Age: 25 Sex: Female Birthplace: Anaheim CA Marital Status: Married Race/Ethnic Origin: Caucasian Occupation: Financial Analyst Employer: University of California Riverside Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance...
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...FUNDAMENTALS OF NURSING * Think about it… * ABCDEFGHIJKLMNOPQRSTUVWXYZ * Is represented as 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 * Then: * H-A-R-D-W-O-R-K * 8+1+18+4+23+15+18+11=98% * K-N-O-W-L-E-D-G-E * 11+14+15+23+12+5+4+7+5=96 % * A-T-T-I-T-U-D-E * 1+20+20+9+20+21+4+5=100 % * And look how far the love of God will take you * L-O-V-E-O-F-G-O-D * 12+15+22+5+15+6+7+15+4=101 % NURSING * Is the extent to which an individual or group is able to realize aspirations and satisfy needs and change or cope with environment. It is the complete physical, mental and social well-being and not merely the absence of disease or infirmity. Major Nursing Goals * Promotive – an action or measures designed to support behavior conducive to health * Preventive – any actions or measures designed to protect individuals, families, groups, communities from harm to their health * Curative – any actions or measures designed to correct or remove disease or any illness. * Rehabilitative – any actions or measures designed to restore health and promote recovery from any alteration of health Roles and Responsibilities of Nurses: * Caregiver – helping clients promote, restore, and maintain dignity, health and wellness * Communicator/Helper – central role of nurses in identifying needs of the client * Educator/Teacher – involves nursing activities, health promotion, the primary concern * Counselor – providing emotional, intellectual and psychological...
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...Health History and Screening of Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client. Student Name | Date: April 20, 2013 | Biographical Data | Patient/Client Initials: MT | Phone No: | Address: | Birth Date: 10/19/1994 | Age:18 | Sex Female | Birthplace: Richmond, VA | Marital Status: Single | Race/Ethnic Origin: African American | Occupation: Cashier | Employer:VCU Health System | Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?)Patient works part-time as a cashier and requires assistant to supplement her income. She receives monthly food stamps and funds from her maternal grandmother to help with living expenses. Medical, dental and vision insurance coverage is available through the patient’s mother. She has no disability limiting her from working or engaging in other activities | Source and Reliability of Informant:Information obtained from patient who is a good historian and is well informed about her health history | Past Use of Health Care System and Health Seeking Behaviors:She uses the health care system for episodic illnesses and recently sought medical care for UTI. Patient understand the importance of obtaining health care when necessary as demonstrated her recent visit to the doctor to for UTI | Present...
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