...Associate Degree Nursing Program NURS 122 Concept Care Map Evaluation Rubric: Maternal-Newborn |Value/categories |0 |1 |2 | |Assessment with Pathophysiology | < 90% data filled |> 90% data filled in |Complete with | | |incorrectly |correctly |Pathophysiology | |Lab work/rationale or reason for| | | | |labs | | | | | |0 |1 |2 | | |95% lab work and reasons | | |documented |documented |documented | |Step 3 - Care Map |0 |1 |2 | |Problem category Physiological |2 appropriate problems with|3 appropriate problems with|4 or more appropriate | |and psychological related to |Reason for admit and key |Reason for admit and key |problems with Reason for | |stages of postpartum |assessments |assessments |admit and assessments | | ...
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...the skin, eyes, lungs, heart, and blood vessels. The most common symptoms include tender, warm, swollen joints, joint stiffness that is usually worse in the mornings and after inactivity, fatigue, fever, and weight loss. Doctors are unsure what exactly causes rheumatoid arthritis, but genetic factors can increase the risk. The disease and its medications can cause osteoporosis, rheumatoid modules, dry eyes, dry mouth, infections, abnormal body composition, carpal tunnel syndrome, heart problems, lung disease, and lymphoma. Nonsteroidal anti-inflammatory drugs, steroids, disease-modifying antirheumatic drugs, and biologic agents are used as medicines. Therapy and surgeries like synovectomy, tendon repair, joint fusion, and total joint replacement are other options for treatment. There are no known prevention methods, but people can avoid the few chemicals suspected to initiate rheumatoid...
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...has this week. Since it is his surgical day Scott has six different surgical cases. These individual cases can be anywhere from hip or knee replacement to simply fixing a broken bone with plates, nails, screws, or pins. During a day, Scott has two larger surgeries and the rest are less time consuming easier procedures. There are many steps that lead up to Dr. Baker’s surgeries. Before his surgeries, he gets briefed and gets a quick recap on the exact details of the procedure he will soon operate. After his briefing, he enters the operating room where the surgical process will take place. The operating room is where almost all operations take place and where the surgeons must focus and concentrate the most. Before starting surgery, Scott must cleanse himself of bacteria so he can’t spread and infect the patient. Once thoroughly washed with anti-bacterial soap and water Scott applies a surgical cap, mask, shoe covers and gloves. Now he is ready for his operation. After successfully completing his operations for the day he documents his work. Doctors must document their work because they wouldn’t be credited with the surgeries they’ve completed. Without this written credit, they can’t get paid because there’s no evidence that they did their job. Furthermore, if there is no documentation of an operation then that surgeon could get in enormous trouble and could even get kicked out of the hospital they are positioned at. This leaves a ginormous red flag on their record and could...
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...The demographics of the aging population consist of persons age 65 and older. Moreover, the aging population represents 12.9 percent of the American population. Basically one out of eight Americans belongs to the aging population. The projected growth rate by 2030 of the aging population is 19 percent or 72.1 million people in the United States (Administration on Aging, 2011). The following paper will discuss the general impact that the changing population may have on the health care market, also how and why changes in the demographics of this population will affect health care, identify two health care related challenges to the aging population, explain the marketing needs or services for the aging population and address how individual patients, the community and society as a whole can address such challenges. Healthcare Challenges Demographics on aging clearly indicate that long-term care will remain a critical issue in our society. In 2020, the number of older Americans in need of long-term care service will jump to 12 million. The aging population is growing larger and living longer, a phenomenon felt around the world. As they face scarce health resources, nations must develop policies associated with the provision of care and the quality of the dying process. Never before in human history has our planet contained so many older people or such a large percentage of them. This has not always been the case, as late as 1930, America’s older population numbered less than...
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...The Devastation of Dementia: Pathophysiology and Case Study Introduction Relatively little is known about dementia, a disease which affects over 35 million people worldwide (Norton, et al., 2012). Early signs and symptoms may be confused with the “normal” aging process. Those with the disease often try to cover up their mental decline in the early stages, making early diagnosis even more difficult. Educating the medical community and the general population about the signs, symptoms and causes of dementia is an important step in seeking out a cure for this fatal disease. Dementia is a general term for a syndrome that is progressive in nature and is marked by deterioration in cognitive function that is greater than what would normally be expected. There are many types of dementia, the most common of which is Alzheimer’s Disease. Alzheimer’s Disease accounts for over 60% of the cases of dementia. Vascular Dementia is the second most common form. Others include Lewy Body Dementia, Parkinsonian Dementia, and Frontotemporal Dementia. There is no cure for any type of dementia, although there are treatments that help lessen the symptoms. Dementia is a progressive disorder and always results in death, either from complications such as falls" or pneumonia or the dementia itself. The number of people with dementia worldwide is expected to reach over 115 million by the year 2050. The current cost of treating dementia is over 1.5 times that of all cancers combined (Hurd...
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...and understand what causes them, what signs to look for, what species to look for them in, how to treat them, and how to prevent them from happening, IF you can even prevent them. Some diseases and conditions have vaccines to help with prevention and some do not, while some diseases are zoonotic meaning that they can be transmitted from animal to human. While there are hundreds upon hundreds of diseases to be looked at, the ten researched below are the ones once prevalent among the veterinary technicians job in the clinic; Hip Dysplasia and Ethylene Glycol poisoning in dogs, Hyperthyroidism and Rabies in cats, Strangles and Equine Recurrent Uveitits in Horses, Cryptosporidium and Fasciola Hepatica in Ruminants and Swine, Idiopathic Epilepsy in Aviaries, and Lymphoma in Ferrets. Hip Dysplasia in dogs is a congenial condition caused by a femur that does not fit correctly into the pelvic socket, or poorly developed muscles in the pelvic area. The causes of hip dysplasia are considered heritable, but new research conclusively suggests that environment also plays a role. Although to what degree is caused by genetics versus what portion is caused by environmental factors are a topic of debate....
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...Final Exam Study Guide Important to Know the function of anterior and posterior pituitary gland. Anterior Pituitary Gland: (Adenohypophysis) The anterior pituitary gland regulates several physiological processes including stress, growth, reproduction and lactation (Adrenal, liver, bone, thryroid and gonads). -It is regulated by negative feedback and the hypothalamus. Major hormones: ACTH: Stimulates the adrenal cortex. TSH: Thyroid stimulating hormone, promotes secretion of thyroid hormone. FSH: Follicle-stimulating hormone, promotes growth of reproductive system. LH: Luteinizing hormone. Promotes sex hormone production GH: Growth hormone, promotes growth, lipid and carbohydrate metabolism. PRL: Prolactin, Milk production and progesterone/estrogen. -Hormones are secreted from the hypothalamus to the A. Pituitary so these hormones can be released. Posterior Pituitary Gland: Mainly axons extended from the hypothalamus. These axons contain and release neurohypophysial hormones oxytocin and vasopressin. Oxytocin: Targets the uterus, and mammary glands causing contractions and lactation. Vasopressin (ADH): Antidiuretic hormone, arginine vasopressin, argipressin. Stimulates water retention absorbs it back into blood causing raises blood pressure by contracting arterioles, and inducing male aggression. Very Important to know and understand Diabetic Ketoacidosis Pathophysiology: -In DKA, the lack of insulin prevents glucose from being utilized by the tissues...
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...The United States faces a long battle to repair its economy. Issues like unemployment, the federal budget deficit, immigration, gun control, etc, seem to create never ending discussions without any resolution. The healthcare system is one of the many issues that have been affected by the economic crisis and according to president Barrack Obama, reform is a must. Besides all economic factors affecting the healthcare system, the system has been blamed for inefficiency, excessive administrative expenses, inappropriate waste, and fraud and abuse. Many Americans today are having trouble keeping up with the continue rise of healthcare costs and many firms cannot afford to provide coverage to their employees. Although the government is working on a reform for the healthcare system, many questions are still pending to be answered. One question that has raised polemic discussions around the country is: should the U.S. government provide healthcare to all citizens? While many feel there should be a simple yes or no to this questions, many others realize that we do have to consider any potential ethical, moral or legal issues that can cause collateral damage to our economy and also the healthcare system. President Obama has been focusing on a reform for the healthcare system prior to his first election and to give a little overview of his reform, according to The White House (2013), see table below: Overview of Health Reform “It makes insurance more affordable by providing the largest...
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...Professor Jason Calabrese ENC 1101 January 30, 2013 History Revealed Through an Interview In today’s day and age, it’s very unusual for the youth and elderly to have much in common, a major of the time. Over the years, what once was the way of living has changed overnight. Many individuals would agree with both statements I just stated. But, after my interview with Samuel; I quickly changed my point-of-view, the youth and elder have more in common then what we think. Interviewing seventy-five year old Samuel D. Wright is an experience that I will never regret undergoing. Speaking to Samuel made me realize the world we live is slowly but, gradually changing but, people remain the same in many different aspects like: personality traits, simple behavior patterns and personal values. I felt as if a little piece of history was given to me through my interview with Samuel. Learning about that little portion of local history changed my prospective on Naples as a whole. After spending hours trying to pick a relative to interview, I decided that interviewing someone that I already knew would have an effect on the actual answers I would receive. I wanted to interview someone that would be one hundred percent truthful no matter what the question maybe. Not that any of my potential questions for Wright were extremely personal or anything in that nature. The only way to make my goal possible was to interview someone I didn’t really know. Working in a hospital gives me plenty of opportunities...
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...save their lives, but others around them. II. Statistics: i. In next 20 years, the number of elderly drivers triple in amount according to Smart Motorist a. Older drivers more conservative when driving rarely changing there habits because of factors such as busy highways or nighttime where as other drivers may go another route b. More accidents than kids, mostly at intersections c. At the age of 65 there is a much greater risk for a driver to be engaged in a vehicle accident 1. At the age of 75 that risk increases from just a crash to an accident involving a fatality because of there higher risk of bad eyes or slower reaction time ii. Troubles with Age a. Bad at making turns b. Slower response rates and reaction times to a drastic change c. Studies show that most accidents involving the elderly are caused at intersections there also multi-vehicle accidents iii. In Japan (2006) a. 20.8 percent over age 65 b. 13.1 percent licensed drivers iv. Between 75-84 years old a. Rate of 3 deaths per 100 million miles 1. Over age of 85, chances increase nearly four times v. By 2030 a. Predictions for over age 65...
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...Medical Tourism Medical Tourism Introduction Medical tourism is the act of traveling to other countries to obtain medical, dental or cosmetic care. Medical tourism is a new term but thousands of years old act. People have been traveling across the continents in search of cures for any imaginable illnesses and making therapeutic trips for health wellness. In ancient Greece, pilgrims and patients came from all over the Mediterranean to the sanctuary of the healing god, Asklepios at Epidaurus, and from the 18th century wealthy Europeans have been traveling to spas from Germany to the Nile. In recent years, medical tourism is becoming more popular with patients seeking treatment for health and well-being purposes abroad. Medical Tourism is also known as Medical Travel, Health Tourism, Surgical Tourism, Health Travel, Treatment Abroad, Surgeries Abroad, and Medical Outsourcing. Medical Tourism Concerns Though many are eager to be the right pieces in the puzzle, many are still struggling to get the right fit. There are a number of concerns and risk factors for patients getting treatment much less seeking them abroad. Some concerns for patients include a consistent quality of care, lack of extensive dialog between the patient and the doctor, lack of post-op follow up, cultural differences and difficulty in obtaining sufficient insurance coverage. In order to mitigate the risk, it’s essential that the patient works with well reputed facilitators. Medical Tourism Accreditation ...
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...Power & Politics | Aug 20, 2011 | Title Page Title Page Introduction Medtronic is the organization that I have chosen for the topic of discussion. Medtronic was co-founded by Earl Bakken over forty years ago. With many people praising his products he wanted that to be company’s purpose. Many people regained their mobility, feel better, and ever felt that time was added to their lives. These comments lead to the company’s mission of: “…alleviate pain, restore health, and extend life. (Medtronic, 2010) This mission remains the focal point of every employee to this day. Mr. Bakken frequents the company yearly. Our business overview covers Spine & Biologics, Neuromodulation, CRDM, Diabetes, Cardiovascular, and Surgical Technologies. (Medtronic, 2010) I currently work in the Spine & Biologics division of the company within the Memphis Manufacturing division. The Spine business teams with world-renowned surgeons, researchers, and innovative partners to offer a broad range of state-of-the-art products and technologies. The Spine and Biologics division in FY2010 revenue accounted for $3.5 billion of the company’s $15.8 billion reported. (Medtronic, 2010) My current job title is Principal Quality Inspector. In my department, I am responsible for ensuring that our products are manufactured to the engineered drawing tolerances. Other assigned duties range from training new hires in the department to assisting anyone that’s in need under...
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...Diarrhea / ORT DEFINITION | SIGNS/SYMPTOMS | Most commonly due to acute infectious diarrhea (gastroenteritis) from a variety of causative organismsAntibiotics are a common cause of acute diarrhea! | Acute inflammation of the lining of the stomach and intestines caused by viruses, bacteria or their toxins or parasitesPresents commonly with diarrhea, abdominal cramps, and vomiting.CommunicabilityOften fecal-oral route (especially viruses)Food poisoning (especially bacteria)Day care centers, crowded living conditions, poor sanitation and cleanliness | DIAGNOSTIC TESTS | MAIN TREATMENT | Stool gram stain and culture (if bloody stools)Stool for Ova & Parasites (if hx suggestive)CBC – assess for anemia/infectionUrinalysis and urine culture (r/o UTI)Electrolytes | Oral rehydration therapy (ORT) is one of the major worldwide health advances of the last decade:Safer, less painful, and less costly than IV rehydrationOral rehydration solution enhances and promotes reabsorption of H2O and NaReduces vomiting, diarrhea, and duration of illnessORT GuidelinesDiarrhea w/o dehydrationMild dehydrationMod dehydrationSevere dehydrationReplacing ongoing losses | MAJOR TEACHING POINTS | NURSING CONSIDERATIONS | Teach parents at well childcare visits in first yearKeep 24 hour supply of ORT in homeBegin with first sign of diarrheaReplace with ½ cup ORT for each diarrheal stoolSeek medical attention prn signs or dehydrationAfter re-hydration resume breast/formula feeding or normal diet...
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... * Brain trauma/tumor or brain genetic disease (brain tells lungs to breathe so if its not working you’re not going to breathe) ***In pedi, there is only one cannula because if not the child will be taking the cannula out all day*** * Cuff will keep trach in place and will prevent aspiration. * Can be cuffed or uncuffed depending on the situation. * Keep scissors at bedside in case you need to cut the ties. ***DO NOT LET TRACH KID BE AROUND THE CHALKBOARD*** PARTICLES CAN ENTER THE TRACH. * Put a filter on the trach if the child will be outdoors. * What kind of trach is most likely to be used in pedi? * Shiley 3.5, 4.0, 4.5 or 5.0 (the whole point is to always have a smaller half size replacement at the bedside at all times) * Example: Your patient currently has a 4.0 trach, need to have a 3.5 at bedside in case kid pulls out current trach. * Kids trachs are not stitched like adult trachs because they can pull the trach out and they’ll bleed out, that’s why we use ties in pediatric trachs. ***IF THE TRACH FALLS OUT, SHOVE IT BACK IN!!*** YOU CAN ALWAYS FIGHT THE INFECTION LATER BUT YOU CANNOT BRING THE KID BACK FROM THE DEAD. Suctioning: Rule of 3’s for suctioning always hyper oxygenate first suction for 3 seconds on the way out...
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...http://www.nzkc.org.nz/breed_info/br112.html Chihuahua (Long Coat) Toy Group: | Toy | | Size: | small | | Lifespan: | 14-18 years | | Exercise: | very little | | Grooming: | moderate | | Trainability: | low | | Watchdog ability: | very high | | Protection ability: | very low | | Area of Origin: | Mexico | | Date of Origin: | 1500’s | | Other Names: | none | | Original Function: | ceremonial | | | | | History | | | This is the oldest breed on the American continent and the smallest breed in the world. Native to Mexico, nonetheless it seems to have been introduced by the Chinese. It was only brought to Europe at the end of the nineteenth century. The Chihuahua is named after the Mexican state of Chihuahua where he was brought to the rest of the world by travelers. This breed is believed to have been sacred to the Pre-Columbian Indian nations. | | Temperament | The Chihuahua is a good companion dog. Courageous, extremely lively, proud and enterprising, it gives and demands affection. Bold and saucy, it moves swiftly to avoid being stepped on. Chihuahuas are strong-willed, intensely loyal and become very attached to their owners, even to the point of jealousy. Chihuahuas generally recognise their own breed, but sometimes disapprove of other breeds. They are very intelligent although a bit stubborn, and are trainable with patience, persistence and practice. | | Upkeep | The Chihuahua is a lively dog that nonetheless can...
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