Category: Essays

Eating habits today with the goal of weight loss prevention.

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Roy is an 89-year-old African American man. He is a retired pastor who was married for 60 years before the death of his wife 6 months ago. He now lives alone, close to his daughter and her family, in a high rise for low-income elderly individuals. Roy recently stopped driving on the advice of his physician and depends on his daughter and grandchildren to help him with groceries and to transport him to medical appointments. Although in reasonably good health, he has lost weight over the past year and reports feeling more tired than usual and having repeated colds. Since his wife’s death, he has stopped going to his exercise class and prefers to eat his meals in his apartment rather than in the community dining facility. He prepares his own meals, which usually include toast and coffee for breakfast, a meat or cheese sandwich with potato chips and milk for lunch, and canned soup or chili beans for dinner. He rarely eats between meals. Although usually at a healthy weight for his height, Roy’s family is concerned about his weight loss of 12 pounds since his wife’s death. They also express concern about a recent fall he had that resulted in a number of bruises on his body.

Activity

Summarize the nine D’s of geriatric weight loss” dementia, drugs, dysphagia, dysgeusia, dentation, diarrhea, depression, disease, and dysfunction.
Consider Roy’s challenges with weight loss and describe which of the nine D’s of geriatric weight loss are impacting his life.
Explain two achievable steps Roy and his family could take in improving his eating habits today with the goal of weight loss prevention.

 

Foundations of pediatric nursing when caring for clients with health alterations.

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Apply the foundations of pediatric nursing when caring for clients with health alterations.

Scenario
You are working in a large urban pediatric clinic after-hours.
A mother brings her 6-month-old daughter, Vivi Mitchell, to the clinic for rhinorrhea, congestion, fever, and cough. Upon assessment, you identify the child has wheezing upon auscultation and on inspection, you identify retractions.
• The child is in less than 10th percentile of weight and has a cardiac history of Patent Ductus Arteriosus (PDA).
• Born at 36 weeks gestation.
• Mother states this child doesn’t go to day care but her two other children ages 2 and 3 do attend daycare.
• T- 102.1 HR 140 RR 40 BP 83/58 Pulse ox 96%
• A swab for respiratory syncytial virus (RSV) is positive.

Doctor orders – Nasal bulb suction and saline drops PRN, Tylenol 15mg/kg Q4 PRN for fever, Albuterol nebulizer in office and push po fluids as tolerated.
After the albuterol neb treatment, respirations are 36 and oxygen saturation is 100%. Wheezing has diminished. Mom is an ER nurse and the doctor feels comfortable that she has a nebulizer at home and can return to pediatric afterhours or ER if needed.

Client is discharged with these orders:
• methylprednisolone 0.4 mg/kg oral BID for 3
• Albuterol Q4 hours for 24 hours, then Q 6 hours for 24 hours, and Q6 as needed.
• Call if needed prior to the Q4 dose.
• Manage fever with Tylenol and continue hydration and nasal bulb suction Q6 while awake.
• Return for re-evaluation in 3 days

Instructions
In a two to three-page APA formatted paper, provide responses for these questions and requests for information:
Criteria:
1. Describe the pathophysiology of bronchiolitis and identify the most common organism causing this infection. What laboratory testing can confirm your suspicion?
2. Describe the pathophysiology of PDA and why the history of PDA is significant in this scenario.
3. What risk factors place Vivi Mitchell at a greater risk for the development of bronchiolitis?
4. What are the characteristic signs/symptoms of bronchiolitis?
5. Vivi Mitchell been prescribed the following medications; acetaminophen, albuterol nebulizer, corticosteroids. Provide the rationale for why each medication has been included as part of her medical management and explain any potential contraindications related to these medications.

Statistic understanding

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Refer to the following excerpt from a hypothetical research article that compared memory test performance between two groups of participants: those who
consumed a caffeinated beverage before the test and those who consumed a non-caffeinated beverage:
An independent samples t-test was conducted to examine the difference between experimental conditions on test performance. The results indicated a
significant difference between participants who consumed the caffeinated beverage and participants who did not, with participants in the caffeinated group
(M = 7.64, SD = 2.41) performing worse than participants in the non-caffeinated group (M = 9.81, SD = 3.16), t(97) = 2.14, p < .05.
Write a brief paper explaining what the author means when she says that the results were statistically significant. In other words, what does it mean to say
that results are statistically significant? Be sure to explain what a p value is and how it relates to statistical significance.
As a reminder, M stands for mean, SD stands for standard deviation, the t indicates that this was a t-test, and the p represents the p value. You can refer to
page 353 of your textbook, Discovering Statistics Using IBM SPSS Statistics, for help interpreting the statistical results listed in the excerpt, but that may not
be necessary

The county commissioners are discussing the annual budget for the county

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The county commissioners are discussing the annual budget for the county, a small rural community with fewer than 13,000 residents. Among the major
priority areas for funding are replacing a very old bridge and maintaining the road that leads to the city with the nearest hospital, 20 miles away. A recent
community assessment revealed that domestic violence is a concern (although there are no precise data as to the frequency of incidences or the number of
women and children who are in these often-life-threatening situations). Gina MacNevin, a community health nurse, has made a request for the county
commissioners to include financial support in the annual budget for establishing and maintaining a safe house for female victims and their children. The
nurse attends the county commissioners’ meeting to make her case for this request.
What information should the community health nurse include in her presentation to the commissioners?
What kind of arguments against the safe shelter should the community health nurse anticipate from the commissioners?
Describe the social and cultural dynamics that characterize small and often homogeneous communities.
Include health policy/law in your presentation.
Use the attachment as a guide as well

The Use of Personal Anecdotes and Sense Details

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Personal anecdotes, “mini-memoirs,” are very brief stories about a personal experience or incident that can serve a variety of purposes. For example, anecdotes, frequently used in introductions, can attract your reader’s attention, add a personal touch, make your reader ponder a topic more, provide a lesson, set the stage for the rest of the writing, etc. Essentially, personal anecdotes can establish your credibility (ethos), engage your audience emotionally (pathos), and provide an example to support a point (logos).
Share a personal anecdote about yourself with your classmates about a lesson learned, your personal credo, a memorable day, an embarrassing moment, or a funny incident. Since anecdotes should be brief, keep your anecdote to no more than 350 words. Use active verbs (i.e., raced, dabbled, screeched, stumbled, ranted, laughed, etc.) instead of passive verbs (i.e., was laughing, were singing, became, seemed to be, etc.).