Physical examination & health assessment

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Please answer the questions based on the case study, and dig deep! How good are you at identifying risk?

This is a discussion post.

PLEASE USE at least one SCHOLARLY PEER-Review REFERENCE, this book below
Jarvis, C. (2016). Physical examination & health assessment (7th ed.). St. Louis, MO: Elsevier.
This case study gives you a great opportunity to use your well-honed skills–and sharpen them even further. Please answer the questions based on the case study, and dig deep! How good are you at identifying risk?
Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her husband Fred (87 years old) following a 9-day hospitalization for pneumonia, dehydration, and failure to thrive. She has a history of hypertension (HTN), Type II Diabetes, and cerebral vascular accident (CVA) with left-sided weakness. Patient is alert and oriented but does have periods of forgetfulness during the overnight hours. Patient has intermittent incontinence of bowel and bladder and requires assistance with all activities of daily living (ADLs).
Medications:
· Lopressor
· Lisinopril
· Plavix
· Metformin
· Novolin R per sliding scale *NEW*
· Multivitamin
· Colace
· Zithromax *NEW*
Upon arrival you are greeted by Champ, the couple’s rambunctious miniature Doberman pinscher dog. Millie is in her wheelchair staring blankly out the window, and Fred is busy in the kitchen preparing the couple’s lunch.
· Based on the scenario above, please use the general survey process to describe the areas that you would be observing immediately upon entry to the home.
· What, if any, concerns related to Millie’s skin and nutritional status do you have?
· What nursing interventions will you include in the plan of care to address these concerns?
· What teaching strategies will you use to educate Millie and Fred on the new medications?
· Using the SBAR, please include the information that you will communicate to the physician’s office at the completion of the visit.

 Discovering the humanities

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This week you will read and learn about architectural influences from Ancient Greece and the Roman Empire. What are some of the main features of these architectural styles?

This is a discussion post. Need at least 2 paragraphs
PLEASE USE at least one SCHOLARLY PEER-review REFERENCES, along with the book below, Intext citation APA FORMAT AND PLEASE MAKE SURE ONE IS FROM THIS BOOk
Sayre, H. M. (2013). Discovering the humanities (2nd ed.). Upper Saddle River, NJ: Prentice Hall.
This week you will read and learn about architectural influences from Ancient Greece and the Roman Empire. What are some of the main features of these architectural styles? Use examples from the text or the digital fieldtrip archives (Visit the Met Archive at: http://www.metmuseum.org/toah/hd/grarc/hd_grarc.htm (Links to an external site.)Links to an external site.) to help support your answer. Please remember to provide images and citations to help illustrate your points.

Health Demand, Elasticity, Principle and Agent in Determining Demand for Medical Care

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“Health Demand, Elasticity, Principle and Agent in Determining Demand for Medical Care”  Please respond to the following:

  • Use the   U.S. National Library of Medicine Website   and review the glossary of frequently encountered terms in Health Economics. and compare the primary individual factors that influence demand, and explain the significant ways in which each affects the demand curve. Provide at least one (1) example of these factors to support your rationale.
  • Imagine a situation where consumers have incomplete information about their health status and about the productivity of medical care. Examine the roles of the principal and the agent in helping consumers to determine the demand for medical care in the described situation. Provide at least one (1) detailed example of such roles in action to support your response.

Discuss a clinical experience in which you had to incorporate one or more learning styles such as visual, kinesthetic, and auditory

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Nursing Teaching

Discuss a clinical experience in which you had to incorporate one or more learning styles such as visual, kinesthetic, and auditory. Explain the outcomes and how you created an effective learning experience.
I remember a very specific case where I was instruction a patient in the how to check her sugar and given her self insulin. We first started out with a brochure and video, kinda boring. (visual and auditory)  But then we progressed into the demonstration or kinesthetic  moment. We started with me demonstrating the how to use the accucheck machine. by first showing how to do the controls and then having the patient do the same but then her doing her finger prick. I then demonstrated  how to dial the flex pen to the correct dose after doing the calculation with the patient according to her sliding scale. I then showed her where to give her shot and to make sure to use alcohol to cleanse the area prior to injection.  Before her discharge she was able to demonstrate back to me the entire process from start to finish.
After about 3 months the patient was readmitted to the hospital for a complication of minor surgery and she was able to do her own checks and injections while she was in the hospital. She has now become one of our patient liaisons that speak to new diabetic patients and share their experiences.