Urinary Disorders

Case Study: Patients With Urinary Disorders

charpter 55

1. Sue Meade, 22 years of age, presents to the clinic with complaints of burning, pain, and urgency when urinating. The patient has a fever of 100°F. The urine is strong in odor and cloudy with sediments. (Learning Objectives 1 and 2)

a. What questions should the nurse ask during the assessment to gain more information about the possible causes of the urinary tract infection?

b. What patient education should be provided?

2. John Lyons has undergone treatment for kidney stones three times in the last year. Today he calls this primary provider with complaints of acute, excruciating, colicky, pain that radiates down the thigh toward the genitalia. The pain started last night, and has become progressively more severe. He also complains of the urge to void but has little urine output, and it is blood tinged. Due to the pain, he has not taken any fluids or food in 24 hours. Mr. Lyons undergoes lithotripsy, and analysis of stone fragments to reveal calcium stones. (Learning Objective 6)

a. Mr. Lyons’ symptoms are most indicative of stones in what area of the renal system?

Mr. Lyons has the following orders:

· Morphine sulfate, 2 mg IVP every 2 hours as needed for severe pain

· Ibuprofen, 600 mg every 6 hours

· Normal saline at 200 mL/hr

b. What are the rationales for the above orders?

c. Based on the calcium composition of the stone, what dietary teaching should the nurse include in Mr. Lyons’ plan of care

nursing care

Study Daily

Various models of culture care are available to support the delivery of quality care in nursing. Theorists such as Campinha-Bacote, Giger and Davidhizar, Leininger, Purnell, and Spector have developed models that nurses use as they incorporate a patient’s culture into the nursing care they provide.

Explain what model of culture care fits your worldview of nursing and how will you implement it in your future role.

treatment plan

treatment plan

There are two children, ages 2 years 6 months and 6 years from a family which migrated from another country to your area and you are seeing them in the clinic for the first time. They do not know how speak English well, When you are taking the children’s history, you become aware they have not seen a provider in two years. Utilizing the Health Promotion Guide available in the course and the CDC vaccination schedule, develop a treatment plan to include vaccinations, safety, health promotion, and wellness preservation for these children. Provide a rationale for recommendations from sources such as the CDC.

Expectations

  • Length: 1500 words
  • Format: APA
  • Research: At least two high-level scholarly reference in APA from within the last 5 years

Pamphlet

Pamphlet

Create a pamphlet using any type of publisher software you choose to educate clients on a current patient safety issue.

For example:

  • How aging adults can care for themselves at home
  • Medication–polypharmacy and how a patient cannot make a self-medication error,
  • Or other appropriate safety issues.

If you have a question about a specific topic, check with your instructor. It is recommended that you save your pamphlet as a PDF for submission.

Your pamphlet must include the following items:

  1. At least five tips for preventive care for the patient.
  2. Information that should be shared with family or caregivers.
  3. Local resources in the community that might be available for this type of safety concern.
  4. At least three APA-formatted references published within the last five years.

Acute Kidney Disease

Acute Kidney Disease

  1. Introduction and identification of the healthcare concern (Also,       why you chose this topic.)
  2. Normal anatomy and physiology of the affected organ(s)
  3. Pathophysiology/etiology of the disease
  4. Incidence and prevalence rates (i.e. how many people have the       disease)
  5. Mortality rates – include age-adjusted data if available (i.e.       how many people are dying from the disease)
  6. Risk factors for the disease
  7. Gold standard(s) for managing this disease across its lifespan       (LHIs, or other goals – ex: A1c <7); HP2020 (or other credible       sources)
  8. Primary Interventions (Health Promotion/Disease Prevention)

i. Health Promotion

ii. Disease prevention (as applicable)

iii. Create a sample health education program – be specific – provide a content outline with goals, objectives and measurable outcomes (use template provided)

  1. Secondary Interventions (Early diagnosis and prompt treatment to       limit disability of the disease)

i. Risk Assessment & Screening (discuss known risk factors and who should be screened and when as a result), risk assessment, screening and invasive testing. Note: be specific…include values and implications – use evidenced based practice.

ii. Diagnosis (i.e. what criteria are used to diagnose this disease?)

iii. Treatment – be specific – how is disease/concern treated? Include diagnostic testing, pharmacotherapeutics, labwork, management protocols, etc.

  1. Tertiary Interventions (Chronic disease management or       “wrap-around care” program)

i. Discharge planning, follow-up, subspecialty referrals, meds, labs…..

ii. Patient education – Detail specifically what the educational needs are…

  1. Conclusions – including what are the implications if we do not       respond to this disease….both for the individual and the healthcare       system

Case

Case

Length: A minimum of 280 words, not including reference

Citations: At least one high-level scholarly reference in APA from within the last 5 years

MSN 570 Week 6 Case Studies

A 30-year-old male presents with acute trauma. The final diagnosis is DIC.

1. Discuss the clotting mechanism.

2. What do prolonged PT and aPTT tests indicate?

3. Fibrin degradation and split products are common to DIC patients. Why?

4. Identify two additional conditions that can initiate DIC and how?

A 19-year-old presents with a deep laceration on the left leg. After sutures are placed the patient is discharged.

1. Discuss the pathophysiology of wound healing.

2. What is a granuloma and what is its significance?

3. Discuss graft versus host disease, would this be a concern for the patient? Discuss your answer.

A 60-year-old Type I diabetic presents with discoloration of his right leg. The pathogen is clostridium perfringens.

1. Compare and contrast gas gangrene and wet gangrene.

2. Compare and contrast apoptosis and necrosis.

3. Identify the mechanism of cellular injury.

4. How did diabetes contribute to this condition?

A 35-year-old female presents to the clinic with bulging eyes, hand tremors and unexplained weight loss. The final diagnosis is Grave’s Disease.

1. Compare and contrast Grave’s Disease and Hashimoto’s Disease.

2. Would you expect this patient’s TSH, T3 and T4 to be high or low? Explain your reasoning.

3. Discuss the significance of Hürthle cells in thyroid disease.

Regulatory Constraints

Regulatory Constraints

Primary Task Response: Within the Discussion Board area, write 300–500 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

For the past 10 years, Helping Hands Hospital and the two nearby academic medical hospitals have been doing a great job of serving the population; however, the population is increasing in diversity and expanding into rural locations. These changes have sparked concern about the ability of individuals to access care. Access to care is a determinant of health, but there are numerous barriers to access. There is an upcoming orientation for new staff, and you have been asked to address the access to care concern. Please include the following:

For assistance with your assignment, please use your text, Web resources, and all course materials.

Healthcare Industry – Regulatory Constraints

Healthcare Industry – Regulatory Constraints -1-2pgs – APA Format

Healing Hands Hospital is preparing for an accreditation visit from The Joint Commission. (TJC). TJC accredits health care organizations to improve the quality and safety of health care services. Their Comprehensive Accreditation Manual for Hospitals  (CAMH) includes the following standards and regulations:

  • Patient-Focused Functions such as infection prevention and control; medication management; provision of care, treatment, and services; rights and responsibilities of the individual.
  • Organization Functions such as management of the environment of care, emergency management, human resources, management of information, life safety, medical staff, nursing, performance improvement, record of care, treatment, services, and leadership.

For this assignment, you will complete the following:

  • From the list of standards mentioned above, choose 1 Patient-Focused Function and Organization Function and discuss why each of those functions are important to patient safety.
  • Discuss why government regulations and private regulations such as those of The Joint Commission are necessary in health care.