A mandatory nationwide surveillance of patients with TB positivity that requires medication. The local health department must ensure medications are being provided to all TB positive patients undergoing treatment regardless of their payment status. Thus, programs such as DOT (Directly Observed Therapy) must be mandated -Through this program, each TB patient is assigned a DOT worker. The DOT worker meets with the patient to ensure that the patient is taking their medication to facilitate the process. DOT has become the standard of care for all TB patients in NY State.…
1. Why would there be cause for concern if a young pregnant mother is Rh-, her husband is Rh+, and this is their second child? (pg 655)…
Mr. and Mrs. Lawson brought their 4-year-old adopted daughter, Clara, to see Dr. Mason, a psychiatrist. Clara was polite in greeting Dr. Mason, but did not smile and kept her gaze down as she took a seat. Mr. and Mrs. Lawson sat next to Clara and began explaining their concerns. They described Clara as a quiet child who has recently begun throwing temper tantrums, during which she is inconsolable. Her sleep and eating patterns have changed, and she no longer wants to go to preschool.…
A Nurse Practitioner (NP) was added to the weekend schedule. This should allow for those needing an advanced provider to be seen in a timely manner. Previously, an individual either had to wait until Monday, be sent out of the facility, or wait for the on call staff to arrive being their needs were addressed.…
Once on station, I asked Lopez if he had been drinking any alcohol today. Lopez…
Rationale: To be considered competent under The Joint Commission standards, an employee must demonstrate all of these abilities.…
I would being by asking Mr. and Mrs. Lawson basic questions concerning the family’s history regarding any similar symptoms that other family members may have displayed. I would also ask if there were any changes in the family setting, such as relocating or if other family members have recently relocated. I would also ask Mr. and Mrs. Lawson specific details about the symptoms regarding Clara’s eating patterns, and sleeping patterns, and how long this has been occurring. I would also engage Clara into conversation, so that her direct responses could be included in the conversation, so that I would have a better understanding on the lack of eye contact when talking.…
I was on my third day of residential care placement; the staff had just started to take turns for their morning tea break so I took the time to catch up on my case study patient’s medical history in the nurses’ station. Within a few minutes the Manager of the rest home ran in to gather the blood pressure machine and bandages. She informed another student nurse and myself to “take these to Max’s (pseudonym) room NOW, while I call an ambulance”.…
Mr. and Mrs. Lawson brought their 4-year-old adopted daughter, Clara, to see Dr. Mason, a psychiatrist. Clara was polite in greeting Dr. Mason, but did not smile and kept her gaze down as she took a seat. Mr. and Mrs. Lawson sat next to Clara and began explaining their concerns. They described Clara as a quiet child who has recently begun throwing temper tantrums, during which she is inconsolable. Her sleep and eating patterns have changed, and she no longer wants to go to preschool.…
Mr. and Mrs. Lawson brought their 4-year-old adopted daughter, Clara, to see Dr. Mason, a psychiatrist. Clara was polite in greeting Dr. Mason, but did not smile and kept her gaze down as she took a seat. Mr. and Mrs. Lawson sat next to Clara and began explaining their concerns. They described Clara as a quiet child who has recently begun throwing temper tantrums, during which she is inconsolable. Her sleep and eating patterns have changed, and she no longer wants to go to preschool.…
I was asked by a staff nurse within the ward to assisted a HCA in giving a man a bed bath as he has become weak from receiving platelets and iv antibiotics to which he had a reaction too.…
What other information would you like to learn during the interview with the family? What questions would you ask?…
This reflection is based on my observations of the need for of effective communication skills and knowledge of nurses regarding the management of aggression in elderly patients with dementia. Clinician need to be equipped with seclusion, medication and de-escalation skills to be able to manage patient aggressive behaviours safely. I have chosen these particular observations after realising how fundamental they are in implementation aggressive behaviour management strategies in patients. While working in mental health I have observed how effective it is to communicate with a patient as a way of de-escalation during verbal and physical aggression incidents. Ford, Byrt, Dooher, & ebrary (2010) point out that it is imperative for health professionals…
I prefer the observational Assessment because it is straight forward. You write a documentation of what you see, very simple.…
Positive phase II proof-of-concept data with RG1678 in patients with predominantly negative symptoms of schizophrenia were presented at an international medical meeting . Based on these promising results, a global phase III program was initiated including a total of six studies investigating RG1678 in combination with standard of care antipsychotic drugs in patients with either negative symptoms or residual positive symptoms of schizophrenia. Running the studies for both indications in parallel allowed a better understanding of the effect of RG1678 on a broad spectrum of symptoms and its value in the management of patients at different phases of their disease.…