Describe in detail the nursing care that may be given to your client. Mon Tran is an 85 year old widowed gentleman who was born in Combodia and has two sons. Mon speaks fluent english having come to australia as a young man to work as well as fluent vietnamese.
HLTEN512B,HLTEN513B AND HLTEN505B
Mon Tran is an 85 year old widowed gentleman who was born in Combodia and has two sons. Mon speaks fluent english having come to australia as a young man to work as well as fluent vietnamese. Mon has lived with one of his son’s since his wife died 4 years ago and has very limited physical contact with his other son as he lives interstate. He is very active within his local Buddhist community. Mon has a vision impairment and can moblise independently with a frame when at home. Mon has been transferred to your unit from the intensive care unit.Mon was electively admitted to the hospital 5 days previously with Benign Prostatic Hypertrophy(BPH) and underwent a Transurethral resection of the prostate (TURP).His past medical history includes poorly controlled Non-insulin Dependent Diabetes Mellitis,Hypertension and recurrent urinary tract infections.While undergoing surgery he had an acute Myocardial Infraction(AMI),and was admitted to intensive care for further stabilisation and management On transfer to your unit, Mon’s vital signs were BP 175/100, Temp 38, Respiration 18, Pulse 90,BGL 12mmol/L, Oxygen Saturation 94% on 4L oxygen via nasal specs.
Neurologically Mon was easy to rouse. He was not oriented to person but was unaware of the time and place and he was responding to direct commands.His conversation was inappropriate at times in both English and Vietnamese(his first language) and he was confused nursing staff with his family members. Mon has a patient IVT of 0.9% Normal Saline flowing at 1.25 mls/hour.The cannula was inserted in his R arm 24 hours ago. He has a triple lumen IDC insitu that requires hourly urine measures and is currently undergoing bladder Irrigation. Telemetry is still in place and will be reviewed by the Doctors tomorrow regarding ceasing it. 4 hourly vital signs are medically requested. Due to Mon’s current health state,he is on strict rest in bed (RIB) and tires easily. He has a medical order for sliding scale insulin (Actrapid) and requires 4/24 BGLs. Mon requires a vegetarian diabetic diet and is on a 1.5 litre fluid restriction. He has recently been screened and shown to have a positive MRSA culture within his urine. A referral for cardiac Rehabilitation, Dietitian, Physiotherapy and an ACAT assessment for home support services. Discharge plans are for
Mon to return home to live with his son when well enough to do so. Medications are as follows:
Verapamil 240 mg daily, Atenolol 100 mg daily, Glycerol CR 30mg BD, Glycerol Trinitrate 400mg as required, Humulin 30/70 16 units TDS, Enoxaparin 40mg QID as required, Ceftazidime 1g IV QID On speaking to the doctor, you find out that on discharge Mon will require ongoing Insulin to help manage his unstable diabetes instead of the oral hyperglycemic medication he was previously taking.
The Assignment details:
1. Age and gender for the client including a summary of the nursing admission assessment/client history of the client
2. The clients Medical History and a brief summary of what these conditions means to the client in relation to their care requirements. please ensure you have covered each medical condition in relation to their definition, pathophysiology and nursing interventions.
3. Describe in detail the nursing care that may be given to your client.
State why these nursing interventions may be undertaken and any outcomes for the client in relation to their medical history and the nursing process. keep this relevant to your client. This is to be presented as a care plan listing the nursing diagnosis, 4 nursing interventions, their rationales and the outcomes that are anticipated for the client form the care provided. (12 nursing actual or potential problems including the diagnosis, 4 interventions per diagnosis, rationales and outcomes anticipated) for example:
1. NURSING DIAGNOSIS-potential for unstable blood glucose levels related to lack of client/family education/non-compliance,as evidenced by hyperglycaemia-(12mmoi/L),changes in diabetes management and insulin requirements EVALUATION-The client will demonstrate blood

1. Homework: apply the phases of the nursing process to Mrs. Gutierrez’s case study in chapter one of your book. Make sure you correctly identify each phase with the information provided.
2. Provide a 500 words written APA formatting paper.
3. Briefly explained diabetes.
4. Provide a NANDA nursing diagnosis appropriate for this case.
5. Follow your rubric criteria when completing your written assignment.
6. Provide at least two APA peer reviewed references.

Analyze the work based on your own ideas and those of literary critics and scholars; and demonstrate how issues, themes and objectives uncovered in the selected text are reflected in actual lived experiences.Ta-Nehisi Paul Coates is an American author, journalist and comic book writer. Coates gained a wide readership during his time as national correspondent at The Atlantic, where he wrote about cultural, social and political issues, particularly regarding African Americans and white supremacy. You must write a research paper that must reference at least SIX scholarly research sources that support the thesis of the paper and convince the reader that the argument is valid. You must incorporate Ta-Nehisi Paul Coates’ life story into an in depth analysis of his novel “Between the World and Me”. You must research and analyze the work based on your own ideas and those of literary critics and scholars; and demonstrate how issues, themes and objectives uncovered in the selected text are reflected in actual lived experiences.

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.
Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
A minimum of three scholarly references are required for this assignment.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines. You are required to submit to turnitin

In previous Discussions and Applications, you have explored various aspects of health information technology systems: the historic development of HIT, how data flows across HIT systems, and standards and interoperability requirements including specific terminologies used in your practice setting. In this Application Assignment, you will have the opportunity to further develop your analysis skills by closely examining the implementation of a health information technology system. As a Doctorally prepared nurse, you may find yourself in the position of leading a HIT project team; to be an effective leader and move health information technology projects forward in your organization, you must be able to logically and critically analyze the many aspects and challenges of implementing such a system and then present your insights in a succinct and professional manner. This exercise provides an opportunity to hone those skills.
Carefully review the project requirements below and plan your time accordingly. Be sure to refer to the standards of nursing informatics practice as you develop this Application, which serves as your Major Assessment for this course.