Using the carbohydrates-counting method determine an appropriate carbohydrates intake in both grams and potions for a man with type 2 diabetes who requires approximately 2600 kcalories daily

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Using the carbohydrates-counting method determine an appropriate carbohydrates intake in both grams and potions for a man with type 2 diabetes who requires approximately 2600 kcalories daily . Assume he would benefit from a carbohydrates allowance that is 50 percent of his energy intake.develope a one day sample menu that is likely to meet his carbohydrates goals . Use the food list in appendix c to fine additional examples of foods to include in your menu ?

 

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Describe how the bioavailability of minerals is either compromised either by factors related to the nature of the food that they are found in, other foods or medicines that have been consumed, or by digestive factors.

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5.5 – Metabolic and Blood-Related Roles of Vitamins and Minerals — Answer one or more of these. Provide full APA evidence-based citations.
~ Pick two vitamins and describe their role in metabolic functions. Describe good food sources of these two vitamins.
~ Pick two minerals and describe their role in metabolic functions or in blood function and blood renewal . Describe good food sources of these two minerals.
~ Describe how the bioavailability of minerals is either compromised either by factors related to the nature of the food that they are found in, other foods or medicines that have been consumed, or by digestive factors.

 

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Give two examples of indicators of emotional issues that may impact a person’s wellbeing.?

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Give two examples of indicators of emotional issues that may impact a person’s wellbeing.?
What actions should you take when you identify variations to a person’s wellbeing?
Why is it important to focus on the person’s health and wellbeing?
Give two examples of how a person’s oral health can affect a person’s overall wellbeing.
Give two examples of how a person’s lifestyle can improve their well-being.

 

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Describe the methods that will be used to evaluate care given. Include a timeline, methods of gathering data, and benchmarks indicating success.

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Topic 1: Use of the Nursing Process to Care for a Complex Patient
Ms. Janet Smith is a 45-year-old African-American female who was admitted to a medical/surgical unit with a diagnosis of infection secondary to removal of ovarian cysts 1 week ago. Past medical history includes hypertension and diabetes mellitus Type 2. She also admits to a non-healing wound on her right toe, approximately 2cm x 2cm, red, swollen, with purulent drainage present on dressing. Home medications include enalapril (Vasotec) 5 mg PO BID, multivitamin one tablet daily, and insulin glargine (Lantus) 24 units subcutaneously QPM. Admission assessment data includes abdominal incision site warm to touch, erythematous, with small amount of purulent drainage on dressing. Patient rates pain of abdominal wound as 5 out of 10 on a 0-10 scale. She states the pain from her toe is an 8 out of 10 on a 0-10 scale. Admitting vital signs are: Temperature 99.7 F, oral, pulse 89, respirations 20, blood pressure 178/95, SpO2 97%, room air.
Admitting orders are as follows:
Admit to medical unit
Full Code
Allergies: sulfa, eggs
Activity, up with assist
Contact precautions
Enalapril (Vasotec) 5 mg PO BID
Multivitamin 1 tablet PO daily
Lantus insulin 24 units subcutaneous QPM
Fingerstick blood glucose AC & HS
Humalog insulin per sliding scale protocol
0.9% normal saline at 125 mL/ hr
Culture toe ulcer and abdominal wound STAT
Cefazolin (Kefzol) 1 gram in 100 mL IVPB Q8H
Acetaminophen 1000 mg PO Q6H prn pain
Wound consult
Blood cultures x 2 now
Enoxaparin 80 mg subcutaneously BID
CBC with differential, CMP, BNP, Hgb A1C now
CBC with differential, BMP in AM
1. What are the top three highest priority nursing diagnoses for this patient?
2. For the diagnoses you identified, create a list describing subjective and objective assessment data associated with the diagnosis and a plan of care for each nursing diagnosis.
3. Describe the methods that will be used to evaluate care given. Include a timeline, methods of gathering data, and benchmarks indicating success.

 

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Which theory/model discussed in the chapter was the best theory or model? Explain your rationale with examples. You can also bring in additional background information.

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Which theory/model discussed in the chapter was the best theory or model? Explain your rationale with examples. You can also bring in additional background information.
CLO2: Comprehend/Evaluate: Students will understand the value of theory and justify their decision for selecting the best social psychological theory covered across 10 application areas based on a set of criteria while demonstrating their skills in written communication, critical thinking, and information literacy.Review this link to help your decision:https://www.coursehero.com/file/p4l6k1r/5-criteria-of-evaluating-theories-Scope-Testability-Parsimony-Utility-Heurism-o/

 

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Outline the goals of IT within the chosen setting and describe its architectural framework.

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Investigate the utilization of Information Technology (IT) within Medicare/Medicaid, the Military health sector, or within your current work setting. Outline the goals of IT within the chosen setting and describe its architectural framework. Is IT being utilized efficiently within that setting? Why or why not? Offer suggestions where IT applications could be implemented for better visibility, security and privacy, usability or flexibility.
 

 

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You have been asked to identify a vaccine-preventable disease and create a 10- to 12-slide presentation in Microsoft PowerPoint on a research design.

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Vaccine-Preventable Diseases Influenza is a virus that can be easily spread from person to person and kills thousands of people each year. Healthcare workers are at risk of exposing themselves to infectious diseases from patients and material and therefore can also potentially transmit these diseases to others. Preventing and controlling the spread of vaccine preventable diseases in the health care setting is vital to ensure proper infection control practices should an outbreak occur. As such, the Centers for Disease Control and Prevention (CDC) strongly recommend vaccination of health care workers. You are a public health researcher. You have been asked to identify a vaccine-preventable disease and create a 10- to 12-slide presentation in Microsoft PowerPoint on a research design.
Your research design should focus on determining why health care workers are not receiving the vaccination for your selected vaccine-preventable disease in their place of employment. The presentation should also include the following:
Researched and identified the disease to create a research plan An introduction and synopsis of the selected disease History of the public health issue or disease Social or behavioral antecedents related to the disease Epidemiological relevance of the disease Proposed research design Sampling plan Strengths and weaknesses of chosen research design

 

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Are some of the lab normal either below or above normal range as a normal result of the month spent at high elevation? Explain.

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Mt. Denali, Alaska elevation 17,660 ft. The climbers slowly ascended the icy cliff in the near darkness of 4 a.m., carefully avoiding the steep crevasses that fell off sharply to either side. Several times each hour, the lead climber Tom would call out “Everyone okay?” They had stopped replying long ago, too exhausted by the supreme effort of simply placing each foot in the proper direction. Three hours into a 12+ hour climbing day, only labored breathing and the crunch of ice under crampons permeated the silence. Emily, a Registered Nurse and the only woman on the six-person expedition team, was third in line, following her friend Mark, the least experienced climber of the group. For the last couple of days, Mark had been coughing heavily, and all morning had been slowing up, causing a backlog behind them and prompting several “everyone okay”‘s from Tom. Knowing Mark’s competitive spirit, Emily was hesitant to urge him to pick up the pace, and when he pulled up to rest on a protected ledge, Emily motioned to the other climbers to pass on by. Her head was pounding anyway, and she rationalized she could use the break.
“You okay?” Emily asked.
“Yeah….I just….can’t seem to….catch my breath,” gasped Mark.
“Just rest a minute. There’s no rush, Mark. Take your time….slow, deep breaths.”
Tom appeared from the upper trail. “What’s up?”
“Mark’s having a little trouble catching his breath.” Emily was getting worried.
Tom looked sharply at her. “How much trouble?”
“Quite a bit, I think.” Emily looked over at Mark, whose breathing didn’t appear eased by the rest stop, and then back at Tom. “I think we should get him down to a lower altitude. Quickly.”
Tom nodded. “I’ll get the others.”
As they helped guide Mark down the steep trail, Mark’s breathing became increasingly labored and was loud enough to worry Emily.
“Geez, do we sound like that?” gasped one of the other climbers. “I mean, I’m out of breath, too, but he sounds horrible!”
“No, we’re not that bad. Remember, that’s why we spent the prep month at 15,000 feet. Mark was with us, so he experienced the same physiological changes we did. This,” Emily nodded at Mark, “is some sort of problem.”
Mark deteriorated rapidly and lost consciousness by the time the group reached the lower camp. The urgency of the situation strengthened the tired legs of the climbers as they carried Mark the final yards towards camp. Emily had run ahead to call for support help, and the group was told an airlift was on its way and would be there within the hour. The camp’s medical tent had some basic supplies and a resident paramedic, and he and Emily went to work stabilizing Mark with oxygen and a Gammow bag (a pressurization bag).
90 Minutes Later, Denali Valley Hospital
“We have a 28-year-old white male, unresponsive, no prior history of pulmonary disease, who became unconscious around 15,000 feet after hiking to 17,000 feet earlier today. His friends say he was having severe breathing difficulty prior to losing consciousness….” As the paramedic droned on, Emily looked around for the nearest phone so she could locate Mark’s family in case this was as serious as it looked.
1. How would the oxygen and Gammow bag help Mark?
2. Are some of the lab normal either below or above normal range as a normal result of the month spent at high elevation? Explain.
3. Which lab values appear to represent the most serious problem Mark is having? Is his situation life-threatening?
4. Compare the results of Alveolar Oxygen Tension to Arterial Oxygen levels. What might cause this type of discrepancy?
5. Come up with a possible diagnosis for Mark’s condition. What data are you using to come to this conclusion?
Here are the results of his blood and pulmonary tests.
The following tables summarize the findings of the Denali Valley Hospital Medical Team:
BLOOD LEVELS
MARK’S
NORMAL
Arterial Oxygen
52 Torr
80-100 Torr
Arterial Carbon Dioxide
30 Torr
35-45 Torr
Arterial pH
7.23
7.38-7.44
Hematocrit
58%
42-52%
Arterial glucose
102 mg/100ml
60-110 mg/100ml
Urea Nitrogen (BUN)
12 M
7-14 M
Creatinine
1.1 mg/100ml
1-1.5 mg/100ml
Potassium
4.0 meq/L
3.5-5.0 meq/L
Sodium
145 meq/L
136-145 meq/L
Bicarbonate
18 meq/L
20-24 meq/L
Chloride
100 meq/L
98-106 meq/L
No prescription medications or other pharmacological agents were found.
PULMONARY FUNCTION TESTS
Inspired Oxygen Tension
147 Torr
150 Torr
Vapor Pressure
45 Torr
47 Torr
Alveolar Oxygen
110 Torr
98-104 Torr
RQ
0.66
0.78-0.82 Torr
Tidal Volume
0.4 L
0.5 L
HEART RATE: 88 bpm (normal: 60-90 bpm) BLOOD PRESSURE: 105/60 (normal: 110-120/60-80 mm Hg)

 

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When would you use standard precautions over sterile precautions while taking care of your patient and why?

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When would you use standard precautions over sterile precautions while taking care of your patient and why? Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.
 

 

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Describe your assessment process. What are some likely co-morbid conditions? List one nursing diagnosis and an appropriate nursing intervention.

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Read the case study about Borderline Personality Disorder and answer the following questions in your initial posting:
Module 07 Case Study
How would you use therapeutic communication and principles of cognitive behavioral therapy with the client?
Describe your assessment process. What are some likely co-morbid conditions? List one nursing diagnosis and an appropriate nursing intervention.
What interdisciplinary referrals might be appropriate?
MODULE 07 CASE STUDY
S.is a 48-year-old divorced woman with one adult daughter and three grandchildren. She is currently working as an LPN part time in a nursing home and also works at a convenience store one or two days per week. She has had many jobs over the last 22 years, usually changing every one or two years. S notes that she has been called less often to work in the convenience store and worries that they don’t like her anymore. She reports being written up several times for arguing with customers. She also reports that her supervisor at the nursing home “is a bitch”; although she really liked her supervisor at first, she says “Now I hate her; she’s trying to get me fired.” S. reports that she has tried to get fulltime jobs five times in the last four years, was hired for three, but only lasted one or two weeks at each one.
S. reports that she is currently not talking to her daughter because “she is horribly mean to me and she needs to apologize or I won’t talk to her again”. She is upset that she hasn’t seen her three small grandchildren in about a year. She sends them presents and cards frequently that say “I still love you! Grandma”, but hasn’t called them since she stopped talking to her daughter. She is considering reporting to the county that her daughter is keeping her grandchildren from her.
S. is very unhappy that she isn’t in a relationship. She was abused by her ex-husband, and has a pattern of meeting and dating men who eventually abuse her. She states that her last relationship was very good, however; the man was not abusive and “I loved him very much”. The relationship ended for reasons that S. doesn’t understand, although she does report many arguments that ended in “scenes” such as her throwing chairs, stomping out of the house, making crank phone calls to his family, and calling the police with false reports. But S. also reports that she “couldn’t have loved him more and I showed it”. She gives examples of going to her boyfriend’s place of work with flowers, buying him expensive presents, surprising him with tickets to Mexico at the last minute – she was very upset that he wasn’t willing to drop everything and go with her. S. reports asking him why he didn’t love her and what she was doing wrong on a regular basis. When the boyfriend asked to break up, S. reports sitting outside his house for weeks, crying; she called his mother, called his boss, and called and texted him until he filed a restraining order. This occurred about 4 months ago.
S. admitted herself to the mental health unit when she felt suicidal. She reports that she had stopped her individual psychotherapy 3 months ago and stopped going to DBT. She also stopped her anti-depressant at that time, as she felt it wasn’t working, and missed her last two psychiatrist appointments.

 

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