Sam Smith is a 57-year-old male, who lives alone in a large city in New Jersey. Sam had recently beenfeeling weaker and noticed he was having difficulty picking up his pen or lifting a cup of coffee. Samdecided to schedule an appointment in the Federally Qualified Health Center at which you are employed.After seeing the Nurse Practitioner and multiple tests, Sam is diagnosed with Amyotrophic LateralSclerosis (ALS). After receiving the diagnosis and some literature to read, Sam schedules a follow upappointment to discuss his options further. Sam returns to the center in a few days and informs you hehas been reading about ALS online and knows that it is a terminal disease. Sam states he does not havefamily nearby and does not want to be a burden on any of his friends. Sam is exhibiting signs ofdepression and asks you about ending his life. He has read about the laws in New Jersey and would liketo know how he goes about getting the medication.1. What are your responsibilities in this situation2. What role does the nurse play in the decision-making process?3. What are the ethical dilemmas4. What are the legal steps that should be taken5. What counseling should the patient receive6. What resources should be provided to the patient7. What if you disagree with the patient's decision8. How would you communicate the process including information and resources to the patient andcaregivers

Sam Smith 57-year-old male recently been feeling weaker and noticed he was having difficulty picking…

Answered: Sam Smith is a 57-year-old male, who…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Florence is a patient on the ward. She is 89 years old and has been admitted for a back injury sustained whilst skateboarding. Florence is usually very active and has a health life style. However, due to her age, the injury is quite severe and will need surgery. Tomorrow she is due to have surgery. Florence has a habit of sneaking food, and she also is annoyed that she is not able to get out of bed due to the injury. A number of times, she has tried to get up to move around, however this would be very bad for her injury. The day shift had to help her back into bed each time. She also spills drinks often but doesn’t tell anyone she has done it. The task is to successfully get Florence to surgery tomorrow. She needs to go through the 8 hours of nil by mouth before the surgery. She must also keep as still as possible, as she has already aggravated her back condition by trying to get up and move. As her nurse or doctor, how would you manage the risks around preparing for Florence’s…
Q1) A 50 year old Caucasian male who presented to physical therapy with severe upper extremity pain and radicular symptoms into his right forearm and hand that occurred from a traumatic accident 11 months ago. The patient is a correctional officer and while on the job, a metal hatch fell on his outstretched right arm proximal to the acromion process. Imaging two months post injury showed no fractures or nerve damage at the neck or shoulder. The primary complaint was the extreme constant pain he experienced in his right upper trapezius, anterior right shoulder, right lateral forearm, and first and second digits of his right hand. There is no Tinel's sign and electrodiagnostic studies are normal. a)What is the possible diagnosis of patient?
Ricky, a 55-year-old man presented to hospital's emergency room with severe, radiating substernal pain. He was overweight (BMl = 40) , however all other vital signs including cardiological assessments were normal. He admitted to imbibing excessive amount of alcohol the night before. He reported no overt use of nonsteroidal anti-inflammatory drugs (NSAIDs) but indicated that he sometimes experiences a burning sensation in your chest with difficulty in swallowing and regurgitation of food or sour liquid. The doctor prescribed omeprazole and directed him perform an upper endoscopy (a)Identify the cause of Ricky's pain and justify you answer. (b) Briefly outline the mode of action of omeprazole in alleviating his symptoms.
Johnny is 7 years old and in the first grade. He has trouble sitting still, often loses things, is very loud, and acts very impulsively. Your evaluation has determined that he meets criteria for ADHD. His parents are coming to your office tomorrow to discuss the results. How do you tell them? What if they feel that they’ve done something wrong? Do you recommend psychotherapy? Do you recommend medication?
An 18 month old child is admitted with signs of increased intracranial pressure. What would the nurse observe when assessing this patient? Numbness of fingers and decreased temperature Increased pulse rate and decreased blood pressure Decrease level of consciousness and decreased respiratory rate Decreased level of consciousness and increased respiratory rate
Mr Scott was newly diagnosed with diabetes mellitius after being hospitalized for a hyperglycemic crisis. After being stabilized, he was discharged. Upon returning to his home, he stated to his wife, "I was sent home with so many medicines that I am having trouble organizing them. They gave me written instructions, but I don't really understand them. I feel overwhelmed." What would you as the primary nursing personnel say to this client?
Q1) A 50 year old Caucasian male who presented to physical therapy with severe upper extremity pain and radicular symptoms into his right forearm and hand that occurred from a traumatic accident 11 months ago. The patient is a correctional officer and while on the job, a metal hatch fell on his outstretched right arm proximal to the acromion process. Imaging two months post injury showed no fractures or nerve damage at the neck or shoulder. The primary complaint was the extreme constant pain he experienced in his right upper trapezius, anterior right shoulder, right lateral forearm, and first and second digits of his right hand. There is no Tinel's sign and electrodiagnostic studies are normal. b)Which nerve can be injured?
Ms. M is 42 years old and has had rheumatoid arthritis for six years. At baseline, her fingers are stiff and show slight ulnar deviation. She has come to see you as she is currently experiencing an exacerbation, and her wrists are red and swollen. She finds it to be painful when something such as clothing touches the skin over her wrists. Her elbows and knees are also stiff and painful, especially after she has been resting. She is feeling extremely tired and depressed and has not been eating well. Describe the pathophysiologic process that leads to the appearance and the pain occurring at her wrists. Is this an acute or chronic process? Could it be both? Describe the pathophysiology contributing to the stiff, deformed fingers. What terms can be used to describe this?
Beth is pregnant. She calls the office to see what drugs she can use for cold symptoms. Where would you look to find out which drugs are safe for her?
Q1) A 50 year old Caucasian male who presented to physical therapy with severe upper extremity pain and radicular symptoms into his right forearm and hand that occurred from a traumatic accident 11 months ago. The patient is a correctional officer and while on the job, a metal hatch fell on his outstretched right arm proximal to the acromion process. Imaging two months post injury showed no fractures or nerve damage at the neck or shoulder. The primary complaint was the extreme constant pain he experienced in his right upper trapezius, anterior right shoulder, right lateral forearm, and first and second digits of his right hand. There is no Tinel's sign and electrodiagnostic studies are normal. Q4)Which special test can be performed to diagnose the condition of patient?
Q1) A 50 year old Caucasian male who presented to physical therapy with severe upper extremity pain and radicular symptoms into his right forearm and hand that occurred from a traumatic accident 11 months ago. The patient is a correctional officer and while on the job, a metal hatch fell on his outstretched right arm proximal to the acromion process. Imaging two months post injury showed no fractures or nerve damage at the neck or shoulder. The primary complaint was the extreme constant pain he experienced in his right upper trapezius, anterior right shoulder, right lateral forearm, and first and second digits of his right hand. There is no Tinel's sign and electrodiagnostic studies are normal. d)Which special test can be performed to diagnose the condition of patient?
Explain the importance of geriatrics as a specialty in medicine.

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