COURSEPOINT FUNDAMENTALS
9th Edition
ISBN: 9781975123901
Author: Taylor
Publisher: LIPP/W+W
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Question
Chapter 10, Problem 10PFN
Summary Introduction
Magnet® status is the highest national recognition award given to a medical center or hospital for excellence in nursing. This award is given by the ANCC (American Nurses Credentialing Center) which is an affiliation of the American Nurses Association. This award is mainly given to the hospitals that satisfy the set of criteria which are designed to measure the quality and strength of their nursing.
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DaVita Dietitian Reference Manual
Module 9-Counseling Skills
REVIEW QUESTIONS
1.
2.
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4.
9
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10.
True False
It is not appropriate to sit down when counseling patients.
It is appropriate to use small, less technical terms when
educating patients.
The environment or surroundings play a role in effective
patient counseling.
Renal diet education can be completed in one thirty-minute
session.
If a patient cannot communicate, it is acceptable to eliminate
the diet instruction.
It is not possible for a hemodialysis patient to follow a
vegetarian diet.
Using audiotapes or large print materials might be beneficial
in educating patients with visual impairments.
Frequently missed or shortened treatments are associated
with increased morbidity and mortality.
It is acceptable to label a patient 'noncompliant' in the
medical record.
Social and financial concerns have little effect on the
patient's ability to adhere to the treatment regimen.
DaVita Dietitian Reference Manual
Module 8-Anemia Management
CASE STUDIES
Case 1
Peter is new to hemodialysis. His renal failure is due to hypertension. He weighs 120
kg. Prior to admission to the dialysis facility, he did not receive Procrit, Aranesp or
Epogen (EPO).
His bloodwork includes:
• Hemoglobin = 9.0 mg/dL
• Iron Saturation (ISAT) = 15%
Fernüin = 95 ng/mL
HD SHAPE 5.1 was ordered by the physician.
What are your recommendations?
Case 2
Sandy is new to hemodialysis. Her renal failure is due to diabetes. During the month
prior to admission to the dialysis facility, she received Procrit (2000 units, once a week
which is comparable to Epogen at the same dose). She weighs 65 kg. Sandy has an
infection on her foot due to diabetes
Her bloodwork includes the following.
Hemoglobin = 9.4 mg/dL
Iron Saturation (ISAT) = 25%
Ferritin = 1230 ng/mL
HD SHAPE 5.1 was ordered by the physician.
What are your recommendations?
What factors are affecting this patient's response to erythropoietin?
Question 1:
Between the 1850’s and 1930’s, physicians gained authority and status. What is one condition or event that led to this? Starr mentions many conditions or events that led to physicians gaining authority and status, just post one (Consult the Starr textbook, Chapter 3).
Question 2:
Due to the litigious nature of medicine, physicians often order more tests (lab, X-ray, CT, MRI, EKG, etc.) than the standards of care suggest. This is sometimes referred to as “defensive medicine.” Additionally, a significant amount of a physician’s income is used to pay malpractice/liability insurance. If health care reform initiatives considered capping or limiting the physician’s liability to keep health care costs down, how could it be done?
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