What do you think that patient J might have been experiencing and why? Case summary: Patient J is a Spanish-speaking 8-year-old boy who was diagnosed with encephalitis. At times he would become combative and violence with muttering words. He would become calm when he was with an interpreter who speaks Spanish with him. One particular day, the physician who was writing an assessment for this patient complaining about the patient’s behavior without making any attempt to calm it down. The nurse intern knew that she could possibly help in this situation at the same time do not want to show disrespect to the physician.

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Answer 1

Question

Chapter 21, Problem 2RP

Summary Introduction

To discuss:

What do you think that patient J might have been experiencing and why?

Case summary:

Patient J is a Spanish-speaking 8-year-old boy who was diagnosed with encephalitis. At times he would become combative and violence with muttering words. He would become calm when he was with an interpreter who speaks Spanish with him. One particular day, the physician who was writing an assessment for this patient complaining about the patient’s behavior without making any attempt to calm it down. The nurse intern knew that she could possibly help in this situation at the same time do not want to show disrespect to the physician.

Summary Introduction

To discuss:

What would have happened when the nursing student has approached the physician by using other methods to calm the patient J?

Summary Introduction

To discuss:

Would this action be considered disrespectful?

Summary Introduction

To explain:

How the physician would have responded to the nursing student’s feedback about using the Spanish language to calm down patient J?

Summary Introduction

To explain:

Would simply modeling the behavior and interventions that previously had worked with patient J provide cues for the physician?

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DaVita Dietitian Reference Manual Module 7- Adequacy of Hemodialysis CASE STUDIES Case 1 David was diagnosed with chronic kidney disease a year ago, and now needs hemodialysis. At his first treatment, the nurse hooks up the bloodlines to an access in David's chest. He tells her that he had surgery on his arm three months ago so it can be used for dialysis eventually. 1. What type of access does David have for the initial treatment? 2. Is David's arm access most likely a graft or fistula? 3. What possible reasons prevent use of a fistula or graft for the first dialysis treatment? Case 2 Ramon, a hemodialysis patient for six years, has lost 1.5 kg over the past six weeks. He denies nausea or vomiting, but does admit to eating less at meals and skipping dinner some days. Current dialysis prescription is: 3 1/2 hours (210 minutes), 3 times a week, ASAHI 1050S, APS dialyzer, dialysis flow rate 800 ml/min, blood flow rate 400 ml/min. Monthly bloodwork is as follows: Date K PO4 Pre-BUN…

DaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis REVIEW QUESTIONS True False 1. 27 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Urea Reduction Ratio is a more accurate measurement of dialysis adequacy than Urea Kinetic Modeling. A fistula is the preferred type of vascular access. In the formula Kt/V, the V represents volume of total body water in which urea is distributed. In the formula Kt/V, time is measured in 15-minute increments, so 220 minutes would be rounded off to the nearest quarter hour. The DaVita minimum goal for adequacy is a spKt/V≥ 1.0. A measured height and accurate dry weight are required to obtain an accurate Kt/V result. A very low post BUN result usually means the patient is not eating enough protein. KRU is a measure of residual urea clearance by the patient's kidney, requiring a 24-hour urine collection. The Kt/V Delivered (single pool) is the value used for determining adequacy and comparing outcomes in DaVita facilities. Catheters are…

DaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis Case 3 Beverly's monthly adequacy of dialysis results came back lower than usual. Her Kt/V is 1.13. Flow sheet data reveals the following: Prescribed BFR 400, patient ran BFR 325 during treatment Blood pressure dropped to 72/58 during treatment, so UFR was turned off. Dry weight 65 kg, pre dialysis weight 69 kg, post dialysis weight 66.5 kg 1. What are DaVita's goals for Kt/V? 2. What is your impression of why the Kt/V is low? 3. What additional information would help in determining why Beverly's adequacy results were below goal?

Answer 2

Question

Chapter 21, Problem 2RP

Summary Introduction

To discuss:

What do you think that patient J might have been experiencing and why?

Case summary:

Patient J is a Spanish-speaking 8-year-old boy who was diagnosed with encephalitis. At times he would become combative and violence with muttering words. He would become calm when he was with an interpreter who speaks Spanish with him. One particular day, the physician who was writing an assessment for this patient complaining about the patient’s behavior without making any attempt to calm it down. The nurse intern knew that she could possibly help in this situation at the same time do not want to show disrespect to the physician.

Summary Introduction

To discuss:

What would have happened when the nursing student has approached the physician by using other methods to calm the patient J?

Summary Introduction

To discuss:

Would this action be considered disrespectful?

Summary Introduction

To explain:

How the physician would have responded to the nursing student’s feedback about using the Spanish language to calm down patient J?

Summary Introduction

To explain:

Would simply modeling the behavior and interventions that previously had worked with patient J provide cues for the physician?

Expert Solution & Answer

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Check out a sample textbook solution

See solution

Answer 3

Question

Chapter 21, Problem 2RP

Summary Introduction

To discuss:

What do you think that patient J might have been experiencing and why?

Case summary:

Patient J is a Spanish-speaking 8-year-old boy who was diagnosed with encephalitis. At times he would become combative and violence with muttering words. He would become calm when he was with an interpreter who speaks Spanish with him. One particular day, the physician who was writing an assessment for this patient complaining about the patient’s behavior without making any attempt to calm it down. The nurse intern knew that she could possibly help in this situation at the same time do not want to show disrespect to the physician.

Summary Introduction

To discuss:

What would have happened when the nursing student has approached the physician by using other methods to calm the patient J?

Summary Introduction

To discuss:

Would this action be considered disrespectful?

Summary Introduction

To explain:

How the physician would have responded to the nursing student’s feedback about using the Spanish language to calm down patient J?

Summary Introduction

To explain:

Would simply modeling the behavior and interventions that previously had worked with patient J provide cues for the physician?

Expert Solution & Answer

Want to see the full answer?

Check out a sample textbook solution

See solution

Answer 4

Question

Chapter 21, Problem 2RP

Summary Introduction

To discuss:

What do you think that patient J might have been experiencing and why?

Case summary:

Patient J is a Spanish-speaking 8-year-old boy who was diagnosed with encephalitis. At times he would become combative and violence with muttering words. He would become calm when he was with an interpreter who speaks Spanish with him. One particular day, the physician who was writing an assessment for this patient complaining about the patient’s behavior without making any attempt to calm it down. The nurse intern knew that she could possibly help in this situation at the same time do not want to show disrespect to the physician.

Summary Introduction

To discuss:

What would have happened when the nursing student has approached the physician by using other methods to calm the patient J?

Summary Introduction

To discuss:

Would this action be considered disrespectful?

Summary Introduction

To explain:

How the physician would have responded to the nursing student’s feedback about using the Spanish language to calm down patient J?

Summary Introduction

To explain:

Would simply modeling the behavior and interventions that previously had worked with patient J provide cues for the physician?

Expert Solution & Answer

Want to see the full answer?

Check out a sample textbook solution

See solution

Answer 5

Chapter 21, Problem 2RP

Summary Introduction

To discuss:

What do you think that patient J might have been experiencing and why?

Case summary:

Patient J is a Spanish-speaking 8-year-old boy who was diagnosed with encephalitis. At times he would become combative and violence with muttering words. He would become calm when he was with an interpreter who speaks Spanish with him. One particular day, the physician who was writing an assessment for this patient complaining about the patient’s behavior without making any attempt to calm it down. The nurse intern knew that she could possibly help in this situation at the same time do not want to show disrespect to the physician.

Summary Introduction

To discuss:

What would have happened when the nursing student has approached the physician by using other methods to calm the patient J?

Summary Introduction

To discuss:

Would this action be considered disrespectful?

Summary Introduction

To explain:

How the physician would have responded to the nursing student’s feedback about using the Spanish language to calm down patient J?

Summary Introduction

To explain:

Would simply modeling the behavior and interventions that previously had worked with patient J provide cues for the physician?

Answer 6

Chapter 21, Problem 2RP

Summary Introduction

To discuss:

What do you think that patient J might have been experiencing and why?

Case summary:

Patient J is a Spanish-speaking 8-year-old boy who was diagnosed with encephalitis. At times he would become combative and violence with muttering words. He would become calm when he was with an interpreter who speaks Spanish with him. One particular day, the physician who was writing an assessment for this patient complaining about the patient’s behavior without making any attempt to calm it down. The nurse intern knew that she could possibly help in this situation at the same time do not want to show disrespect to the physician.

Answer 7

Chapter 21, Problem 2RP

Summary Introduction

To discuss:

What do you think that patient J might have been experiencing and why?

Case summary:

Patient J is a Spanish-speaking 8-year-old boy who was diagnosed with encephalitis. At times he would become combative and violence with muttering words. He would become calm when he was with an interpreter who speaks Spanish with him. One particular day, the physician who was writing an assessment for this patient complaining about the patient’s behavior without making any attempt to calm it down. The nurse intern knew that she could possibly help in this situation at the same time do not want to show disrespect to the physician.

Answer 8

Summary Introduction

To discuss:

What would have happened when the nursing student has approached the physician by using other methods to calm the patient J?

Answer 9

Summary Introduction

To discuss:

What would have happened when the nursing student has approached the physician by using other methods to calm the patient J?

Answer 10

Summary Introduction

To discuss:

Would this action be considered disrespectful?

Answer 11

Summary Introduction

To discuss:

Would this action be considered disrespectful?

Answer 12

Summary Introduction

To explain:

How the physician would have responded to the nursing student’s feedback about using the Spanish language to calm down patient J?

Answer 13

Summary Introduction

To explain:

How the physician would have responded to the nursing student’s feedback about using the Spanish language to calm down patient J?

Answer 14

Summary Introduction

To explain:

Would simply modeling the behavior and interventions that previously had worked with patient J provide cues for the physician?

Answer 15

Summary Introduction

To explain:

Would simply modeling the behavior and interventions that previously had worked with patient J provide cues for the physician?

Answer 16

Expert Solution & Answer

Answer 17

Expert Solution & Answer

Answer 18

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Answer 19

Ch. 21 - Prob. 1RP Ch. 21 - Prob. 2RP Ch. 21 - Prob. 3RP Ch. 21 - Prob. 4RP Ch. 21 - Prob. 5RP Ch. 21 - Prob. 1DCR Ch. 21 - Prob. 2DCR Ch. 21 - Prob. 3DCR Ch. 21 - Prob. 1PFN Ch. 21 - Prob. 2PFN

Concept explainers

Videos

To discuss:

What would have happened when the nursing student has approached the physician by using other methods to calm the patient J?

To discuss:

Would this action be considered disrespectful?

To explain:

How the physician would have responded to the nursing student’s feedback about using the Spanish language to calm down patient J?

To explain:

Would simply modeling the behavior and interventions that previously had worked with patient J provide cues for the physician?

Want to see the full answer?

Chapter 21 Solutions

Concept explainers

Videos

To discuss: What would have happened when the nursing student has approached the physician by using other methods to calm the patient J?

To discuss: Would this action be considered disrespectful?

To explain: How the physician would have responded to the nursing student’s feedback about using the Spanish language to calm down patient J?

To explain: Would simply modeling the behavior and interventions that previously had worked with patient J provide cues for the physician?

Want to see the full answer?

Chapter 21 Solutions

To discuss:

What would have happened when the nursing student has approached the physician by using other methods to calm the patient J?

To discuss:

Would this action be considered disrespectful?

To explain:

How the physician would have responded to the nursing student’s feedback about using the Spanish language to calm down patient J?

To explain:

Would simply modeling the behavior and interventions that previously had worked with patient J provide cues for the physician?