How would a community care worker help the family begin to envision the new family structure as Josh and Marilyn move out of the home. Case summary: Ms. K is 17-years-old diagnosed with cerebral palsy and she is severely disabled. Due to her disability during adulthood, care is provided to her mother. Her mother (Monica) is 50-years-old and she is a single. All three siblings of Monica died in their 50’s and she has cardiac disease. She is unable to work and covered through public health insurance. Katie is on the state insurance program. Katie can remain eligible for special education program till she is 21. The two siblings of Katie have cardiac disease and following health promoting activities such as diet and exercise strictly. Both of them are in college, but current residing at home.

Question

Want to see the full answer?

Answer 1

Question

Chapter 3, Problem 3CAQ

Summary Introduction

To determine:

How would a community care worker help the family begin to envision the new family structure as Josh and Marilyn move out of the home.

Case summary:

Ms. K is 17-years-old diagnosed with cerebral palsy and she is severely disabled. Due to her disability during adulthood, care is provided to her mother. Her mother (Monica) is 50-years-old and she is a single. All three siblings of Monica died in their 50’s and she has cardiac disease. She is unable to work and covered through public health insurance. Katie is on the state insurance program. Katie can remain eligible for special education program till she is 21.

The two siblings of Katie have cardiac disease and following health promoting activities such as diet and exercise strictly. Both of them are in college, but current residing at home.

Expert Solution & Answer

Want to see the full answer?

Check out a sample textbook solution

See solution

Students have asked these similar questions

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?