Daily Archives: June 21, 2022

Peter Smith, a 67-year-old Indigenous man, presented to his general practitioner (GP) with his daughter, with a ten-month history of constipation and abdominal discomfort.

Peter Smith, a 67-year-old Indigenous man, presented to his general practitioner (GP) with his daughter, with a ten-month history of constipation and abdominal discomfort. More recently, he has felt very fatigued and had been experiencing lower abdominal pain. In the weeks prior to Peter consulting his GP, he had noticed his stools were long and narrow, and small amounts of bright blood on the toilet paper. Peter had ignored many of these early signs as he thought that as he was getting older. Peter is of Aboriginal descent, and recently moved from the outback to join his daughter in the city as he has not been looking after himself. The GP performed a digital rectal examination to eliminate the presence of haemorrhoids. On examination, the GP palpated a….

Mr John Hemsley, 56 years old, presented to his general practitioner (GP) with a three-month history of constipation and abdominal discomfort.

Case Study Mr John Hemsley, 56 years old, presented to his general practitioner (GP) with a three-month history of constipation and abdominal discomfort. More recently he has felt very fatigued and has been experiencing lower abdominal pain. In the weeks prior consulting the GP, Mr Hemsley noticed his stools were long and narrow with small amounts of bright blood on the toilet paper. He ignored these signs and symptoms as he was too embarrassed to talk about them. The GP performed a digital rectal examination to rule out the haemorrhoids. The findings were a firm irregular non capsulated mass in John’s rectum. The GP arranged a consultation with a gastrointestinal specialist. The specialist scheduled a colonoscopy for John the following week. During the colonoscopy, a biopsy was taken….

How does Jerry’s psychologic dimension of health status differ from Joe’s?

Jerry and Joe have both suffered heart attacks. Jerry, upon advice from his physician, started exercising, changed his dietary intake, entered stress reduction classes, and returned to work 6 weeks after his heart attack. He has a positive outlook, is doing well, and talks about being “well.” Joe also changed his dietary habits and started exercising. However, Joe has been unable to quit smoking even though he wants to and has been advised to do so. Joe is frequently despondent, is very fearful of having another heart attack, has not yet returned to work, and frequently talks about being “ill.”

1. How does Jerry’s psychologic dimension of health status differ from Joe’s?

2. Both Jerry and Joe have heart disease. Jerry considers himself “well” whereas Joe considers himself….

Discuss one (1) nursing care consideration for the safe administration of this medication.

Case Study Mr John Hemsley, 56 years old, presented to his general practitioner (GP) with a three-month history of constipation and abdominal discomfort. More recently he has felt very fatigued and has been experiencing lower abdominal pain. In the weeks prior consulting the GP, Mr Hemsley noticed his stools were long and narrow with small amounts of bright blood on the toilet paper. He ignored these signs and symptoms as he was too embarrassed to talk about them. The GP performed a digital rectal examination to rule out the haemorrhoids. The findings were a firm irregular non capsulated mass in John’s rectum. The GP arranged a consultation with a gastrointestinal specialist. The specialist scheduled a colonoscopy for John the following week. During the colonoscopy, a biopsy was taken….

A study is planned by several palliative care doctors around how prepared patients, health carers and patients’ families are for end-of-life care with patients diagnosed with dementia.

Scenario The following scenario is important information and is referred to throughout the whole paper. You will be referred back to these patients during the paper.

Read the following scenario and answer the questions at the end of the scenario. A study is planned by several palliative care doctors around how prepared patients, health carers and patients’ families are for end-of-life care with patients diagnosed with dementia. Anecdotally, preparing families for the end stage of life has not been going well at this facility. Healthcare workers with limited experience of this patient group have often been required to deliver upsetting information to families. The study plans to survey and interview patients and family members about the topic with a view to improving processes. A representative from this group….

Miss Annette Curtain is a 72yr old widow. She has very few friends in the community and is quite socially isolated.

Miss Annette Curtain is a 72yr old widow. She has very few friends in the community and is quite socially isolated.

She really loves when the workers arrive at her home and often takes the opportunity to have conversations and socialise.

Feedback from some of your support workers is that sometimes it is hard to break away from Miss Curtain as she will often find some issue or engage in conversation while they are trying to leave.

One day you are at Miss Curtain’s home and you have just finished doing the ironing. She asks you if you could help her with her phone as she needs to upload an app to it and is unsure of how to go about it.

While you are showing her, a….

M.S., a 72-year-old white woman, comes to your clinic for a complete physical examination.

Create a concept map using information from this case study:

M.S., a 72-year-old white woman, comes to your clinic for a complete physical examination. She has not been to a provider for 11 years because “I don’t like doctors.” Her only complaint today is “pain in my upper back.”

She describes the pain as sharp and knifelike. The pain began approximately three weeks ago when she was getting out of bed in the morning and hasn’t changed. M.S. rates her pain as 6 on a 0- to 10-point pain scale and says the pain decreases to 3 or 4 after taking “a couple of ibuprofen.” She denies recent falls or trauma.

M.S. admits she needs to quit smoking and start exercising but states, “I don’t have the energy….

Should she ask the hospital to assume the immediate medical costs with the hope of finding another sponsor in the future or persuading the existing sponsor to continue support?

Nao Vang Xiong, his wife Sheng, and their two small children, ages 1 and 2, were Southeast Asian refugees. Their resettlement in the United States was being sponsored by an agency of the Catholic Church. After settling into their new community, the Xiongs visited the county health department for individual health evaluations. To their dismay, chest x-rays and other tests revealed that Mrs. Xiong had active tuberculosis.The clinic nurse, Miss Jane Murphy, explained with the help of an interpreter that Mrs. Xiong must take medications for an extended period of time and should have lots of rest and nutritious food. She was placed on antitubercu losis medications,referred to a home care agency, and scheduled for follow-up clinic visits. At a repeat visit to the clinic 3 months later,….

Ann, a community nurse, made an afternoon home visit with Susan and her father.

Ann, a community nurse, made an afternoon home visit with Susan and her father. After the death of her mother, Susan had growing concerns about her father living alone. “I worry about my father all the time. He is becoming more forgetful and he has trouble seeing. Mom used to take care of him. I am not sleeping and I am irritable around him. Yesterday I shouted at him because he wouldn’t let me help him with his laundry. I felt terrible! I am at my wits’ end! My brothers and sisters do not want to put dad in a nursing home but they are not willing to help out. As usual, they have left me with all the responsibility. I work part time and have two small….

Ann, a community nurse, made an afternoon home visit with Susan and her father.

Ann, a community nurse, made an afternoon home visit with Susan and her father. After the death of her mother, Susan had growing concerns about her father living alone. “I worry about my father all the time. He is becoming more forgetful and he has trouble seeing. Mom used to take care of him. I am not sleeping and I am irritable around him. Yesterday I shouted at him because he wouldn’t let me help him with his laundry. I felt terrible! I am at my wits’ end! My brothers and sisters do not want to put dad in a nursing home but they are not willing to help out. As usual, they have left me with all the responsibility. I work part time and have two small….