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HEALTH QUESTION U6
HEALTH QUESTION U6
I NEED THIS IN 24 HOURS. NEEDS TO BE ORIGINAL A+ PAPER!!!!!!!!!!!Instructions:Review the following case study patient detailsMr. W is a 25 year old male who was in a drug rehabilitation program last year. He has been admitted to the hospital with a history of weight loss, weakness, and intractable diarrhea. His height is 70 inches and his weight has dropped from 180 lbs. to 110 lbs. He is also suffering from fever and night sweats. Physical examination reveals swollen lymph glands, tongue lesions of herpes simplex and ulcers in the perianal region. Further tests indicated depressed T-cell levels and the presence of Pneumocystis carinni. He was tested for HIV infection and the blood test for HIV infection antibodies was positive.While in the hospital he developed several other symptoms: anorexia, fever, fatigue, nausea, vomiting, watery diarrhea, and rectal incontinence. His temperature was 103°F (39.8°C) and was treated with antibiotics to which he did not respond. The amount of diarrhea increased markedly, necessitating intravenous hydration. He developed esophageal candiasis and a duodenal infection.The patient did not tolerate a soft diet or nutritional supplements, continued to lose weight, and had severe anorexia, abdominal cring, and bloating. Nutritional assessment was deficient in all aspects, showing a decreased BMI, decreased muscle mass, and depleted total protein and serum albumin.In which stage of HIV infection would you categorize Mr. W?Name and describe the major clinical complications in the final stage of AIDS and explain how these complications profoundly compromise a patient’s nutritional status.What should be the goal of nutritional therapy based on assessment data and the patient’s history?Utilize your critical thinking skills to determine the most appropriate route of feeding to administer nutrition support. Defend your choice with evidence from the patient description and the knowledge you have gained regarding alternative feeding routes.List several nutritional supplements that might be used to alleviate some of Mr. W’s symptoms and increase his caloric intake when he is able to tolerate a diet again.Write a Nutrition Care Plan/Chart note on the HIV patient that addresses the patient’s current clinical situation. Write this note as though you were a nutrition professional caring for this patient in a hospital setting. Please refer to Table 11-3 and 11-4 in your textbook for information on the ADIME chart note process.RequirementsPaper format: Answer questions numbers 1–5 in a 2–3 page paper using APA format and citation guidelines. Include a title page, introduction, body, conclusion, and reference page. Include number 6, the Nutrition Care Plan/ Chart note, as an appendix. Be aware that the title page, reference page, and appendix/chart note DO NOT count towards the 2–3 page minimum.Please organize your paper in the following paragraph format. Please see KUs Writing Center for more information regarding essay and paragraph format.Section 1: Introductory paragraph (incorporate your answer to question 1)Section 2: Body paragraph(s) (incorporate your answer to question 2)Section 3: Body paragraph(s) (incorporate your answer to question 3)Section 4: Body paragraph(s) (incorporate your answer to question 4)Section 5: Concluding paragraph (incorporate your answer to question 5)Appendix: Nutrition Care Plan/Chart noteReferences: Include a minimum of 4 quality references. Your textbook may count towards this requirement. You can use reputable websites or other textbooks/ scientific or medical journal articles. Please use APA style citations within the paper itself and also on the reference page. See Writing Center Resources found in Doc Sharing and the Kaplan University Writing Center for complete details and exles regarding APA style references.
Legal Risks of Nurses and 2 Discussion Questions
Legal Risks of Nurses and 2 Discussion Questions
Legal Risks of Nurses Analyze the case of Mrs. Ard on page 215 of Legal Aspects of the textbook. Answer the following questions:What happened?Why did things go wrong?What were the relevant legal issues?How could the event have been prevented?What is your verdict?CHANCE OF SURVIVAL DIMINISHEDOn the afternoon of May 20, the patient, Mr. Ard, began feeling nauseous. He was in pain and had shortness of breath. Although his wife rang the call bell several times, it was not until sometime later that evening that someone responded and gave Ard medication for the nausea. The nausea continued to worsen. Mrs. Ard then noticed that her husband was having difficulty breathing. He was reeling from side to side in bed. Believing that her husband was dying, she continued to call for help. She estimated that she rang the call bell for 1.25 hours before anyone responded. A code was eventually called. Unfortunately, Mr. Ard did not survive the code. There was no documentation in the medical records, on May 20 between 5:30 P.M. and 6:45 P.M., that would indicate that any nurse or physician checked on Ard’s condition. This finding collaborated Mrs. Ard’s testimony regarding this time period.A wrongful death action was brought against the hospital, and the district court granted judgment for Mrs. Ard. The hospital appealed.Ms. Krebs, an expert in general nursing, stated that it should have been obvious to the nurses from the physicians’ progress notes that the patient was a high risk for aspiration. This problem was never addressed in the nurses’ care plan or in the nurses’ notes.On May 20, Ard’s assigned nurse was Ms. Florscheim. Krebs stated that Florscheim did not perform a full assessment of the patient’s respiratory and lung status. There was nothing in the record indicating that she completed such an evaluation after he vomited. Krebs also testified that a nurse did not conduct a swallowing assessment at any time. Although Florscheim testified that she checked on the patient around 6:00 P.M. on May 20, there was no documentation in the medical record.Ms. Farris, an expert in intensive care nursing, testified for the defense. She disagreed with Krebs that there was a breach of the standard of care. However, on cross-examination, she admitted that if a patient was in the type of distress described by Mrs. Ard and no nurse checked on him for 1.25 hours, then that would fall below the expected standard of care.1WHAT IS YOUR VERDICT? (Pozgar 215-216)Pozgar, George D.. Legal Aspects of Health Care Administration, 11th Edition. Jones #038; Bartlett Learning, 2011-01-27.
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