Make a Nursing Care Plan using this scenario. John is a 38-year old architect. He is still single and enjoying hisbachelor's Tife. He is a nonsmoker but drinks alcohol – "očcásionallytwo to three drinks." Later he says he has drunk this amount almośtdaily for the past 10 years. Since his appendectomy around 13 yearsago, he has not had ány medical examination. "the past few monthshave been stressful at work and my eating habits have been irregular.Sometimes I have occasional nausea and vomiting." This has advancedfrom being a mild epigastric upset to constant midepigastric painradiating to the back. This pain at first was relieved by painmedications, but "now it is not relieved by anything, although I realizedsitting forward helps me to relaxa little bit while waiting in the doctor'sclinic for my turn." The clinic desk clerk described that John enteredthe doctor's clinic walking bent forward with his hands holding hisepigastric area. During examination, he reported severe pain (9/10)with abdominal guarding and with purplish discoloration of theumbilical area. His respirations are shallow'with rate of 26 breaths perminute. Heart rate was 110 beats/minute with a BP 120/80 mmHq. 'Hewas diagnosed with acute pancreatitis.JIGNICOLAS

A Nursing Care Plan includes assessment, diagnosis , planning, implementation & evaluation. A…

Answered: I5 still single I5 a 38-year old…

Nutrition Through The Life Cycle

7th Edition

ISBN:9781337919333

Author:Brown, Judith E.

Publisher:Brown, Judith E.

Chapter19: Nutrition And Older Adults - Conditions And Interventions

Section: Chapter Questions

Problem 1.3CS

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Your daughter is leaving for college in the fall. Recently, there has been disturbing news about the excessive drinking on college campuses and even a report about the death of one student who had been drinking excessively at the college your daughter is planning to attend. Form a group of four or five people. Each group has an imaginary daughter who is leaving for college. Each member of the group will choose one of the topics listed below' and prepare a short (one-minute) speech that attempts to educate your daughter on the dangers of excessive drinking. To facilitate the speakers delivery, a group member takes on the role of "daughter," rotating the role with each speaker. Be sure to emphasize facts as much as possible with your argument. Explain the physiology of the hangover, including dehydration, formaldehyde, and methanol. Discuss the role of alcohol in weight gain. Describe alcohols effect on vitamins. Describe the effect of alcohol on the heart and brain. Describe alcohol's effect on the liver and other organs.
J.C. is a 52-year-old man with a history of chronic heavy alcohol use. He has frequent bouts of gastrointestinal bleeding for which he has been hospitalized on six separate occasions over the years. He continues to drink and exhibits most of the common manifestations of alcoholic cirrhosis. He was recently hit by a car and was hospitalized for a broken leg. He appeared to be under the influence of alcohol at the time of the accident and had a blood alcohol level of 0.18. What is the probable cause of F.C.’s progressive mental deterioration? How might his mental deterioration be medically managed? ( Explain the probable cause of the mental deterioration and list at least 3 ways this cause can be medically managed.) How does alcoholic cirrhosis differ from biliary cirrhosis? What occurs in the two types of biliary cirrhosis? (Explain how alcoholic cirrhosis differs from biliary cirrhosis. List the 2 types of biliary cirrhosis and explain the pathophysiology of each type.)
J.C. is a 52-year-old man with a history of chronic heavy alcohol use. He has frequent bouts of gastrointestinal bleeding for which he has been hospitalized on six separate occasions over the years. He continues to drink and exhibits most of the common manifestations of alcoholic cirrhosis. He was recently hit by a car and was hospitalized for a broken leg. He appeared to be under the influence of alcohol at the time of the accident and had a blood alcohol level of 0.18. What are the common manifestations of alcoholic cirrhosis? Which of these are secondary to hepatocellular failure? Which are secondary to portal hypertension? (List at least 6 manifestations of alcoholic cirrhosis and discuss which of those manifestations are secondary to hepatocellular failure and which are secondary to portal hypertension.) Why is J.C. at particular risk for GI bleeding? (List at least 3 reasons for an elevated risk of GI bleeding.)
Vincent Miller, a 62-year-old accountant, has had a "drinking problem" throughout most of his adult life. He drinks about a half-case of beer each day. He has lost several jobs over the years for drinking at the workplace or showing up for work drunk. He lost his driver's license for drunk-driving, and his drinking has placed a considerable strain on his marriage. He has tried several self-help programs as well as Alcoholic's Anonymous, all with little success. He has been hospitalized on several occasions over the years. Vincent has a severe tremor in his hands (probably a result of excessive alcohol intake), which makes it very difficult for him to use a spoon, fork, and knife to eat. It's your first day on the job as an occupational therapist, and you are consulted by his physician to see if there is any way to help Vincent use eating utensils. Not knowing anything about him, you open up his past medical records, which, incidentally, are quite thick. First Hospitalization: You note…
: Vincent Miller, a 62-year-old accountant, has had a "drinking problem" throughout most of his adult life. He drinks about a half-case of beer each day. He has lost several jobs over the years for drinking at the workplace or showing up for work drunk. He lost his driver's license for drunk-driving, and his drinking has placed a considerable strain on his marriage. He has tried several self-help programs as well as Alcoholic's Anonymous, all with little success. He has been hospitalized on several occasions over the years. Vincent has a severe tremor in his hands (probably a result of excessive alcohol intake), which makes it very difficult for him to use a spoon, fork, and knife to eat. It's your first day on the job as an occupational therapist, and you are consulted by his physician to see if there is any way to help Vincent use eating utensils. Not knowing anything about him, you open up his past medical records, which, incidentally, are quite thick. First Hospitalization: You…
What is alcohol use disorder? Mention the symptoms and treatment that can be given? Don't copy from Google
Paul is a 57-year-old man who has a family history of diabetes, he has been diagnosed with depression in the last 3 years for the first time in his life. Paul has been drinking alcohol more than usual and sleeping excessively after recently separating from his partner. He has been withdrawn from friends and family over the last few months noting that he has little motivation to do anything or energy / interest. a. Explain your understanding of type 1 and 2 diabetes. b. Explain how Pauls mental health and physical health / family history may be important to consider and the impact on his wellbeing. c. What interventions would you suggest (please provide a rationale)?
When ingesting glucocorticoids twice daily how is the daily dose divided between the ingestions?A. Half in the morning, half in the eveningB. Two thirds in the morning, one third in the eveningC. One third in the morning, two thirds in the eveningD. Half in the morning, half in the afternoonE. One third in the afternoon, two thirds in the evening
A.S , 50 y.o male, presents to her family physician with a 3 month history of back painHISTORYPMH : Patient states that she has enjoyed excellent healthMother and brother have been diagnosed with Type 2 Diabetes MellitusFamily history negative for heart disease / hypertensionOn Metformin (decreases hepatic glucose productionSocial History : Married with three children - ages 20, 15, and 10, driver, denies smoking or use of drugs . Inactive lifestyleDiet History:Estimate energy intake of approximately 2800 kcal/day with approximately 1400 kcal from carbohydrates .Patient states that he consumes sandwich with sweetened pop (24 oz)-as Dinner, ice cream and chocolate candy dailyANTHROPOMETRICSHeight 5’9’’Current Weight 225 #Usual weight 200 # ( for the past five years )Lowest adult weight was 170 pounds at the age of 25Waist Circumference 54 inchesPHYSICAL EXAMINATIONBlood Pressure 130/85 mm HgReview of systems normalLABORATORY VALUES…
A 35 year old individual is drinking from a gallon water bottle. They feel dizzy upon standing and tend to complain of frequent urination and thirst. They can't take trips becuase they may be too far from a bathroom. They frequently get up at night to urinate. Polyuria with excessive drinking is called: a.) hypocortisol b.) hypogonad c.) diabetes d.) hypothyroid
Edna is a 42-year-old mother of two girls. She has been feeling very sluggish lately and finds it hard to get out of bed in the morning, even after a full night’s sleep. She is fatigued throughout the day and has to compensate with a lot of caffeine. She’s gained about 5 pounds this month, but attributes that to all the workouts she’s been skipping lately. Her partner keeps noticing and mentioning how cold Edna’s hands are, even though it is the middle of summer. Edna sees her doctor to find out what is wrong. Her physician takes her vital signs before doing further testing. Here are her results: BP 124/74, Pulse 52, Temperature 98.2 F, Height 5’8”, and Weight 178 pounds. If Edna’s condition goes untreated, she may experience more severe symptoms. List 3 symptoms (other than those given in her history) that often accompany untreated hypothyroidism.
Edna is a 42-year-old mother of two girls. She has been feeling very sluggish lately and finds it hard to get out of bed in the morning, even after a full night’s sleep. She is fatigued throughout the day and has to compensate with a lot of caffeine. She’s gained about 5 pounds this month, but attributes that to all the workouts she’s been skipping lately. Her partner keeps noticing and mentioning how cold Edna’s hands are, even though it is the middle of summer. Edna sees her doctor to find out what is wrong. Her physician takes her vital signs before doing further testing. Here are her results: BP 124/74, Pulse 52, Temperature 98.2 F, Height 5’8”, and Weight 178 pounds.Why would Edna’s doctor inquire about her iodine intake? (Explain why iodine is pertinent in this case and how it affects the thyroid.)

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