Case Study: Dementia Mrs. Johnson is an 85-year-old female with a history of dementia and agitation. She resides in a long-term care facility and has been experiencing increased episodes of agitation, aggression, and restlessness. Vital Signs: Blood pressure: 150/90 mmHg Heart rate: 100 beats per minute Respiratory rate: 20 breaths per minute
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- Case Study- AntonioStage 1Antonio is a 44-year-old college lecturer with a recent diagnosis of obsessive-compulsive disorder and his main concerns are of his colleagues knowing of this. He manages well at work although he is aware that some of his colleagues may treat him differently and could find his behaviour a little difficult to understand.Antonio is becoming more stressed as he is due to have an Individual performance review (IPR) at work. During this, he may have to disclose his diagnosis to his manager to explain the change in his presentation. Disclosing personal information is not something that he feels comfortable doing.Antonio has generally managed very well at work but displays different behaviour at home. He has become more isolated in the home environment and his obsessive behaviour is causing him to lock himself away in the bathroom or bedroom for many hours in the evening, instead of spending time with his family. Because of his obsessive thoughts and behaviour, he…Case Study 1 Morphine Suspension (1 mg/mL) One of your long-term patients who you have known for many years has progressed to end-stage prostate cancer and been placed on a palliative care program. The currently commercially available morphine liquids he has been using contain a flavouring agent that makes him nauseous. His Physician has requested you compound a morphine liquid for him without flavour as his pain is well controlled on this medication and he does not want to change to another pain reliever. Your pharmacy team and the Physician would like to make his end-of-life process as comfortable as possible. A formulation for a suspension appears to be a good option to try. RX: Morphine liquid 1 mg/mL Sig: Take 1-2 mL q1h prn Mitte: 100 mL Formulation: Morphine HCl 10 mg Glycerol 1 mL Compound Hydroxybenzoate Solution 0.1 mL Purified water to 10 mL Use within 1 month. What special prescription requirements will you need from the doctor? Can he prescribe refills over the…Case Study: Jason is a 52-year-old Asian American male visiting his doctor for a routine exam. He works as a warehouse manager and mentions that his job is very stressful. He also states that he wishes he could be more physically active during the day. Questions: 1. In addition to weight, name 4 other risk factors that increase the likelihood of a person developing cardiovascular disease. Explain.
- Case Study: Jason is a 52-year-old Asian American male visiting his doctor for a routine exam. He works as a warehouse manager and mentions that his job is very stressful. He also states that he wishes he could be more physically active during the day. Questions: 1. In addition to weight, name 4 other risk factors that increase the likelihood of a person developing cardiovascular disease. 2. Provide Jason some specific recommendations for physical activity that are in line with the Physical Activity Guidelines for Americans. Name three health benefits to Jason if he were to meet this recommendation. 3. Jason has heard that the Mediterranean Diet is good for your heart and would like to know more about it. Briefly describe the Mediterranean diet. Name one element or nutrient found in the Mediterranean diet and describe its possible effects on cardiovascular health.When assessing the elderly patient, the nurse keeps in mind that certain nonspecific symptoms may represent hypothyroidism in these patients, such as: a) leukopenia, anemiab) loss of appetite, polyuriac )weight loss, dry coughd )cold intolerance, depressionB. RELATED QUESTIONS:1. Discuss what is COPD and its pathophysiology 2. Discuss the pharmacologic and nonpharmacologic interventions for COPD
- Case Study- Antonio Stage 1 Antonio is a 44-year-old college lecturer with a recent diagnosis of obsessive-compulsive disorder and his main concerns are of his colleagues knowing of this. He manages well at work although he is aware that some of his colleagues may treat him differently and could find his behaviour a little difficult to understand. Antonio is becoming more stressed as he is due to have an Individual performance review (IPR) at work. During this, he may have to disclose his diagnosis to his manager to explain the change in his presentation. Disclosing personal information is not something that he feels comfortable doing. Antonio has generally managed very well at work but displays different behaviour at home. He has become more isolated in the home environment and his obsessive behaviour is causing him to lock himself away in the bathroom or bedroom for many hours in the evening, instead of spending time with his family. Because of his obsessive thoughts and…Case Study 5 – Stroke Ms. Campbell is 84 years old and had a stroke (ischemic) last year. She has thankfully recovered well after some weakness in her left leg and some trouble with her left hand. She has seen both Physical and Occupational Therapists and they have released her for more general conditioning and she wishes to join your facility. Her physician approved the exercise recommendation from the PT/OT department. She continues to take a daily aspirin, and is on a blood pressure medication called Lisonopril daily. She completed a graded exercise test but is still concerned about her weakness, slow gait, and wishes to get back to doing her usual activities of daily living around the house on her own vs. her adult children coming to help so often. Her heart rate = 76 at rest and Blood Pressure = 142/78 What sort of exercise will you focus on for Ms. Campbell? What precautions and considerations will you need to be aware of with her since she had a stroke? Read through the…136. Which outcome would the RN identify for the patient diagnosed with a malignant brain tumor that has a nursing diagnosis of Self-care deficit?Verbalize fear of unknown.Maintain body weight within two pounds of baseline.Develop coping strategies to gain some control.Perform ADLs independently as long as possible.
- Case Study for Diabetes Type 2 - Erin Erin is a 48-year-old Human Resource specialist. Her days are very busy, and she barely has time to eat lunch most days. She has recently been told she has Type 2 diabetes, with confirmation of high fasting values confirmed with an oral glucose tolerance test. Her doctor wants to work with her on her lifestyle modification before prescribing oral medications. She has a BMI of 28.8 and is currently walking her dog about two times per week with no symptoms or problems. She does not push herself very hard as her dog likes to stop and sniff everything. She has clearance from her physician to begin moderate exercise. Please make a FITT plan for her and also state what specific considerations you need to think of prior to her starting. What would you focus on for her specifically in the DIABETES lecture considerations/FITT principle? Her glucose level before your exercise session is 65 mg/dl. She states she did not have time for lunch and is now at…Case Study: A 25-year-old female Marine patient who is 32 weeks pregnant is admitted to your ED with full-blown eclampsia. She is unconscious and there is no family or significant others nearby to ask for consent to treat her. You know, having worked on the OB floor in the past, that the only solution for eclampsia is to deliver the baby when other interventions have failed. The OB on-call is not answering pages and the ED physician has not attempted to get a consultation with another OB physician. Describe how you will proceed in advocating for this patient?respond to a patient who is presented with either taking high blood pressure medication or changing their eating /exercing habits.