What risk factors does John have for risk of opioid withdrawal during this hospitalization? Is there a stigma connected to being disabled and/or methadone?

Healthy People Initiative (graded)

As the school nurse working in a college health clinic, you see
many opportunities to promote health. Maria is a 40-year-old Hispanic woman who
is in her second year of nursing school. She complains of a 14-pound weight
gain since starting school and is afraid of what this will do to both her
appearance and health if the trend continues. After doing her history, you
learn that she is an excellent cook and she and her family love to eat foods
that reflect their Hispanic heritage. She is married with two school-age
children. She is in class a total of 15 hours per week, plus 12 hours of labs
and clinical. She maintains the household essentially by herself and does all
the shopping, cooking, cleaning, and chauffeuring of the children. She states
that she is lucky to get six hours of sleep per night, but that is okay with
her. She lives one hour from campus and commutes each day. Using.healthypeople.gov/”>Healthy People 2020and your text as a guide:

What
additional information would you like to gather from Maria?
What
are Maria’s real and potential health risks?
Why
is Maria’s culture important when obtaining the health assessment?
Pick
one of Maria’s health risks. Would you classify Maria’s problem as
first-level priority, second-level priority, third-level priority, or a
collaborative problem? What would be one reasonable short-term goal for
this risk?
DQ 2

Cultural Bias (graded)

Understanding cultural phenomena is essential to the completion of
an accurate and holistic health assessment. Please review a cultural group from
Table 2-3 (p. 20) from your text and describe the cultural differences
pertinent to that group (you may have to do some additional searching).
Remember, the table may not include all cultural groups. Let’s try to include
all the countries within the groups listed in the discussion, so please do not
choose a group that has already been done. To expedite this, please use the
group name in the title of your post.

Devry NR305 Week 2 Discussion DQ 1 & DQ 2 Latest
2016 March

DQ 1

Pain Assessment: The Fifth Vital
Sign (graded)

John, a 46-year-old African American
male presents for admission to your hospital for hemi colectomy for colon
polyps. He is complaining of chronic back pain. Patient is on disability from
work-related injury. History of two previous back surgeries with relief of
numbness in RLE, but pain has not been relieved. His current medications include
Methadone, Neurontin, and Norco. John states he takes Tylenol PM every night in
addition to his prescribed medications. John is a smoker and smokes 1 PPD. John
confides in you that he is considering a spinal cord stimulator for the chronic
pain.

What risk factors does John have for risk of opioid
withdrawal during this hospitalization?
Is there a stigma connected to being disabled and/or
methadone?
Does the nurse need to be concerned about acetaminophen
use?
What are the differences in acute and chronic pain?
DQ 2

Nutritional Assessment (graded)

Red Yoder is an 80-year-old farmer
who lives alone in the farmhouse where he grew up. It is located 20 miles
outside of town. Red has been a widower for 10 years. Red rarely cooks for
himself and mainly eats packaged or processed foods. His son, Jon, manages the
farm now, but Red is still involved in the decision making. Red’s current
medical problems include insulin-dependent diabetes complicated by an open foot
wound. He also has some incontinence and difficulty sleeping.

Red is awaiting a visit from the
home health nurses. He relates that he has an open wound on his big toe that
developed after walking in a new pair of shoes. When his daughter-in-law, Judy,
saw the wound, she called the family doctor, who suggested a visit by the wound
care nurse, who works with the home health agency. Red agreed as long as his VA
benefits cover the costs. Red is aware that his son and daughter-in-law have
concerns about him living alone, but Red insists that while he needs a little
help from Jon and Judy at times, he is still capable of caring for himself.

·
What are Red’s strengths?

·
What are your concerns for this patient?

·
What is the cause of your concern?

·
What information do you need?

·
What are you going to do about it?

·
What is Red experiencing?

Devry NR305 Week 3 Discussion DQ 1 & DQ 2 Latest
2016 March

DQ 1

General Survey and Health History
(graded)

Casey is a 17-year-old high school
student admitted to the ER with a compound fracture of the left leg obtained
when falling at the local skateboard park while practicing for a national
competition. He has never been hospitalized before. His mother has been
notified and is on her way. The EMTs gave him morphine and he reports his pain
level as “okay.”

What part of the interview and examination can be done
prior to his mother’s arrival?
As you enter the room for the first time, what should
you observe as part of the general survey?
As you complete his history, what areas are especially
important?
What are the important developmental considerations for
Casey?
DQ 2

The Older Adult (graded)

As you recall, our older patient,
Red Yoder, with whom you met in Week 2, is preparing for discharge from the
hospital since his wound required intravenous antibiotics and wound care. Jon
(Red’s son) thinks that Red should move in with him for now, but Red is sure he
is able to care for himself and insists that his confusion was due to the fact
that he did not have his glasses or hearing aids for the last week. You have
identified discharge teaching needs for him. This morning, however, in report
the night nurse has shared “Patient is alert and oriented; vital signs stable.
Fasting blood sugar this morning is 118. Red had his usual night of sleep. He
was up several times to go to the bathroom. Since his catheter was removed
yesterday, he has urgency incontinence. He is able to ambulate to the bathroom,
but he is weak.” You administer his AM medications and note that he has some
difficulty grasping the water cup and needs assistance holding it. Mr. Yoder
states he needs to go to the bathroom and when you assist him up to his feet,
he seems a bit unsteady. He takes several steps and tells you he needs to sit
down.

·
How much, if any, functional decline has occurred while Red was
hospitalized and how will this affect his recovery?

·
What are the risks and benefits of Red living with Jon and Judy?

·
What are the risks or benefits of Red living at home after
discharge? If services are in place, would it be considered a safe discharge?

·
Considering all aspects of aging, what are the best and
appropriate options for Red at this time?

Devry NR305 Week 4 Discussion DQ 1 & DQ 2 Latest
2016 March

DQ 1

Assessment of the Skin (graded)

William Smaile is a 65-year-old man who presents to his general
practitioner’s office with complaint of right forearm swelling, redness, and
pain. He was recently discharged from the hospital where he had been receiving
intravenous antibiotics for a respiratory infection.

Subjective Data

Pain
level is a 5/10 location = right forearm, aching
Retired
foreman at a local industrial plant
Objective Data

Vital
signs: BP 150/68, T 37 degrees Centigrade, P 80, R 16
Swelling
and reddened right forearm, warm to touch
+
pulses, brachial and radial (R)
+2
capillary refill fingers right hand
What
other assessments should be included for this patient?
From
your readings, what is the most probable cause of the swelling?
What
is your nursing diagnosis?
What
would be included in the nursing care plan?
What
interventions might be included in the plan of care for this patient?
DQ 2

Assessment of the Head, Neck, and Regional Lymphatics (graded)

Describe the characteristics of the lymph nodes associated with
the disease states listed below: (Choose one.)

Acute
infection
Chronic
inflammation
Cancer
Devry NR305 Week 5 Discussion DQ 1 & DQ 2 Latest
2016 March

DQ 1

Assessment of the Abdomen (graded)

Kevin Valeri is a 64-year-old man who presents to the
gastroenterologist’s office with constipation and abdominal bloating.

Subjective Data

Pain
level is a 4/10 location = right lower abdomen
Retired
Engineer
States
he has been going to the bathroom with the help of laxatives, but not
having regular movements
Appetite
is decreased, some nausea
PMH:
depression, anxiety, chronic constipation
Objective Data

Vital
signs: T 37 degrees Centigrade, P 64, R 16, BP 124/58
Bowel
sounds hypoactive in all four quadrants
Medications:
Lamictal 200mg daily, Lexapro 10 mg daily
Weight
= 210 lbs, last visit weight = 195
What
other assessments should be included for this patient?
What
questions should the nurse ask with regard to the abdominal pain?
From
the readings, subjective data, and objective data, what is the most
probable cause of the abdominal pain?
What
should be included in the plan of care?
What
interventions should be included in the plan of care for this patient?

PLACE THIS ORDER OR A SIMILAR ORDER AND GET HELP FROM A REGISTERED NURSE:)

Click the button below to order this paper AND ENJOY OUR DISCOUNT.

The post What risk factors does John have for risk of opioid withdrawal during this hospitalization? Is there a stigma connected to being disabled and/or methadone? appeared first on Premium Nursing Papers.

Welcome to originalessaywriters.com, our friendly and experienced essay writers are available 24/7 to complete all your assignments. We offer high-quality academic essays written from scratch to guarantee top grades to all students. All our papers are 100% plagiarism-free and come with a plagiarism report, upon request

Tell Us “Write My Essay for Me” and Relax! You will get an original essay well before your submission deadline.