Case Study:

Mrs. Adams, a 68-year-old widow who was referred to case management upon discharge from the hospital based on her physician’s recommendation that she is not able to care for herself independently. Her diagnosis is diabetes, hypertension, and breast cancer. She is 5 days’ post-op from a right sided mastectomy. Mrs. Adams apartment is located in a low income area of the city where crime is prevalent. Upon assessment by the Community Health Nurse, Mrs. Adams apartment was in disorder with minimal airflow or light. Her cloths appeared unchanged and she had no food in the apartment. The small apartment also housed 3 cats and a small dog who Mrs. Adams considers family since the death of her husband 1 year ago. Mrs. Adams complains of pain and draining from her surgical site and a broken air conditioner.

• Using Nightingales Environmental Theory, what actions would the nurse take upon the first assessment? What are the five essential components?
• What would be an appropriate plan of care be for Mrs. Adams? How would you prioritize the care plan?
• Apply Nightingale’s Environmental Theory to an area of your nursing practice? What patient population would benefit from this approach? Support this practice change with at least one evidenced-based article.

The assignment should be completed in APA format, as an essay of between 1000 and 1500 words. The paper should include at least 3 outside references and the textbook. The paper should be in APA format with a title page, level headings, and reference page.

Provide a summary of Gonorrhea to include; background information about the disease, local statistics in Maryland Charles County, signs and symptoms, side effects of medication, Treatments, Follow-Up Care, Long-term health outcomes and Psychosocial

Provide two evidence based action plans that is measurable and could be implemented in the community to decrease the incidence of Gonorrhea.

Discuss at least one opposition or barrier they may come across with each proposed action plan. 

Each action plan must include an evidence based in-text citation 

You are admitting a 19-year old female college student to the hospital for fevers.  Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. Discuss the health care support systems available in your community for someone of this culture. If no support systems are available in your community, identify a national resource.

Question 1

Watch at least 60 minutes of TV, focusing on the depiction of older adults. Analyze and discuss TV programming in the context of at least two of the following:

• Portrayal of elderly characters
• Intergenerational themes
• Conflict in relation to the older population
• Aging stereotypes or myths
• Cultural diversity in relation to quality of care

your answer

The Portrayal of Elderly Characters

On television, today, if a character goes crazy, makes extravagant comments to a person of the opposite sex or is intrigued by fundamental things, this character will probably have silver hair. In one way or another, the divine beings of television have chosen disgusting, inappropriate or idiotic actors for old characters. Or again, all three. See, for example, what they did with poor Margo Martindale, an award-winning Emmy artist named Tony. Currently plays the mother of the character of Will Arnett in the parody of CBS “The Millers.” A complete secondary plot at the beginning of the settlement was worked around his belly, explicitly gas. In this equivalent scene, Beau Bridges, another Emmy champion who plays his other important role, is not apt to use a wireless phone properly (The Millers First Look, 2013).

Intergenerational Themes

Located on a sugarcane ranch in Louisiana, Ava DuVernay’s Queen’s Sugar is a multigenerational epic drama that American television has never been able to organize. The fact that it takes into account so many elements in its reports, including class and intergenerational conflicts, dynamic and distant prejudices, government laws and directives and even the effect of the atmosphere and financial changes, is much more than subtle friction of agreements. Televisions are full of convincing and beautiful characters on the screen, who are also the main characters are Charley Bordelon (Dawn-Lyen Gardner), a rich woman who leaves Los Angeles with her teenage son to make another life; Nova Bordelon (Rutina Wesley), writer and extremist of New Orleans; and his brother Ralph Angel (Kofi Siriboe), a single father with a proven track record in the world of work, who is trying to raise a child abandoned by a crazy drug mother. Nothing in the program moves as one would expect, and the emphasis on aerial and forced visual narration (with the confidence of female leaders) separates it further from other families at different times (Queen Sugar, 2016).

professor question to post:

   How representative of elderly people do you believe this TV show really is? 

 In 1 paragraph, answer questions below:

An independent orthopedic clinic is considering expanding by opening a small surgery center instead of renting space in a local hospital. They ask their financial department (you) for methods of calculating whether or not they should consider the project. They are unfamiliar with the methods and just want an understanding of how they work.

Choose the capital investment decision method (Payback, Net Present Value, or Internal Rate of Return) that you think would work the best for this situation. How would you describe the method so that the doctors can understand the way it works? What outcome would they need to achieve in order to go ahead with the project?

It was then decided that a new imaging machine needed to be purchased as part of the project. What financial and other factors do you think they need to consider when making a decision?