REPLY 1

The health care profession can experience a difficulty and can become frustrated with the possible reservations of Sister Mary. There are other things to consider with the plan of care and possibility of introducing different care approaches with the results of diagnostic procedures performed on Sister Mary.

An example of a common religious practice discrepancy that you may encounter is that although most Catholics generally don’t support the use of birth control, many Catholics do use contraceptives. Because some Catholic patients use contraceptives, when providing discharge instructions after childbirth or during the first 6-week check-up, you may want to ask if the patient wishes to discuss birth control options.

When providing care for an observant Catholic patient, be aware that birthing techniques, the use of pain management drugs during child birth, breastfeeding, circumcision, and immunizations are all issues that the Catholic Church leaves to the discretion of the parents.

If a patient is N.P.O., get permission from the healthcare provider before the patient is offered communion. The patient may want to keep a crucifix or rosary beads with him or her during surgery or a medical procedure if possible.

Most Catholics believe that if patients perceive that they risk death during a medical procedure, they or their family may request sacraments, last rites, and blessings to be performed by a Catholic priest. Baptism may be requested, especially for an infant who may be dying,

No special preparation of the body is required after death. The Catholic Church endorses burial as opposed to cremation, but no longer forbids the practice. The church requires that cremated remains not be scattered, kept at home, or subdivided into other containers because this would be considered desecration. Burial at sea is permitted if the remains stay in a heavy, sealed container.

Reference:

Falvo, D. (2011) Effective Patient Education: A guide to Increased Adherence. Retrieved from https://viewer.gcu.edu/RQBKXW

REPLY2

Patients come from diverse backgrounds with different cultures, traditions, values, and religious practices. Healthcare professionals require cultural knowledge to meet the social, cultural, and spiritual needs of patients. In the given case scenario, the patient is a Roman Catholic nun. Thus, a healthcare professional working with Sister Mary can show uncertainty due to the religious beliefs and preferences of the patient and need the assistance of practicing Roman Catholic in handling Sister Mary.

The primary concern when working with Sister Mary is religious differences. Healthcare professionals must consider the religious beliefs of the patient and their impact on the care process (Balzer-Riley, 2020). Patients practicing the Roman Catholic religion keep sacred objects, such as a rosary, on them. Sister Mary will need to remove the items when undergoing tests. A healthcare professional with adequate Roman Catholic information will ensure the objects are kept near the patient during testing. One without awareness will keep the religious pieces away from the patient, which might influence the caring process.

Notably, Sister Mary must have a physical assessment. The process will require the inspection of various body parts of the patient. A healthcare professional might be reluctant to evaluate Sister Mary due to perceived barriers, such as modesty and gender differences, to physical testing (Potter, Perry, Stockert, & Hall, 2020). Thus, they will need to ask and receive confirmation from Sister Mary before proceeding with the examination.

Healthcare professionals working with Sister Mary can receive assistance from Roman Catholic colleagues, Sister Mary’s family, and fellow nuns. The team helps the healthcare team understand the religious beliefs and needs of the patient, which is essential in providing patient-focused and culturally competent care (Kersey-Matusiak, 2013). Moreover, they will offer emotional and psychological support to promote the wellbeing of the patient. Therefore, psychosocial support helps the patient feel more comfortable, lessens anxiety, and improves care quality and outcomes.

Balzer-Riley, J. (2020). Communication in nursing (9th ed.). St. Louis, MO: Elsevier.

Kersey-Matusiak, G. (2013). Delivering Culturally Competent Nursing Care, Second Edition. New York, NY: Springer.

Potter, P., Perry, A., Stockert, P., & Hall, A. (2020). Fundamentals of nursing (10th ed.). St. Louis, MO: Elsevier.

 

Community Health Promotion Project

In a Microsoft Word document of 5-6 pages formatted in APA style, you will focus on health promotion for a population of your choosing. Please note that the title and reference pages should not be included in the total page count of your paper.

Include the following in your paper:

• Identify the population you chose and analyze relevant information pertaining to the chosen population.
  • demographics
  • socioeconomics
  • environmental hazards
  • access to healthcare
• Analyze and discuss four mortality and morbidity risk factors for your selected population.
• Suggest a health promotion activity for each health issue identified from your analysis.
• Utilize the textbook and library resources to support your findings and recommendations in relation to your chosen population.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

Submission Details:

• Name your document SU_NSG4074_W4_Project_LastName_FirstInitial.doc.
• Submit it to the Submissions Area by the due date assigned.

GERD

If you can not do it please don’t accept

 

Mrs. B is a 55-year-old, white, female

Source: Self, reliable source

Subjective:

Chief complaint: “I have acid reflux.”   

HPI:  Patient states she has been having burning in her chest over the past 2-3 weeks. It is worse with consumption of spicy foods, alcohol and caffeinated beverages. She denies any nausea, vomiting, abdominal pain, blood in stools, food getting caught in throat or painful swallowing. She denies any chills or fever. She states she has been more stressed at work, which seemed to coincide with the onset of her symptoms. She has been taking Tums, which helps “a little.”

Allergies: NKA

Current Mediations:

Ferrous sulfate, 325 mg, daily

Clopidogrel, 75 mg, daily

Aspirin, 81 mg, daily

Ramipril, 5 mg, daily

Rosuvastatin, 20 mg, daily

Oxybutynin, 3.9 mg/24 patch

Fluoxetine, 10 mg, daily

Ibandronate, 150 mg, monthly

Tums, PRN                                                                                                                

Pertinent History: Iron deficiency anemia, STEMI (two months ago), hypertension, hyperlipidemia, urge incontinence, depression, osteoporosis

Health Maintenance. Immunizations: Immunizations and pertinent screening up-to-date

Family History:

            Father – Myocardial infarction (deceased age 52)

            Mother – Atrial fibrillation (deceased age 79)

Social History: Patient lives with her husband. She smokes 1ppd (40 pack year history). She drinks a glass of wine each evening with dinner. She denies drug use.

ROS: Incorporated into HPI

Objective:

VS – BP: 145/92, HR: 86, RR: 16, Temp 97.6, oxygenation 96%, weight: 240 lbs, height: 54 inches.

Mrs. B is alert, awake, oriented x 3.  Patient is clean and dressed appropriate for age.

ENT: The tympanic membranes are pearly gray. The nasal mucosa is pink with no discharge. The oropharynx is pink with no tonsillar erythema or exudate. There is no evidence of abnormal masses or leukoplakia. No cervical lymphadenopathy

Cardiac: No cardiomegaly or thrills; regular rate and rhythm, no murmur or gallop. No peripheral edema or jugular vein distention

Respiratory: Clear to auscultation, but decreased breath sounds

Abdomen: Bowel sounds positive. Soft, nontender, nondistended, no hepatomegaly      

ECG: Sinus rhythm

CBC: Hematocrit and hemoglobin within normal range

H pylori breath test: Negative    

Assessment:

Diagnosis: Gastro-esophageal reflux, ICD-10: K21.9

Please answer the following:

1. What is your prescribed treatment plan (include specific dosage, frequency)? Why did you choose this treatment plan? In your answer, please describe, briefly, the pharmacodynamics (1 point) and pharmacokinetics (1 point) of your treatment choice and how they influenced your choice. Please describe how the patient comorbidities influenced your choice as well (1 point).  Are there any medical interactions to your choice (1 point)? 
2. Document the education you would provide for this patient, specific to the prescribed medication. Please include information pertinent to the patient (2 points) and common potential adverse effects (2 points).

 

After reading chapters 13 and 14, answer the following questions: 

1.      Describe at least three possible reasons that reimbursement is provided for medical procedures for pain relief rather than for comforting strategies that nurses could provide.

2.     Describe two safety risks that could result from the following health problems: hypertension, arthritis, right-sided weakness, and Alzheimer’s disease.

Discussion Protocol

1.   Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

2.   All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009, ISBN: 978-1-4338-0561-5

3.   Minimum of two references, not older than 2015.

****IM WORKING ON PART 1 WHICH IS AN INFOGRAPHIC BUT HAVE AN EMERGENCY AND UNABLE TO FINISH PART 2/ESSAY PORTION********

Essay: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

******TOPIC: The Benefits of the Flu Vaccine on the Elderly*******

****one reference that can be used is listed below.*****

Leung, Ka Chun, Mui, C., Chiu, W.Y., Ng, Yuk Yiu, Chen, M., Kwok, C., Lam, S., Wong, C., & 

Wong, K. (2017). Impact of patient education on influenza vaccine uptake among community-dwelling elderly: a randomized controlled trial. Health Education Research, Vol.32. Issue 5. Pages 455-464. https://doi.org/10.1093/her.cyx053