Evaluation and critical thinking

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It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

Height: 68 inches; weight 134.5 kg
BP: 172/98, HR 88, RR 26
3+ pitting edema bilateral feet and ankles
Fasting blood glucose: 146 mg/dL
Total cholesterol: 250 mg/dL
Triglycerides: 312 mg/dL
HDL: 30 mg/dL
Serum creatinine 1.8 mg/dL
BUN 32 mg/dl
Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

Describe the clinical manifestations present in Mr. C.
Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

Sample Solution

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Reflection on Culturally Competent Family and Group Work

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Review the rubric to make sure you understand the criteria for earning your grade.
In your textbook, Social Work Skills with Groups: Comprehensive Practice and Self Care, read Chapter 7, “Working with Diverse Groups.”
Watch the TEDx talk by Michael Gavin, “Why Cultural Diversity Matters.”

Reflect on your responses to the 2.2 Assignment.
Make an initial post by the fourth day of the workshop that responds to the following prompts.
Identify at least one client population that you hope to work with in your future social work practice. What cultural considerations do you anticipate needing to make as you work with that client population, particularly in families and groups?
How will you learn more about your clients’ cultural identities? Give specific examples of ways that you can learn about their culture.
How will the culture of your client population impact your work?

Sample Solution

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Impact of Lehman Brother’s bankruptcy in 2007

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Conduct a detailed analysis of the impact of the 2007 financial crisis in international business regarding the bankruptcy of Lehmann Brothers.
Research what Lehman Brothers did up and their impact until 2017. Compare and contrast the international impact after their bankruptcy in 2007. Research the financial impact not only in the US but internationally. There can be an insight into how the company adjusted during the crisis and why the ultimately were unable to operate due to business choices.

Sample Solution

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Audit

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Use a tracer methodology to track a patient’s care in order to evaluate the healthcare organization’s systems of providing care and services for a readiness audit. This methodology also makes it possible to assess the healthcare organization’s compliance with Joint Commission standards. This is part of the organization’s compliance with delivering safe, quality healthcare.

You will examine data for a patient that is found in the attached “Accreditation Audit Case Study – Task 3 Artifacts” and find any trends, patterns, and problems. Once these have been identified, you can remediate the concerns.

A. Review the tracer patient information from the attached Accreditation Audit Case Study – Task 3 Artifacts and do the following:

  1. Discuss an outstanding patient care issue for the organization made evident by the tracer patient.
  2. Develop a corrective action plan to address the patient care improvement needs for the organization using a keyword search in the Joint Commission electronic manual.

Sample Solution

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