This assignment started and was discussed in class in small groups. Based on the clinical case provided in class, develop a teaching/coaching plan that includes the following information. The submission is an individual assignment. You may use any books or ot

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This assignment started and was discussed in class in small groups. Based on the
clinical case provided in class, develop a teaching/coaching plan that includes the
following information. The submission is an individual assignment. You may
use any books or other resources or references to complete this assignment. Use
APA Editorial Format for all citations and references.

  1. List the goal for this teaching/coaching plan
  2. Describe three teaching resources
  3. Identify the teaching strategies that can be used
  4. List the specific instructions that may be needed regarding her medication and what adverse reactions to be aware of/and what to do
  5. Identify two factors that may negatively influence adherence to the medication and how they can be overcome
  6. Describe how to include the family
  7. Provide information on how and when she should seek support and help

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       Carmelita Gomez, age 8, is brought to the Children’s Clinic by her mother because she is nauseated and has vomited three times in the past 24 hours. Her urine has turned “tea colored”. Carmelita is lethargic and she is complaining of diffuse abdominal pain.

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Tea-Colored Urine

 

Case Scenario:

Carmelita Gomez, age 8, is brought to the Children’s Clinic by her mother because she is nauseated and has vomited three times in the past 24 hours. Her urine has turned “tea colored”. Carmelita is lethargic and she is complaining of diffuse abdominal pain. Ten days ago she had a sore throat and fever and stayed home from school for two days. She was not seen by a health care provider at that time. Upon questioning, Carmelita cannot remember needing to urinate in the past 12 hours. On exam, Carmelita is irritable and listless. She has slight periorbital edema. Carmelita has active bowel sounds with no palpable abdominal masses, but she is tender in all four quadrants. Carmelita is given a presumptive diagnosis of poststreptococcal glomerulonephritis (PSGN), pending laboratory tests.

Her laboratory values are:

Serum creatinine: 2.3 mg/dL

BUN 26.1 mg/dL

Serum sodium: 142 mEq/L

Potassium 4.2mEq

Specific gravity 1.025

Phosphorous: 6.3 mEq/dL

Calcium: 7 mEq/dL

UA: hematuria 4+, red cell casts

Antistreptococcal antibody titre: 800U

POINTS TO PONDER:

  1. Which lab values are abnormal?
  2. What clinical manifestations      correspond to the abnormal values?
  3. Describe the changes      (pathophysiology) in the body causing each abnormal value and link the      value to a clinical manifestation present in the patient?
  4. Which values are within normal      limits?
  5. What nursing care needs to be      implemented?
  6. Provide one nursing      diagnosis appropriate to this patient.

Reading

  1. Urinalysis p.1146 (Leeuwen, pg.      546-552)
  2. Culture p.230
  3. Kidney      stone analysis p.696 (Leeuwen, pg. 61,265,426,444)

 

Case    Study Rubric

 

Criteria

 

Abnormal Values

What do the labs indicate specific to   this patient

 

values and signs and   symptoms

The relationship between the abnormal   Signs & Symptoms and lab values is clearly demonstrated. **Must be   specific**

 

Pathophysiology used to demonstrate connections between lab results, manifestations and disease process.

 

Expected care to be given for exhibited   s/s and lab values. Expected correction of lab values based on care given.   Patient education to prevent recurrence of abnormal lab values.

 

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Examine Case Study: A Caucasian Man With Hip Pain. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

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Examine Case Study: A Caucasian Man With Hip Pain. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

Decision #1
Which decision did you select?
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
Decision #2
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
Decision #3
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and communication with clients.

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You are caring for a patient with c-diff as part of your workload assignment. Discuss what c-diff is and how it is transmitted (how you can get it)?

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Your written assignment for this module should be a 1-2 page paper (not including title page and reference page) that describes the following:

  • You are caring for a patient with c-diff as part of your workload assignment. Discuss what c-diff is and how it is transmitted (how you can get it)?
  • What actions will you take as a nurse to protect yourself and the other patients on the unit when taking care of your patient?

Module 07- C-Diff

Scoring Rubric:

Criteria

Points

You are caring for a patient with c-diff as part of your workload assignment. Discuss what c-diff is and how it is transmitted (how you can get it)?

4

What actions will you take as a nurse to protect yourself and the other patients on the unit when taking care of your patient?

4

Grammar, APA and Organization

2

Total

10

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