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Sue is a 22-year-old female who is a second-year student nurse and lives in a share house independently. She moved from interstate two years ago to begin her Nursing degree. Sue has no other conditions and does not take any medications. Sue has a good network of friends who she catches up with on a regular basis. Sue works in a restaurant four nights a week and is a full-time university student. Her irregular working hours and university study load means that she often does not get adequate sleep from Thursday to Monday. Often, Sue eats on the go or skips meals in between her busy daily activities.
Day 1: Sue starts to notice that she is feeling run down and lethargic. She notices she has an infected toenail, and she is feeling very thirsty all the time and starts to drink more water.
Day 2: Sue starts drinking more and more water to try to combat her thirst. She is also starting to urinate frequently throughout the day and overnight. Sue is frequently reaching for the lolly jar to satisfy some sweet cravings. She is so exhausted that she calls in sick to work because of her lethargy and her infected toenail. She makes a doctor’s appointment to get a certificate and while she is there, the doctor assesses her BGL which is 19mmol/L. Her GP completes a set of vital signs: HR 124bpm, BP 98/56, RR 26, SpO2 100%, temp 37.2. Her GP instructs her to go to her local emergency department.
Sue weighs 62 kgs.
You are assigned to care for Sue. It is 11.45am and Sue is about to have lunch.
Question Consider the patient situation: Describe/list the facts/context/summary of scenario
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- Sue is a 24-year-old female who is a second-year student nurse and lives in a share house independently. She moved from interstate two years ago to begin her Nursing degree. Sue has no other conditions and does not take any medications. Sue has a good network of friends who she catches up with on a regular basis. Sue works in a restaurant four nights a week and is a full-time university student. Her irregular working hours and university study load means that she often does not get adequate sleep from Thursday to Monday. Often, Sue eats on the go or skips meals in between her busy daily activities. Day 1: Sue starts to notice that she is feeling run down and lethargic. She notices the beginning of an infected toenail and is feeling very thirsty all the time and starts to drink more water. Day 2: Sue starts drinking more and more water to try to combat her thirst. She is also starting to urinate frequently throughout the day and overnight. Sue is frequently reaching for the…Sue is a 22-year-old female who is a second-year student nurse and lives in a share house independently. She moved from interstate two years ago to begin her Nursing degree. Sue has no other conditions and does not take any medications. Sue has a good network of friends who she catches up with on a regular basis. Sue works in a restaurant four nights a week and is a full-time university student. Her irregular working hours and university study load means that she often does not get adequate sleep from Thursday to Monday. Often, Sue eats on the go or skips meals in between her busy daily activities. Day 1: Sue starts to notice that she is feeling run down and lethargic. She notices she has an infected toenail, and she is feeling very thirsty all the time and starts to drink more water. Day 2: Sue starts drinking more and more water to try to combat her thirst. She is also starting to urinate frequently throughout the day and overnight. Sue is frequently reaching for the lolly jar…Sue is a 22-year-old female who is a second-year student nurse and lives in a share house independently. She moved from interstate two years ago to begin her Nursing degree. Sue has no other conditions and does not take any medications. Sue has a good network of friends who she catches up with on a regular basis. Sue works in a restaurant four nights a week and is a full-time university student. Her irregular working hours and university study load means that she often does not get adequate sleep from Thursday to Monday. Often, Sue eats on the go or skips meals in between her busy daily activities. Day 1: Sue starts to notice that she is feeling run down and lethargic. She notices she has an infected toenail, and she is feeling very thirsty all the time and starts to drink more water. Day 2: Sue starts drinking more and more water to try to combat her thirst. She is also starting to urinate frequently throughout the day and overnight. Sue is frequently reaching for the lolly jar…
- Sue is a 22-year-old female who is a second-year student nurse and lives in a share house independently. She moved from interstate two years ago to begin her Nursing degree. Sue has no other conditions and does not take any medications. Sue has a good network of friends who she catches up with on a regular basis. Sue works in a restaurant four nights a week and is a full-time university student. Her irregular working hours and university study load means that she often does not get adequate sleep from Thursday to Monday. Often, Sue eats on the go or skips meals in between her busy daily activities. Day 1: Sue starts to notice that she is feeling run down and lethargic. She notices she has an infected toenail, and she is feeling very thirsty all the time and starts to drink more water. Day 2: Sue starts drinking more and more water to try to combat her thirst. She is also starting to urinate frequently throughout the day and overnight. Sue is frequently reaching for the lolly jar…Mary is a resident in a refuge for women and children. Her husband has threatened her life and the life of her son and she has been granted a violence restraining order. Her 10-year-old son, Frederick, is very angry about being separated from his father. Frederick approaches Beryl, a new part time refuge worker. He confides in her how much he misses his father and how desperately he wants to see him, or even just talk to him. He persuades Beryl to let him use the phone in the office to contact his father. Beryl agrees as long as she remains in the office with him. Frederick blurts out the address of the refuge before Beryl can stop him. She realises she will be in trouble from her supervisor, so she doesn’t say anything to her. Later that night Jason, Frederick’s father, arrives at the refuge and attempts to break in. When Jason is questioned by the police, he tells them that Beryl let Frederick call him and tell him the address. Beryl faces a severe reprimand from her supervisor.…Michael is an 84-year-old male client who has diabetes and high blood pressure. He is retired and lives by himself in his two-story home. He no longer drives. His only source of income is his monthly social security check. During your visit with Michael, he tells you, "I run out of money toward the end of the month, and it's hard for me to get around. I am trying to do the best I can". As a Community Health Worker, what concerns do you have? How might you provide assistance to Michael?
- Sally Ann is a medical assistant at the local clinic. She has been employed by the clinic for 3 years. She attends annual trainings and participates in required continuing education units yearly as required by her certification. Sally Ann has been partying hard all week because she is turning 21 years old. On the Monday after arriving at work, she sees on the schedule she will be working in the lab. She puts her personal items away and goes directly to the lab where Ms. Austin has been waiting to have her blood drawn. Sally Ann places the tourniquet on the patient to palpate for the vein. She feels a good basilic and median vein. She picks the basilic. Ms. Austin tells Sally Ann she prefers the other arm, which usually is great for blood draws. Sally Ann tells Ms. Austin the vein she found is fine and proceeds. Sally Ann turns around to get an alcohol swab to wipe the area but doesn’t find one. She tells Ms. Austin she will be right back because the lab wasn’t stocked up. When Sally…Michael is an 80 year-old male client who has diabetes and high blood pressure. He is retired and lives by himself in his two-story home. He no longer drives. His only source of income is his monthly social security check. During your visit with Henry, he tells you, "I run out of money toward the end of the month, and it's hard for me to get around. I am trying to do the best I can". As a Community Health Worker, what concerns do you have? How might you provide assistance to Michael?You are a nurse caring for a 42-year-old mechanic who is hospitalized for a gangrenous wound on his foot. His history includes unmanaged diabetes, smoking (20 pack-years), and hypertension. He denies alcohol use. He supports himself with full-time work. Socially, he belongs to a motorcycle club and enjoys riding whenever his work schedule allows. When asked how he would rate his overall health, he reports, “I may not have much money, but I’ve got my health!” What strategies could you propose to the patient to promote health and prevent illness? What factors can be useful in predicting a patient’s use of health-related behaviors?
- Sally Ann is a medical assistant at the local clinic. She has been employed by the clinic for 3 years. She attends annual trainings and participates in required continuing education units yearly as required by her certification. Sally Ann has been partying hard all week because she is turning 21 years old. On the Monday after arriving at work, she sees on the schedule she will be working in the lab. She puts her personal items away and goes directly to the lab where Ms. Austin has been waiting to have her blood drawn. Sally Ann places the tourniquet on the patient to palpate for the vein. She feels a good basilic and median vein. She picks the basilic. Ms. Austin tells Sally Ann she prefers the other arm, which usually is great for blood draws. Sally Ann tells Ms. Austin the vein she found is fine and proceeds. Sally Ann turns around to get an alcohol swab to wipe the area but doesn’t find one. She tells Ms. Austin she will be right back because the lab wasn’t stocked up. When Sally…You are working as a licensed practical nurse in a small urgent care center. You love the work. The physicians are excellent, and you have the opportunity to work with a variety of patients. You have become good friends with your coworkers and enjoy an especially close relationship with the administrative medical assistant, Amy. One day you observe Amy removing medication from the drug cabinet. You find this to be unusual because the administrative staff do not normally work with medications. While performing a routine inventory check later that day, you discover a shortage of a drug that is classified as a controlled substance. Explain what you would do in this situation.Gene Peterson works at Peaceful Retirement, a local skilled nursing facility, as a nursing assistant. He has always enjoyed work- ing with the elderly population. He finds their wisdom, compassion, and humor very comforting. Prior to going to work, Gene has developed a routine of stopping to visit his grandfather and is just leaving for his visit when his mother calls to tell him his grandfather has been admitted to the hospital with tuberculosis. Gene is very concerned because he knew his grandfather had not been feeling well lately, but had no idea he was that ill. Using the five-step problem-solving process, determine what steps Gene should take next. abesdiezp