- Your patient who was admitted with melaena and is currently only taking fluids has returned from the bathroom feeling dizzy and short of breath. What will your actions be?
Explain your answer in detail including your assessment, hypotheses and rationales for actions. (500 words)
Detailed description in logical order of the assessment factors considered in the immediate management of the chosen scenario
Comprehensive consideration of the range of likely hypotheses related to the chosen scenario and assessment processes
Complete description of optimal interventions and rationales for same associated with the assessment, hypotheses and immediate management of chosen scenario
After morning handover of your 4 patients you have reviewed the charts and have entered the room to greet your patients. It is 0730 and breakfast is usually delivered at 0740. Before you can introduce yourself, the following demands on your time occur concurrently:
Patient 1 Mrs Peterson is asking for help to the ensuite to use her bowels. You know Mrs Peterson had a stroke 2 weeks ago and has a moderate left hemiplegia and needs assistance to move. She is classified as a high falls risk.
Patient 2 Mrs Walters is going to theatre at 0800 and is not yet ready
Patient 3 Mr Young is nil by mouth and has IV therapy running at 167mls per hour. The infusion pump alarm is sounding and the IV flask appears to be close to empty, Mr Young is also complaining of pain.
Patient 4 Mr Stavropoulous has been admitted for acute asthma. He is due for ventlin and prednisolone at 0800. His BGL at 0700 was 4.6mmol/l.
The ANUM is searching for Mrs Walters pre-operative checklist and want to know if you have seen it.
In what order would you address these requests? Describe your rationale for each decision.(500 words)
Detailed account of the correct priority order in which each of the nominated tasks would be addressed related to the rationales
Comprehensive rationale for the priority order chosen for each of the nominated tasks drawing on evidence for best practice appropriately cited and referenced
- A colleague is handing over her patients to you at 0715 and you are reviewing the medication chart. The patient has a past history of aortic valve replacement 2 years ago and is on warfarin. She also has arthritis and will require an arthroscopy later this week. She is due to start Clexane today to replace the warfarin pre-op. You note that she has been given ibuprofen and aspirin overnight for pain as nurse initiated medication. You think that NSAID’s and Aspirin are contraindicated for patients on warfarin. How will you manage this situation? Your colleague will be going home after handover.
Describe in detail your response to your chosen scenario drawing upon your knowledge and research of professional regulations and requirements, professional behaviour, conflict resolution techniques, education and provision of feedback. (700 words)
Comprehensive description of the management of the set problem with reference to professional regulations, professional standards, conflict resolution strategies and provision of appropriate feedback or evaluation
"Government's perspective on the economy could be summed up in a couple of short expressions: If it moves, charge it. On the off chance that it continues moving, direct it. Also, on the off chance that it quits moving, sponsor it." – Ronald Reagan (Powell). Change regards the point where it enables us to develop in the economy as a country joined as one. Throughout the years the economy has been becoming because of savvy decisions and change in past approaches. Loan costs have gone down, unnecessary guidelines have been squashed, and the economy was determined to a development way that has made a great many employments in a brief span length. President Obama focused on significant worries in the economy and in 2009 made the American Recovery and Reinvestment Act (ARRA) to determine those issues. For example a portion of the fundamental focal points of this demonstration was to safeguard and make occupations and advance monetary recuperation just as to help those most affected by the retreat, put resources into transportation, natural security, and other foundation that would give long haul financial advantages, settle State and nearby government spending plans, so as to limit and keep away from decreases in basic administrations and counterproductive state and neighborhood charge expands (Wikipedia). There were clear triumphs and downsides that would leave this approach. Amid the time "scoop prepared" ventures were exceptionally applauded because of their short and quick achievement, the ARRA utilized the all questionable "Purchase American" arrangement which required the utilization of household products and enterprises. In an article expounded on the ARRA Obama has this to state about the "scoop prepared" venture, "The issue is that spending it out requires a long investment, on the grounds that there's actually nothing – there's no such thing as scoop prepared activities,". With regards to monetary boost, nearby governments may take a very long time to start genuine development even once they get subsidizing. The motivation behind why such a little bit of the American Recovery and Reinvestment Act of 2009 wound up spent on framework is that the tasks are essentially too moderate to even think about getting off the ground to give important close term upgrade. While the 2009 boost bundle might not have fixed the country's foundation, it unquestionably did its planned activity of recovering the economy on track (Duggan). The American Law on Restoration and Reinvestment Act of 2009 (ARRA) nicknamed the "Reclamation Law", turned into an upgrade bundle gone by the 111th US Congress and marked by President Barack Obama in February 2009 . This was his response to the Great Recession, the principle undertaking of ARRA was to spare existing employments at the earliest opportunity and make new ones. Different objectives were to give fleeting help projects to those most influenced by the retreat and put resources into framework, sustainable power source, wellbeing, and training. This day did not stamp the finish of our monetary inconveniences nor dispense with everything that must be done to turn the economy around, anyway it set the start for the end. The begin to make new occupations for Americans, offer help to those attempting to pay their lease, and to give our economy a solid establishment, setting a route for long haul development and achievement. The significance of this recuperation plan isn't just that it will make or spare 3½ million employments throughout the following two years yet that we power the Americans to take a shot at what America shoul>GET ANSWER