Category: Nursing

answer these questions in a number format not a APA format. and use education references for each question. 1.) Why as a nurse are you concerned that Gladys is GBS positive? What consequences can this have on her newborn? 2.) Under what circumstances would allowing Gladys to labor in the tub be contraindicated? (because she is GBS positive)
3.) Would you expect Gladys to be at a lower or higher risk for postpartum mood disorders? What factors lead you to your decision? (Gladys is giving her baby up for adoption)
4.) Sierra desired to have a VBAC. What risks may occur during labor and delivery for patients attempting a VBAC? ( she wanted a vaginal birth but her baby was breech and her water had already busted)
5.) What communication techniques could you initiate to decrease the anxiety Sierra may be experiencing? (nervous about having a C-section)

this is a soap note please you have elavorate the note based on the CC , medication 
, and primary diagnosis that i provided bellow .

Discussion 2
15
15 unread replies.
15
15 replies.
Donald
Mann, a 32-year-old divorced man, is hospitalized for uncontrollable
aggressive impulses. On admission, there is no indication of thought
disorders, hallucinations, or depressed affect. Mr. Mann is angry
because he feels “forced” to admit himself voluntarily to the hospital.
His boss stated that if he did not admit himself, Mr. Mann would be
fired from his job. Mr. Mann had threatened a fellow history teacher and
later assaulted him. The patient states, “I was only arguing a
historical point and got carried away.” He smiles and winks his eye as
he is relating the course of events to the nurse, Ms. Burke.
Mr.
Mann states that he is unable to finish writing a book because his
third wife divorced him. When asked about his childhood, he comments,
“Fighting is synonymous with being a street kid.” He has a history of
wife abuse and frequent barroom fights. For the past year, he has been
employed as a teacher of history in a private college. Previously, he
held numerous teaching positions in several states. Mr. Mann states that
he enjoys teaching and especially likes the students.
On
the unit, Mr. Mann is generally cooperative. However, on two occasions,
he violates the rules of the unit. Once, he is found with a bottle of
alcohol (“I was celebrating one of our famous residents”). In the second
incident, he threatens to harm another patient on the unit. On both
occasions, his response is a glib “I’m sorry.” The female staff usually
have no difficulty dealing with him, but the male staff generally
complain about him.
On the third day after
admission, Mr. Mann threatens another patient. His infractions of the
rules and his aggressiveness are disrupting the unit. The unit
coordinator asks Ms. Burke to write a comprehensive care plan for him.
Ms. Burke, who admitted him to the unit, has spent time with him over
the past few days. She often feels flattered by his attention. He has
told her that he finds her to be “the best nurse on the unit.” That
afternoon, his case is to be presented at a staff conference.
During
the meeting, each female member reports that Mr. Mann has stated that
she is his favorite. He would also “tell tales” to each staff member
about the other staff members. The female staff would often do special
favors for Mr. Mann (e.g., getting him cigarettes, the newspaper, or
candy). The male staff members find him argumentative, infuriating, and
contemptuous of them. They try to avoid him as much as possible. It is
clear that almost everyone has strong positive or negative reactions to
Mr. Mann. During the meeting, many of the female staff feel annoyed and
angry at being manipulated. The staff decide together on goals and a
plan of approach.
Assessment
Objective Data
Had two incidents of infractions of the rules
Has history of spousal abuse
Assaulted co-worker before admission
Has had three marriages
Is argumentative with male staff
Rationalizes improper and aggressive behaviors: sees nothing wrong
Has difficulty with interpersonal relationships at work
Has physically threatened another patient
Is verbally aggressive with male staff
Has made sexual advances toward female staff
Manipulates special favors from female staff
Subjective Data
Sets one staff member against another: “Nurse Y said this about you…”
States that he was “forced into coming to the hospital”
Tells each female nurse that she is his favorite
Diagnosis
Staff think two nursing diagnoses are the most important initially.
Ineffective coping related to inadequate psychological resources, as evidenced by verbal manipulation
Tells each female nurse that she is his favorite
Sets one staff member against another
Manipulates special favors from female nurses
Makes sexual advances toward female staff
Is insincere and superficial
Risk for other-directed violence related to antisocial character, as evidenced by history of overtly aggressive acts.
Is verbally aggressive with male staff
Has threatened physical assault on another patient
Has history of spousal abuse
Rationalizes violent behavior; does not see behavior as undesirable
Has had two episodes of infraction of rules
Assaulted a co-worker before admission
Questions
One
of the staff’s key observations of Mr. Mann is his use of manipulation.
Which array of disorders is Mr. Mann’s behavior most frequently
associated with?
Manipulation can differ from one disorder to
the next. Compare and contrast different types of manipulative behaviors
seen in patients with personality disorders. How do these help pinpoint
Mr. Mann’s psychological needs?
The term “antisocial” is included in Mr. Mann’s description. What behaviors help indicate this diagnosis?
Students
must include 2 APA-style references within the last 5 years for their
initial post and respond to at least 2 participating classmates, with a
substantial descriptive answer, in order to receive full credit for this
discussion.

TOPIC
Urinary Tract Infection (UTI):Urinary Tract Infection (UTI): An infection in any part of the urinary system, including
The purpose of this assessment is to understand where to find evidence that can be applied to clinical scenarios and to learn effective communication and collaboration with clinical     staff during the process of evidence location. As a baccalaureate-prepared nurse, you will  not only use research for self-improvement in your clinical role, but you will also serve as a mentor to supervised nursing staff. Therefore, you will need to be able to communicate and collaborate effectively to guide them toward resources to find research, as well as support    them through the initial evidence location process. In doing so, nurses can gain access to    evidence that can be analyzed and utilized to stay current on best practices. This allows        them to provide safe, patient-centered care and improve patient outcomes.
For this assessment:
Describe your role as a baccalaureate-prepared nurse supervising clinical staff       nurses with regard to communication and collaboration in locating evidence for     application to a nursing practice scenario.
Compile a list of five online databases or other online sources (that is, websites,         journals, facility policies or guidelines, et cetera) that can be used to research          evidence to apply to the diagnosis in this scenario and describe to which of these    you would direct a nurse colleague to search for evidence.
Describe where you might go in the work place to complete this research and how   you would access the desired, relevant research within research databases or other online sources.
Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is    needed for a distinguished score.
Describe communication strategies to encourage nurses to research the diagnosis/practice issue, as well as strategies to collaborate with the nurses to access                resources.
Describe the best places to complete research and what types of resources you      would want to access to find pertinent information for the diagnosis/health care        issue within the context of a specific health care setting.
Identify five sources of online information (medical journal databases, websites,       hospital policy databases, et cetera) that could be used to locate evidence for a     clinical diagnosis/practice issue.
Explain why the sources of online information selected should provide the best          evidence for the chosen diagnosis/health care issue.
Communicate using writing that is clear, logical, and professional with correct          grammar and spelling using current APA style.
Note: While you are not selecting and evaluating specific evidence to help with the clinical   diagnosis/practice issue, you should still be citing the literature and best practices to            support your description of your communication and collaboration approach. Additionally, it is appropriate to cite best practices related to EBP and evaluating databases to support       your explanation as to why you selected the five sources of online information that you did.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
Your assessment should meet the following requirements:
Length of submission: 2-4 pages (not including the title page or the reference          page) description of communication, collaboration, and evidence location process, including a list of databases or other sources with description of why they are           appropriate for clinical scenario diagnosis/health care issue (that is, something       that would be useable in professional practice for other nurses). Be sure to include an APA-formatted reference page at the end of your submission.
Number of references: Cite a minimum of three sources of scholarly or professional evidence that supports your findings and considerations. Resources should be no   more than five years old.
APA formatting: References and citations are formatted according to current APA    style.
SCENARIO
You are supervising three nurses working on the medical-surgical floor of a local teaching   hospital. This hospital is nationally recognized as a leader in education and has a computer lab with an online library where staff has access to medical research databases (that is,      CINAHL, PubMed, Medline, and Cochrane library) and online sources of all hospital policies,   procedures, and guidelines, and computers at nurse workstations that also have access to  these resources. (For this scenario, use the Capella University Library to simulate the               hospital’s online library.) You have given the nurses their patient assignments and you have all participated in shift report. A new nurse who just completed orientation and training a     week ago approaches you and tells you that one of the assigned patients has a diagnosis  he or she is very unfamiliar with. Knowing that patient-centered care based on best               practices is imperative to positive patient outcomes, you want to assist this nurse to find       research that can be utilized to provide the best care for this patient. Describe how you       would communicate with this nurse to encourage him or her to research the diagnosis.        Assume you will assist in the quest to locate evidence, then describe where you would go     within the facility and what resources you would look for. These resources may include.        websites, journals, facility policies or guidelines, or any other sources of online information.
To select the diagnosis for the patient in this scenario, review the three diagnoses presented in the Assessment 01 Supplement: Locating Credible Databases and Research [PDF]  Download Assessment 01 Supplement: Locating Credible Databases and Research [PDF]resource and select one. You will use this same diagnosis to complete the next two assessments.
Create a list of at least five sources that could be used to find evidence, with the best source listed first, and explain why the sources you chose are best to find evidence for the diagnosis you chose and the clinical scenario. You are only evaluating the sources of evidence            (database, website, policy database or website, journal article, et cetera). You are not            actually completing a search and selecting evidence. Consider the following examples: a   nursing journal in CINAHL may not be the best source of evidence for information on how to administer medications through a central-venous catheter, whereas a hospital policy           database found on a website may not be the best source of information on caring for a       
patient with a rare chromosomal abnormality.

Include a summary of your research and how it correlates to med surge 2. Identify these challenges and explain their importance in healthcare. 500-650 word research paper.  
The first page needs to be the abstract page with a single paragraph no longer than half a  page. From the second to the third page is the research paper. The forth page is the conclusion page with a paragraph no longer than half a page. Please use the citation that I provided and include in-text citations, and create a citation page at the end.  
Your research paper should follow APA 7 guidelines and include an introduction and a conclusion. Be sure references are cited throughout the paper and included in a reference list at the end of your paper.
– Varghese A, George G, Kondaguli SV, Naser AY, Khakha DC, Chatterji R. Decline in the mental health of nurses across the globe during COVID-19: A systematic review and meta-analysis. J Glob Health. 2021 Apr 10;11:05009. doi: 10.7189/jogh.11.05009. PMID: 33884193; PMCID: PMC8053406.
– https://www.bmj.com/content/371/bmj.m3944
– https://onlinelibrary.wiley.com/doi/full/10.1002/ajim.23466
Cherry N, Mhonde T, Adisesh A, et al. The evolution of workplace risk for Covid-19 in Canadian healthcare workers and its relation to vaccination: a nested case-referent study. Am J Ind Med. 2023; 66: 297-306. doi:10.1002/ajim.23466

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Improving Community Health
Instructions:Does your classmate’s proposal seem reasonable, based on the information provided? If you were a “voting member” of their community, would you vote for this measure to be enacted? Explain why or why not.
Provide feedback and ask questions about the funding sources and regulation/assessment of this project.
1st person post Ambrea Lee
St.
James Parish is a rural community composed of most low-income individuals
located within the state of Louisiana. The community is located in the middle
of “Cancer Alley”, a term given to an area between Baton Rouge and New Orleans
where chemical plants dominate the area. Here individuals are exposed to
polluted water, air quality, and food. The Louisiana Department of Health
acknowledges human exposure to environmental contaminants along with genetics,
poverty, and limited access to healthy foods as a driving factor for obesity
within the state (Louisiana Department of Health, n.d.). In St. James Parish
access to fresh produce is limited and the rest are fast food chains.
Diet
and exercise play an important role in combatting obesity. I am proposing a
farmer’s market program that will allow farmers locally and nearby to sell
produce on weekends. The idea is that the farmer’s market will operate like a
flea market every weekend, Saturday, and Sunday. It will be a no-cost entry fee
to farmers. This will allow residents to shop locally for fresh produce.
Approval
will be needed from the city council and mayor to agree on the proposal and for
the utilization of public grounds. I will enact support measures to aid with
funding by applying to the U.S. Department of Agriculture’s Farmers Market
Promotion Program. The U.S. Department of Agriculture’s (USDA) Farmers Market
Promotion Program (FMPP) is a federal initiative that provides grants to
farmers, farmer cooperatives, local governments, nonprofits, and other eligible
entities to support the development, promotion, and operation of farmers
markets and other direct-to-consumer marketing outlets.
However,
there may be pushback for this type of operation. Push-back may come from the
parish’s city council having to employ individuals and force longer hours on
city workers to keep the ground up to par. The city may also ask for funding to
aid in paying employment wages for the use of the public grounds.
2nd person post Tyler Hodge
Initial
Response:
To address
health disparities and socioeconomic factors within our community, I propose
the implementation of a Community Health Worker (CHW) program. CHWs are trusted
members of the community who act as liaisons between health and social services
and the community to facilitate access to services and improve the quality and
cultural competence of service delivery.
Need for the Measure:
Our community is
characterized by a diverse population with significant portions of low-income
households and minority groups. According to the U.S. Census Bureau, 25% of our
population lives below the poverty line, and there is a high prevalence of chronic
diseases such as diabetes and hypertension, particularly among African American
and Hispanic residents.
Enacting and Supporting the Measure:
To implement the
CHW program, we will recruit and train local residents from various cultural
and socioeconomic backgrounds to become CHWs. Collaborate with local health
organizations and clinics to integrate CHWs into the care teams. Secure funding
through state grants and partnerships with non-profits focused on health
equity. The training will encompass basic health education, chronic disease
management, and skills to navigate social services. CHWs will conduct home
visits, provide health education, support patients in managing chronic
conditions, and link them to necessary services (Rosenthal et al., 2021).
Expected Push-back:
Some community
members may be skeptical about the effectiveness of non-clinical workers in
improving health outcomes. To mitigate these concerns, we will conduct
information sessions to educate stakeholders on the evidence supporting CHWs
and highlight successful models from similar communities (Brownstein et al.,
2020).
Approval and Support:
To enact this
measure, we will need approval from the city council and support from the
mayor’s office. This involves presenting a detailed proposal that includes
evidence of the program’s effectiveness, projected outcomes, and a clear budget
plan. Securing state funding and grants will be essential for initial setup and
sustainability. We will also engage community leaders and organizations to
endorse the program and provide additional support.
Unit 2 Discussion 1 –
Patient Panel Regulation
3rd person post Whitney Hill
Hello All, 
Patient panel size refers to the number of patients that a
physician cares for during a specified period, usually 12 or 18 months. The
standard patient panel size has often been determined to be 2500 patients.
However, according to the Journal of the American Board of Family Medicine,
this number is not feasible for a primary care physician to provide adequate
patient interaction for all patients. At a panel size of 2500, a physician
would have to work 21.7 hours per day to provide proper care to each patient.
Calculating the ideal patient panel size is important to ascertain the number
of patients seeking consultations and treatments, as well as the provider’s
workload. It is important that providers on the same level share similar
workloads, especially if they are earning similar salaries (Harrington, 2022).  
Briefly explain how a patient panel is
constructed (for example, in a free-standing primary care clinic). Who is
involved in the process? Are internal policies involved? 
The process for a patient panel typically begins with patient
recruitment, which includes marketing efforts, referrals from other healthcare
providers, community outreach, and patient self-referrals. Patients are then
enrolled in the clinic’s system, which includes collecting demographic
information, medical history, insurance details, and contact information. Once
patients have been enrolled, they are assigned to a primary care provider (PCP)
within the clinic based on factors such as patient preferences, provider
availability, continuity of care, and patient complexity. Some clinics use
algorithms or software to assist in provider assignments. Internal policies and
guidelines are pivotal in the formation of patient panels. These policies can
delineate criteria for provider-patient assignment, patient caseload management
for providers, scheduling procedures, patient qualification for specific
programs or services, and criteria governing patient discharges or transfers
within the clinic. 
Should patient panel size and diversity be
regulated by the government? Explain your position. 
I do not think that patient panel size and diversity should be
regulated by the government. 1.) because healthcare needs and demographics vary
across regions, populations, and healthcare settings. A one-size-fits-all
approach to patient panel size and diversity may not account for these
variations and may limit healthcare organization’s ability to adapt to local
needs and preferences. I believe that it should be left to providers and/or
organizations to determine appropriate patient panel sizes and diversity based
on their clinical judgment, resources, and capacity. They are better equipped
to assess factors such as patient complexity, provider workload, continuity of
care, and patient preferences to optimize patient care delivery. 2.) if a
physician or organization’s patient panel is regulated by the government it
could affect the quality of care that is received by the patients at that
clinic. If the patient panel is too large this could negatively affect outcomes
causing the clinic or physician to have to rush to see patients throughout the
day.  Appropriate
panel size deserves greater attention at the policy and practice levels if
primary care is to function at its best for physicians and patients (Raffoul
& Moore, 2016). 
4th person post Susan Smith
Patient panels in a free-standing primary care
clinic are typically constructed based on the clinic’s internal policies and
guidelines, with input from various stakeholders within the organization. The
process of constructing a patient panel in such a clinic involves several key
individuals and considerations. Primary Care Providers (PCPs) play a central
role in determining their panel size based on factors such as their clinical
skills, experience, and capacity to provide comprehensive care. Practice Managers/Administrators
assess factors like the clinic’s operational capabilities, staffing levels, and
resource availability to ensure appropriate panel sizes. Internal policies
often outline guidelines for panel size, patient assignment criteria, and
processes for panel management. Additionally, patient characteristics such as
demographics, health status, and socioeconomic conditions are considered to
ensure equitable access and appropriate resource allocation. Quality
Improvement Committees may review panel compositions, identify disparities, and
provide recommendations for adjustments to improve care quality and access
(Sinsky et al, 2020).
Regarding
the regulation of patient panel size and diversity, while the government plays
a crucial role in setting standards and guidelines for healthcare delivery,
regulating patient panel size and diversity at a granular level may not be
practical or desirable for several reasons. The optimal panel size and
composition can vary significantly based on factors like practice location,
patient demographics, and available resources (Altschuler et al., 2012).
Allowing healthcare providers and organizations to determine panel sizes
and compositions based on their expertise and local circumstances promotes
autonomy and flexibility in care delivery. Strict regulations on panel size and
diversity could potentially lead to unintended consequences, such as limiting
patient choice, restricting access, or compromising the quality of care.
Instead of direct regulation, it may be more effective for the government to
establish broad guidelines and best practices for patient panel management,
while allowing individual healthcare organizations to adapt and implement these
guidelines based on their unique circumstances and local needs (Roos et al.,
2018).
Arrhythmia
Instructions:
Please respond to at least 2 of your peer’s posts.  To ensure that your responses are substantive, use at least three of these prompts:
Do you agree with your peers’ treatment plan approach?
Take an opposing view to a peer and present a logical argument supporting an alternate approach.
Share your thoughts on how you support their treatment plan and explain why.
Present new references that support your opinions.
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.
Please review the rubric to ensure that your response meets the criteria.
Arrhythmia 
5th person post Lindsay Landers
What additional symptoms should you ask the
patient if she has experienced?
Some
additional questions that I would ask the patient are:
Have
you experienced any chest pain? Can you describe the pain? Does anything make
the pain better or worse? Do you have any nausea or vomiting? Do you experience
any shortness of breath? Are you having any heart palpitations?
Using
Table 36.1, calculate the patient’s CHADS2 score and determine whether
anticoagulation is recommended based on the score.
CHF=
0, HTN = +1, Age > 75 = 0, DM = 0, Stroke/TIA symptoms = 0, vascular disease
= 0, Female = 1
+2
CHADS2 scoring.
With
these results, the patient should be placed on an anticoagulant due to the
increased risk of potential ischemia (Ibdah et al., 2023). The patient should
receive a full history and physical before being placed on these medications.
What
is the significance of this condition happening off and on for the last 48
hours?
She
is more likely to have a stroke because of her known history of hypertension as
well as now possibly having atrial fibrillation. Over 50% of ischemic and 70%
of hemorrhagic strokes are linked to hypertension and its effects;
nevertheless, even with adequate blood pressure (BP) management, 10% of
recurrent cerebrovascular events are still possible, and there is currently no
known way to prevent vascular cognitive damage (Webb et al., 2022).
You,
the nurse practitioner, decide the patient needs treatment beyond the walk-in
clinic’s resources. What action do you take to ensure that the patient is
treated promptly?
Her
heart rate of 180 is the primary issue, in my opinion; it suggests that she may
be experiencing atrial fibrillation (AF) with rapid ventricular rate (RVR). I
would immediately call for an ambulance and take her to the closest emergency
room if she showed up at the clinic. Her assessment of tachypnea, diaphoresis,
weariness, weakness, weak peripheral pulses, chilly, pale skin, and reduced
capillary refill indicates that she is symptomatic. Emergency physicians should
determine the clinical stability of their patient and then treat the reversible
causes.
Because
the patient is an undocumented immigrant, what considerations will be needed
while care is provided?
Community
health centers provide low-cost healthcare to undocumented immigrants. We
should help to provide as many resources to these patients at low coasts so
that the patient can continue to receive their care. Another way to help the
patients is to use interpreters frequently and to set up the patients’
follow-up appointments before they leave the office. As discussed above, the
patient should have a full history and physical appointment to fully assess the
patient and to get an understanding of her background.
6th person post 
Susan Smith
1.    
What additional symptoms should you ask the patient if she has
experienced?
In
addition to dizziness and fainting, the patient will be asked about any chest
pain, shortness of breath, palpitations, cognitive changes, or changes in
urinary frequency or color that she might be experiencing. These symptoms could
provide further insight into the underlying cause of her presentation and help
guide appropriate management (American Heart Association, 2022).
2.    
Using Table 36.1, calculate the patient’s CHADS2 score and
determine whether anticoagulation is recommended based on the score.
·      
Congestive heart failure (unknown): 0 points
·      
Hypertension (present): 1 point
·      
Age (64 years old): 1 point
·      
Diabetes (not mentioned): 0 point
·      
Stroke/TIA (not mentioned): 0 point
Total CHADS2 score: 2
According
to current guidelines, a CHADS2 score of 1 or higher suggests a potential
benefit from anticoagulation for stroke prevention in atrial fibrillation
patients [Lip et al., 2018]. However, the decision for anticoagulation should
be individualized based on the patient’s specific risk factors and bleeding
risk.
3.    
What is the significance of this condition happening off and on
for the last 48 hours?
The
fact that the patient’s symptoms have been occurring off and on for the last 48
hours raises concerns about the potential for underlying complications, such as
hemodynamic instability, thromboembolic events, or electrolyte imbalances. This
patient might be experiencing paroxysmal atrial fibrillation and transient
ischemic attack (TIA) (Lip et al., 2018).
4.    
You, the nurse practitioner, decide the patient needs treatment
beyond the walk-in clinic’s resources. What action do you take to ensure that
the patient is treated promptly?
As
the nurse practitioner, I would arrange for the patient to be transferred to a
nearby hospital for further evaluation and management. This may involve
coordinating with emergency medical services to ensure safe transportation and
timely access to appropriate medical care, including cardiology consultation
and possible admission for stabilization and treatment (American Heart
Association, 2022).
5.    
Because the patient is an undocumented immigrant, what
considerations will be needed while care is provided?
While
providing care to the undocumented immigrant patient, it’s essential to
prioritize her health needs without regard to her immigration status. This
includes ensuring the confidentiality of her personal information, offering
culturally sensitive care, and addressing any concerns she may have about
accessing healthcare due to her immigration status. It’s also important to know
local policies and resources available to support undocumented individuals
accessing healthcare services (American College of Physicians, 2020)

Women’s Movement at Seneca Falls and Sojourner Truth
Describe and trace the events that led to the women’s rights movement at Seneca Falls. 
Briefly assess Sojourner Truth’s life as a female activist. To what extent did she contribute to the women’s rights movement? 
Evaluate how debates over women’s rights shaped U.S. politics and culture. 
Analyze how significant events in US history transformed the status and rights of women in society.
Length: 2–3 pages (not including title page or references page)
1-inch margins
Double spaced
12-point Times New Roman font
Title page
References page
In-text citations that correspond with your end references

Mr. W. is brought to the emergency department by his neighbor, Mr. C., who lives across the hall from him in a high-rise apartment building for low-income senior citizens. Mr. C. proceeds to explain that Mr. W. has become increasingly confused, paranoid, and secretive. He has stopped participating in social activities where he lives, no longer has a telephone, and won’t allow anyone into his apartment. It has been 4 months since Mr. C. last saw Mr. W. and says, “he looks bad. He’s lost weight and is too thin. He wouldn’t talk to me when I tried to start a conversation and he only opened his door a couple of inches. The smell coming from his apartment was awful. I can sometimes hear people yelling in the apartment, and I only ever see his older son stop by occasionally to check on him. And, today, I find him like this. I had to do something because I can’t just stand by and let this happen to him!” Mr. C. points to Mr. W. who has a black eye, swollen upper lip, and dried blood on his beard and clothing.
Mr. W. is sitting in a chair and avoids eye contact. He is wearing thread-bare clothing, which is dirty, and his body odor is unhygienic.
Question 1
How should you proceed to interview Mr. W.?
Question 2
What would be specific questions to screen for older adult abuse?
Question 3
What are possible indications of neglect in Mr. W.?
Question 4
What are possible reasons for Mr. W. failure to seek assistance?
Question 5
How will you document Mr. W.’s case of suspected older adult mistreatment?
Question 6
In a case of suspected older adult abuse, what baseline laboratory tests should be ordered?
**Please be sure to include 2 references in APA format within the last 5 years

Shannon, a 32-year-old mother of two, comes into your office with complaints of recent abdominal pain. She presents with pain in her right upper quadrant (RUQ), which is tender to palpation, and with the patient guarding in that area. She also complains of emesis (which was light in color) with the onset of pain not long after her BBQ dinner. Her stool this morning was chalky in appearance.
What exam would you perform for this patient?
What would be your diagnosis?
What diagnostic exam would be needed?
What would the pharmacological treatment and educational plan be?