Case Study, Chapter 10, Principles and Practices of Rehabilitation

1. Mrs. Adams, 72 years of age, is admitted to the rehab unit with the diagnosis of stroke. The stroke affected the limbic area in the brain, which has caused the patient to have emotional labiality (her mood changes rapidly because she misinterprets situations). As a result of the emotional labiality, she sometimes refuses to be repositioned or to participate in physical or occupational therapy. She sometimes also refuses to eat and drink. The patient’s right side is paralyzed and flaccid. She has no feeling on her right side. She has reddened areas on her coccyx and both heels at least 1 cm in diameter that do not go away with repositioning. She is incontinent of urine and stool. She has problems with communication called global aphasia (difficulties understanding speech and the written word and difficulties with speaking and writing). She is 5 feet tall and weighs 178 pounds. She has a tendency to develop skin tears because her skin is thin, and she has several bandages on her arms. The family states they are concerned because the staff on the previous medical-surgical unit would drag their mother up in bed when she slid down. The staff would chart when their mother refused to be repositioned and then would not reposition her for hours.  Explain the pathophysiology of the risk factors that predispose Mrs. Adams to developing pressure ulcers? What nursing measures need to be instituted for Mrs. Adams based on the information presented in the case study?

2. You are assigned to care for David Ramsey, a 22-year-old male patient who sustained a back injury secondary to being thrown from a motorcycle. He did not damage the spinal cord, but the computed tomography revealed a compression fracture at L-2 (lumbar area). David complains of severe lower back pain with numbness and tingling in the lower extremities. You identify the following nursing diagnosis: Impaired Physical Mobility. What assessments are indicated based on this nursing diagnosis? List other major nursing diagnoses based on David’s clinical presentation.

Interview a person from a different cultural background and have them explain one of their rites or customs. Write a description of this culture practice. Your paper should be: One (1) page tittle page  reference page  Typed according to APA style for margins, formating and spacing standards 

As you continue to build your final facility, ((family medicine clinic)) the legal team has provided you with considerations for researching legal and regulatory requirements that may affect the facility planning process.

Write a 1,050- to 1,400-word paper that includes the following:Analyze local, state, and federal legal and regulatory requirements for your selected facility. State is Georgia..Evaluate the impact of legal and regulatory requirements on the development of organizational health care policies related to facility design for your selected facility.Evaluate accountability and liability implications for individuals and organizations within facility design for your selected facility.Analyze legal versus ethical considerations related to facility design for your selected facility.

Cite at least 3 peer-reviewed, scholarly, or similar references.

Format your assignment according to APA guidelines.

Click the Assignment Files tab to submit your assignment.

 

Initial Post Instructions
Choose one of the literary movements that you read about this week and at least one work from that movement. Movements, authors, and famous works are discussed in the lesson as well. You do not have to choose authors or works discussed in the lesson, but you may. For your initial post, address one of the following:

Option 1: Examine the movement and specific work in relation to historical and political influences of the movement. Include a one paragraph summary of the plot before moving on to the examination of the work in relation to the movement.

Option 2: Examine a specific artwork influenced by a literary work and how the artist captured the subject or story. Here are a few examples, but you are not restricted to this list: Asher B. Durand’s Thanatopsis (influenced by William Cullen Bryant’s “Thanatopsis”) John William Waterhouse’s The Lady of Shalott (influenced by Alfred, Lord Tennyson’s “The Lady of Shalott”) Sir John Everett Millais’s Ophelia (influenced by Shakespeare’s Ophelia from Hamlet) Gian Lorenzo Bernini’s Apollo and Daphne or The Rape of Prosperina (influenced by ancient myths) Ancient Greek vase painting (influenced by various ancient myths) 

Required Resources
Read/review the following resources for this activity: Textbook: Chapter 7, 8

Writing Requirements Minimum of 1 Full page Minimum of 2 sources cited (assigned readings/online lessons and an outside source) APA format for in-text citations and list of references