need help with multidimensional

PART ONE : Presentation on Dementia

As a manager on a medical surgical unit, part of the job responsibility includes chart audits.

A trend noted during the most recent audit was the overuse of the term “dementia.” The nurse manager notes that there may be a lack of understanding between the types dementia as related to neurological diseases.

The nurse manager developed a survey to evaluate the staff’s understanding of the different types of dementia. As a result of the survey, you have been asked to create a PowerPoint presentation to increase the nurse’s awareness of the types of dementia a presentation was created.

Instructions

Choose one of the following topics for a focused presentation:

• Alzheimer’s

The presentation should include the following:

• Pathophysiology
• Etiology & incidence
• Health promotion and maintenance
• History/Risk factors
• Physical signs and symptoms
• Changes in cognition
• Changes in behavior & personality
• Changes in self-management skills
• Diagnostics: laboratory and imaging assessment
• Planning and implementation
• Interprofessional Collaborative Care
• Psychosocial integrity
• Medications
• Safety considerations

Using Ignatavicius and one additional resource, develop a presentation to enhance the nurses’ knowledge of the differences between types of dementia and delirium. Be sure to document your source(s) in your presentation.

.PART 2; Myasthenia Gravis Pamphlet

Instructions

As a new nurse, you have had clients with Myasthenia Gravis (MG) and are concerned about their level of understanding of the disease process. You have taken on the task of developing a teaching pamphlet to provide clear discharge instructions including information on the disease, support resources, medication teaching, and signs and symptoms of Myasthenic Crisis. You will include the following information in the pamphlet.

1. Describe the disease process for MG.
2. List (2) local community resources available that can provide support such as:A
3. Nutrition.
4. Transportation.
5. Psychosocial needs such as support groups.
6. Include medication administration instructions and the importance of timing of medication delivery.
7. Include signs of symptoms of Myasthenic Crisis and when to notify provider.
9. PART 3;ASSIGNMENT ; BUR VICTIM ASSESSMENT
   

   Scenario

   You are working the night shift on a medical-surgical unit. Your assignment includes a 19-year-old woman admitted early this morning. She has sustained burns over 30% of her body surface area, with partial-thickness burns on her legs and back.

   Instructions

   1. In a two-page APA formatted paper, discuss the following:
   2. The staff is following the Parkland Formula for fluid resuscitation. The client arrived at 0200 and was admitted at 0400. She weighs 110 pounds. Calculate her fluid requirement, using the Parkland formula. Explain the time intervals and amounts for each.
   3. The client was sleeping when the fire started and managed to make her way out of the house through thick smoke. You are concerned about possible smoke inhalation. What assessment finding would corroborate this concern?
   4. The client is in severe pain. What is the drug of choice for pain relief and how should it be given?
   5. What nutritional requirements are necessary for the client’s burns to heal?
   6. What measures are taken with the client to prevent infection?
10. DISCUSSION; DISORDERS OF NERVOUS THE CENTRAL NERVOUS SYSTEM You are preparing to work as a nurse in the neurology unit. The preceptor informs you to be prepared to discuss the following topics as they are commonly seen on the unit. In order to prepare, choose one of the following topics of interest as your initial discussion posting. Use this course’s resources and one evidenced-based article to explore the topic of your choice.
11. 1. How do you assess a client when the nurse suspects onset of CVA?
    2. Provide discharge information for a client with mild TBI.
    3. Discuss surgical management of brain tumors.
    4. Describe postoperative complications of a craniotomy.

    DISCUSSION; NEW ADMIT

12. ScenarioAs a nurse on a general medical floor, the RN has received a new admit. Review the client data provided.
13. • Richard Henderson
    • 58 years old
    • Male
    • Admit diagnosis: GI bleed
    • History: no surgical history
    • Medical history: Gastritis & GERD
    • Medications: Prilosec 40 mg PO daily, Atenolol 25 mg PO BID, Fiber daily, Alka Seltzer PO – states he takes this at least daily.

    Report from physician’s office: Mr. Henderson arrived to the physician’s office today for a complaint of increasing abdominal pain. He states that he is now throwing up coffee-ground emesis. He states that he didn’t take his BP medication this morning because he was dizzy. The physician is admitting him with a diagnosis of GI bleed with an EGD scheduled for tomorrow. He is NPO, and has a 22G IV lock in the left forearm. Last set of vital signs BP 106/60 mm Hg, HR 98 beats/min, RR 20 breaths/min, Temp. 98.8 degrees F, P.O. 90% on room air. He last vomited about 45 minutes ago with a small amount of dark coffee-ground emesis. His pain is 4/10 at present. No pain medication is ordered at this time.

    • Lab assessments ordered: CBC and chemistry panel
    • CT of the abdomen shows no signs of free air (no perforation)

    When he arrives to the floor, he is pale, nauseous, and his skin is cool and clammy. When he is transferred to the bed from the stretcher, he vomits a large amount of coffee-ground emesis and loses consciousness.
    InstructionsIn the discussion post, address the following:

    1. While receiving report, what concerns do you have regarding the client report?
    2. What type of shock is occurring?
    3. What stage of shock is the client experiencing?
    4. What is your next intervention and why?
    5. What additional lab assessments would you anticipate?
    6. Provide additional thoughts and insights.