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Care Plan Assignment: 61 pointsList the definitions of the following abbreviations: 14 pointsQD: One a day QOD: Every other day BID: twice a day TID: 3 times a day PRN: when necessary AD LIB: at pleasure AMB: ambulate TPR & BP: temperature, pulse, respiration, and blood pressure FWB: full weight bearingWB to TOL: weight baring to tolerance PWB: partial weight bearing ADLs: activates of daily living STAT: Used in an emergency, immediately MRI: Magnetic resonance imagingCase Scenario #1: Your patient has Gullain Barre. He is a 69-year-old male. His other commodities include anemia, obesity, hypertension, and a stage 4 decubitus ulcer. He is in the late stages of his disease and is confined to the bed. Follow the directions below: 18 pointsWhat is Gullain Baree?Rare disease where your body’s immune system attacks the nervesWhat is the cause?It is unknown but typically comes after a viral or bacterial infectionList 3 symptomsTingling sensation in finger and toesLower back pain Fast heart rateList one short-term goal for the decubitus ulcerPacking and cleaning a wound List 3 interventions that you would use to meet this goalTaking out previous bandageCleaning it out with another bandagePutting another bandage in the ulcerList one long-term goal for this patient’s anemiaDecrease of fatigueList 3 interventions to meet this goalGive them more iron in thwir diet Iron supplementsGive them a blood transfusionSince this patient is obese list 3 things that you will do while repositioning the patient while using proper body mechanics.Have another person help youReposition them on bariatric surgical table Put the bed at the right position to move to patient Using the med term bank above write 2 doctor orders that contains at least 1 of these med terms in each order.Give patient food BID (twice a day) to help absorb iron PRN (when it is necessary) put them on a low sodium diet to help with obesityCase Scenario #2: Your patient is a 44-year-old female with myasthenia gravis. She is able to ambulate. Her other co morbidities are hypertension, osteoporosis, kyphosis, and has just had a hip replacement yesterday. 11 pointsWhat is myasthenia gravis?It is a rare chronic autoimmune disease marked by muscular weakness without atrophy, and caused by defect in the action of acetylcholine at neuromuscular junctions What is the prognosis for this disease?Symptoms of MG usually progress to maximum severity within a span of three years. After three years, patients will usually stabilize of improve. Advances in medical care have reduced the mortality rate from respiratory failure in MG patients. This disease is caused by a breakdown in the normal communication between nerves and muscles. List 3 short-term goals for this patient after a hip replacementBeing able to perform ROM exercises on the worked on hipTrying to be able to stand and walkGoing to the bathroom with little hope List 3 interventions to meet these goalsSlowly help the patient move their hip side to side and up and down Help the patient slowly stand up with walker to help stabilize themGive them a walker and slowly walk with them to try and get them to the bathroom Write 3 orders for this patient with one of the abbreviations included in each orderTake nausea medication QD (one per day) to help manage nausea from other medications Take pin medication TID (three times a day) to manage pain Try an AMB (walk or ambulate) once every hour to exercise hip jointCase Scenario #3:You have a 55-year-old female that has just been diagnosed with diabetes. Below you are going to create an educational pamphlet for the following listed. Think about how you would educate your patient. You need to type this as you are talking to the patient. This is for them to read. This should be on a separate word document. 18 pointsTwo ways to prevent diabetesManage your weightExercise regularly Eat a balance diet 3 signs and symptoms of diabetesSymptoms: increased hunger, frequent urination, weight loss, fatigueSigns/causes: body become resistant to insulin, people not maintaining a balanced healthy diet, not exercising 3 medications that may be given for this disease and what each medication doesMetformin: this medication works by improving the sensitivity of your body to insulin so that your body uses insulin more effectivelySulfonylureas: helps your body secret insulinMeglitinides: medications work like sulfonylureas by stimulating the pancreas to secrete more insulin, but they’re fasting acting than some other medications 3 services that the patient may need at homehaving a nutritionist to help them balance their dietexercise or having a physical trainer to help with exercisinghaving an insulin pump and a special person to cut their toe nails How to examine feet for poor wound healing?When a patient has diabetes always avoid walking barefoot and control glucose levels. Caring for feet wounds oen must apply medication n wound dressing or bandages daily How often should they check their blood sugarBefore every meal and before they go to sleep What is a normal blood sugar?The normal blood sugar is 70-99 mg/dl and people with diabetes it is 80-130 mg/dl How will you be able to tell if the patient can check their blood sugar on their ownAsk them to demonstrate A patient education pamphlet has pictures to illustrate your point. Include at least 3 pictures to enhance your instruction. ................
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