NR442 Sim 1 Freya O’Keefe Clinic Lab Pre-work Multi Client Parts 1 & 2 Ticket

NR442 Sim 1 Freya O’Keefe Clinic Lab Pre-work Multi Client Parts 1 & 2 Ticket In

Part 1:

Please keep in mind you will also be required to recognize a variety of signs and symptoms linked to abnormalities in these skills. Therefore, in order to prepare for the simulation, you are required to complete the pre- briefing questions below and submit to the faculty facilitating the simulation prior to the start of pre-briefing. If you do not complete the pre-briefing questions below and submit to faculty facilitating the simulation prior to the start of pre-briefing, you will not be permitted to participate in the simulation.

1.Review classifications of burn injury depth First degree burns- Partial thickness. Superficial burns that only effect the epidermis. Site will be red, painful and dry.Second degree burns- Partial thickness. This burn penetrates the skin surface and involves the epidermis and dermis. The burn site is often red, blistered, swollen, and painful.Third and fourth degree burns- Full thickness. Dry, waxy white, leathery or hard skin. In this type of burns, all layers of the skin are destroyed and injury to muscles, tendons, bones and nerves is common.

2.Identify the key components of caring for the client with burns in the rehabilitation phase of recovery.Rehabilitation should begin immediately after the burn has occurred. Wound healing, psychosocial support, and restoring maximum functional activity remain priorities. Maintaining fluid and electrolyte balance and improving nutrition status continue to be important.

3.Describe one nursing or client teaching consideration in regard to each of the

following for the client receiving Warfarin therapy for atrial fibrillation:

Lab testing- Monitoring INR and coags. CBC.How the dosage is determined- INR and coag results are used to determine safe dosage.Therapeutic levels- These are also determined by moniroting INR levels until they have reached a certain level. An INR range of 2.0 to 3.0 is generally an effective therapeutic range for people taking warfarin for disorders such as atrial fibrillation.Dietary considerations- Maintain a consistent intake of Vitamin K foods. Do not drastically increase or decrease intake when taking warfarin. Avoid or decrease intake of cranberry juice and alcohol. This study source was downloaded by 100000829346646 from CourseHero.com on 07-17-2021 13:45:13 GMT -05:00

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NR442 Sim 1 Freya O’Keefe Clinic Lab Pre-work Multi Client Parts 1 & 2 Ticket In

4.Describe the recommended schedule for adult vaccination administration and the nurses’ role in educating the client and administration.IIV inactivated influenza vaccine o1 dose annually RIV recombinant influenza vaccine Tdap tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine o1 dose Tdap, then Td booster every 10 yrs MMR measles, mumps, and rubella vaccine o1 or 2 doses depending on indication (if born in 1957 or later) VAR varicella vaccine o2 doses RZV recombinant zoster vaccine o2 doses (≥ 50 years) ZVL zoster vaccine live o1 dose (≥ 60 years) HPV vaccine human papillomavirus vaccine o2 or 3 doses depending on age at series initiation (≤ 27 years) PCV13 13-valent pneumococcal conjugate vaccine o1 dose PPSV23 23-valent pneumococcal polysaccharide vaccine o1 or 2 doses depending on indication HepA hepatitis A vaccine o2 or 3 doses depending on vaccine HepB hepatitis B vaccine o3 doses MenACWY serogroups A, C, W, and Y meningococcal vaccine o1 or 2 doses depending on indication, then booster every 5 yrs if risk remains MenB serogroup B meningococcal vaccine o2 or 3 doses depending on vaccine Hib Haemophilus influenzae type b vaccine o1 or 3 doses depending on indication Educate the patient on the risks and benefits of each vaccination. Educate them on any side effects and what to expect before and after the immunization.

5.List four nursing considerations around NSAIDS and homeopathic preparations.NSAIDs potentiate warfarin & prolong bleeding time They should only be used if healthcare provider has approved use Should be used cautiously in patients with severe hepatic, renal and cardio vascular disease. This study source was downloaded by 100000829346646 from CourseHero.com on 07-17-2021 13:45:13 GMT -05:00

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NR442 Sim 1 Freya O’Keefe Clinic Lab Pre-work Multi Client Parts 1 & 2 Ticket In Homeopathic, because they are not all processed equally, they may have different concentrations. Patients should to be careful of dosing.

6.What are some non-pharmacologic methods that can be used to relieve pain?Music Distraction Breathing techniques Acupuncture Hot/cold therapy Counter pressure

Part 2:

1.What is the goal of Care Management?The goal of care management is to improve health care quality, care coordination, and service delivery, especially for beneficiaries with chronic conditions.

2.What are the origins of Case Management?Case Management has been practiced since the early 1900s. Early providers of case management services were public health nurses and social workers who coordinated services through the public health sector. Following World War II, insurance companies began to employ them to assist with the coordination of care for soldiers returning who suffered complex injuries requiring multidisciplinary intervention.

3.What is the purpose of Case Management and what are factors that influence Case Management?Case management is a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost- effective outcomes.

Factors that affect case management are:

oFunding- A lack of funds may make recovery difficult and impede access to necessary medical care. Case managers can help low- income patients access available resources. This study source was downloaded by 100000829346646 from CourseHero.com on 07-17-2021 13:45:13 GMT -05:00

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NR442 Sim 1 Freya O’Keefe Clinic Lab Pre-work Multi Client Parts 1 & 2 Ticket In oCultural Competency- To best interact with clients from different socioeconomic backgrounds, case managers should understand where their patients come from.oCurrent housing situation- The case manager should address whether or not the patient lives in a safe environment. If a client is homeless, living with domestic violence, or is in another situation that negatively affects recovery, the case manager should help locate safer housing options.oLinguistic competency- When a case manager encounters a significant language barrier, he or she has a responsibility to refer the client to a colleague better able to manage care through fluent communication.oSubstance abuse and dependency- Many clients who have been referred for other mental health issues have comorbid substance dependencies. An effective case manager should identify whether this is a factor and possibly refer the client to another case manager, as substance abuse case management has its own unique challenges.oOther health issues- A wide variety of physical illnesses are more prevalent among people with severe mental illness. Referral to medical doctors will likely be needed.

4.What educational preparation is required for Case Managers?Certified case managers generally hold a bachelor's degree. Possible majors include, but aren't limited to, nursing, psychology or counseling.Some individuals also earn a master's degree in health, human or education services or a related field.

5.What are the roles & characteristics of a Case Manager?The role of the case manager is to undertake assessment, monitoring, planning, advocacy and linking of the consumer with rehabilitation and support services.

Characteristics of a case manager:

oIndependent thinker.oConfidence in nursing knowledge.oSelf-motivated.oStrong skill set.oExperience in community health.

6.What are potential resources for Client 1: Dwight Letchaw? Client 2: John Lightfoot? This study source was downloaded by 100000829346646 from CourseHero.com on 07-17-2021 13:45:13 GMT -05:00

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