Problem #1 Diabetes Mellitus. Mr. Borg is borderline obese, with a BMI of 29.3. He has had a 40 pound weight gain in the past 10 years, and does not follow any specific diet plan. As reported by Mrs. Borg, he drinks two to four alcohol beverages a day. His hemoglobin A1c was high at 11.2%, indicating that his type 2 diabetes is poorly controlled (See Table 8). Mrs. Borg also reports that Mr. Borg has had decreased energy levels, difficulty losing weight, and no motivation. Per Mrs. Borg, he…
Metabolism: The following section will discuss the ways in which the body metabolizes barbiturates, to be more precise, the pharmacokinetics of barbiturates. Pharmacokinetics refers to how the body absorbs, distributes, binds, localizes, stores and excretes a drug (Tripathi, 2013). Factors such as absorption, distribution, and metabolism are variables that determine the drugs onset of effect and duration (Meyer & Quenzer, 2013). Barbiturates come in the form of capsules or antiesthetic, and can…
Treatment of the Obese Pediatric Patient Tina M. Schwartz, RN, CPN Worcester State University Research for Evidence Based Practice NU525 Cheryl Hersperger, MS, RN, APHN-BC Abstract Obesity has become a public health epidemic. The number of pediatric and adolescent patients who are overweight or obese has more than doubled over the last two decades. Statistics from the World Health Organization (WHO) indicate that in 2013, 42 million children worldwide were overweight or obese (WHO…
III. NURSING INTERVENTIONS OF THE STOMA NURSE The discussions of literature related to this variable under study are divided into four parts. The first part provides a background on Enterostomal Therapy as a specialty in the international and local setting. The second part is an overview of the stoma care specialist's professional qualifications while the third part is about expected roles and responsibilities. This is followed by discussions on the certain nurse factors relevant to the…
The overall role of the wound care nurse is to treat acute and chronic wounds, but is also under their job description to treat ostomies, stomas, and urinary and fecal incontinence (graduate). Those WOCs that specialize only in wounds their scope of practice includes treating skin reactions, preventing skin breakdown, treating and managing vascular ulcers, pressure ulcers, and diabetic ulcers. It is also, important for…
While no official laws regarding the use of physical restraints in nursing homes and assisted living facilities exist, many elderly care facilities tend to have their own policies regarding the use of physical restraints. Most facilities are against the use of physical restraints because it conflicts with elderly care facility’s purpose of keeping a resident’s dignity intact. It is difficult to ensure the legal security of people with dementia because while they have protected rights and freedom…
The creation of a baby is God’s miracle to all of us. We hear from a mother’s point of view of what goes on with her body and see pictures of the baby through ultrasounds, but have you ever learned in detail what goes on? Like when does the baby’s nose form or the eyes? Conception to death is full of mysteries for all of us to figure out on our own. The understanding of human development is crucial growing up. Human development is “defined as the process of enlarging people’s freedoms…
The lay people associate Dementia with memory loss, but it’s just not that simple. Dementia is a gradual disease with many other characteristics, such as, loss of attention, orientation, language, judgement, and reasoning (Lewis, Dirksen, Heitkemper, Bucher, & Harding ). “Personality changes and behavioral problems such as agitation, delusions, and hallucinations may occur” (Lewis, Dirksen, Heitkemper, Bucher, & Harding). All of the issues that come with Dementia affect the entire person’s…
IV.3. PHYSICAL ACTIVITY: {Childhood obesity treatment book p261-264} Importance of Physical Activity: Physical activity is the only modifiable component of the energy expenditure portion of the energy balance equation. Increasing physical activity improves weight loss and maintenance and decreases obesity health hazards. Strategies to increase physical activity should include both increasing in structured and non-structured physical activity and reducing the amount of time spent in sedentary…
The Prostate Gland: An Overview: Anatomy: The prostate gland is shaped as an inverted cone in which the apex is pointing downward, the base is referring upward, and the midgland is sandwiched in between. In an antro-posterior view, the gland lies with its long axis parallel to the anterior rectal wall. It is bordered superiorly by the bladder (ventrally) and the seminal vesicles (dorsally), and inferiorly by the urogenital diaphragm (Jung and Westphalen, 2012). The prostate is separated from…