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Case Study: You are working the day shift on a medicine inpatient unit. You are discussing discharge instructions with J.B., an 86-year-old man who was admitted for mitral valve repair. His serum blood glucose had been averaging 250 mg/dl or higher for the past several months.During this admission, his dosage of insulin was adjusted, and he was given additional education in managing his diet. While you are giving these instructions, J.B. tells you his wife died 9 months ago. He becomes tearful when telling you about that loss and the loneliness he has been feeling. He tells you he just doesn't feel good lately, feels sad much of the time, and hasn't been involved in his normal activities. He has few friends left in the community, since most of them have passed away. He also tells you that he has been feeling so down the past few months that he has had thoughts about suicide.
Question 1. What other information should you ask J.B. regarding his thoughts of suicide? Question 2. What characteristics of J.B. put him at high risk for suicide? Question 3. Which psychiatric disorders can result in suicidal ideations or gestures? Question 4. What questions would you ask J.B. to determine whether he is clinically depressed? Question 5. Ill people often have trouble sleeping, experience a change in appetite, reduce their level of activity, and have thoughts of death. How can you tell the difference between old age with illness and depression? Question 6. List five of the most common signs of depression Question 7. Identify two treatments that are available for depression. Question 8. J.B. was started on an SSRI such as fluoxetine (Prozac). What special instructions should you give him regarding SSRIs? Question 9. What advantages does ECT hold over the other treatments for depression? Question 10. ECT is a highly stigmatized treatment; many people are reluctant to consent to initiatetreatment. What are the most common untoward effects of ECT?Question 11. What immediate interventions would you carry out for J.B.?
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This assignment has three parts which contains questions related to Microbiology. It contains basic principles of microscopy, staining techniques in microbiology and microbial growth in the food industry.
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Write a case study which detailing a scenario of a patient being investigated in the Haematology laboratory.
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Prepare an essay on nosocomial infection.
To increase the awareness of monitoring and recording the blood pressure of patients and practice measuring blood pressure in a safe environment.
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