DQ: Large cardiovascular practice – Nursingthesis Help

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DQ: Large cardiovascular practice

DQ: Large cardiovascular practice

Complete Parts 1 and 2 – A, B, and C (D for Part 2) for this assignment. Answer in complete sentences, and be sure to use correct English, spelling and grammar. Sources must be cited in APA format. Each part (A & B) the response should be at least two and one-half (2 ½) double-spaced pages.

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Part 1.

A: Sheila Meyer, a medical assistant in Dr. Ryan’s large cardiovascular practice, is taking the medical history of Edna Helm, an obese elderly woman with congestive heart disease. Edna states, “I’m always short of breath, and I perspire all the time. I guess I’m gaining weight, but the funny thing is that only my legs seem heavier. My heart is pounding when I lie down at night; it even seems to stop sometimes. I’ve even started to wear red nail polish to hide the funny blue color of my nails.

Edna gives you a copy of her medical history from an out-of-state physician. The medical history indicates that she has had the following conditions, tests, and procedures:

Conditions DQ: Large cardiovascular practice

Tests

Surgical Procedures

Positive Babinski sign

Allergic rhinitis

Aortic insufficiency

Ascites

Gastritis

Osteoarthritis

Holter monitor testing

Radioimmunoassay test

Protein bound iodine test

Glucose tolerance test

Basal cell carcinoma removed in 1992

Sebaceous cyst removed in 1982

Meniscectomy in 1978

Rhytidectomy in 1970

Using correct medical terms, chart Edna’s presenting symptoms. Define each of the procedures and conditions listed on her medical record. Your response should be one (1) page in length.

B: Victor Krenz is assisting Dr. Connors with the fifth cataract surgery for the day. The patient is Kathy Wall, a diabetic patient, whose condition has been stable enough for her to undergo a surgical procedure. Victor has performed a six-minute surgical scrub on his hands before each of the five procedures. Dr. Connors indicates that he is in a hurry to get back to his office for a heavy afternoon schedule of patients. After both Dr. Connors and Victor are scrubbed, gowned, and ready to begin the operation, Victor feels a slight prick on the tip of his gloved finger as he moves the sterile syringe and needle on the tray. Dr. Connors, who does not notice the accidental needlestick to Victor’s glove, states again that he is in a hurry to finish this procedure. Victor knows that it will delay the surgery if he has to change gloves. He also knows that his hands have had a surgical scrub five times that morning and that they are clean. DQ: Large cardiovascular practice

Provide detailed answers for each of the following questions. Y our response should be one-half (1/2) page in length.

· Can Victor justify not changing into new gloves?

· What could happen to Ms. Wall as a result of Victor’s needlestick?

· How should Victor handle this situation?

C: José Menendez is an elderly patient of Dr. Juárez, a board-certified urologist. José has a history of recurrent UTIs dating back more than 10 years. When he becomes symptomatic, he has been instructed to call Dr. Juárez’s office and schedule a urinalysis. Dr. Juárez’s receptionist has just received a call from Mr. Menendez. He says he knows he is supposed to come in for a urine test but that he just wants a prescription phoned in to his pharmacy instead. The receptionist asks Emilia, Dr. Juárez’s medical assistant, to take the call from Mr. Menendez.

Emilia listens as Mr. Menendez recounts that he is experiencing dysuria—painful, burning urination. She asks him to come in for a urinalysis, explaining that, as per standing orders, a clean-catch midstream specimen needs to be collected. Mr. Menendez repeats to Emilia that he does not want to come in to the office. “Why can’t you call in a prescription for Bactrim? That is what I took last time, and it helped.”

Provide detailed answers for each of the following questions. Your response should be one (1) page in length.

· What is your response?

· Should the responsibility for this call have fallen on Emilia, or should the receptionist have either handled the call herself or passed it on to Dr. Juárez?

· What, if anything, could or should Emilia say to Mr. Menendez to persuade him to come in for the urinalysis?

· Might the cost of the procedure be a factor in the reason why Mr. Menendez does not want to have a urinalysis, and, if so, what, if anything, can Emilia do or say about the cost?

· Is it appropriate in this case, given the patient’s extensive history, to indeed call in a prescription for Bactrim?

· If not, how should Emilia handle Mr. Menendez’s request for his prescription?

· If so, what procedure should Emilia follow to arrange for a prescription?

· How should this telephone call be charted?

· What, if anything, should Dr. Juárez be told about the conversation with Mr. Menendez?

Part 2

A: Marge Riley, an overweight 50-year-old woman with a history of abdominal pain, has been scheduled for a lower GI series on Monday morning. She states she has board meetings every Monday morning at which breakfast is served and that she will come in for her x-rays after the meeting is over. Marge indicates that she does not understand why she needs these procedures.

Provide detailed answers for each of the following questions. Your response should be at least 150 words in length.

· What, if anything, would you tell the patient regarding her need for these procedures?

· How would you describe these procedures to the patient?

· What combination of teaching methods would you use to explain the procedures?

· You are still concerned, after explaining everything to Marge, that she will not follow the instructions. What do you do?

B: Jenny Watmore, a medical assistant working in Dr. Cory’s orthopedic practice, has been asked to assist Mr. Ivy from the wheelchair onto the examination table. Mr. Ivy, who is 70 years old, is weakened on the left side of his body from a cerebrovascular accident (CVA). He weighs 200 pounds and is reluctant to provide much help to Jenny when she has to transfer him from the wheelchair to the examination table.

Provide detailed answers for each of the following questions. Your response should be at least 150 words in length. DQ: Large cardiovascular practice

· How can Jenny get Mr. Ivy to help her assist him?

· Describe the body mechanics that Jenny should use to assist Mr. Ivy.

· What patient education does Mr. Ivy need?

· What documentation should Jenny provide on Mr. Ivy’s record?

 

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