Med Surg Remediation.docx - Management of Care Advocacy(1...

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Management of Care Advocacy - (1) Ethical Responsibilities: Demonstrating Client Advocacy for a Client Who Has AIDS(Active Learning Template - System Disorder, RM Fund 10.0 Chp 3 Ethical Responsibilities ) 1- Advocacy is to support and defend the client’s health. 2- This includes wishes, safety and personal rights. 3- The ethical dilemma here is about a pt who has AIDS and does not want a home health nurse. The nurse should determine why and make a referral for the pt to talk to one. Case Management - (2) Diabetes Mellitus Management: Teaching About Blood Glucose Monitoring(Active Learning Template - Diagnostic Procedure, RM AMS RN 11.0 Chp 82 Diabetes Mellitus Management ) 1- The patient should consume a diet low in saturated fats. 2- The goal is to have higher HDL’s and lower LDL’s to control glucose. 3- Pt should also exercise 150 min per week, Stroke: Discharge Planning for a Client Following an Ischemic Stroke(Active Learning Template - System Disorder, RM AMS RN 11.0 Chp 15 Stroke ) 1- Hypertension, smoking, diabetes can increase the chances of a pt having a stroke 2- Support the affected arm, or leg in bed with a sling or pillows strategically. 3- Use the unaffected side to exercise the body. Safety and Infection Control Accident/Error/Injury Prevention - (1) Preoperative Nursing Care: Identifying Allergic Cross-Reactivity(Active Learning Template - Basic Concept, RM AMS RN 11.0 Chp 95 Preoperative Nursing Care ) 1- If pt is allergic to bananas they can also be allergic to latex. 2- Check the patient's allergies prior to the procedure. 3- If a patient does not have an allergy bracelet on, put one on. Handling Hazardous and Infectious Materials - (1) Cancer Treatment Options: Nursing Care for a Client Who Is Receiving Internal Radiation Therapy(Active Learning Template - Therapeutic Procedure, RM AMS RN 11.0 Chp 91 Cancer Treatment Options ) 1- Instruct pt’s family to drop medicine in a cup and to not touch the med. 2- Avoid raw fruits, vegetables, fresh flowers, anything that can hold bacteria. 3- Do not share any toiletries or personal hygiene items with anyone. Standard Precautions/Transmission-Based Precautions/Surgical Asepsis - (2) Cancer Treatment Options: Interventions for a Client Who Has Neutropenia(Active Learning Template - System Disorder, RM AMS RN 11.0 Chp 91 Cancer Treatment Options ) 1 Instruct pt’s to drop medicine in a cup and to not touch the actual medication. 2- Avoid raw foods like fruits, vegetables, fish, meat. 3-- Do not share any type of hygiene products with anyone. HIV/AIDS: Teaching Home Care(Active Learning Template - System Disorder, RM AMS RN 11.0 Chp 86 HIV/AIDS ) 1- The use of condoms, abstinence and not sharing needles will allow for no transmission. 2- Encourage the client to be up to date with all immunizations to prevent infection.
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3- Refer the client to a local AIDS group.
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