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CRB65 GP Practice Summary

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In GP Practice, the measuring system CRB65 is recommended (3); as confusion, respiratory rate and blood pressure are easily measured . NICE guidelines recommend home-based care for any patients with a score of 0, and considered referral to hospital for all others . When deciding on home treatment, the patient’s social circumstances and wished must be taken into account in all instances
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However, external ICD-10 testing can help gather valuable feedback. But, there may be issues regarding its arrangements with healthcare

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CCIB received a SOC 341 from APS for the following residents: Daniel Hourihan (DOB: 10/03/54), Gerardo Guerrero (DOB: 01/02/95) and Gerald Gaither (DOB: 06/14/59). Per the reporting party, Lee Nln, the provider/Owner Cheryl Oliver has been advertising her independent living facility as a board and care. RP stated that her clients have been paying the board and care rate and the client require medication management. RP stated that in April 2018, client Daniel Hourihan moved to another facility. The rent for Daniel was sent to Ms. Oliver who continued to cash the rent checks for Daniel.

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CIWA-Ar is a 10-item scale which numerically scores the severity of a patient’s nausea, sweating, agitation, headache, anxiety, tremor, sensory disturbances (visual, tactile, and auditory), and orientation23 to determine appropriate benzodiazepine dose. It is usually administered by a nurse and takes only a minute or two to complete. There is a maximum of 67 points and a score >18 indicates a patient is at severe risk for major alcohol withdrawal complications.5 Patients with scores <8 may be reevaluated every 8 hours, however patients with higher CIWA scores will need to be reevaluated more frequently depending on worsening or improving symptoms, sometimes requiring hourly assessments.. Hourly assessments may be quite burdensome for a floor

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“Fatigued: A Case on Blood” 1. The values collected from a CBC can reveal a great deal of information about a patient’s health. This information can be broken down into three broad categories, which are listed below. For each of these categories, list all of the CBC values that would provide information on that aspect of the patient’s health. OXYGENATION STATUS (oxygen-carrying capacity): Hemoglobin, Hematocrit, RBC count, Mean RBC volume IMMUNE STATUS (signs of infection, allergy, immune suppression): Neutrophils, Basophils, WBC count HEMOSTASIS (blood clotting): Platelets 2. Review the measurements in the CBC.

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ISSUES: Can the limited partnership be converted its business form into the limited liability company (LLC) without the approval and/or consent of all limited partners or general managers? Was the restructuring of the limited partnership form invalid? Does this restructuring violate KRS 275.370 and KRS 362.490? RULES: The statue states KRS 275.370 that the limited partnership can be converted into the limited liability company if the terms and conditions of a conversion is approved by “all the partners or by a number or percentage specified for conversion in the partnership agreement or, in the case of a limited partnership, by all the partners, notwithstanding any provision to the contrary in the limited liability company.”

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Assessment 2 Short Essay Question -01 Discuss Mr. Ronald bates systemic assessment and priorities of management Mr. Ronald bates presented to the emergency department with shortness of breath (Respiratory rate- 24 breaths/min) and general discomfort (pain score- 4/10) and it was started in the morning and worsens when doing activities. The above presenting complaints lead to a possible cardiac event, so that this presentation would be triaged as category 2. Therefore, medical officer would be notified regrading patient presentation and put Mr. bates to semi fowler’s position in the Emergency bed if this position is comfortable for him. Further primary systemic assessment of the patient starts with an order with an assessment of

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Client score a 10 which indicates normal ups and downs. CM continued to assess for PTSD symptoms, substance abuse, and medication compliance.

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Outcome: 7B staff feel comfortable and confident completing these CIWA assessments. Many are able to guide providers when verifying orders

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Examination Constitutional Weight 175 pounds. Height 5 '3". Respirations 12. Pulse 69. General

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1.0 Introduction Acute respiratory distress syndrome also called adult respiratory distress syndrome. Acute respiratory distress syndrome (ARDS) was originally defined by Ashbaugh et al in 1967 as a condition identify by rapid onset tachypnoea and hypoxaemia with loss of lung compliance and bilateral infiltrates on chest radiograph. ARDS happen both adult and children. ARDS may happen in people of any age. Its rate increases with advancing age, ranging from 16 cases per 100,000 person-years in those aged 15-19 years to 306 cases per 100,000 person-years in those between the ages of 75 and 84 years.

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Ten patients were used to test reliability in this assessment process, and the calculated interrater reliability at 94% with a confidence interval (CI) of 95%. The sensitivity of the CAM-ICUs at 76% presented a CI of 95% with a specificity of 98% and a CI of 95% (Mitasova et al., 2012). The validity of this study shows a high incidence for detecting delirium in post stroke patients when using the CAM-ICU as an assessment tool. This effective and reliable tool should be used at the local level in determining delirium in the critically ill population of post stroke patients. Implementation can be easily integrated into daily assessments providing early detection and treatment effectively and decreasing complications related to unrecognized

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The theory of evidence based practice is not only an approach that targets for quality of patients but also highly improves the level of accountability in the health care sector by promoting a life-time learning process. Evidence based practice addresses the compulsory need for quality research evidence and quality practice all in struggle to support the care of a patient. Below is a brief description of the five models of evidence based practice(“ LibGuides at Oregon Health & Science University,” n.d.). Ask: Get some information about the consideration of people, groups, or populaces. Acquire: Secure the best accessible proof with respect to the inquiry.

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Rashid Ahmed Guided Reflection Questions Opening Questions How did the simulated experience of Rashid Ahmed’s case make you feel? Overall, the simulation case of Mr. Ahmed was a positive experience that makes me feel in control and challenged by the situation. I perform multiple nursing skills and acknowledge acquired during lectures. For example, in reference to fluid, electrolyte, and acid-base balance information, I was able to identify the needs of a dehydrated patient.

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You patient, Jerry, is a 67 year old male who recently had a cerebral vascular attack (CVA) affecting the right side of his body. You have been working with Jerry for the past six weeks on strength, ROM, balance, and coordination and he has been progressively gaining more function. In the past few sessions however, you have noticed that he has plateaued. The insurance company needs to see that the patient’s status is improving in order to continue paying for their therapy. It is noted that studies have shown that it is normal for a patient to see a plateau in the middle of their therapy timeframe, but if therapy is continued a positive progression can be seen; conversely if therapy is stopped then a loss of gains and function can occur.

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(Marieb and Hoehn, 2016) In my clinical setting, it was expected that a level of proffesional protocol is carried out for a correct, and safe arterial reading while maintaining a hygienic and aseptic approach that is safe, and reduces the risk of detrimental harm to myself as a healthcare professional and to the patient in my care. Bp is read from patients as a matter of determining illness by monitoring what is known as a NEWS score, presenting a validating number to recognise the level of health of an individual. (Royal College of Nursing, 2015) Hypertension, high blood pressure, or hypotension, low blood pressure, can be a sign of a decreased state of health for my patients, therefore it was imperative that a bp exam is carried out in the correct way for the

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