Health and healing

Home>Homework Answsers>Nursing homework helpa year ago24.03.202425Report issuefiles (3)PartA-RevisedCaseScenario.pdfPartChH.docxNursingCarePlan.pdfPartA-RevisedCaseScenario.pdfHealth, Healing, and the Nursing Process 2Part A: Revised Case ScenarioGroup members: Kelly Savage, Rosemary Orumwense, Twinkle Twinkle, Jasmeen Jasmeen, Bhumika KatuwalAssigned chronic health condition:Grave’s DiseaseClient Narrative/Story:Helen Hill, a 35-year-old graphic designer of Irish Canadian heritage, has navigated the challenges of Graves’Disease for one year. During her last visit, which was 6 weeks ago, Helen weighed approximately 58 kg. Despitemaintaining a stable diet, she has experienced unintentional weight loss, a common symptom of her condition,bringing her current weight down to 48 kg. Standing at 1.68 meters tall, her Body Mass Index (BMI) has shiftedfrom a healthier range to a lower one, indicating this significant weight loss.Helen is a graphic designer and her career as a graphic designer demands precision and creativity. Yet her handtremors and fluctuating vision have introduced barriers she continuously strives to overcome.Recently, high blood pressure has emerged as another significant concern, further complicating her condition.This addition underscores the necessity of a comprehensive approach to her healthcare, integrating cardiovascularmanagement with her ongoing thyroid disorder treatment. Socially, Helen has felt isolated due to her condition.The physical changes, particularly the noticeable swelling in her neck and the protrusion of her eyes have led toself-consciousness and withdrawal from social gatherings. Additionally, the unpredictable nature of hersymptoms, including severe fatigue and night sweats, has strained her relationships and ability to engage inactivities she once loved. Helen has a history of smoking, and does not drink or use recreational drugs, Helen hasalso recently taken pregnancy tests due to irregular menstrual cycle, which were negative.Despite these challenges, Helen is determined to remain independent and continue her career. She has soughtsupport through online communities, finding solace and understanding among others with similar experiences.She also plays a significant role in her community, volunteering her graphic design skills to local non-profitorganizations, which not only allows her to give back but also provides a sense of purpose and belonging. Herinterest in alternative medicine has led her to explore various supplements and dietary changes to complementher conventional treatment, seeking a more holistic approach to manage her symptoms. Helen’s resilience isevident in her commitment to managing her condition, from adhering to a strict medication regimen toexperimenting with dietary changes and stress reduction techniques.Issues client is experiencing related to their chronic health condition:·Significant Weight Loss and Altered BMI: Helen’s unintentional weight/muscle loss from 58 kg to 48 kg,despite a stable diet, significantly affects her physical health and well-being. This change has not only altered herBMI from a healthier range to a lower one but also indicates the severity of her condition.·High Blood Pressure (152/90 mmHg): Exacerbated by Graves’ Disease, posing additional risks to hercardiovascular health and necessitating careful monitoring and management.·Dizziness: The dizziness introduced by Graves’ Disease created barriers to her ability to perform better in bothher personal and professional life.Chart Data:Biographical Data Name: Helen Hill, Age: 35, Gender: Female, Heritage: Irish Canadian, Marital Status:Single, Occupation: Graphic Designer.Health History Graves’ Disease diagnosed one year ago; Anxiety; hypertension (Health historyevidence client’s BP range from 128/90 – 135/95)Family History Mother with hyperthyroidismAllergies NKARisk factors High-stress career, genetic predisposition to thyroid disordersPhysical assessment Objective Data: HR 110 bpm; BP 152/90; Visible goiter; Exophthalmos.·Height: 5’5” inches (1.68 m)·Past Weight: 58 kg (Before significant weight loss).·Current Weight: 48 kg (After weight loss).·Past BMI: Approx. 21.3·Current BMI: Approx 17.6 (Indicative of weight loss).Subjective Data: Client reports hand tremors, increased appetite, heat intolerance,night sweats, excessive sweating, and sleep disturbancesEmotionalassessmentAppears anxious and fatigued; expresses feelings of isolation and frustration.PsychosocialassessmentActive community volunteer; challenges in social interactions; strong online supportnetwork.Diagnostics and labvaluesTSH: 0.009 mIU/L; Free T4: 3.4 ng/dL; Free T3: 6.8 pg/mL; TSI: 5.2 IU/L; TPOAb:277 IU/mLCurrent medications Methimazole – 20 mg, Propranolol – 80 mg, Lisinopril – 5 mg, SSRI – 2 tabs foranxiety (Tyerman et al., 2022).Current treatmentplans·Medical Intervention: Focuses on managing thyroid hormone production andsymptoms through medications, regularly monitoring thyroid function to adjustdosages.·Nursing Intervention: Emphasizes education, medication adherence, symptomtracking, and lifestyle adjustments for stress and symptoms management.·Alternative Intervention: Incorporates supplements, dietary changes, and practiceslike yoga and meditation, guided by consultations with experts in thyroid disorders andalternative medicine.Complications The potential for thyroid storm and other complications such as osteoporosis and atrialfibrillation underscores the critical nature of consistent treatment and monitoring.CulturalconsiderationsHelen’s heritage and holistic health approach could be integrated into her care plan, ifrequested, which enhances the therapeutic relationship and treatment adherence. Heractive community involvement and online support highlight the role of social supportin managing chronic conditions, contributing to her psychosocial well-being andresilienceReferencesTyerman, J., Cobbett, S., Harding, M. M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2022). Lewis’sMedical-Surgical Nursing in Canada – E-Book: Assessment and Management of Clinical Problems.Elsevier Health Sciences.Website, N. (2023, September 25). Propranolol. nhs.uk. https://www.nhs.uk/medicines/propranolol/Website, N. (2022b, February 2). How and when to take lisinopril. nhs.uk.https://www.nhs.uk/medicines/lisinopril/how-and-when-to-take-lisinoprilWebsite, N. (2021, December 17). Dosage – Selective serotonin reuptake inhibitors (SSRIs). nhs.uk.https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/ssri-antidepressants/dosage/https://www.nhs.uk/medicines/propranolol/https://www.nhs.uk/medicines/lisinopril/how-and-when-to-take-lisinoprilhttps://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/ssri-antidepressants/dosage/https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/ssri-antidepressants/dosage/PartChH.docxThis file is too large to display.View in new windowNursingCarePlan.pdfThis file is too large to display.View in new windowNursingCarePlan.pdfThis file is too large to display.View in new windowPartA-RevisedCaseScenario.pdfHealth, Healing, and the Nursing Process 2Part A: Revised Case ScenarioGroup members: Kelly Savage, Rosemary Orumwense, Twinkle Twinkle, Jasmeen Jasmeen, Bhumika KatuwalAssigned chronic health condition:Grave’s DiseaseClient Narrative/Story:Helen Hill, a 35-year-old graphic designer of Irish Canadian heritage, has navigated the challenges of Graves’Disease for one year. During her last visit, which was 6 weeks ago, Helen weighed approximately 58 kg. Despitemaintaining a stable diet, she has experienced unintentional weight loss, a common symptom of her condition,bringing her current weight down to 48 kg. Standing at 1.68 meters tall, her Body Mass Index (BMI) has shiftedfrom a healthier range to a lower one, indicating this significant weight loss.Helen is a graphic designer and her career as a graphic designer demands precision and creativity. Yet her handtremors and fluctuating vision have introduced barriers she continuously strives to overcome.Recently, high blood pressure has emerged as another significant concern, further complicating her condition.This addition underscores the necessity of a comprehensive approach to her healthcare, integrating cardiovascularmanagement with her ongoing thyroid disorder treatment. Socially, Helen has felt isolated due to her condition.The physical changes, particularly the noticeable swelling in her neck and the protrusion of her eyes have led toself-consciousness and withdrawal from social gatherings. Additionally, the unpredictable nature of hersymptoms, including severe fatigue and night sweats, has strained her relationships and ability to engage inactivities she once loved. Helen has a history of smoking, and does not drink or use recreational drugs, Helen hasalso recently taken pregnancy tests due to irregular menstrual cycle, which were negative.Despite these challenges, Helen is determined to remain independent and continue her career. She has soughtsupport through online communities, finding solace and understanding among others with similar experiences.She also plays a significant role in her community, volunteering her graphic design skills to local non-profitorganizations, which not only allows her to give back but also provides a sense of purpose and belonging. Herinterest in alternative medicine has led her to explore various supplements and dietary changes to complementher conventional treatment, seeking a more holistic approach to manage her symptoms. Helen’s resilience isevident in her commitment to managing her condition, from adhering to a strict medication regimen toexperimenting with dietary changes and stress reduction techniques.Issues client is experiencing related to their chronic health condition:·Significant Weight Loss and Altered BMI: Helen’s unintentional weight/muscle loss from 58 kg to 48 kg,despite a stable diet, significantly affects her physical health and well-being. This change has not only altered herBMI from a healthier range to a lower one but also indicates the severity of her condition.·High Blood Pressure (152/90 mmHg): Exacerbated by Graves’ Disease, posing additional risks to hercardiovascular health and necessitating careful monitoring and management.·Dizziness: The dizziness introduced by Graves’ Disease created barriers to her ability to perform better in bothher personal and professional life.Chart Data:Biographical Data Name: Helen Hill, Age: 35, Gender: Female, Heritage: Irish Canadian, Marital Status:Single, Occupation: Graphic Designer.Health History Graves’ Disease diagnosed one year ago; Anxiety; hypertension (Health historyevidence client’s BP range from 128/90 – 135/95)Family History Mother with hyperthyroidismAllergies NKARisk factors High-stress career, genetic predisposition to thyroid disordersPhysical assessment Objective Data: HR 110 bpm; BP 152/90; Visible goiter; Exophthalmos.·Height: 5’5” inches (1.68 m)·Past Weight: 58 kg (Before significant weight loss).·Current Weight: 48 kg (After weight loss).·Past BMI: Approx. 21.3·Current BMI: Approx 17.6 (Indicative of weight loss).Subjective Data: Client reports hand tremors, increased appetite, heat intolerance,night sweats, excessive sweating, and sleep disturbancesEmotionalassessmentAppears anxious and fatigued; expresses feelings of isolation and frustration.PsychosocialassessmentActive community volunteer; challenges in social interactions; strong online supportnetwork.Diagnostics and labvaluesTSH: 0.009 mIU/L; Free T4: 3.4 ng/dL; Free T3: 6.8 pg/mL; TSI: 5.2 IU/L; TPOAb:277 IU/mLCurrent medications Methimazole – 20 mg, Propranolol – 80 mg, Lisinopril – 5 mg, SSRI – 2 tabs foranxiety (Tyerman et al., 2022).Current treatmentplans·Medical Intervention: Focuses on managing thyroid hormone production andsymptoms through medications, regularly monitoring thyroid function to adjustdosages.·Nursing Intervention: Emphasizes education, medication adherence, symptomtracking, and lifestyle adjustments for stress and symptoms management.·Alternative Intervention: Incorporates supplements, dietary changes, and practiceslike yoga and meditation, guided by consultations with experts in thyroid disorders andalternative medicine.Complications The potential for thyroid storm and other complications such as osteoporosis and atrialfibrillation underscores the critical nature of consistent treatment and monitoring.CulturalconsiderationsHelen’s heritage and holistic health approach could be integrated into her care plan, ifrequested, which enhances the therapeutic relationship and treatment adherence. Heractive community involvement and online support highlight the role of social supportin managing chronic conditions, contributing to her psychosocial well-being andresilienceReferencesTyerman, J., Cobbett, S., Harding, M. M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2022). Lewis’sMedical-Surgical Nursing in Canada – E-Book: Assessment and Management of Clinical Problems.Elsevier Health Sciences.Website, N. (2023, September 25). Propranolol. nhs.uk. https://www.nhs.uk/medicines/propranolol/Website, N. (2022b, February 2). How and when to take lisinopril. nhs.uk.https://www.nhs.uk/medicines/lisinopril/how-and-when-to-take-lisinoprilWebsite, N. (2021, December 17). Dosage – Selective serotonin reuptake inhibitors (SSRIs). nhs.uk.https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/ssri-antidepressants/dosage/https://www.nhs.uk/medicines/propranolol/https://www.nhs.uk/medicines/lisinopril/how-and-when-to-take-lisinoprilhttps://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/ssri-antidepressants/dosage/https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/ssri-antidepressants/dosage/PartChH.docxThis file is too large to display.View in new windowNursingCarePlan.pdfThis file is too large to display.View in new windowPartA-RevisedCaseScenario.pdfHealth, Healing, and the Nursing Process 2Part A: Revised Case ScenarioGroup members: Kelly Savage, Rosemary Orumwense, Twinkle Twinkle, Jasmeen Jasmeen, Bhumika KatuwalAssigned chronic health condition:Grave’s DiseaseClient Narrative/Story:Helen Hill, a 35-year-old graphic designer of Irish Canadian heritage, has navigated the challenges of Graves’Disease for one year. During her last visit, which was 6 weeks ago, Helen weighed approximately 58 kg. Despitemaintaining a stable diet, she has experienced unintentional weight loss, a common symptom of her condition,bringing her current weight down to 48 kg. Standing at 1.68 meters tall, her Body Mass Index (BMI) has shiftedfrom a healthier range to a lower one, indicating this significant weight loss.Helen is a graphic designer and her career as a graphic designer demands precision and creativity. Yet her handtremors and fluctuating vision have introduced barriers she continuously strives to overcome.Recently, high blood pressure has emerged as another significant concern, further complicating her condition.This addition underscores the necessity of a comprehensive approach to her healthcare, integrating cardiovascularmanagement with her ongoing thyroid disorder treatment. Socially, Helen has felt isolated due to her condition.The physical changes, particularly the noticeable swelling in her neck and the protrusion of her eyes have led toself-consciousness and withdrawal from social gatherings. Additionally, the unpredictable nature of hersymptoms, including severe fatigue and night sweats, has strained her relationships and ability to engage inactivities she once loved. Helen has a history of smoking, and does not drink or use recreational drugs, Helen hasalso recently taken pregnancy tests due to irregular menstrual cycle, which were negative.Despite these challenges, Helen is determined to remain independent and continue her career. She has soughtsupport through online communities, finding solace and understanding among others with similar experiences.She also plays a significant role in her community, volunteering her graphic design skills to local non-profitorganizations, which not only allows her to give back but also provides a sense of purpose and belonging. Herinterest in alternative medicine has led her to explore various supplements and dietary changes to complementher conventional treatment, seeking a more holistic approach to manage her symptoms. Helen’s resilience isevident in her commitment to managing her condition, from adhering to a strict medication regimen toexperimenting with dietary changes and stress reduction techniques.Issues client is experiencing related to their chronic health condition:·Significant Weight Loss and Altered BMI: Helen’s unintentional weight/muscle loss from 58 kg to 48 kg,despite a stable diet, significantly affects her physical health and well-being. This change has not only altered herBMI from a healthier range to a lower one but also indicates the severity of her condition.·High Blood Pressure (152/90 mmHg): Exacerbated by Graves’ Disease, posing additional risks to hercardiovascular health and necessitating careful monitoring and management.·Dizziness: The dizziness introduced by Graves’ Disease created barriers to her ability to perform better in bothher personal and professional life.Chart Data:Biographical Data Name: Helen Hill, Age: 35, Gender: Female, Heritage: Irish Canadian, Marital Status:Single, Occupation: Graphic Designer.Health History Graves’ Disease diagnosed one year ago; Anxiety; hypertension (Health historyevidence client’s BP range from 128/90 – 135/95)Family History Mother with hyperthyroidismAllergies NKARisk factors High-stress career, genetic predisposition to thyroid disordersPhysical assessment Objective Data: HR 110 bpm; BP 152/90; Visible goiter; Exophthalmos.·Height: 5’5” inches (1.68 m)·Past Weight: 58 kg (Before significant weight loss).·Current Weight: 48 kg (After weight loss).·Past BMI: Approx. 21.3·Current BMI: Approx 17.6 (Indicative of weight loss).Subjective Data: Client reports hand tremors, increased appetite, heat intolerance,night sweats, excessive sweating, and sleep disturbancesEmotionalassessmentAppears anxious and fatigued; expresses feelings of isolation and frustration.PsychosocialassessmentActive community volunteer; challenges in social interactions; strong online supportnetwork.Diagnostics and labvaluesTSH: 0.009 mIU/L; Free T4: 3.4 ng/dL; Free T3: 6.8 pg/mL; TSI: 5.2 IU/L; TPOAb:277 IU/mLCurrent medications Methimazole – 20 mg, Propranolol – 80 mg, Lisinopril – 5 mg, SSRI – 2 tabs foranxiety (Tyerman et al., 2022).Current treatmentplans·Medical Intervention: Focuses on managing thyroid hormone production andsymptoms through medications, regularly monitoring thyroid function to adjustdosages.·Nursing Intervention: Emphasizes education, medication adherence, symptomtracking, and lifestyle adjustments for stress and symptoms management.·Alternative Intervention: Incorporates supplements, dietary changes, and practiceslike yoga and meditation, guided by consultations with experts in thyroid disorders andalternative medicine.Complications The potential for thyroid storm and other complications such as osteoporosis and atrialfibrillation underscores the critical nature of consistent treatment and monitoring.CulturalconsiderationsHelen’s heritage and holistic health approach could be integrated into her care plan, ifrequested, which enhances the therapeutic relationship and treatment adherence. Heractive community involvement and online support highlight the role of social supportin managing chronic conditions, contributing to her psychosocial well-being andresilienceReferencesTyerman, J., Cobbett, S., Harding, M. M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2022). Lewis’sMedical-Surgical Nursing in Canada – E-Book: Assessment and Management of Clinical Problems.Elsevier Health Sciences.Website, N. (2023, September 25). Propranolol. nhs.uk. https://www.nhs.uk/medicines/propranolol/Website, N. (2022b, February 2). How and when to take lisinopril. nhs.uk.https://www.nhs.uk/medicines/lisinopril/how-and-when-to-take-lisinoprilWebsite, N. (2021, December 17). Dosage – Selective serotonin reuptake inhibitors (SSRIs). nhs.uk.https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/ssri-antidepressants/dosage/https://www.nhs.uk/medicines/propranolol/https://www.nhs.uk/medicines/lisinopril/how-and-when-to-take-lisinoprilhttps://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/ssri-antidepressants/dosage/https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/ssri-antidepressants/dosage/PartChH.docxThis file is too large to display.View in new windowNursingCarePlan.pdfThis file is too large to display.View in new window123Bids(61)Dr. Ellen RMEmily ClareDr. Sarah Blakeabdul_rehman_Sheryl HoganProf Double RDoctor.NamiraYoung NyanyaSTELLAR GEEK A+ProWritingGuruJahky BDr M. MichelleAshley EllieTutor Cyrus KenDr. Sophie MilesWIZARD_KIMnicohwilliamDr CloverIsabella HarvardColeen AndersonShow All Bidsother Questions(10)active leaning1. This research scenario will be familiar to you. Do letters a, b, and c, answering the questions beneath your SPSS output. (3 pts for output and 2 pts each for a–c)Prom queen essayessay what??Cloud computingNO PLAGIARISM please this work be checked in turnitin. read and follow all stepsLeader Motivation and a Well-Managed Change ProcessModify homeworkintegration of technologyEuropean History

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