Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

Community health nursing case study

25/12/2020 Client: saad24vbs Deadline: 24 Hours

1


CASE STUDIES


CASE # 1 About: History of Public Health and Public and Community Health Nursing


Michael works as a home health nurse in his suburban community. He visits 7-10 clients each day. On today’s visitations, Michael will provide care for four clients who are recovering from hip replacement surgery and three clients who are recovering from heart surgery, and he will provide intravenous (IV) antibiotics for a man with an infected wound.


Among this list of clients, Michael visits Mrs. T., an 87-year-old white woman who lives alone and is recovering from triple bypass surgery that she underwent a month ago. Michael’s goals are to check on her recovery progress, reload her medications in her weekly medication container, and administer an influenza vaccine.


Upon entering Mrs. T.’s small house, Michael finds the house in disarray: clothes are scattered about, dirty dishes with crusted food line the kitchen counters, and no lights are on. Michael finds Mrs. T. lying in bed watching television. Mrs. T. complains to Michael of feeling too tired to do anything; she eats only what is already prepared (e.g., frozen dinners or snack foods like potato chips) because cooking requires too much effort. She spends most of her days lying in bed and has not bathed in a week.


Michael helps Mrs. T. out of bed and assists her with a bath. After the bath, Michael fixes Mrs. T. a quick lunch and refills her medication box while she eats. Michael encourages Mrs. T. to start getting some exercise by doing the household chores so that her heart can get stronger. “The stronger your heart is, the more energy you will have,” Michael tells Mrs. T. Michael also enlists several services for Mrs. T.: A home health aide will come to the house three times a week to help Mrs. T. bathe, and Meals-on-Wheels will bring her breakfast and lunch. Finally, Nurse Michael administers the influenza vaccine.


During Nurse Michael’s visit the following week, Mrs. T. is showing improvement. She tells Michael, “I just love that little girl who comes to help me; she is just so sweet. And the Meals-on-Wheels program is a blessing, I now have more energy to keep this place clean the way I like it.”


Questions


1. What challenges did Nurse Michael face in his first visit with Mrs. T. that public health nurses (PHNs) in the late 1800s also faced?


2. From your knowledge about the history of public health, compare an example of care displayed by nursing leaders of the past versus the current activities of Nurse Michael. For example, how was Nurse Michael’s nursing care similar to what Mary Breckinridge provided in the Frontier Nursing Service (FNS)?


3. How do the types of illnesses of Nurse Michael’s clients differ from the types of illnesses that were experienced by clients of PHNs in the early 1900s?


CASE STUDY # 2 ABOUT CULTURAL DIVERSITY IN THE COMMUNITY


Nurse Betty is teaching a health-promotion class to a group of Hispanic migrant workers. Nurse Betty is white, and this is her first time interacting with people of Hispanic culture. Nurse Betty speaks a little Spanish, but not enough to teach the whole class in Spanish. Most of the migrant workers speak only Spanish. Nurse Betty understands that she needs to provide culturally competent care to make her health-promotion class most effective but is not sure where to start.


Questions


1. What is the first step that Nurse Betty should take to prepare for her health-promotion class?


2. What are the language barriers, specific risk factors, and traditional healing practices that Nurse Betty must be aware of if she is to successfully interact with the group of Hispanic workers?


3. How can Nurse Betty involve the community to improve the effectiveness of her health-promotion class?


CASE # 3: ABOUT ENVIROMMENTAL HEALTH


John J. is a school nurse at Jackson Elementary School, which was built in 1960. Nurse John has noticed that many students from Ms. Zee’s second grade class have come to the clinic complaining about coughing, sneezing, runny nose, and watery eyes. Nurse John has also observed that Steven Tea, the only asthmatic student in Ms. Zee’s class, has had more asthma attacks this year than he did last year. Because the rest of the school is not experiencing the same respiratory problems, Nurse John is concerned that something in Ms. Zee’s classroom is causing students to feel ill.


Nurse John decides to visit Ms. Zee’s classroom. Upon entering the classroom, one of the few located in the school’s basement, John is struck by the powerful musty smell that inhabits the room. While talking to Ms. Zee, John learns that the classroom has “smelled bad for years,” and that students from previous years have complained about respiratory problems. Nurse John notes that Ms. Zee has stuffed a blanket at the base of the classroom’s small rectangular window near the ceiling because the window does not close completely.


John suspects that Ms. Zee’s classroom walls are contaminated with mold. Upon further research, Nurse John learns that if water gets between the exterior and the interior of a building’s wall, mold can grow in the moist environment. This situation can occur as the result of construction defects in the building (e.g., leaky windows). Nurse John also learns that people who are exposed to extensive mold growth may experience allergic reactions, such as hay fever-like allergy symptoms, and that people who already have a chronic respiratory disease, such as asthma, may experience difficulty breathing when exposed to mold. Nurse John is concerned about the possible mold contamination effect on his asthmatic student, Steven.


Questions


1. Identify the agent, host, and environment in this case study, and describe how they interacted to bring about the occurrence of disease.


2. Is the mold contamination in Ms. Zee’s room a point-source pollutant or a non–point-source pollutant?


3. What can Nurse John do to learn more about indoor air quality (IAQ) and about what to do in case of mold?


4. What are some possible interventions that Nurse John could apply to address the mold contamination in Ms. Zee’s room?


CASE # 4: ABOUT INFECTIOUS DISEASE PREVENTION AND CONTROL


Hilary S. is a nurse health inspector at the county health department. Nurse Hilary visits businesses in the community that have the potential to spread infectious diseases to large and/or vulnerable populations. Today, Nurse Hilary will visit the We Love Kids daycare center and a nearby seafood restaurant.


The daycare center cares for children ages 1 month to 6 years. To enroll a child in daycare, parents must show proof that the child is up-to-date on all age-appropriate immunizations or must show proof of medical or religious exemption. Nurse Hilary finds the records in the office area and confirms that all children have received the necessary immunizations. She observes that employees use gloves when changing diapers, cleaning a baby’s spit-up, and tending to a scratched knee from a playground accident. Employees also wash their hands after each of these events, before and after giving a baby his bottle, and before entering the 1- to 6-month-old room after leaving the 2- to 3-year-old room. Nurse Hilary also notices a flyer posted in the employee break room that informs staff of the upcoming mandatory in-service that will be held to discuss the importance of checking bottles, especially those that contain breast milk, for the correct name before feeding a child.


The seafood restaurant is a chain restaurant that has become less popular over the past couple of years. Many customers have complained about the quality of the food. Recently, 20 cases of severe diarrhea were reported to the health department by people who had just eaten at the restaurant. Nurse Hilary observes the cooks in the kitchen. The refrigerator and the freezer are kept at appropriate temperatures for storing food. Food is stored in airtight, plastic containers. Nurse Hilary watches as the cook who is preparing the chicken for broiling is also in charge of prepping the plates that are going out to the customers. Upon cutting into a piece of chicken about to go out to the dining room, Nurse Hilary notes that the center looks pink and undercooked. Pieces of wilted lettuce are scattered on the countertops. During her 2-hour visit, the main chef washes his hands twice, although he leaves the kitchen four times for a smoking break.


Questions


1. How is the daycare center providing infectious disease control?


2. Describe the outbreak of diarrhea.


A. Endemic


B. Epidemic


C. Pandemic


3. Which of the five keys to safer food does the restaurant not follow?


CASE # 5: ABOUT FAMILY HEALTH RISK


The M. family consists of Mr. M. (Harry), Mrs. M. (Shirley), 18-year-old Annie, 15-year-old Michelle, 13-year-old Sean, and 7-year-old Bobby. Harry is the pastor of Faith Baptist Church, where he has served for the past 15 years. Shirley is a housemother and is the primary caretaker for the children.


For the past year, Shirley has felt tired and “rundown.” At her annual physical, Shirley describes her symptoms to her physician. After several tests, Shirley is diagnosed with stomach cancer. Shirley starts to cry and says, “How will I tell my family?”


Shirley’s primary physician refers the family to Trisha F., a mental health nurse specialist. Nurse Trisha calls the household and speaks to Shirley. Nurse Trisha tells Shirley that she was referred by the physician, and she can help Shirley cope with the diagnosis. Shirley confides in Trisha that it has been 2 weeks since she received the diagnosis, but she has yet to tell her husband and children. Shirley asks Trisha if she can help her tell her family and explain what it all means. Nurse Trisha makes an appointment to go to the M. household and facilitate the family meeting.


Questions


1. Use the five interacting variables (physiological, psychological, sociocultural, developmental, and spiritual) of the Neuman Systems Model to assess the family’s ability to adapt to this life event. Think of one question Nurse Trisha can ask the family regarding each variable.


2. Is this life event a normative event or a nonnormative event?


3. Which phase of the home visit has Nurse Trisha reached (initiation phase, previsit phase, in-home phase, termination phase, or postvisit phase)?


CASE # 6: ABOUT CHILD AND ADOLESCENT HEALTH


Glenda R. is a parish nurse for Holy Cross Catholic Church. The church’s youth group teacher has overheard several of the 13- and 14-year-old teenagers talking about dating and sexual behaviors. The youth group teacher invites the parish nurse to speak to the group about sex and abstinence. Nurse Glenda sends letters to the parents describing when she will speak to the group about these topics and what will be discussed. Parents who would like their child to attend this class are asked to fill out the permission form.


On the night of the class, 18 of the 20 youth group members arrive for the class with their consent forms in hand. The room is set up with chairs in a circle and a computer with projector next to Nurse Glenda’s chair. Using pictures on the computer, Nurse Glenda illustrates the basic anatomy of the reproductive system and discusses what should be expected during puberty. Most of the class time is then spent discussing reasons for abstinence, how to know when you are ready for sex, and how to say no if you are not.


Questions

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Homework Guru
Best Coursework Help
Helping Hand
Top Essay Tutor
University Coursework Help
Writer Writer Name Offer Chat
Homework Guru

ONLINE

Homework Guru

Hi dear, I am ready to do your homework in a reasonable price and in a timely manner.

$102 Chat With Writer
Best Coursework Help

ONLINE

Best Coursework Help

I am an Academic writer with 10 years of experience. As an Academic writer, my aim is to generate unique content without Plagiarism as per the client’s requirements.

$100 Chat With Writer
Helping Hand

ONLINE

Helping Hand

I am an Academic writer with 10 years of experience. As an Academic writer, my aim is to generate unique content without Plagiarism as per the client’s requirements.

$100 Chat With Writer
Top Essay Tutor

ONLINE

Top Essay Tutor

I have more than 12 years of experience in managing online classes, exams, and quizzes on different websites like; Connect, McGraw-Hill, and Blackboard. I always provide a guarantee to my clients for their grades.

$105 Chat With Writer
University Coursework Help

ONLINE

University Coursework Help

Hi dear, I am ready to do your homework in a reasonable price.

$102 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

51 is prime or composite - In painting and drawing artists often use the technique of - Advantages and disadvantages of level production strategy - Did information systems cause deutsche bank to stumble - Related work section of Recent job trends in computer science - First angle third angle - Stats intro - Land registry form djp - Eccentric cord insertion complications - 3.2 Group Discussion: Survey Creation - Distance vs displacement worksheet - Warner lambert stock price history - Wedge question trivial pursuit - Reading Summary - Project performance overview - Intralox thermodrive splicing system - Sodium hydroxide hydrochloric acid word equation - Module 8 - Lecture Questions - Mat 243 project one summary report - First year of College Seminar - Gi joe 3 cda - Highland literacy phonological awareness - 716 glades drive robina - 300-500 WORDS ABOUT A MOVIE - Jeopardy review game powerpoint - How do you move a slide in collapsed outline view - Stewart road car park sheffield - 1900 shirtwaist kansas city bargain mansions - Chuck close big self portrait 1967 68 - Flow rate measurement lab report - Taeass401 - Unit 2 Discussions (BUS411 & HRM303) - Experiment 4 gross anatomy of the muscular system - Comp xm exam excel spreadsheet - Dr alain gregoire southampton - Grosvenor grammar school inspection report - Blood donation persuasive speech outline - Ali kite runner quotes - Palo alto networks powerpoint icons - Commvault block level backup - Phi 208 week 1 quiz answers - Chebyshev high pass filter - Evidence-Based Project - 4 functions of nonverbal communication - Confocal microscopy principle and applications ppt - Formula for profit volume ratio - Call pickup group notification timer - IA week8 DB - Monklands hospital orthopaedic consultants - 750 10 unc 2a - Computer - Jennifer hoffman asthma simulation - Any problem/challenges in Cloud computing - Access Control and SSO - Chipotle mexican grill case study - A family friend has asked your help - The table below describes the smoking habits - Critical Evaluation Essay - Assignment - I need 3000 words in work place management to rephrase my task - Et si ostendo non jacto - Week 3 Discussion - Discussion Questions (Case) - Week 6 discussion responses - Advantages and disadvantages of honey and mumford learning styles - Audrey hepburn humanitarian efforts - 305 miami tours everglades - Business - Soc 120 week 2 assignment - How to calculate potential of standard hydrogen electrode - The molding department of kennett company - Strategic Managment (dicussion question) - How to get professional assignment proofreading in Canada - Graduate outcomes survey questions - Lusk corporation produces and sells - Southern princess tanning lotion - Well woman exam soap note example - 7000 20th st vero beach fl 32966 - Hi there. - Climate change 2007 the physical science basis - Introduction to statistics final exam - Mk prestige 3d dado trunking pdf - Amoeba sisters the great divide answer key - The wallingford bowling center case study - The manufacturing of semiconductor chips produces - Targeting uninformed consumers essay - Chapter 4 mastery problem answers - Golden age of athens - Summary for reading (MUSIC essay) - THE FOUNDATION OF HEALTH CARE LAW AND ETHICS IN THE UNITED STATES - Digital signature vs digital certificate in tabular form - Personal safety plan for social workers - What does the word christian literally mean - Hospital ransomware attack - Why is tennis scored 15 30 40 - Stemco crewson slack adjuster - Always living in spanish by marjorie agosin - Sadler commission on child labor 1832 - Cyclops strengths and weaknesses - Trouble in the truss construction shop critical thinking