Case Study: The Lopez Family

  

Case Study: The Lopez Family

The Lopez family consists of Juan, age 35, Elena, his 30 year-old wife, five children, and Mr. Lopez’s mother, Teresa. The family is second generation Mexican-American from Texas, representative of a stream of Spanish-speaking families who yearly migrate north to harvest a variety of crops. Six months ago the family decided to stay in northern midwest community when Mr. Lopez was offered a permanent job as a farmhand, because they felt the children could have a better education and life than the parents had experienced. Spanish is spoken in the home. Mr. Lopez speaks some English but is unable to read and had no education beyond the fourth grade. Mr. Lopez’s mother speaks only Spanish. The children speak English but are behind in school achievement due to frequent family moves.

The family lives in a five-room house that is on the farm property. Although housekeeping practices are adequate, the home is in poor condition, in need of paint and repairs. It has running water, the source of which is a well. A septic system is used for sewage disposal. There is electricity for lighting and heating and bottled gas is used for cooking.

The family lives rent-free in the house, which is provided by the owner of the farm; utilities are also provided by the owner. Family income is limited to Mr. Lopez’s income of $100 per week and his mother’s income of $65 per month on which the family lives in ten miles from the nearest town. Mr. Lopez has a pickup truck that the family uses for transportation when necessary. However, Mr. Lopez finds it difficult to get off work during daytime hours to take the family in for medical care.

Health problems are evident in the family. Mr. Lopez is in need of dentures and all of the school-age children are in need of dental care, as reported by their teachers. Juanita, age 7, was recently referred for ophthalmological examination following vision screening at school. Francesca, age 3, is in need of medical care for a draining ear. All of the children are behind in their immunizations, the adults in the family do not know which “shots” they have had. Mrs. Lopez is in her seventh month of pregnancy and has not had medical care. The family expresses a desire to obtain care for their children but “we have no extra money to pay a doctor. We can hardly afford to buy food and clothing for the kids.” The question is what solution would be viable to solve the problems of this family?

What are the aspects of the Nurse Educator role including the Boyer Model of Scholarship. · What are the basics of the NLN Ethical Principles for Nursing Education. · What is the overall purpose of QSEN and its relevance to nursing and nurs

  

What are the aspects of the Nurse Educator role including the Boyer Model of Scholarship.

·       What are the basics of the NLN Ethical Principles for Nursing Education.

·       What is the overall purpose of QSEN and its relevance to nursing and nursing education.

·       What are the challenges in the role of nurse educator- especially for new faculty.

·       What is the triad of academe: Teaching, Scholarship, and Service, and be able to apply examples of each in establishing faculty goals.

A nurse is caring for a 48-year-old man diagnosed with meningitis after a head injury. The client was driving a motorcycle while on vacation and was not wearing a helmet. It had started to rain, and the client's motorcycle swirled onto a grassy area. He f

  

A nurse is caring for a 48-year-old man diagnosed with meningitis after a head injury. The client was driving a motorcycle while on vacation and was not wearing a helmet. It had started to rain, and the client’s motorcycle swirled onto a grassy area. He fell off the motorcycle and landed on the ground. The client hit his head and suffered cuts and abrasions to his face, arms, and legs from the fall. He was taken to the emergency department of the local hospital by paramedics. Upon examination, the physician ordered a head CT scan and a brain MRI to determine if any head trauma had occurred. Both exams revealed negative findings, and the client was sent home after a 24-hour stay at the hospital for observation. The client was to return in 1 week for follow-up unless symptoms developed. Three days after the accident, the client began to have severe headaches, nausea and vomiting, blurred vision, and an oral temperature of 103°F (39.4°C). The client returned to the emergency department, and a diagnosis of meningitis was confirmed. The client was admitted and started on IV antibiotics. The next morning, the client asks the nurse “What is going on? I left the hospital 3 days ago and I felt fine.” (Learning Objectives: 1, 3)

Questions:

a. How should the nurse respond to the client’s question?

b. The nurse needs to complete the admission forms. When collecting subjective data, on what present or past health concerns should the nurse focus? 

A G2P1 at 38 weeks gestational age presents to the ER at 1:00 AM with complaints of decreased fetal movements over the last 3-4 hour period. She states that after emptying her bladder and returning to bed she noticed a small gush of vaginal fluid leaking

  

A G2P1 at 38 weeks gestational age presents to the ER at 1:00 AM with complaints of decreased fetal movements over the last 3-4 hour period. She states that after emptying her bladder and returning to bed she noticed a small gush of vaginal fluid leaking down her leg. She states that the fluid was clear and colorless and denied foul odor. She states that the irregular tightenings she usually feels every evening were absent tonight, and she currently feels no discomfort at all in her uterus. This patient has Premature Rupture of Membrane (PROM), explain on how you would use the nursing process to care for your patient?

1. Identify 3 occasions when you will need to obtain information from the client's treating allied health professional when planning to deliver or delivering a daily living skills program which includes the use of assistive devices. 2. How does the kin

  

1. Identify 3 occasions when you will need to obtain information from the client’s treating allied health professional when planning to deliver or delivering a daily living skills program which includes the use of assistive devices.

2.   How does the kind of workplace environment you work in affect service delivery? For each of the following settings,

a.   Rehab clinic in large hospital setting

b.   Small private rehabilitation clinic

c.    Home based care

provide an example of how the following may be affected:

·        WHS

·        Duty of Care

·        Supervision

·        Working relationship

·        boundaries with peers.

3.   What is quality assurance, best practice, and accreditation? Provide a definition for each and an example for each of how your work requirements may be affected by these.

4.   Record keeping is an important part of your job as a health worker and when using assistive devices with a client. What do you need to include when you are making records in a client file and / or what guidelines should you follow for making records? Identify at least 5 details you should include.

1. Identify 3 occasions when you will need to obtain information from the client's treating allied health professional when planning to deliver or delivering a daily living skills program which includes the use of assistive devices.

  

1. Identify 3 occasions when you will need to obtain information from the client’s treating allied health professional when planning to deliver or delivering a daily living skills program which includes the use of assistive devices.

1. Identify 3 occasions when you will need to obtain information from the client's treating allied health professional when planning to deliver or delivering a daily living skills program which includes the use of assistive devices.

  

1. Identify 3 occasions when you will need to obtain information from the client’s treating allied health professional when planning to deliver or delivering a daily living skills program which includes the use of assistive devices.

How does the kind of workplace environment you work in affect service delivery? For each of the following settings, a. Rehab clinic in large hospital setting b. Small private rehabilitation clinic c. Home based care provide an example of how the fo

  

How does the kind of workplace environment you work in affect service delivery? For each of the following settings,

a.   Rehab clinic in large hospital setting

b.   Small private rehabilitation clinic

c.    Home based care

provide an example of how the following may be affected:

·        WHS

·        Duty of Care

·        Supervision

·        Working relationship

·        boundaries with peers.

What is quality assurance, best practice, and accreditation? Provide a definition for each and an example for each of how your work requirements may be affected by these.

  

What is quality assurance, best practice, and accreditation? Provide a definition for each and an example for each of how your work requirements may be affected by these.

follow the instructions and answer the questions for me

 

For this RA, please turn to page 346 in your textbook and complete Nexus Interlude 11.2. Please provide an image of the health-related advertisement on your Word document. 

Please be sure to address all of the questions. Feel free to number your responses. In other words:

1. provide the answer to question 1 

2. provide the answer to question 2……