Care map

 

 

Mrs. Y is an 84-year-old client who was recently discharged from the hospital for an infected diabetic ulcer on
her left leg. During her hospitalization, Mrs. Y required intravenous antibiotic therapy through a peripherally
inserted central catheter (PICC) line.
Due to Mrs. Y’s long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued
at home. Subsequently, home health services were initiated, a home health nurse was assigned to Mrs. Y’s
case, and an initial home visit was scheduled.
The home health nurse arrives at Mrs. Y’s home and introduces herself to the client and the family. The nurse
explains the home nursing services that will be provided, including the PICC line and intravenous antibiotic
therapy treatments.
During the initial home visit, the nurse assessed the physiological, psychological, functional, and safety needs
of the client. The nurse’s findings were as follows:
Mrs. Y lives alone; however, her daughter checks on her frequently throughout the day.
The client is noted to have moderate functional issues and ambulates with a cane.
The client has several throw rugs in the main walking quarters and minimal lighting throughout the hallways.
Mrs. Y states “I used to get around my house with ease, but now I get a little tired and have to sit down and
rest frequently.”
Consider Mrs. Y’s current health status and functional decline, then address the following:
Download the Concept Map and Plan of Care worksheet below. An example is also provided for your
reference.
Identify three (3) priority nursing diagnoses for Mrs. Y.
Create a visual representation of the three (3) priority nursing diagnoses by incorporating them into the
Concept Map (template in the worksheet). Be sure each nursing diagnosis includes the following elements:
“related to (r/t)” — description of the client’s problem
“as evidenced by” — description of the client’s symptoms
Complete the Nursing Plan of Care (table in the worksheet) describing what should be implemented for Mrs. Y.
Goals: Establish at least one (1) goal for each of the nursing diagnoses you identified (for a total of 3 goals).
Goals should be: patient specific, measurable, actionable, realistic, and time limited.
Nursing Interventions: Describe at least three (3) nursing interventions for each of the goals (for a total of 9
nursing interventions). Each intervention should be in alignment with the goal it is supporting.

 

 

 

 

Sample Solution

 

 

 

To pronounce the connection among Russia and Syria, It is important to speak first about the beginning of the war in Syria in 2011. Syria was ensnared in a war that is a piece of the Arab Spring. The Arab Spring was a serie of fights and exhibitions in a few nations in the Middle East like Tunesia, Egypt, Libya and Syria. The common war in Syria began with the capture and torment of understudies in the city Deraa who painted antigovernement spray painting on a divider. After this definitive occasion, Syria began to battle against the administration, debasement in the nation and they needed to safeguard the political detainees. The impacts of these fights were not huge on the grounds that Assad’s government still had the power after the fights. The reason for the war was to get harmony, opportunity and majority rule government yet after certain years, none of this objectives are accomplished in the greater part of the nations in the Middle-East. For instance in Syria and Lybia there is as yet a common war and Egypt has no legislature since 2012.

The vast majority of the fights and the greatest piece of the Syrian war was against Assad and between various systems. The greatest piece of the agitators comprise of sunnis and the outrageous strict development Jahbat-al-Nusra. A littler part consits of the Kurds, who needs an autonomious locale. In 2014 the entire circumstance changed when the Jihadistic fanatic activist gathering IS came. They are a piece of the gathering of Al-Qaida, yet they battle in Syria under the name ISIS. They are battling for a caliphate, of which the pioneer is a caliph, which is a successor of the Prophet Muhammad. As a caliphate, they need strict, political and military control over the entire Muslimcommunity around the world. In a short periode of time, they vanquished a major piece of Syria and they additionally structure a treat for Europe and the VS. Why a treat for Europe? Numerous extreme muslims go to Syria to join IS and when they return, they have radical thoughts and structure a treat for the nation. This is additionally the situation in Belgium, a great deal of the warriors return from Syria, they get ready terroristic assaults and point fundamentally at the police. For instance, in January 2015, the police could capture 13 individuals in counterterrorism tasks in Belgium. Starting now and into the foreseeable future, IS has additionally officaly been assigned a fear based oppressor association by the United countries, european association and part states. A ton of nations are straightforwardly or in a roundabout way taking up arms against IS, including the VS, who is as of now introduced in Syria for just about 2 years.

The VS is displayed in Syria since 2014. From that point forward it began with propelling air strikes on IS and other Jihadist bunches since they are supporting the National Coalition, the fundamental oppostion collusion. Yet, since october 2015, Russia started to meddle in the contention. Russia underpins the antagonistic oppostion, the gathering of Assad. Putin says that he likewise battle againt IS, however his first intercessions in Syria were in parts of the nation were IS was not in any case displayed. It would appear that the principal intercession was simply to help Assad’s troups. The mediation of Russia began after Obama’s proclamation that he can’t just carry steadiness to a nation like Syria. This is the reason he made a few strides back on the grounds that he said he need the assistance of nations like Russia and Iran. The risk is that Russia just will exacerbate the war even by expanding radicalization and compound the compassionate circumstance. In addition, Russia makes some tumult. For instance, (de vliegtuigen pass on tegen elkaar vlogen)

At last, a powerfull nation like the United states need to mediate in any case.

Be that as it may, why needs Poetin to help Assad precisely? For the appropriate response on this inquiry, we have to return to the virus war in the second 50% of the twentieth century. Rusland gave during the sovjet association a great deal of monetary and military help at Syria under the type of cash gifts. During this period a solid connection between these two forces was manufacture. Still now, they sell a great deal of weapens in Syria and their solitary maritime base is situated at the Syrian coast. An other conceivable clarification for the solid connection between those two is the likenesses between the two heads. They were both chosen in 2000, them two guaranteed numerous changes and the battled against dissent. At last, none of this changes worked out as expected and finished in a circumstance of autoratism.

The West had a great deal of discourse on the decision of Russia to align with Assad. The West needs Assad to leave and Putin needs the legislature of Assad to remain. On the off chance that none of the two gatherings are going to change their assessment, the circumstance in Syria will remain like it is presently.

Arrangement: The key nations in the syrian war began with harmony talks in Vienna toward the finish of october. Versus and even Iran and Russia, partners of Assad were displayed. Belgium is represtend by Frederica Mogherini, High Representative of the Union for Foreign Affairs and Security Policy, who displays the Europen Union in this meeting. As an answer fortress his four years during war a progress period is proposed in light of the fact that the vast majority of the nations think it is beyond the realm of imagination to expect to get harmony if Assad stays in control. They talked about decisions and a transitional government for a half year. Indeed, even Russia and Iran, who constantly upheld the Assad’s system, began to alter their perspective. This are advancements the correct way, on the off chance that Russia quits supporting Assad, at that point the VS, European Union and Russia can frame an assembled front against Assad. Like this, we can set the initial steps to a peacefull Syria.

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