Weight changes with Jennifer

Jennifer is a 16/yo White female. Mother states her daughter doesn’t each much. States
her teeth are starting to look bad. Mother believes her daughter is sexually active. She wonders when
her daughter should start getting female exams and wants you to talk to her about all her
contraceptive options and which would be best for her and why. Mother reports that she thinks her
daughter drinks and sneaks some of her smokes every-once-in-a-while. No significant PMH. No
medications. No known drug allergies. BMI 16.

Impression/concerns

Are you okay with Ginger remaining in the room while I ask you some questions regarding
your health? Have you started your first period? If so, when was you last period? Are you
sexually active? How many sexual partners? Do you participate in oral, vaginally sexual
activities? Do you have any itching, burning, or discharge in your vaginal area? What is a
good idea weight for you? Are you happy with your current weight? How much weight
have you lost in the last month? The clothes you wear, do they fit tight, snuggly, or baggy?
Do you like to exercise? If so, how many hours. What do you usually eat on a typical day?
Do you eat a lot of food within 2-3 hours? Do you have a sense of knowing when to stop
eating? Do you use overt the counter laxatives, Diuretics? When was your last bowel
movement? Are you constipated at times? Do you have any teeth sensitivity, dry mouth,
dry or cracked skin? Have you ever vomited because you were uncomfortably full? If you
start birth control, do you think you will remember to take a pill every day at the same
time?

Questions for Ginger-Have you noticed any weight changes with Jennifer? Does Jennifer go
to the bathroom after meals? Does Jennifer criticize her weight? Do you schedule regular
family mealtimes? Have you talked to Jennifer about your concerns? Do you think she will
be willing to have contraceptive counseling?

Sample Solution 

Section I: INTRODUCTION TO THE STUDY Introduction The country is encountering a basic deficiency of medical care suppliers, a lack that is supposed to increment in the following five years, similarly as the biggest populace in our country’s set of experiences arrives at the age when expanded clinical consideration is vital (Pike, 2002). Staffing of emergency clinics, facilities, and nursing homes is more basic than any time in recent memory as the huge quantities of ‘gen X-ers’ start to understand the requirement for more continuous clinical mediation and long haul care. Interest in turning into a medical caretaker has disappeared lately, likely because of the historical backdrop of the extraordinary and requesting instructive cycle, low compensation, firm and extended periods of time, and fast ‘wear out’ of those rehearsing in the calling (Wharrad, 2003).

A complex oversaw care climate in this country is restricting the dollars accessible to be spent on nursing care. Numerous wellbeing callings, particularly nursing, have the standing of ‘eating their young’ as opposed to offering compelling coaching to develop future medical services suppliers. Because of these variables, the quantity of medical attendants has diminished and businesses regard themselves as understaffed and seeking able work force. Before 2001 the decay had been apparent for a considerable length of time (Sadler, 2003). Nursing schools, public pioneers, medical services pioneers and the overall population is impacted by the absence of Registered Nurses (RNs) accessible.

As the populace ages, the assumption is that a rising number of RNs will be required essentially to keep up with the ongoing degree of medical care. Furthermore, the momentum ecological and political worries of expanding pandemic sickness, event of synthetic and catastrophic events, and expanding dangers of war, requires critical expansions in the medical services labor force (Jefferys, 2001). The public nursing lack and factors that increment the interest for expanding the nursing labor force notwithstanding public, state, and nearby debacles make the potential for a general wellbeing emergency. Nursing programs have endeavored to satisfy need for medical attendants by expanding enlistment and campaigning effectively for expansions in program subsidizing by schools and states for understudies.

Tragically, the issue of nursing understudy weakening hampers the best endeavors of nursing programs and irritates the public lack of Registered Nurses in the United States (Ofori, 2002). In 2003, the National League for Nursing revealed a positive vertical pattern in the nursing labor force supply in any case, the American College of Healthcare Executives (2006) detailed that in 2005, 85% of emergency clinic directors decided medical clinics needed more enlisted medical attendants to fulfill patient consideration needs. The United States Bureau of Labor insights showed by 2014, more than 1.2 million new and substitution nursing positions would be expected to meet the public medical services needs (Ramsburg, 2007).

Various broad endeavors to diminish weakening have been made by nursing programs including reinforcing affirmation methods and executing maintenance programs. Unfortunately, the issues of weakening keep on continuing nursing schools the nation over. Admission to a nursing program is serious and numerous potential understudies are denied confirmation every semester. Steady loss from nursing programs influences not just the particular understudy who is acknowledged to a nursing program and ineffective, yet in addition the understudy denied confirmation that might have been effective. Steady loss rates are expensive to understudies, nursing projects, and medical services the same by diminishing the quantity of likely alumni from schools of nursing and adding to the nursing lack. Many examinations feature the a lot higher than wanted whittling down rates for nursing understudies

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