First Three Years Old Child Who Tested Positive For Crack...

Teresa is a four year old child who tested positive for crack cocaine at birth. She was immediately taken into custody. For the first three months of her life, she was placed in foster care. During this time, her mother, Emilia, was remanded into drug treatment, which she did not complete. Her father was nowhere to be found, so she was placed in kinship care with her grandparents at the age of three months. They are currently in the process of adopting her. Her mother states that she would like to work towards regaining a parental role in Teresa’s life, but acknowledges that her life is currently too unstable to do so. Developmental Assessment Biologically, there are concerns to Teresa’s development. The most obvious is the issue of her mother using cocaine during pregnancy. It is observed that infants exposed to cocaine during pregnancy tend to have smaller head circumference at birth than normal babies (Behnke et al, 2006, p. 45). Additionally, Children born after prenatal cocaine exposure display more abnormal reflexes and tend to have shorter attention spans than those born without the exposure (Zickler, 1999. p. 2). One particular measure to asses child development is the Neonatal Behavioral Assessment Scale (BNBAS). This scale systemizes an infants abilities into three categories: baby’s strengths, adaptive responses, and vulnerabilities (NCBI). Using BNBAS, after three weeks of age, these babies still score weaker than normal babies (Schuler, 1999, p.Show MoreRelatedRosa Lee Essay3975 Words   |  16 Pages DATE OF REPORT: 3/14/2012 Identifying Information: Rosa Lee is a feisty African American female who grew up poor on the fringes of a Capitol Hill neighborhood. Her parents were sharecroppers who had migrated to the city. Rosa Lee had eight children, six boys and two girls, over an 11 year stretch; she was 14 years old when she had her first born. 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Nursing Care Plan Basic Conditioning Free Essays

COMMUNITY COLLEGE DEPARTMENT OF NURSING CLINICAL ASSESSMENT TOOL Subjective Data (Basic Conditioning Factors) Student: Date of Care: 10/03/09 Patient’s Initials: P. V. Age: 37 Room #: 3114 Bed 1Allergies: Food: NKA Gender: FMedications: NKA Environmental: NKA Admitting Diagnosis: Pancreatitis Developmental Stage (Erickson and Havinghurst): (List Developmental stage and tasks, assess each task) 1. We will write a custom essay sample on Nursing Care Plan Basic Conditioning or any similar topic only for you Order Now Selecting a mate: Although patient is single, she has many friends. Patient was happy to introduce her friends that came to visit. Introductions were all made as friends, no boyfriend or husband mentioned. 2. Starting a family and raising children: Patient is not interested in these aspects of life. Patient is more concerned over her friends and their activities that they do together. 3. Managing home: While the patient lives alone, she would prefer to have a roommate to share housekeeping tasks and rent. 4. Taking civic responsibility: Patient is not interest in helping out community. 5. Starting occupation: Patient has been a Title Researcher for two years, she claims that it is just a job to pay the bills. 6. Finding congenial social group: Patient claims that she has a tight group of friends that she enjoys going out with. While the patient was agreeable, she wanted to be left alone. The Erickson stage that the patient is in is adulthood; Intimacy vs. Isolation. I find that Miss F. V. to be in isolation, developmentally. She wanted no socialization from myself, lives alone, and works alone. She is not actively looking for a mate and was demanding to have her door shut my entire shift, which was the norm since she was admitted 20 days ago. History of present illness: On 9/13/09 patient presented with severe ABD pain in ED. A computed tomography Scan (CT-Scan) of the abdomen and pelvis with contrast was performed; showing severe pancreatitis with prominent pancreas demonstrating significant edema. Moderate to large amounts of ABD ascites demonstrating simple fluid attenuation was noted. Peritoneal enhancement was predominantly noted within the left ABD, reflecting significant peritonitis. No bowel obstruction was noted and pancreatic necrosis was not excluded. Moderate bilateral pleural effusions were also noted. Past medical history : Irritable Bowel Syndrome Anxiety Depression Cocaine use (1998) Smoker Past surgical history: none Medications: Drug NameDoseRoute FrequencyClassification Metoprolol Tartrate50mgPO q12hAntihypertensive Enoxaparin Sodium40mgSQ dailyAnticoagulant Esomeprazole Mag Trihy40gmPO dailyAnti-ulcer Hydromorphone hydr2mgPO PRN Opioid Analgesic Ergocalciferol800int unitsPO daily Vitamin Complementary/Alternative Medical Practices Herbal Remedies: None Vitamins/Minerals: Daily multivitamins Meditation/Yoga: None Massage: None Acupuncture/Acupressure: None Aromatherapy: None Other: None Health Care Systems (Current orders and role of health care members): Low fat diet IV TPN@83cc/hr q24h Double Lumen PICC line Left AC CBC OOB Sociocultural / spiritual orientation: none Family system: Patient has family support, however lives alone in a walk up apartment. Patterns of Living: A. Employment: Title Researcher B. Education: Some college C. Hobbies / interest: None D. ETOH / drug use: Social only Environment (Conditions of living and working): Client lives alone, although the answer changed from 9/13/09 to 9/14/09 to lives with a friend. Family is supportive. Friends are supportive. Available Resources (Economic, personal, agencies): Primary Insurance: Primary Insurance is a HMO with BlueCross BlueShield. Objective Assessment of the USCR’s Pt: F. V. Room 13314 Bed 1 Jennifer Hughes Please use Y, N, NA to indicate Yes, No or Not Applicable Day 1Day 2Additional Data Psychosocial Solitude v. Social Interaction or Normalcy Well groomed/Good hygieneY Appropriate/Full range affect Y Maintains eye contactN Calm moodN Cooperative attitudeY Able to concentrateY Clear speech (volume/tone) Y Psychomotor retardation N Tics/Tremors N Hyperactivity/Restlessness/Agitation N Hallucinations/Illusions N Suicidal/Homicidal Ideations N Activity/Rest Well-rested N FatiguedN Slept through night N Neuromuscular (prevention of hazards) Alert and oriented Y Times 3 Gait steady Y Hygiene independentN Refused AM care Primary notified Pain free NDilaudid 2mg given @ 6am by primary Hand grasp, strong and equal bilat Y Foot push, strong and equal bilat Y Smile symmetrical Y Tongue to midline Y PERL Y Meets developmental task Y Cardiovascular (air or water) Palpable pedal pulses bilaterally Y Oral mucosa pink Y Conjunctiva pink Y Capillary refill within 2 seconds Y Absence of edema Y Apical/radial regular rhythm YRate= 94 Blood pressure YBP= 86/60 primary notified Telemetry Y Integument (prevention of hazards) Temperature YTemp= 98. 0 Skin turgor WNL Y No tenting noted Skin warm to palpation Y Cool to touch Skin intact Y Incisions N Wounds N Day 1Day 2Additional Data Respiratory (air) Resps easy and even Y Lungs clear Y Secretions N Oxygen in use N Oxygen saturationY 98 Cough and deep breathe N Chest tubesN Gastrointestinal (Food or Elimination) Abdomen softY Tender to the touch Abdomen non-distended Y Bowel sounds presentYAll 4 quads Abdominal drainsN Stomach tubesN Bowel movementN Nausea/vomiting N Feeds selfY Breakfast (% consumed) 50% Lunch (% consumed) 75% Dinner (% consumed) Tube feedingN IV solution (type and rate) YTPN @83cc/hr bag @ 1200cc @ 07:40 IV site (location)YLeft AC PICC Double Lumen IV site without redness or swelling Y IV dressing dry and intact Y Chemstick n/a Gastrointestinal (food or Elimination) Voids in bedpan or bathroom Y Pt. using bathroom Foley catheterN Suprapubic tube N Urine clearY Color yellow-amber Y Yellow Amount (cc’s)n/a Continuous bladder irrigation N Lab Data (explain abnormal values) RANGE WBC: 4. 5 – 11. 0 HGB: Men 14. 7 – 16. 1 Women 9. 3 L12. 0 16. 0May indicate anemia. HCT: Men 42. 0 – 52. 0 Women 27. 1 L37. 0 47. 0May indicate anemia, bone marrow dysfunction, malnutrition, over hydration Platelet 490 H150. 0 – 450. 0 Could indicate hemorrhage or inflammatory disorder. Glucose 8370. 0 – 110. 0WNR Sodium 140135. 0 – 145. 0 WNR Chloride 10395. 0 – 110. 0 WNR Potassium 4. 3 3. 5 – 5. 1 WNR Calcium 8. 1 L8. 4 – 10. 2May indicate protein vitamin D deficiency, malnutrition, cushing syndrome, acute pancreatitis Albumin 2. 6 L 3. 4 – 5. 0Could indicate malnutrition, ulcerative colitis, use of penicillin, sulfonamides, aspirin or ascorbic acid. BUN: 127. 0 – 20. 0 WNR CR: . 40. 3 – 1. 5 WNR PT: Not in labs 10 – 12 sec PTT: Not in labs 3045 sec INR: Not in labs 2 – 3 How to cite Nursing Care Plan Basic Conditioning, Essay examples

Complexity About Their Gender Identity †Myassignmenthelp.Com

Question: Discuss About the Complexity Their Gender Identity? Answer: Introduction I have chosen Transgender as my diverse group. Transgender means people are born with complexity about their gender identity. Sometimes they behave adversely from what gender they are assignedby birth.I am from a South Asian country. I never had very clear idea about inclusion or exclusion of transgender people in my society. I have seen that they are denied basic healthcare services. People are stereotyped about them, have a stigma and for this reason transgender people are not well accepted in any society(Lgbt, 2013). Financial instability is a big reason also as education and job is not easily accessible for them. If people are reluctant then State has to demonstrate this cultural inclusion with legal aids. State has to ensure every right to them. Its a duty of a civil society also. Barriers to Healthcare access I have seen these people are denied, discriminated as our mind set up is not ready to accept their real identity. People are suffering from serious complications like HIV, depression, somatisation and they need more care like hormone therapy sometimes(Safer et al., 2016). But my previous views about transgender are not at all realistic as I have seen that there is good healthcare for transgender people here. The biggest problem to ensure good healthcare is stigma and social discrimination in daily life. So they feel afraid of availing healthcare services. To eradicate this fear, Healthcare professionals need to be trained in a way that they can handle transgender without biased view. There must be all records and insurance updated every time. Approach with positive outlook and affirmative approach can minimize their problem(Roberts Fantz, 2014). My attitude, values and beliefs I think if a healthcare service provider has heteronormative approach, then its difficult to understand the problem associated with transgender. Heteronormative people dont have any idea about gender confusion or gender related problems. They have a primitive mind set up with very few knowledge and acceptability.(Gridley et al., 2016). Generally transgender people used to feel bullying by that heteronormative person as he was asking several questions which made awkward to them among others. I am feeling bad for them now and also I realize that heteronormative approach is discriminative. I feel assaulted being discriminated by transgender people and would love to offer proper guidance. Most important thing as per my belief is sensitivity which is needed towards transgender people when they come for healthcare services. Understanding their problem in this regard can ease their dilemma. There are different people and we should have the mindset to accept everyone irrespective of any disc rimination. Otherwise these transgender people would feel hesitating to avail healthcare services and prefer to be isolated. This is harmful for any society.During last decades, there is a huge change in all LGBTIQ people and qualitative data shows improvement according to ABS and AIHW(Knight Shoveller, 2013). I had always a different thinking about transgender people as I have very little exposure in my country. In my country they are forced to lead an isolated life with basic rights. Healthcare services and education are almost denied in everywhere(Jalali Saues, 2015). So they like to confine themselves and are not so visible in society like common gender people. In school, college, offices they are not seen in my childhood. So a stigma in my sense has been developed. I couldnt even think of normal behaving in my day to day life with a transgender. But when I came to Australia, the scene is quite opposite. Here transgender is treated as normal gender people with very few discriminative cases. They are living normal life with basic facilities like study and work as normal gender people. I had little access to them which does not make me insensitive at all. I had belief of not working like others but here I experienced that Australian Government has ensured their right in every field. I can accept my transgender colleagues as I dont have any prejudice, but it is for sure that I usually took little time to adjust with this situation. My positive attitude makes situation much better and creates a sensible and trustworthy atmosphere between us. I read lots of stuffs about their healthcare problems and learn about their medical emergency with physical complications. I think inclusion of transgender in our society is the best approach whereas exclusion is not the solution. I read some novels on gender parity to understand on popular beliefs and local thoughts to reconstruct my past assumptions. I read The Diplomat of Eden Sophia French and find it very useful. It is a 2016 Goldie Winner book. Some culturally safe health carepractices People usually come from different background with different upbringing. So I feel all healthcare providers cannot give same care to their patients. They need to be aware about all problems related to transgender and their mental state with all physical problems. I think with all my inputs that mental disorders are more common. Anxiety as well as depression is very common which are generated due to exclusion and stigma in any society(Snelgrove et al., 2012). I feel these transgender people are very distressed in any society due to cultural beliefs. Due to undefined sexual orientation, they behave in different manner which is visually distinct what we apparently watch or think about them. I would like to appreciate them as their friend just like a normal guy does for a friend. I would never make them feel embarrassed for their behaviour and appearance. Culturally they are just part of any society of their ethnic group. I always prefer to learn their cultural habits like all other inhabitants. I have met a person being born as male but never felt like a man. This made that individual depressed, traumatized with ultimate efforts to commit suicide. She was down with fear and discriminations being a male but used to behave like female. The typical sense of clothing of that individual has also made people frowning over years. This mental trauma has made her psychologically unstable and landed her to mental asylum. She couldnt find a compatible sex partner followed by more complications. Now she has been suffering from HIV also. I face one more ridiculous thing that normal gender people always make fun and mockery about this group of people. Most of transgender people then have a tendency to drop out or have a gap between studies. This marginalization changes their career in difficulties and leads to financial challenges. Some steps to improve healthcare Athena SWAN Bronze Institutional Award application is a code of conduct which asks all institution to reframe all policies, programs and practices relating to gender disparity groups. It supports all transgender stuffs and students to build discrimination free society(Napier, 2014). It aims the problem to be incorporated and addressed in depth. Australian Human Rights Commission ensures all rights to transgender just like normal gender people in every sector including sexual reassignment surgery to remove complications. Australian legal services are providing divorce to avoid same sex marriage with ease. To apply Athena SWAN Bronze Institutional Award application, there is no need to require quantitative data on transgender stuffs in workplace. Section 6 is stating special clause to support transgender people. If data is required to improve their life, then any institution can collect data with consideration of anonymity; secure storage, confidentially that not to breach their privac y in any extent. I think they must have right not to disclose their gender history in this collection process to stop being assaulted. Conclusion I notice one better step here to stop cultural discrimination. There are various laws to protect discrimination:Federal law protections, State and territory law protections, School anti-bullying programs. I think Gender dysphoria treatment is best way to stop discrimination with help of legal aids provided by State. If people are not accepting transgender people with eases then legal help is a must to build a society with no discrimination. Inclusion of a new group needs time and care as cultural inclusion is a lengthy process. To make a safe society, all types of discrimination must be stopped from everywhere without hesitation. References Gridley, J. et al., 2016. Youth and Caregiver Perspectives on Barriers to Gender-Affirming Health Care for Transgender Youth. Ncbi, 59(3), pp.254-61. Jalali, S. Saues, L.M., 2015. Improving Care for Lesbian, Gay, Bisexual, and Transgender Patients in the Emergency Department. Annals of emergency medicine: An international journal, 66(4), pp.417-23. Knight, R. Shoveller, J., 2013. Heteronormativity hurts everyone: Experiences of young men and clinicians with sexually transmitted infection/HIV testing in British Columbia, Canada. An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 1(1). Lgbt, 2013. Affirmative Care for Transgender and Gender Non-Conforming People. Best Practices for Front-line Health Care Staff, 1(1), pp.1-14. Napier, 2014. Athena SWAN Bronze university award. [Online] Available at: www.napier.ac.uk/~/media/documents/equality-and./athena-swan-submission.pdf [Accessed 13 August 2017]. Roberts, T. Fantz, C., 2014. Barriers to quality health care for the transgender population. Clinical Biochemistry, 47(10), pp.983-87. Safer, J. et al., 2016. Barriers to Health Care for Transgender Individuals. Ncbi, 23(2), pp.168-71. Snelgrove, J. et al., 2012. Completely out-at-sea with two-gender medicine: A qualitative analysis of physician-side barriers to providing healthcare for transgender patients. BMC Health Services Research, 1(1).