The patient's prescription and over-the-counter drugs should be reviewed.
The nurse's best approach to an older adult client with significant cognitive impairment has been hospitalized for surgery to assess for pain postoperatively is by reviewing the patient's prescription and over-the-counter drugs.
- Think about any that might be causing cognitive problems.
- Consider whether anticholinergics, antihistamines, opioids, sedatives, and benzodiazepines are still necessary.
- To prevent undertreatment and overdosing, consider whether the patient takes their meds as directed, if a pill organizer is being utilized, and if a caregiver monitors medication intake.
- Be aware that pharmacological treatment results are often modest and may be accompanied by negative side effects.
- Analyze any behavioral issues.
- Check to see if a more controlled environment or other non-pharmacological methods could take the place of or postpone the use of antipsychotic drugs.
- Any off-label use of antipsychotic drugs in dementia patients should be done with extreme caution, and effectiveness and safety should be constantly monitored.
- If new medication is prescribed, schedule a follow-up session within a set duration (for example, 4 to 6 weeks). Since diminished self-awareness of cognitive decline is prevalent and reliable information transfer is more likely with the presence of a care partner, ask the patient to bring a family member or friend to every appointment who may serve as a care partner.
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the price would be lowered so people would buy it
According to the research, pregnant women have a significantly higher risk of contracting foodborne illness caused by listeria monocytogenes.
<h3>What is listeria?</h3>
It is an infection caused by a gram-positive bacterium called listeria monocytogenes that contaminates food.
Pregnant women have a significantly probability of contracting this foodborne illness and may spread the infection transplacentally to the unborn child, causing spontaneous abortions.
Therefore, we can conclude that pregnant women have a significantly higher risk of contracting foodborne illness caused by listeria monocytogenes.
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Answer: the nurse will refer this child to a specialist for a bone marrow biopsy.
Explanation:
From the symptoms which where observed by the primary health care provider, the child had recurrent fevers, bone pain, and a recent loss of weight. While the physical examination revealed scattered petechiae, lymphadenopathy, and bruising. On further Laboratory diagnosis of the blood film, the full blood count revealed:
--> thrombocytopenia ( low platelet level)
--> anemia( lack of red blood cells) and
--> an elevated white blood cell count.
The major importance of full blood count is to evaluate the general health and detect a variety of of disorders. Since the blood picture is not normal, the health care provider should refer the child for BONE MARROW BIOPSY.
This is because the blood cells are produced from the bone marrow. Bone marrow biopsy is a test done to show if the bone marrow is healthy and able to make normal amount of blood cells.
The results of the bone marrow biopsy will help the primary care nurse to determine the cause of the abnormalities seen in the blood picture and will give the best directions to follow for an appropriate diagnosis and treatment.
