The employee health nurse has vaccines for both Hepatitis A (HAV) and Hepatitis B (HBV).
The nurse has vaccines for both HAV and HBV. Hepatitis A is a highly contagious liver infection transmitted through contaminated food or water.
The vaccine for HAV provides long-term protection against the virus. On the other hand, Hepatitis B is a viral infection that spreads through blood, semen, or other body fluids.
The vaccine for HBV is highly effective and provides permanent protection against the virus.
It is important for healthcare workers, especially those in direct patient care, to receive both HAV and HBV vaccines to safeguard themselves and prevent the transmission of these viruses to patients and colleagues.
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Typical side effects of chemotherapy include all of the following EXCEPT: A. Anorexia B. Alopecia C. Stomatitis D. Increased salivation
Answer:
Explanation:
I think so it might be I think so it might be fr
Increased salivation is not a side effect of chemotherapy.
Cancer is a disease caused by the uncontrolled differentiation of the normal cells. To kill the fast growth of the normal cells use of multiple drugs treatment called Chemotherapy is done. This treatment is a primary treatment done to treat cancer patients. Chemotherapy treatment shrinks the cancerous cells so that they can be easily removed by radiation or surgery. This treatment apart from curing the disease also shows side effects like -
Sudden weight loss is known as Anorexia.Hair loss is known as Alopecia.Swelling of the mouth is known as Stomatitis.Learn more about Cancer here,
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The nurse is providing care for a newborn who is prescribed ampicillin in the treatment of meningitis. The newborn’s current weight is 8 lbs. The hospital formulary recommends a dose range of 200–400 mg/kg/day. The NNP prescribes 240 mg for the newborn for administration every 4 hours.
The dosage of ampicillin that would be given to the newborn who was prescribed ampicillin is = 3,744mg.
Calculation of drug dosageDrug calculation is an important procedure during the administration of drugs to patients.
This procedure usually carried out by the health personnel that is taking care of the patient to avoid miscalculation.
The correct dosage of drug is usually calculated from the patient age, weight and duration for taking of the drugs.
The weight of the newborn is = 8 lbs.
Convert 8 lbs to kilogramme = 8/2.205= 3.6kg
The dose prescribed by the NNP = 240mg
But 240 mg is within the range given by hospital formulary recommended dose range.
1 kg = 240mg
3.6 kg = xmg
make xmg the subject of formula,
xmg = 2.6×240/1
xmg= 624mg
This is to be given every 4 hours in a day, which is 24/4 = 6 times daily.
Therefore the dosage of ampicillin that the newborn will take for the day = 624 × 6
= 3,744mg.
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Which of the following is a benefit of static stretching after an exercise session? Reduces muscle soreness Reduces muscle pliability Increases muscle inflammation Reduces muscle length
Static stretching is an activity which is performed after going through an exercise session because this helps to remove muscle tension. This is done by stretching the muscles till the point to which they can be stretched and then that position is held for a few seconds.
Correct answer-
Reduces muscle soreness- This is the correct answer because static exercises reduces the tension in muscles after an exercise session. It also increases the flexibility of muscles.
Incorrect answers-
Reduces muscle pliability- This is incorrect because, muscle pliability increases after performing static exercises. The extent to which muscles can bend increases after tension is reduced by static stretching.Increases muscle inflammation- This is incorrect because muscle inflammation decreases after performing static stretching due to the release of tension. Reduces muscle length- This is also incorrect because muscle length cannot be reduced by stretching.Learn more about static stretching here-
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a nurse is preparing to administer a unit of fresh frozen plasma, which of the following actions hsould the nurse plan to take prior to the transsusion
The plan by the nurse will be to thaw it in a water bath at 30 to 37 Celsius over 20 to 30 minutes.
What is Plasma?This is referred to the liquid part of the blood which contains blood clotting cells.
It is best to administer fresh frozen plasma immediately after thawing for best results.
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The unlicensed assistive personnel (UAP) reports being splashed in the eye while emptying urine from the catheter bag of a client with AIDS. The UAP is afraid of becoming infected with HIV and requests immediate testing. What is the nurse's priority action
Direct UAP to eyewash station, flush eyes
Any task nurses assign must be capable of being completed and be licenced. The assignment must even be one that UAP can handle and that your facility identifies as delegatable. A piece that can be delegated is one that doesn't call for nursing discretion. Typically, it involves repetitive tasks, such measuring vital signs and urine output.
What is HIV AIDS ?The virus referred to as HIV (human immunodeficiency virus) targets the immune system of the body. AIDS can develop from HIV if it's not treated (acquired immunodeficiency syndrome).
A virus is the cause of HIV. Sexual contact, sharing needles for illegal drugs or injections, coming into contact with infected blood, or transmission from mother to child during pregnancy, childbirth, or breastfeeding are all ways HIV might spreadWhite blood cells called CD4 T cells, which are crucial to your body's ability to fight infection, are destroyed by HIV.Learn more about HIV AIDS here:
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After being sick for 3 days, a client with a history of diabetes mellitus is admitted to the hospital with diabetic ketoacidosis (DKA). The nurse should evaluate which diagnostic test results to prevent dysrhythmias
The nurse should evaluate the serum potassium level in diagnostic test results to prevent the emergence of dysrhythmias.
What is diabetes mellitus?Diabetes mellitus is a disease where the individual is unable to control internal levels of glucose in the blood.
Diabetic ketoacidosis (DKA) is a type of complication in diabetes condition where the individual produces high levels of ketones, which are a serious problem for the organism.
In conclusion, the nurse should evaluate the serum potassium level in to prevent dysrhythmias.
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A patient with a history of daily alcohol abuse was hospitalized at 0200 today. When would the nurse expect withdrawal symptoms to peak
Nurse waits for withdrawal symptoms to peak For people with mild or moderate alcoholism, detox usually begins eight hours after the last drink and lasts between five and seven days. For those with severe alcoholism, withdrawal symptoms may not subside for two weeks or more.
What can alcohol withdrawal cause?In severe alcohol withdrawal, the patient may have even more symptoms, which include:
very high blood pressurefeverbreathing difficultiesextreme agitationconvulsions and hallucinations.What is Alcoholic Hallucinosis?Alcoholic hallucinosis (hallucinations without other impairment of consciousness) follows the abrupt cessation of prolonged and excessive alcohol use, often within 12 to 24 hours. Hallucinations are usually visual.
With this information, we can conclude that Alcohol misuse refers to single episodes during which you might drink excessively. When this occurs repeatedly over time.
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Type, frequency, time, and rest are examples of what aspect of fitness? Elements of a fitness program Acute training variables Periodization Training cycles
Type, frequency, time, and rest are examples of acute training variables.
The acute training variables can be used by the strength and conditioning coach to control the workload during each training unit or session. Indicators of acute training include:
The amount of training units in a week is known as frequency.Exercise's effort is measured by its intensity.Time is the length of exercise (or specified repetitions)The selection and sequencing of exercises, called type.The strength and conditioning coach may carry out such a program one to three times a week, depending on the players' level of growth and the availability of training opportunities.
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Vitamin a participates in the conversion of light energy into nerve impulses at the retina.
a. true
b. false
Vitamin a participates in the conversion of light energy into nerve impulses at the retina- True(Option a).
These neurons are the photoreceptors, the only cells in the retina that can convert light into nerve impulses. The photoreceptor layer then transmits these impulses to the bipolar neurons in the second layer and on to the ganglion neurons in the third layer.
Its a biochemical process.
The light activate a series of light-sensitive cells which are known as rod cells and cone cells. These photoreceptor cells transmit impulses to the brain via nerve fibers.
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Schulte MT, Hser Y-I. Substance Use and Associated Health Conditions throughout the Lifespan. Public Health Rev. 2014;35(2).
Substance use disorder is a serious health condition
What is substance use disorder?To improve general health and well-being, age-appropriate methods to address substance use disorders (SUDs) and related health issues must take into account a person's stage of life. Adolescence, maturity, and elder adulthood were the three main life phases examined in the current assessment of the literature.
Continual, heavy drug and/or alcohol use causes a number of grave health issues. To successfully affect overall health, SUDs must be addressed from a life stage perspective with assessment and treatment techniques embracing co-occurring disorders.
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When patients receive a copy of an organization's privacy notice, why are they asked to sign an acknowledgment
When patients receive a copy of an organization's privacy notice, they are asked to sign an acknowledgment because it shows they received it.
When and how can I receive a Notice of Privacy Practices?
Normally, you'll be informed at your first appointment. You should be notified of an emergency as soon as possible after it occurs. A copy of the notification must also be given to anyone who requests one, and it must be displayed in a visible place where patients can view it. An organization must publish the notification on its website if it has one.
You must receive a notice from a health plan during enrolling. It must also remind you that you can request the notification at any time at least once every three years. The "named insured" may receive the notice from a health plan (subscriber for coverage). Additionally, spouses and dependents do not need to get separate notices.
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Correct Each row of the table below describes an aqueous solution at . The second column of the table shows the initial components of the solution. Use the checkboxes in the third column to explain the type of the initial solution. The fourth column describes a change in the solution. Use the fifth column to predict how the change in the solution will change its pH.
Based on the given table;
A is a basic solution; addition of HClO₄ makes pH lower.
B is a neutral solution; addition of KI make pH stay same.
C is an basic solution; addition of NaClO₄ makes pH stay same.
D is a neutral solution; addition of KOH makes pH higher.
What changes occur in the pH of the solutions?The pH of a solution is a measure of the acidity or alkalinity of the solution.
Solutions of pH less than 7 are acidic solutions whereas solutions of pH greater than 7 are basic solutions. Solutions of pH 7 are neutral solutions.
Addition of acids to an acid solution, will decrease the pH, while addition of a base will increase the pH.
Conversely, addition of a base to an basic solution will increase its pH whereas, addition of an acid will decrease the pH of the solution.
Based on the given table;
A is initially a solution; addition of HClO₄, an acid will make pH lower.
B is a neutral solution, addition of a neutral salt such as KI will make pH stay same.
C is an basic solution. When NaClO₄ is added, pH will be same.
D is neutral. Add KOH, and pH will be higher.
In conclusion, pH of a solution is affected by addition of acids, salts or bases.
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The lack of affordable access to sufficient quality and quantity of healthy food is known as ______.
The lack of affordable access to sufficient quality and quantity of healthy food is known as food insecurity.
Food insecurity occurs when every person in a household does not have consistent access to sufficient food . People need to have sufficient food in order to remain active and healthy.
Food insecurity can be caused by various reasons like poverty, low income, unemployment, health conditions, and lack of access to healthcare.
Food insecurity can have various outcomes like serious health complications, children are unable to learn and grown as it affects their learning ability. People face difficulty in choosing where to spend their money, for food or other amenities.
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Which diet change would the nurse encourage a patient with mild benign prostatic hypertrophy (BPH) to implement
Reduction in caffeine will be suggested to a a patient with mild benign prostatic hypertrophy (BPH) to implement
As men age, a condition known as benign prostatic hyperplasia (BPH), or enlargement of the prostate gland, becomes more prevalent.Uncomfortable urinary symptoms, such as a bladder blockage, might be brought on by an enlarged prostate gland. It may also result in issues with the kidneys, urinary system, or bladder.Reduce your caffeine intake by drinking less coffee, soda, or energy drinks if you have BPH or prostatitis. Your urinary system's health can significantly improve if you avoid coffee. Water is another another vital beverage for your prostate. Do not try to drink less to lower your urine output instead, stay hydrated.learn more about benign prostatic hypertrophy here: https://brainly.com/question/6803916
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Sudden cardiac arrest is an abrupt occurrence where the heart ceases to function and results in death within minutes. According to the explanation of basic cpr, what is the first step to begin administering cpr?.
Placing of the hand above the chest is the first step while administering CPR after ensuring that the environment is safe.
When the heart stops beating, CPR, or cardiopulmonary resuscitation, is a life-saving emergency operation. After cardiac arrest, immediate CPR can increase survival rates by a factor of two to three.
A person's heartbeat will cease if they are not breathing. To aid with circulation and to assist the body to receive oxygen, use CPR (chest compressions and rescue breaths). Following are the steps of CPR:
Placing of the hand above the chest. Interlocking of fingers.Giving chest compressions.Opening of the airway.Delivering rescue breathes. Watching the patient's chest fall.Repeat steps 3 and 4.Learn more about CPR here,
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Who may remove extrinsic stains, accretions, and calcareous deposits from teeth; perform gingival curettage and root planning; polish completed restorations; and place pit and fissure sealants?
Answer: Only Dental Hygienists remove extrinsic stains, accretions, and calcareous deposits from teeth.
Explanation:
An athlete who complains of severe pain located high on the front thigh muscle probably has an injury of the
According to the research, an athlete who complains of pain located high on the front thigh muscle probably has an injury of the hip flexor.
What is the hip flexor?They are a group of muscles located near the upper part of the thighs that allow the hip to flex, that is, to bring the thigh closer to the abdomen.
An athlete who has an injury of the hip flexor complains of tenderness in this muscle group and presents with pain on resisted hip flexion or stretching.
Therefore, we can conclude that according to the research, an athlete who complains of pain located high on the front thigh muscle probably has an injury of the hip flexor.
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When teaching diaphragmatic breathing to a client with chronic obstructive pulmonary disease (COPD), which information should the nurse provide
The stomach, abdominal muscles, and diaphragm are all fully engaged during "belly breathing," also known as diaphragmatic breathing. This entails actively drawing the diaphragm downward with each inhalation. Diaphragmatic breathing facilitates more effective lung filling in this way.
What is the goal of diaphragmatic breathing?The goal of diaphragmatic breathing is to assist you in properly using your diaphragm while breathing. Your body will get various advantages from using this breathing technique, including decreased blood pressure, a slower heartbeat, and increased relaxation.
What information should nurse provide about diaphragmatic breathing?Nurse should provide following information:
Lie on your back with your knees bent and your head propped up. Place a pillow under your knees, to support your legs.Put one hand right below your ribs and the other on your upper chest. This will enable you to sense the movement of your diaphragm during breathing.Slowly inhale through your nose to cause your stomach to expel, which will raise your hand. Keep the hand on your chest as still as you can.As you exhale through pursed lips, tighten your stomach muscles so that your stomach moves in and your hand falls. Keep the hand on your upper chest as still as you can.learn more about diaphragmatic breathing- https://brainly.com/question/8946243
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A nursing student is preparing a class for new mothers about adaptations they can expect in their newborns. Which information about newborn vision should the student include in the presentation
Newborn Babies have the ability to focus only on objects in close proximity.
Newborn Babies' eye movements might not be coordinated. They might even have crossed eyes. Newborn Babies can only focus at close range when they are born. The distance between a mother's face and the newborn babies in her arms is around 8 to 10 inches.
In the first few weeks of life, infants may follow or track an object. Over the first two to three years of life, focus develops to a typical 20/20 vision. Although they can't see all colors, newborn babies can perceive light and dark.
Babies have not yet fully developed the ability to distinguish easily between two targets or shift their eyes between the two images, despite the fact that they may focus intensively on a target with great contrast. Their main interest is in things. Their main attention is on things that are 8 to 10 inches away from them or the parent's face.
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Dr. K's sister asks her to prescribe antibiotics to her minor child. Dr. K does not believe that antibiotics are indicated, but her sister is insistent so Dr. K writes the prescription. Is this a violation of the Medical Practice Act or Board rules
This is typical violation of the Medical Practice Act.
What is Medical Practice Act?Medical Practice Act is are rules and regulations that are governing and monitoring the practice of medicine in a particular state or country.
The are different types of medical practices that is being governed by this act and they Include:
Private PracticeGroup practiceLarge HMOHospital Based andLocum.The prescription of drugs should not depend on what the patient wants but on what would actually cure the health needs of that patient.
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According to the Healthy People 2010 nutrition-related objectives, it is recommended that the proportion of persons aged 2 years and older who eat at least two daily servings of fruit be increased true or false
True
Fruits are very beneficial for children as they are a source of potassium which helps in keeping the blood pressure normal. Fruits are also source of vitamin C which helps in the building of immune system and prevents against diseases and infections.
They also provide vitamin A which provides healthy eyes and folate that is required for the production of DNA.
According to Healthy People 2010 nutrition-related objectives, it is recommended that the proportion of persons aged 2 years and older who eat at least two daily servings of fruit be increased.
According to studies, the target for this objective is 75% but only 28% has been achieved.
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What should you do if a guest calls to report a foodborne illness they believe they got from eating at your establishment
Inform the Health Department of the accusation of a foodborne illness and describe the actions to them and notify the owners and others on the management team of the incident.
Foodborne illness :
Foodborne illness is caused by consuming tainted foods or beverages. Foods can be contaminated by a wide range of pathogens or disease-causing bacteria, leading to a wide range of foodborne illnesses.
There are many similarities between the symptoms of 24-hour stomach flu and those of a foodborne infection, including nausea, vomiting, diarrhea, cramps, and headache. The digestive tract might suffer from excessive drinking and/or eating, particularly when rich foods are consumed outside of one's normal diet.
Symptoms of food poisoning typically take several hours to several days to emerge, depending on the pathogen.
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Health and fitness programs increasingly draw from a more holistic, multidimensional model beyond physical fitness referred to as _________.
Health and fitness programs increasingly draw from a more holistic, multidimensional model beyond physical fitness referred to as wellness.
There are six dimensions physical, emotional, mental, social, spiritual and environment together constitute a multidimensional model of wellness. It is holistic as it refers to the wellness of an individual in every area of his life. Wellness means to change lifestyles and live life to the fullest.
Physical by nurturing your body, emotionally by appreciating and understanding your feelings, building healthy relationships socially, strong beliefs and values spiritually, and connecting with nature for good health.
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nurse is positioning a client for a urinary catheterization. Which of the following nursing actions would be best in preventing musculoskeletal injuries during the procedure
Raising the bed to a comfortable height would be best in preventing musculoskeletal injuries during the procedure of urinary catheterization.
Inserting an indwelling urethral catheter (IDC) requires a labor-intensive procedure that should only be carried out in an aseptic environment. A doctor will frequently insert a urinary catheter. They are inserted through the tube that drains urine out of the bladder.
It is more ergonomically sound to work from a bed that is at a comfortable height to avoid back pain and potential injuries, as well as to avoid bending and/or twisting from the waist.The patient is positioned upright thanks to the tilt of the bed, which has positive effects on the patient's healing, blood pressure, and circulation. The lungs and circulatory system can benefit from the cardiac chair position.Due to the influence of gravity, raising the bed's head reduces the amount of blood returning to the heart. Here, the diminished blood return to the heart may result in a reduction in blood pressure.learn more about urinary catheterization here: https://brainly.com/question/27961078
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The nurse notes the listed assessment findings in a newborn. Which finding correlates with a glucose level for a newborn is 39 mg/dl (2.16 mmol/l).
Because the glucose level of the infant or baby described is lower than the normal level, following are likely to be observed:
Depression of brain functionOverstimulation of brain functionExcessive sweating.What is normal glucose level for a newborn?Typically, the concentration of glucose in newborn babies' blood ranges from 2.5 mmol/l (45 mg/dl) to 7.0 mmol/l (126 mg/dl).
The condition of glucose deficiency is called Hypoglycemia. This can be prevented by:
Feeding the infants as soon as they are delivered;Ensure that their glucose levels are monitored;For babies at risk, glucose testing should be done 30 minutes after the first meal; andSupplements at a young age for infants who have eating issues.What are the common causes of hypoglycemia in new born?PrematuritySmall for gestational ageMaternal hyperglycemia, and Perinatal asphyxia are risk factors that can predispose an infant to hypoglycemia.It is also important to note that:
Delay in meals.Inadequate glycogen storage and hyperinsulinemia, are the most frequent causes.Other symptoms are:
TachycardiaCyanosisConvulsions, and Apnea.Learn more about glucose level at;
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Physical fitness: is the ability of the body to adjust to the demands of physical effort limits the amount of physical activity that can be performed is thought to be a measure of one's physical health
All the given options are correct about physical fitness. So the answer is option d.
Physical fitness is the ability of the body to work efficiently through properly coordinating all organ systems and performing routine activities with less effort.
a) Is the ability of the body to adjust to the demands of physical effort is a true statement because physical fitness provides the physical and muscular strength that allows the person to adjust to the demands of physical effort required for various activities.
b) limits the amount of physical activity that can be performed is also a true statement because a person can perform physical activities that are allowed by their level of physical fitness.
c) is thought to be a measure of one's physical health is a true statement because a person cannot be considered physically healthy if he/she is not physically fit.
Hence, all the options are correct.
Note: Your question is incomplete, but most probably your complete question is "Which of the option is correct about physical fitness:
a) is the ability of the body to adjust to the demands of physical effort
b) limits the amount of physical activity that can be performed
c) is thought to be a measure of one's physical health
d) all of the above "
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Answer:
All the given options are correct about physical fitness. So the answer is option d.
Physical fitness is the ability of the body to work efficiently through properly coordinating all organ systems and performing routine activities with less effort.
a) Is the ability of the body to adjust to the demands of physical effort is a true statement because physical fitness provides the physical and muscular strength that allows the person to adjust to the demands of physical effort required for various activities.
b) limits the amount of physical activity that can be performed is also a true statement because a person can perform physical activities that are allowed by their level of physical fitness.
c) is thought to be a measure of one's physical health is a true statement because a person cannot be considered physically healthy if he/she is not physically fit.
Hence, all the options are correct.
Note: Your question is incomplete, but most probably your complete question is "Which of the option is correct about physical fitness:
a) is the ability of the body to adjust to the demands of physical effort
b) limits the amount of physical activity that can be performed
c) is thought to be a measure of one's physical health
d) all of the above "
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The physical activity health guidelines require metabolizing about _____ calories during moderate physical activity during most days of the week.
The physical activity health guidelines require metabolizing about 150 to 400 calories during moderate physical activity on most days of the week.
The intake of calories in the food provides the energy to do work. A very low intake of calories may result in weight loss and too much of it can make you obese. Physical activities like exercise, cycling, and jogging are necessary to burn calories.
According to the physical activity health guidelines, adults must do moderate physical activity for at least 2hr a week. And 1 hr intense aerobic exercise a week to burn the calories.
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/comparison-of-the-effectiveness-of-proprioceptive-neuromuscular-facilitation-exercises-and-shoulder-mobilization-patients-with-subacromial-impingement-syndrome-a-randomized-clinical-trial
The study compared the effects on Proprioceptive Neuromuscular Facilitation (PNF) activities with shoulder mobilization (SM) in addition to traditional physiotherapy on patients with Subacromial Impingement Syndrome's discomfort, range of motion (ROM), functioning, and muscle strength (SIS).
What is Proprioceptive Neuromuscular Facilitation (PNF)?You can increase your range of motion by using the stretching technique known as proprioceptive neuromuscular facilitation (PNF). After an accident or surgery, PNF is frequently used by therapists to assist patients restore their range of motion. Athletes and dancers can also utilize it to increase their flexibility.
Methods for doing this are-
In three groups of forty-four patients each, traditional physiotherapy (control group; n = 14), traditional physiotherapy plus PNF activities (PNF group; n = 15), plus conventional physiotherapy plus SM procedures (SM group; n = 15), conventional physiotherapy was randomly assigned to. The VAS (Visual Analog Scale), goniometer, push-pull dynamometer, Steady score, and DASH (Disabilities of the Arm, Shoulder, and Hand) score were used to assess pain, range of motion (ROM), muscular strength, and functionality. 20 sessions (four weeks) of therapy were provided to the patients. At the baseline, weeks 2, four, and sixteen, assessments were made.Therefore, patients with SIS may benefit better from PNF or SM in addition to traditional physiotherapy in terms of pain relief and functional improvement.
To sustain the ROM increase obtained with SIS therapy after treatment, it is advised to add SM and PNF to traditional treatment. This treatment should also be used for 4 weeks to build muscular strength.
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The correct question is-
Comparison of the effectiveness of proprioceptive neuromuscular facilitation exercises and shoulder mobilization patients with Subacromial Impingement Syndrome: A randomized clinical trial.
A client diagnosed with delusional disorder is experiencing persecutory delusions involving the belief that someone is putting poison in his food. When developing the client's plan of care, which nursing diagnosis would be most likely
Nursing diagnosis would be social isolation due to inability to trust.
Persecutory delusional disorder is a false belief that is completely different from the true evidence.
In persecutory delusional disorder people are occupied with some false beliefs that they are going to be mistreated. Individuals who suffer from psychotic conditions like paranoid schizophrenia, may experience persecutory delusional disorders.
Persecutory delusional disorders can be managed with the help of therapy and medications.
Nursing diagnosis would be social isolation as the client in unable to trust.
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Shoulder and cervical symptoms can be sometimes difficult to distinguish. Question 1 options: True False
It is a true statement that Shoulder and cervical symptoms can be sometimes difficult to distinguish.
What is a shoulder pain?In most cases, a patient could feel a sharp pain around the shoulder and this pain may be connected to a disorder around the cervix because a muscle runs through the both areas.
Thus, it is a true statement that Shoulder and cervical symptoms can be sometimes difficult to distinguish.
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