Ap Nursing Case Study

In “Am I MS?” Miriamne Ara Krummel talks about her personal journey she endured dealing with multiple sclerosis. Krummel further explains at the end how she was finally able to accept her diagnosis and to embrace it. She finds that it’s important to be open about the disease. She believes that, “it might be helpful if more people would talk about death and dying as an intrinsic part of life” (76-77).When she was first diagnosed, she had a difficult time coping with MS. In fact, she at first denied that she could possibly have MS and like her family, were hoping that it was some kind of flu, until further testings’ at the hospital proved them wrong. However, through the process she learned that she felt better as she acknowledge the disease

It was a warm summer afternoon of August, 1999, at a friend’s house when I was introduced to rheumatoid arthritis. It was a casual and startling encounter. His aunt greeted me at the door to take me to the guest room. She seemed to be in her mid-40’s, had a round face with thin reddish skin, painful looking hand deformities and a slow, limping gait; most strikingly, an aura of pain was visible all around her. I asked my friend, concernedly, why she looked so different. He somberly replied that she had rheumatoid arthritis. He opened to tell me how, despite the available treatment, she was unable to complete her education or have a job because she could not walk in the evenings and had severe pains all night every night since her teenage and that she was never married and was dependent on her parents. For a 15 years old me, it was distressing. This experience exposed me to the reality of human suffering. It’s not just the disease, the pain, there is also a taboo which one must endure.

Imagine you are nine years old and helping unpack groceries with your mother. In an instant everything changes. Your mom drops what she is holding and is now frozen on the ground. Her left side is paralyzed and there is nothing you can do except sit with her and wait for it to be over. You tell yourself it will be over soon, that the doctors will find a cure soon. This wasn’t the first attack and it wouldn’t be the last. She has Multiple Sclerosis, but nobody would know that until months later. At that moment the attacks were random and confused doctors. Even after she was diagnosed, doctors had no cure, only treatments that we prayed would help. That was my mother and my family. The summer of 2012 was scary and there was no cure to help her.

Emilie Higgins has not broken a single bone in her body. Although she has not broken a bone, she has overcome various other obstacles and is now a very optimistic and strong woman. Higgins has had an interesting childhood, a devastating college experience, and now has a little family of her own. Higgins has overcome various obstacles in her life but she continues to remain optimistic.

The American Association of Nurse Practitioners (AANP) is an organization associated to my desired role. This organization is the main one in the United States that represent more than 205 000 nurse practitioners of all specialties. The AANP follows state and federal policies that could impact nurse practitioners (NPs) scope of practice in different levels. The AANP has a board of directors. They set up the organization policy with a clear language and understanding of the Nurse Practitioners scope of practice. As a professional organization that gives full nationwide service for all the NPs in several specialties offering leadership

Reflect upon the clinical problem that you have identified in your area of nursing practice (as identified in Module 1). Critically appraise the research and summarize the knowledge available on the clinical problem.

Due to the impaired judgment, intense emotion and overt psychosis, there is an increased risk of violence in mentally ill patients during a relapse. Therefore, verbal de-escalation was crucial in eliminating the possible aggression during the first few home visits. Madam MA appeared frustrated the moment she saw the community team going to her house. She could not see the reason for the home visits. After the verbal de-escalation, she appeared calmer and was able to talk with the community team. Indeed, this was important in establishing the rapport and the therapeutic alliance.

My patient, MG was a 72-year-old female who came to the emergency department because of a fall in her bathroom. Her admitting diagnosis was a right hip fracture. Other concurrent health challenges she had were: hypertension (HTN), high cholesterol, chronic obstructive pulmonary disease (COPD), and chronic kidney disease (CKD). MG was a full code status with no known food or drug allergies. They surgery she had undergone was a right hip cannulated screw. My patient contributed in care and believed that partaking as much as possible will get her healthy and home sooner. Also, she believed in independence and doing things on her own if capable. After working with MG, I attained a great amount of knowledge in knowing: the

“Define success on your own terms, achieve it by your own rules, and build a life you’re proud to live,” quoted Anne Sweeney, formerly the co-chair of Disney Media, President of the Disney–ABC Television Group, and the President of Disney Channel. In this quote, Anne wanted everyone to know that everyone has their own definitions of success and have their own ways to get their. Two ways that people define success is being happy or satisfied with what they love doing and reaching their goals after obstacles. These two features can be seen in the books, The Outliers, The Last Lecture, Chicken Soup for the Teenage Soul and the article, Catching Kayla, by Digital Sports News.

The symptoms can vary and the symptoms can worse on some days and not really noticeable on others. If the condition is serious, the pain may not go away and it may affect you in your everyday life. For example, it may stop you from sleeping through the night and could cause difficulties when trying to carry out daily tasks like climbing

Jean Russell of Michigan Insurance Company referred this file for medical case management. Instructions were given to meet with Flavia Tocco and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery.

Multiple Sclerosis is primarily a T-cell mediated immune inflammatory disease that disrupts the regular functions of our central nervous system. Our central nervous system, the brain and the spine, are responsible for many of our voluntary and involuntary movements. However, in patients with Multiple Sclerosis, the immune system attacks the myelin sheaths that protect the nerves of the CNS. After repeated attacks, the myelin sheath will fall apart, and the immune cells will continue to attack the nerves themselves, which can be irreversibly damaged. Symptoms of Multiple Sclerosis include fatigue, numbness, weakness, vision problems, depression, and walking difficulties. In the United States, more than 350,000 patients

Since ancient times, full moons have been associated with odd or incomprehensible occurrences that can only be explained by the supernatural. These events have prompted countless experiments and endless research, but maybe such problem’s answers are simply out of this world. It has been reported that many people and animals that have contracted Lyme disease feel discomfort and the worsening of their symptoms during full moons. An answer as to why this occurs is beyond scientific understanding, but what if the answer is as simple as society 's location, or more so planet? If a moon base were to be created, then the bacteria that causes Lyme disease, Borrelia Burgdorferi, could be further researched, the base would help society learn how the bacteria

J.D. is a 62 year old divorced Caucasian female. Patient is a reliable historian. She is allergic to Lisinopril. She currently has a desk job at a local call center. She went through menopause at age 50. She is on Lantus insulin 45 units every evening and Novolog sliding scale insulin with meals. She presents to the clinic today for a well woman exam with complaints of vaginal itching and burning.

Multiple Sclerosis is an autoimmune disorder with no known cause or cure. Due to this fact, it is beneficial for patients begin disease modifying therapy once a definitive diagnosis has been made. Because disease modifying therapy is expensive, has potentially fatal side effects and the onset of debility can be delayed for years, many patients elect not to start disease modifying therapy or choose to discontinue therapy shortly after starting. The purpose of this paper is to explore ways to increase medication compliance.