Mr. Fountain reports that he drinks alcohol infrequently. He estimated drinking less than 6 beers in the past month. He avoids mixing alcohol with his prescription pain medications. He quit smoking tobacco in 2001. Previously, he smoked 1 pack of cigarettes per day for approximately 10 years. He denied current and past use of illicit drugs or substances. He consumes 3 to 4, 500 ml bottles of caffeinated soft drinks per week.
Sheila, R., & Cynthia, T. (2014). Nursing Diagnosis Reference Manual (9 th. ed.). Wolters Kluwer Health| Lippincott Williams
2012). An anticholinergic nebulizer, ipratropium was given to mrs.Smith as per the order which helped to reduce dyspnea and cough slightly. Her Early warning score still remains 6. On detailed examination, Ed doctor suspected mrs.Smith may be having heart failure. ECG done on her which shows sinus tachycardia. Dyspnea is one of the symptom with patient suffering from heart failure and also experience wheezing.( chronic obstructive pulmonary disease and chronic heart failure. J Am Coll Cardiol 2007; 49:171.). BNP(B-typ Natriuretic peptide) blood test done on her, to check wether she is suffering from heart failure. Mrs.Smith was monitored closely for signs of deterioration and vitals done regularly. While waiting for BNP test result mrs.Smith is referred to medical team for further investigation when the medical registrar came to review mrs.Smith BNP result arrived and which was normal, 75 pg/mL. Medical registrar examined mrs.Smith and adviced to give a stat dose of iv Augmentin 1.2 gm because of the elevated CRP. Confirmed with mrs.Smith that she is not allergic with any medication. Doctor adviced to
While Jose and Jorge are identical twins, their lives could not have been any more different. They have different health determinants to their unfortunate diseases that differ from each other. The case study of Jorge and Jose emphasizes the idea that your zip code determines your health more than your genetic code. Just a quick reminder, Jose is the twin who grew up in a largely improvised family, while Jorge is the twin who grew up in an upper-middle-class family.
Some of the common things that trigger an asthmatic episode are cigarette smoke, exercise, allergens, sudden temperature change, excitement or stress, cold air, and odors.
The normal pH value for the body fluids is between pH 7.35 and 7.45. When the pH value of body fluids is below 7.35, the condition is called acidosis, and when the pH is above 7.45, it is called alkalosis.
During the time of the assessment the patient is awake, alert, cooperative, and clam. the patient reports that he had been drinking to 2 pints of alcohol earlier during the day. The patient BAC was .34 when lab were conduct. The patient reports a non-compliance with his medications for 3 weeks. The patient reports that he was unable to fill them a few months ago with DayMark. The patient reports that he has been depressed recently. Furthermore, he reports that both of his parents died years ago around this time of year and he tries to block out the thought of both their deaths. Patient report that both his parents died of cancer. The patient was asked about his statement while in route to the hospital where he sated, "If I had a gun I 'd be dead." The patient states, " I was just rambling off, it was more talk." The patient reports a history of Alcohol use, which began in his teens. The patient reports no history of attempted suicides and no weapons in home. The patient expresses that his motivation to stop drinking is not strong even with his wife concerns towards his habit.
The findings from this research have led me to be certain of the importance of how by just merely looking into a subject from the origin of it can make us understand the true cause of the problem. Often people believe in one thing because it was told to them as a child like “ you are just like your parents who also have asthma.” However, after examining the different triggers of asthma it is with more certainty that I believe the borough of the Bronx has to advocate for its community and the area in they live in. Without change the Bronx’s pollution will continue to affect the people and the hospitalizations will continue to be the highest in all the boroughs.
The RN would first review the goals and outcomes of the patient care plan. The next step would be to collect Reassessment Data, " Assess the client response to the interventions."(pg. 128 Treas, Wilkinson) in which include vitals, auscultation of breath sounds, observation of activity, and asking the patient how they are feeling and family for observation. The RN would record the evaluation summary in the nursing note or care plan about the conclusion whether the outcome was achieved and the reassessment data supports the judgment. In order to revise a care plan, an RN must " review all the steps of the nursing process."(pg. 130 Treas, Wilkinson).
Shakeniah (mother) reported that Alvin is behaving appropriately in the home, school, and community. She informed the team that Alvin 's immunization and medical appointments are up to date. Alvin reported that he has an asthma attack at school on Monday 10/02/17 and he was sent home. Alvin continues to excel academically, as confirmed by PowerSchool.
Healthcare maintenance. The patient is scheduled for a physical in October. She will do her blood work prior to
My patient is an 89 year old male; the patient will be referenced as WP. WP was admitted to Lutheran 3 East for a primary diagnosis of pneumonia. His health history consists of COPD, acute respiratory failure, chronic kidney disease, coronary artery disease, vascular dementia without behavioral disturbance, CAD, carotid artery disease, and hyperlipidemia. My client also has a permanent cardiac pacemaker and use hearing aids. He’s allergic to oxycodone and Vicodin. His current health is with pneumonia being his primary problem, he is using oxygen via nasal cannula, wheezing present in lungs, alert, and HOH.
Thank you for sending Valma Murphy back to see me some three years since I was last involved in her care, when she underwent a left total hip joint replacement.
Be extra careful during warmer months. When possible, avoid walking or hiking in the woods and areas with high grass.
A rear wheel drive chair would give Lyle access to being active outdoors again and assist in his capability to run outdoor gym class. The stand-up capabilities of a wheelchair would promote the client’s success in performing mobility-related ADLs (i.e. toileting, grooming, bathing). In addition, the ability to stand can increase the range of motion and prevent contractures more effectively then simply elevating the legs or