The patient is a 65-year-old Hispanic female who was transferred from lower specific nursing home because the patient was found unresponsive. When she arrived in the ER she was still unresponsive. They did a sternal rub and she awakened became more responsive. It is to be noted that she received 10 mg of Ambien via her PEG tube around 11:00pm at night. Her medical history is significant for diabetes mellitus and atherosclerotic heart disease hypertension seizure disorder Parkinson's disease multiple myeloma and chronic anemia. She had previous admissions in April and July of 2015. In July of 2015 she was in septic shock secondary to C. difficile enterocolitis. On presentation she was also complaining of difficulty breathing. She was
Justin is the registered nurse that has been given the handover for Kelly Malone’s postoperative care in the surgical unit. Kelly Malone is a 49 female patient who has had a septoplasty and a right ethmoidectomy. Justin is working with Kelly to identify Kelly’s needs in order for Kelly to be discharged from the hospital. Kelly’s postoperative observations were a temperature of 36.2 degrees celsius; heart rate of 68 beats per minute; respiratory rate of 18 breaths per minute, blood pressure of 111 systolic over 73 diastolic millimetres of mercury; oxygen saturation at 93 percent of room air and a self-rated pain score of two out of ten. Kelly has a history of ‘not being able to breathe well through her nose’ and a history of disturbed sleep.
On 10/29/2015 SO EMT Perez was dispatched to PV-119 regaurding foot pain. SO EMT Perez knocked and was verbally greeted in by the resident a Mrs. Suzanne Truss. Mrs. Suzanne Truss was very stressed and seemingly overwhelmed and she stated that she had foot pain but before SO EMT Perez had a chance to evaluate Mrs. Suzanne Truss got up on her own strength from her bedside and proceeded to walk to her bathroom with assistance of her walker. Mrs.Suzanne Truss wanted SO EMT Perez present in the bathroom because she stated it made her less nervous. After Mrs. Suzanne Truss finished in the bathroom and walked to her bed SO EMT Perez began an assesment which revealed the following; Blood Pressure 110/72, pulse rate of 75bpm, and foot pain of the
On 1/20/2015 SO EMT Perez was dispatched to KC-304 regarding skin pain. SO EMT Perez knocked, announced his presence and was verbally invited in by the resident. The resident, a Mrs. Marian Fox stated that she has been having some severe skin irritation the last couple of hours and she wanted a second opinion on what she should do. SO EMT Perez performed an assesment which revealed the following; Blood Pressure 120/80, Pulse 64, no visible lesions or abrasions of the area where Mrs. Fox was complaining of pain and no other pain outside the ordinary. Mrs. Fox than decided to lay back in her bed.
She didn’t look as bright as the first afternoon I saw her and still reported hypotension and lightheadedness on standing. She now also had upper abdominal discomfort. As Mildred had a pulmonary embolism history, alarm bells went off in my head. I asked Mildred if her care team was addressing the problem and if I could do anything. Mildred didn 't ask me to talk to the medical staff and not being her health care proxy or wanting to overstep my boundaries, I didn’t.
Uses a walker. • Mr. Raj Singh, a 68-year-old admitted with chest pain and scheduled to have a cardiac catheterization done today at noon. He is very anxious and rings the call bell every 15 minutes to ask whether he is going to die and if the cardiac catheterization is really necessary. • Mr. George Rivera, a 38-year-old Mexican male, admitted with high blood sugars and newly diagnosed with diabetes.
After being taken to the hospital the nurses reported that the bandage had not been changed for some time and they notice the smell of decaying flesh, also her catheter was clogged. Its also seem that a mouse had chews a hole in her feeding tube. The
She is currently required to have oxygen inhalation 2 liters via nasal prongs. Due to her present medical
Anaesthetic Phase According to the HPC Code of Conduct (2015), all registrants and students must respect service user’s right of confidentiality. Therefore, the author will fictionally refer the patient as Sibert. Before Sibert came to theatre for surgery, a pre-assessment is conducted in the pre-assessment clinic. During this assessment, medical history, general health and family history are checked and assessed.
Annette’s reason for admittance at the hospital is an overall weakness, flu-like symptoms, and difficulty with breathing (Prizio, n.d.). She is diagnosed with diabetic acidosis, left upper lobe pneumonia, and a bacterial infection (Prizio, n.d.). Unfortunately, her condition becomes worse. Annette’s right lung collapses, her heart rate is irregular, and she has an episode of unresponsiveness that leads to mechanical ventilation (Prizio, n.d.). Annette has challenges weaning off the mechanical ventilation, which resulted in the placement of a tracheostomy and percutaneous endoscopic gastrostomy tube (Prizio, n.d.).
Module title: Principles of assessment and management of the acutely ill adult Module Leader: Briege King word limit: 500 student 's name: Hema Elizabeth Philip This particular case study shows the assessment and management of an acutely ill adult who presented to the emergency department. This will explain pathophysiological cause of the illness, the assessment and the treatment given to the patient consent received from the patient and my manager as I am discussing the patients information. I am using mrs.Smith as patients name as I do not want to reveal the patients original name due to the confidentiality(an bord altranais 2012). Mrs.Smith 80 years old female brought by ambulance with complaints of increased shortness of
She writes, “My first month in prison was spent being sick. I was told by health care that my ‘illness’ was caused by stomach flu and that my other
The patient is a 52 year old female who presented to the ED via EMS with bizarre behaviors. Per documentation neighbors found the patient screaming in her house. Per documentation LEO found the patient attempting to drink a closed bottle of alcohol hand sanitizer fluid. Patient presents with disorganized thoughts and irrelevant subject matter when asked questions about behavior upon arrival. Nursing staff was asked about status before the assessment and reports improvements in the patient bizarre behavior.
An antibiotic IV treatment was initiated Friday, with the CLSC nurse coming to his home on Saturday and Sunday to change his dressing. Mr. S ambulates with a wheelchair, but he is able to transfer from wheelchair to chair independently. The patient is divorced and lives alone. He did not identify any person in his entourage who
On 8/2/2015 SO EMT Perez was dispatched to FC-505 regaurding general sickness. SO EMT Perez knocked and announced his presence at the door and was greeted by the residents spouse and then to the resident in question, a Mrs. Barbra Myers. Mr. Myers stated that Mrs. Myers was feeling unwell for the past couple of days but today she was acting unusal and slurring/mubling her words and all around acting uncoordinated. Mrs. Myers seems to be somewhat disorientated but is answering all questions appropriatly. SO EMT Perez performed and assesment which revealed the following; Blood Pressure 148/72, Pulse 101, Spo2 96%, Mrs. Myers is very hot to the touch but does not appear to be perspiring, SO EMT Perez recieved a temperature reading from Mr. Myers '
First of all, I need to establish a satisfying provider-patient relationship with Kate. Then assess the causes of her inability to sleep and recent panic attack. Recent death of her spouse is a major cause of her insomnia. I will recommend non-pharmacological interventions to manage the insomnia. Kate’s hypertension, history of smoking and family history of heart disease would put her at risk of cardiovascular disease.