1.What are the common symptoms associated with an exacerbation of COPD?
According to the Mayo Clinic (2017), symptoms occur when a vast amount of damage has occurred to the lungs and progressively worsens, especially if the patient continues to smoke. Change in sputum color, increased sputum amount, coughing more than usual, increased fatigue, breathlessness, increased difficulty completing ADLs, fever, confusion, increased sleepiness, and decreased pulse ox levels are symptoms that are typically associated with a COPD exacerbation (Lareau, Moseson & Slatore, 2014).
2.What assessment techniques will you use to assess Mary? I would begin the assessment using the general survey. I would assess Mary’s level of consciousness
…show more content…
Start by searching the Internet for your local health department 's website. What services are available to Mary? Briefly describe the services that the state quit line provides. Does it meet the 4 As? Is it accessible, acceptable, affordable, or available for Mary? The California Smokers’ Helpline (800-NO-BUTTS) is a free counseling service with 24 hour a day availability. Their data shows that individuals that received telephone counseling were twice as likely to stay smoke free. we use this for every patient that has used nicotine in the past 30 days. The service is also available in many different languages. Also county has free counseling programs for teens.
What will you do to follow-up on Mary’s smoking cessation process?
I would ask social service involvement and have them offer resources and act as a go between the hospital resources and the outside resources that are available to Mary. I would encourage Mary to put together her own support team. I would ask Mary to contact her primary medical doctor, to follow-up with all that she has accomplished after two weeks (both checking on the improvement of her health and how her for smoking cessation is
A case is presented at the hospital of a 2-month-old child, diagnosed with down syndrome, and currently recovering from a case of bronchiolitis. The child, Elisa, is also diagnosed with Tetralogy of Fallot, and she will undergo surgery to correct this defect once she has had time to recover from her bronchiolitis. Elisa is the sixth child or Maria and Hector. She has three brothers and two sisters who range in age from 10 to 25 years old.
She was oriented to person, place, time and situation. Client report she does have family member here NYC but she cannot stay with them she also report no community support. CM advises the client to participate in all onsite recreation activities. CM also refers the client to CAMBA Home Health Hart to Hart Adult Recreation Center.
D: Client was on time for intake appointment. Together, discussed the assessment recommendation and barriers to successful treatment outcomes. Client reviewed and signed of all treatment admission paperwork, including treatment agreement, ROIs, THS treatment policies, THS alcohol drug Services patient rights, THS patient responsibilities, THS health and safety information, THS counselor disclosure information, patient grievance procedures, THS HIV/AIDS information, THS notice of privacy practices, referral to Quit smoking, and marijuana policy. Treatment plan was developed, which was focused on Dim 4, 5, and 6; focusing on developing readiness to change, identifying relapse potential, and building a strong family and social support system.
And although it seems that Sheila was adjusting well, something in her life might be causing her to revert to the maladaptive behavior that comes along with substance abuse that she had in the past. Sheila was already on a plan through Work First in helping her become self-sufficient, she has obtained a GED, a low-income apartment, and working on skills to keep gainful employment in addition to a part-time job. But in light of the behavior that she has recently been displaying, we may need to get other aspects of social services such as rehab and mental health to get involved in a treatment plan. Sheila has had prior sessions with county mental health professionals in the past, but this issue needs to be addressed right from the onset so that she will not be in a position where she could slip back into that maladaptive behavior and lose her children or her life. There is a lot of treatment that is offered for free with the county through social services, which is different then when Sheila first began her maladaptive behavior in the past.
In March 2010 President Obama signed into law the Patient Protection and Affordable Care Act (PPACA). The goal was to make health care more affordable, accessible and improve quality, for seniors, families and businesses. One component of the PPACA is the Hospital Readmission Reduction Program (HRRP). The objective of HRRP is to reduce hospital readmissions for selected disease categories where Centers for Medicare and Medicaid Services (CMS) data shows there is considerable room for improvement. This program creates financial incentives for hospitals to reduce cost, implement quality improvement programs and focus on reducing readmissions, within 30 days of discharge, for people admitted with a diagnosis of acute myocardial infarction, heart failure and pneumonia.
These patients often report having a supportive community which is an important factor. Primary Focus is Substance Abuse Services. Their programs are Halfway House and Substance
These assessments should provide the information needed to determine any disorder Ms. Tyler may be experiencing or suffering from and assess her competence to stand
61 worker went to Madison county jail to visit with Rebecca Sheppard for a parent worker contact. Rebecca said that she is leaving their clean and does not wish to do a maintenance drug. Rebecca does want to do intensive outpatient program with Chestnut once she is released. Rebecca does not want to do drug court if I offered because drug court would send her to Bloomington for inpatient. Rebecca does not wish to go to inpatient because she is clean.
Adam Goldstein, director of tobacco intervention programs at the UNC School of Medicine in Chapel Hill, North
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.
Self-directed Learning Assignment Justin Rice Disease: Idiopathic Pulmonary Fibrosis 1. Introduction: In class, we have discussed many different respiratory diseases and they usually fall into one of two categories: obstructive and restrictive. Obstructive disease is characterized by less air flow and difficult expiration while restrictive disease is characterized by difficulty getting air in and reduced lung volumes. The disease I have chosen to research is idiopathic pulmonary fibrosis. This is a disease that is caused by scarring of lung tissue over time due to an unknown reason.
Introduction For the purpose of this paper, my client will be named Leah. The agency 's mission is to render the highest quality care to its residents. Leah was referred to Andover and Subacute Rehab Center by her previous residency. Her family was unable to prevent her from begging in the community and abusing heroin. The agencies’ role is to restore its residents to their maximum potential.
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. Since both brothers have asthma it can be assumed that the brothers have asthma in their genetics, however, needed to be triggered.
There are many strategies to stop smoking. First of all the smoker could make a list of all the reasons why they want to quit smoking or they could distract themselves when they feel cravings to smoke again.(21) But if independent strategies do not work, then the smoker could talk to the doctor about safe medications to take that are approved by the United States Food and Drug Administration. For example they could use nicotine replacement therapy which is taking other nicotine products with smaller doses of nicotine to help get off of smoking rather than quitting completely all at once.
This is why quitting is very important for the smoker and the family or friend they have. My dad has tried to quit but till this day he continues to smoke but it’s been a struggle. He tried the patches, the gum and vaping but he still turns to cigarrettes. He wanted to stop but as I thinking more on it he didn’t have support which is the most needed to help an addict because most of them don’t like to