I get nervous very easily, especially when I don’t know what’s going to happen and when the situation is not in my control. Professor Griffiths explained the background of the patient, Sally Jacob. Sally Jacob was a 65-year-old female who was going to have a right side femoral popliteal bypass. Her background includes having hypertension for the 15 years, DNC heavy menstrual bleeding, peripheral arterial occlusive diseases in the right leg, and complains of having nausea and vomiting following a procedure due to the anesthetic
MeniscocyLosis (Sickle Cell Anemia) The severe pain in the patient’s joint were described as being on fire times 100. She was fatigued and could barely move. As a result of this erratic unbalanced physical condition, the patient came into the hospital emergency last month complaining of abdominal pain along with spiking body temperatures ranging between 99.0 to 102.0 degrees Fahrenheit. This recent problematic condition is new. Reading through the patient’s records, it was discovered that she came the month before with a chronic infection which was treated with the strongest doses of penicillin allowing the patient to recover within ten to fifteen days.
Compiling mental health issues, physical ailments along with family reintegration can prove overwhelming for a returning veteran. Nearly 20 percent of 30,000 suicides are attributed to veterans each year (Cesar, Sabia & Tekin, 2012). This number represents a substantial number of military personnel suffering with mental health problems. According to the National Alliance on Mental Illness (2011) PTSD impairs one’s ability to function in social or family life, which includes instability, marital problems, divorce, family conflict, and difficulty in parenting (p. 3). PTSD causes much impairment and has many contributing factors; for that reason, it is important to discuss the quality of services available to
Dana Wong is a seventy-year old female who had an ischemic stroke, and is entering our care facility after a seven-day stay at Mercy North Medical Center. The stroke has left her in a wheel chair with decreased mobility on the left side, slurred speech, and relaxed features. The referral came from Dr. Parker on September 12, 2015, which was four days after her admission in the hospital, and request that Mrs. Wong undergo two months of physical, occupational, and speech therapy before she returns to her home at Green Meadows, an assisted care living facility. Dr. Parker noted that Mrs. Wong can benefit from our services, and believes that she can make an adequate recovery, because she is determined to maintain her independent lifestyle. Mrs. Wong has full coverage from Blue Cross Blue Shield, who has agreed to pay for her stay at the facility for a maximum of two months.
There is pain with prolonged sitting and standing. Patient was diagnosed with lumbar discogenic disease, anterolisthesis of L3 and L4, lumbar facet arthrosis, chronic low back pain, cervical discogenic disease with facet arthropathy, bilateral shoulder impingement syndrome and status post bilateral shoulder surgeries. Treatment plan includes a L3-5 facet block x 1 as the patient has pain with flexion and extension, and has 60-70% improvement for 3-4 months with a previous facet block to the lumbar spine. There is a change and worsening in her condition. She was given a prescription for Voltaren 75 mg one tablet twice daily for pain and inflammation #60 and Prilosec one tablet twice daily #60 for gastrointestinal
In this essay I will be studying the case study involving the individuals Mary Scott (who is the service user), June Green and Judith Johnston (both are carers in this case study). I will be discussing key pieces of legislations which applies to these individuals and look into the rights, duties and responsibilities of each of these characters under the correspondent legislation. Mary Scott is an independent individual who still wishes to live within her family home. However after the death of her husband in the previous year her daughter June Green has noticed that her mother has trouble with certain aspects of day to day living which includes washing and dressing (herself) in the mornings and evenings, additionally she appears to be struggling
Capstone Project: Falls Prevention and Risk Assessment of the Elderly Population while in Long Term Care facility Evidence Based Practice – NUR 4775L Dr. Susan Poole, DNP, CNE November 22, 2015 Capstone Part I: Falls Prevention and Risk Assessment of the Elderly Population while in Long Term Care facility Introduction to Problem According to Centre for disease Control (CDC) more than 1.4 million people 65 and older live in nursing homes. If current rates continue, by 2030 this number will rise to about 3 million (CDC, 2014). Nursing home residents are at an increases risk for falls depending on the acuity of their illness and their mental state. Falls can result in, reduced quality of life, functional
Patient admitted to Ochsner Kenner on November 22, 2015 due to multiple falls. He and his sister request skilled nursing facility placement. Physical and occupational therapy were consulted during hospitalization. Both disciplines recommended skilled nursing facility placement for continued therapy. Several referrals sent to patient and sister preference for placement.
In the United States it is estimated that there are approximately 24 million adults with COPD (Pietrangelo, 2015). COPD is one of the leading causes of hospital admissions and one in five COPD patients who are discharged from the hospital will be readmitted within 30 days. In the United States COPD is the third most common cause of death and in 2010 it cost the United States $49.9 billion (Pietrangelo,
As working as a Certified Nursing Assistant in a long term care rehabilitation facility, I encounter many elderly patients who are admitted for fall related injuries. The majority of patients are recovering from total knee and hip replacements as a result from falling at home or elsewhere. Fuller states, “Falls are the leading cause of injury related visits to emergency departments in the United States and the primary etiology of accidental deaths in persons over the age of 65 years…More than 90 percent of hip fractures occur as a result of falls, with most of these fractures occurring in persons of over 70 years of age” (Fuller, 2000, para.1). There are many factors that can contribute to the reason why individuals, particularly the elderly,
Research suggests that each year an estimated 1 in 3 older adults fall. Many older adults lose their lives from falls. Fall related injuries are responsible hundreds of thousands of hospitalizations each year. With the main focus on universal fall precautions and environmental safety, traditional fall prevention and fall management programs have been less than fully effective. A large problem that continues in acute care is the lack of an injury risk screening tool.
Community psychologist has been appointed as the case manager discuss physical and sexual abuse which could not be further explored as an inpatient. Social worker has arranged for Julie to participate in Richmond Fellowship activities one day a week to encourage socialising with peer groups along with Centrelink services until Julie finds a job. Ongoing social support and education from the community team for Julie’s grandparents especially grandmother in dealing with Julie’s situation and personal wellbeing. Continue medications as prescribed. Provide discharge summary and 7day supply of medications along with phone number of Mental Health Support
Type 2 diabetes is an important risk factor for heart failure and is common in patients with heart failure. The objective of the study was to examine all-cause mortality in relation to weight status in patients with type 2 diabetes hospitalized for decompensated heart failure. The Worcester Heart Failure Study included adults admitted with acute heart failure to all metropolitan Worcester medical centers in 1995 and 2000. The weight status of 1644 patients with diabetes was categorized using body mass index calculated from height and weight when patients were admitted. Sixty-five percent of patients were overweight or obese and 3% were underweight.
Hospital-acquired infectsion (HAI) is defined by the Centers for Disease Control and Prevention as a localized or systemic condition resulting from an adverse reaction to the presence of an infectious agent or toxin that occurs 48 hours or more after admission to a hospital or health care facility.”(JAMDA) Every year it is estimated that 700,000 to 1.7 million people will contract a HAI and nearly 100,000 will die from their infection. There are 5 major HAIs; Blood stream infections, ventilator associated pneumonia, surgical site infections, Clostridium difficile infections and catheter associated urinary tract infections. (MCELROY) Of the five, the most common in elderly patients is pneumonia and UTIs. How can we decrease the occurrences
For example, I was hospitalized because of server acute pancreatitis, had tooth surgery, and taking out lump surgery from my neck two time. From those life style, I learn that health is most valuable than any others. And now I would like to share some of my illness and how I get over from my illness with different life patterns. First, I had acute pancreatitis when I was three years old. My mother said that I vomited everything that I ate for three to four days and one day I was throwing up and crying for whole night.