Introduction: Client 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 …show more content…
Alongside, knowing about their hobbies and interest can also contribute in providing great care as such things could brighten the patient’s mood and reduce anxiety. I asked my patient if there were any hobbies or activities that she enjoys. The patient stated. “I enjoy doing a lot of things to pass time, such as knitting, reading books, and going for little walks”. On my shift, I tried to take my patient for a walk around the nursing station at least two times since she loved walking at home. She wants to build the confidence and energy to continue doing the things she loves, rather than laying in a hospital bed every other month. She also wants to get back to knitting on her comfy couch that she mentioned a few times during my …show more content…
Her concurrent health challenges were hypertension (HTN), high cholesterol, chronic obstructive pulmonary disease (COPD), and chronic kidney disease (CKD). Her concurrent health challenges could have impacted her admitting health challenge because the health challenges could have led to weakness which aiding in her falling while walking to the bathroom. HTN is a sustained elevation of blood pressure over more than one reading, with systolic being equal to or greater than 140 mm Hg, and diastolic being equal or greater than 90 mm Hg (Lewis, Dirksen, Heitkemper, Bucher, Camera, 2014). Although signs and symptoms of hypertension are not visible, elevated blood pressure is noticed and possible headaches in life threatening situations (Potter, Perry, Stockert, & Hall, 2014). My patient had presented with elevated blood pressure levels, but was controlled with drug therapy throughout the day. Hypertension puts patients at high risk for cardiovascular diseases. Although medications will lower blood pressure, they will not cure it. Lifestyle changes such as diets low in sodium combined with exercise will help cope with and treat the disease (Lewis et all.,
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Issues She has Type II diabetes. Due to her compromised immune system, it is more likely that her injuries will take her longer to heal. Daily stressors and financial responsibilities may cause health concerns to take second priority. As a result, health issues
Mildred Pasek, my friend and colleague died on August 8th 2017 following an anterior approached back surgery on July 28th at the New England Baptist Hospital. Before you read on, my goal is not to criticize the orthopedic or vascular surgeon’s professionalism, immense skill or personal care of Mildred as these cases affects all providers on a deep emotional and professional level. My concern is for the post-operative care of patients, like Mildred, who have comorbidities, are not necessarily in the ideal condition going into surgery, or at a critical time can advocate for themselves. As well as the debilitating arthritis, she had hypertension required three antihypertensive medications to control. Those meds were held pre surgery, and never resumed.
High blood pressure normally started in the arteries. There are different stages of high blood pressure, there is stage 1 and stage 2 of high blood pressure. High blood pressure is caused from being overweight, little no exercise, genetics,smoking, family history high blood pressure, salt, alcohol, old age, stress, and the food intake that is the diet. High blood pressure is one of the top that kills African American women each year. High blood pressure mostly affects the ages between 40 through 70 (Kovesdy, Csaba P.; Furth, Susan; Zoccali,
Case Study Occupational Profile Annette is a 59-year-old female, who was independent with mobility, ADLS, and iADLS before she was admitted to an acute care hospital (Prizio, n.d.). Annette has many roles, including: wife, mother, friend, and museum greeter (Prizio, n.d.). Annette enjoys cooking, cleaning, reading, knitting, and crocheting (Prizio, n.d.). For her social life, Annette spends time with her two grandchildren, dines out with her husband, and watches movies with friends (Prizio, n.d.).
Some helpful suggestions for issues were provided to consider when trying to make clinical sense out of seemingly conflicting evidence or recommenations. Questions to consider regarding the evidence presented include: Were the clinical questions different? Were different studies considered? Were the results analyzed differently? Was the quality of evidence assessed differently?
Nurses are constantly in a position where they are challenged by encounters with people from different backgrounds. Within this reflection, explanations will be provided on the reasons for picking the papers and the content that has stimulated an emotional response. Furthermore, how it will enhance my nursing practice such as incorporating respect, reflection and awareness of self and the community when caring for Aboriginal and Torres Strait Islander people will be discussed.
1.1 INTRODUCTION Hypertension is the persistent increase in blood pressure above systolic of 140mmttg and diastolic of 90mmhg. (Ross and Wilson 2010). Hypertension can also be defined as a chronic medical condition in which the blood pressure in the arteries is elevated .High blood pressure is a leading cause of kidney disease and kidney failure. Hypertension can cause damage to the blood vessels and filters in the kidney making removal of waste products from the body difficult.(Wikipedia 2015).
Patients who were ambulatory prior to fracture. 2. Patients who were in stable medical condition to tolerate the stress of surgery and anaesthesia. All patients were subjected to take detailed clinical history, examination of the injured hip, assessment of neuro vascular status of limb associated with injury, radiological examination of hip. Implants used: DHS lag screw, Compression Screw, 1350 DHS Barral Plate, 4.5mm cortical screws.
Introduction This essay will reflect on my personal experience, skills, and knowledge gained from my studies and practice of undertaking blood pressure (Bp) whilst completing my professional placement. Bp may be defined as a force of blood against vessel walls in the body, consisting of systolic and diastolic pressure measured in millimeters of mercury. (Waugh and Grant, 2016) Systolic pressure occurs when the hearts left ventricle contracts and forces blood into the aorta causing a heightened atrial pressure, while diastolic pressure refers to complete cardiac diastole, this is when the aortic valve closes and pressure is at its lowest between beats, blood moves into smaller corresponding vessels and the heart rests.
the treatment of hypertension is by : first for the life style modification . the second is by antihypertensive drugs. Doctors usually use algorithm to plan initial treatment for patient with hypertension. An effective treatment for patient with hypertension are weight loss , reduce alcohol and sodium intake and physical activity. Diet with fruits , vegetables and low fat diet are important for to reduce blood pressure.