I suspect her sleep onset difficulties relate more to the fact that she does nap during the day and she will also inadvertently fall asleep for half an hour at round 8.00pm when reading to her children. Two conditions that I think we need to be suspicious for are narcolepsy and idiopathic hypersomnia. Susan reports a reasonable mood at present. She will proceed to having some routine pathology including a check of thyroid function and iron studies. She will also undergo a diagnostic sleep study combined with a multiple sleep latency test.
It appears that she seems relatively asymptomatic, but we will perform some lung function tests to see whether or not she does have underlying COPD. The pulmonary nodules are non-specific but given her smoking history, she will warrant a further CT scan in three months ' time to assess for stability. We will organise this at our next appointment. With regards to her likely obstructive sleep apnoea, we will organise a sleep study at La Trobe Private Sleep Centre and I will see her following this with some lug function test to discuss the results and management moving
It is not associated with any shortness of breath or wheeze nor any significant chest tightness. She has no nasal symptoms, no symptoms of GORD and has not been associated with any change in her home or university environment. As you are aware six months ago she moved up to Sydney to study her Masters of Physiotherapy and returns here for holidays, but of note the cough is the same in both environments. Thank you for organising a chest x-ray that was
Furthermore, a brain study done while she slept showed abnormal brain activity indicative of mental retardation. Strangely enough, this did not correlate with evidence that her mental development progressed every year. All of these experiments led to future research involving brain scans which revealed that the left part of the brain cortex had shrunk and disconnected due to lack of stimulation. It was also revealed that the brains of feral children were shrunken and malformed. It was also apparent that the severity of this malformation directly correlated with the age of the child at which the neglect began, and length of time the abuse went on.
C-The maintenance of sufficient intake of food: Fatima is not taking a planned diet, in that it interferes with her glycemic control. D-The provision of care associated with elimination processes and excrements: Fatima complains from poor bowel pattern, sometimes she seeks medical intervention to solve the problem. E- The maintenance of balance between activity and rest: Fatima sleeps about 7hours daily, feel hypoactive and no desire to perform any home activities. F - The maintenance of balance between solitude and social interaction: Fatima lives alone in her apartment, her daughters are busy with their own families, and they may meet at the weekend G- The prevention of hazards to human life, human functioning and human well-being: Fatima is liable to hazards such as falling down, burns and cut wounds because she has to perform the necessary daily activities alone. H- The promotion of human functioning and development with social groups in accord with human potential, known human limitations, and human desire to be normal: Fatima feels powerless to manage her disease because of deficient social support, Fatima wishes to be good but she believes that she doesn't have the capability to do
Second most reported barrier was personal health which included health related problems, followed by internal factors whereas many lacked determination and motivation to stay physically active. Finally, external factors refers to lack of social support, lack of transportation and financial cost of fitness facilities. There were also three perceived benefit theme: health promotion, improved roles, and physical fitness. Discussion Although many barriers and benefits reported by the women in the study are similar to what NHW women reported in other studies, cultural differences were still prominent. Furthermore, the older Latina women of this study did not report social interaction as a personal benefit of being physically active.
In the film, we see that Helen has hypersomnia an example of this would be when she woke up from her sleep thinking it was still morning and wondering why Julia (her daughter) hadn't gone to school, not realizing that it was 4PM (Nettelbeck. S, 2009). Another symptom seen in the movie mentioned in the DSM-5 as symptom seven of criteria (A) is “feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or being sick)” (Butcher, Hooley & Mineka, 2014). She feels so guilty that she wanted to keep her illness away from her daughter and has a rage when she finds out that David told her daughter, Julia. The level of worthlessness and guilt Helen had was bad that she chose to move out and stay with Matilda.
In a case study by Mowbray et al (1986), Mary is a Caucasian woman that is neat in appearance but does have some mental issues when she has a tendency to become hostile, anxious, and trouble paying attention at times. Over the past year, Mary has resided in 12 different residences but has difficulty remembering the location of each of them. She recalls living with various family members, including her boyfriend’s grandmother, but then being asked to move within one months’ time. She is now sleeping at a women’s shelter because after living with two men who showed interest in sexually abusing her, she wanted to be somewhere where she would feel safe and not be harmed. Having been homeless has left Mary feeling alone and insecure, which has been difficult on
Her mom was very worried that Christine wasn’t going to be ready. On the first day of climbing, they climbed 7 hours and Christine thought it was very difficult. It took them 2 ½ weeks before they got acclimated to the high altitudes. For maintaining the diabetes, the elevation was not the problem it was the temperature. She had to keep the insulin warm, so she slept with it and stayed very close to the fire.
Most women goes through postpartum depression. Well the narrator from the story was locked up for days. She was suffering because she recently had a baby. John thinks she might have postpartum depression and afraid she may harm herself or baby. She was told to stay in bed and rest.