Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients. In addition, she is most frequently assigned any change of shift admissions.
Patricia Douglass is a 28-year-old, gravida I, para 0 at 34 weeks gestation. She is carrying a set of twins. At her most recent office visit with Dr. Sanders, Patricia had an elevated blood pressure of 158/86. She was brought to the hospital by ambulance. Upon arrival Patricia is immediately assessed and states that she has failed to comply with her prescribed blood pressure medication, Labetalol 200mg BID.
We report a rare case of malrotation with LADD band presenting in an 11 year old girl accompanying intrinsic duodenal stenosis and annual stenosis. Case report : A 11-year-old-girl presented to the hospital with the chief complaints of abdominal pain, epigastric fullness, bilious vomiting,
Complete Physical Examination Informant: Patient who reliable and good historian. Chief Complaint: Questioning why INR is elevated and wants to know for how long she should take Coumadin. Follow-up appointment after treatment of thrombolysis. History of Current Illness: A 52-year-old female with history of hypertension and asthma. Positive for Factor V Lieden.
Near the end of 2014 my mother was diagnosed with breast cancer, and in early 2015 my father was diagnosed with colon cancer. Our PCP and the nurses focused their approach to each of us individually and assessed each of our needs, perceptions, and understanding of everything that was going on at the time while all of this was going on. They were concerned with my sisters emotional coping strategies and identified she needed some behavioral assistance to help guide her through this trying time in our lives. Therefore, our PCP referred her to the appropriate providers to assist her. They were concerned with me because I was in my second trimester of pregnancy, a nursing student, and the stress was affecting my blood pressure.
Figure 1 shows the electrocardiogram (ECG) after the angiography. A carotid endarterectomy was performed 5 months before due to an atheroembolic stroke. During the postoperative period, she presented atrial fibrillation with rapid ventricular response and amiodarone was added to her habitual treatment. Her current treatment is ASA 325 mg/day, atenolol 50 mg bid, enalapril 20 mg bid and amiodarone 200 mg bid. One month before the event she attended the outpatient clinic and an echocardiogram was performed, which showed: normal left ventricular dimensions, wall thickness mildly increased, normal left atrium and aorta, mild left ventricular dysfunction with an estimated ejection fraction of 50%, hypokinetic basal inferior and mid inferior segments and mitral inflow filling pattern of delayed relaxation (according to her age).
DEMORGRAPHIC DATA Referral History The patient is a Malay girl, Client A. who is 7 years and 5 months old at the time this case study was made. The patient was born on 4th June 2007. The patient was diagnosed as Turner Syndrome (learning difficulty). The initial diagnosis was made by a Medical Officer who then referred the case to the attention of the Occupational Therapists for further assessments and intervention since 4th June 2014. Birth History The patient was normally delivered at Hospital Kulim.
One of my classmates and I were assigned for the preceptorship to the experienced nurse on the rehabilitation floor, where patients receive personalized treatment plans to help them through their illness process. One of the clients had an order to administer Vancomycin intravenously every six hours over thirty minutes as a treatment for Methicillin-resistant Staphylococcus aureus
Here the woman and the obstetrician decide where to have the appointments, at the woman’s place or in the medical centre. The woman can decide herself if she wants to see the gynaecologist. A woman generally gets five appointments with an obstetrician and three with a gynaecologist. In private clinics it’s more or less the same. A woman normally gets three ultrasound scans, the first one is at ten weeks the second one after twenty weeks and
Reflection on Interview with my senior Two weeks ago, my partner Xin Xin and I interviewed one senior nurse. Her name is Khin Myint Myat Oo, she is from Myanmar. We interviewed about her experiences when communicating with patients during her clinical attachment at the National University Hospital. She shared us what she did and how she overcome her challenges. She described the two difficulties: the first problem for her is caring for the stubborn patients.
A double osteotomy bunionectomy procedure is performed to correct severe hallux valgus of the left first metatarsal with 0.062 K wire fixation and application of cast. a.) 28296-TA b.) 28299-TA c.) 28296-TA, 29425-TA d.) 28299-LT 16. A 50-year-old female patient undergoes an Esophagogastroduodenoscopy with dilation of the esophagus over a guide wire at same operative episode.
DOI: 1/16/2014. Patient is a 48-year-old female price checker who sustained injury while she was locking cabinet when the fixture and monitor fell off and hit her in the head. Patient had a head contusion. Per PT notes dated 03/13/14, the IW has attended 5 sessions for the neck. Based on progress report dated 05/23/14, the patient reports of continued dull aching pain and burning sensation into the cervical spine.
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.
DOI: 5/22/2000. Patient is a 52-year-old female stitcher operator who sustained injury while she was pushing load onto a stitcher when she strained her right shoulder, wrist elbow, and neck. She underwent exploration of cervical fusion at C5-T7 with anterior cervical discectomy with fusion at C3-C5 on 12/13/11 and implantation of new implantable pulse generator (IPG) and spinal cord stimulator unit on 09/17/14. Based on the latest medical report dated 01/29/16, the IW presents for follow up of neck and shoulder pain. IW complains of increased pain and swelling in her neck, supraclavicular, clavicular and trapezius areas bilaterally, worse on the right.
The patient is an 84-year-old female who had a history of a fall approximately 2 weeks ago. She was seen in the ED at St. Joseph 's in Wayne at which time she had right hip and pelvic x-rays and also a CT of the of the hip. There was some question as to whether she had developed a fracture or dislocation of a previous hip prosthesis. The patient was in excruciating pain and was having difficulty ambulating. Her medical history is significant for diabetes mellitus, hypertension, Alzheimer 's disease, right hip fracture surgery back in January 2014.