Muscle Spam Case Study

While participating in the “Deteriorating Patient” simulation, learning to complete a Situation, Background, Assessment, and Recommendation (SBAR) report while caring for a deteriorating patient was the most challenging task to complete. After receiving report and beginning the initial interaction with the patient, my confidence level was on a steady rise. Everything seemed to flow well and initiating conversation while building a rapport with the patient was also very easy to complete. Once the patient started to deteriorate, I found myself becoming unorganized and my thoughts were racing. Though I was managing the situation very well, I called for a charge nurse because I realized I needed help. After calling for the Charge Nurse and asking for assistance, my racing thoughts slowed down some. I used this moment to notify the provider of the patient’s status and request a visit to the patient’s room. Completing the SBAR with a provider in a moment where the situation was hectic is not something I do very well. My

DOI: 9/9/2015. Patient is a 63-year-old male salesperson who sustained injury when he slipped on the showroom floor. As per OMNI entry, patient was diagnosed with left upper arm shoulder sprain.

For over a decade, acute and chronic back pain has been treated with opioid analgesics also known as opiates or narcotics (such as Percocet or Oxycontin), and nonopioid analgesic, including NSAID’s (such as Naproxen and Ibuprofen). On average, 182,727,272 opioid analgesic prescriptions are dispensed annually (Dal Pan, 2016). Unfortunately, each of which is accompanied by potentially serious adverse effects. Opioids serious side effects including respiratory depression, drowsiness, nausea, constipation, addiction, and ultimately death. Although constipation does not sound like a serious side effect, it does pose the potential for serious consequences. Because of the depressed peristalsis of the gastrointestinal tract or ileus the patient can develop constipation or

Informed consent is the process by which the treating health care provider discloses appropriate information to a competent patient so that the patient may make a voluntary choice to accept or refuse treatment. (Appelbaum, 2007)1 It originates from the legal and ethical right the patient has to direct what happens to her body and from the ethical duty of the physician to involve the patient in her health care. In order for the consent to be valid, the patient must be competent to take the particular decision; have received sufficient information to make a decision; and not be acting under stress.2,3

We discussed alternative approaches to the treatment of anxiety with different medications. The two medications my preceptor often suggests to patients that are non addictive are Vistaril and Seroquel. Because these two medications are non-addictive as well as offer a calming effect on patients with anxiety, my preceptor said that they are often used for his patients. My preceptor encouraged me to offer Seroquel or Vistaril first in the future when I am when dealing with patients and their anxiety. I still strive to accomplish the goal of knowing which medications would be best for aparticular patient, and how to decide on one of these drugs over the other one based on the patient’s needs. I think I will get into the habit of presenting both medications to my patient, and letting them decide what sounds like a good fit for

DOI: 08/29/2006. Patient is a 57-year-old male bookbinding operator/route salesman who sustained injury when he was startled by a cat while making a delivery and fell. Per OMNI, he was initially diagnosed with lumbar herniated disk. The patient is currently temporary totally disabled due to knee surgery in April 2013.

Plaintiff, Orleda Lee Harris previously worked as a secretary for the Klamath County School District. On January 27, 1981 the plaintiff had a post-partum tubal legation. February of 1982, plaintiff injured her right figure during an assault. She had been squeezed around her neck. The doctors also examined plaintiff’s cervical spine, which revealed a normal alignment. Although, there was some straightening of the curvature suggesting a muscle spasm.

“OK, Team! We have a new patient in Room 3B who is being admitted with a progressive (gradual, advancing) decrease in mobility (movement) of his back and legs, and increase in pain located in the lumbosacral (lower back above the tailbone of the spine) area. The patient’s Primary Care Provider has sent along Computed Tomography scans (CT, a rotating x-ray emitter, detailed internal scanner) showing spinal stenosis (narrowing of the spine causing pressure on the nerves and spinal cord causing lower back pain.) and decrease of the normal lordosis (abnormal curvature lower spine, excessive inward curvature of the spine) in the thoracic vertebrae (upper and middle back). Lumbosacral

In Rhea Faye D., Felicilda-Reynaldo article “Recognizing Signs of Prescription Drug Abuse and Addiction, Part I”, Rhea and Reynaldo examines the effects of drug abuse on one’s life. Person health, status, study, relationship are affected by drug abuse. If one can start using drugs they might be unable to stop themselves for taking drugs. There are many prevention programs available for people who wants to stop taking drugs. The drug abuse or misuse increases day by day and the most commonly use drug is opioid analgesics. Paracetamol, codeine, lorazepam are three commonly use drugs among population (Rhea and Reynaldo 391). Abuse of different medication show different effects on a person, and many people die because of drug abuse. Nevertheless,

DOI: 12/13/2012. This is a case of a 63-year-old male security officer who sustained a work-related injury to the right knee when he missed a step and fell down the stairs. As per Omni, the patient had a right knee meniscus tear. The patient had right knee replacement on 11/19/14.

Both the ambulance and the police arrived at the scene and took him to Kings County Hospital but because of the long wait they went to Beth Israel. His aunt drove him and his girlfriend. At the hospital he complained about his shoulder and wrist on the left side. He doesn’t remember the hospitals instructions regarding follow up care and he never returned to the hospital. His record says he complained about back problems and that he refused immobilization but he did go to DHD Medical and Dr. Katzman. All health providers describe neck strain radiating down his shoulder. He had physical therapy three times a week for 6 months but still experienced pain at the end of 2012 to the beginning of 2013 when his physical therapy ended. DHD referred him to Dr. Katzman who discussed the need of surgery to his left shoulder which he didn’t have because no fault cut him off. He also had an MRI of his cervical spine and

Medical Records Information: Swollen lower extremities, tender to palpation lower back, right knee and left shoulder. Limited range of motion neck and lower back. Unable to squat, unable to walk on heels and toes. Asthma, sleep apnea, obesity (11/21/2014 weighed 304.4 pounds), diagnosed with rheumatoid arthritis. Was receiving mental health treatment for major depression and chronic pain in the lower back and legs, pain was “becoming intolerable.” Also reported anxiety.

Per the medical report dated 09/29/16, patient complains of back pain, rated as 8/10, radiating to both lower extremities, worse with standing and walking.

My back injury has occurred through cumulative wear and injuries throughout my military service, with my most recent notable injuries occurred in 2014 while setting up the tool room at Weapons Instructor Training Course in Yuma, Arizona. I was lifting a tool box from floor level to a shelving system at approximately chest level when I began to feel a significant amount of pain in my lower back. The pain steadily became worse over the next few days, and later that week while

What is a drug? According to our notes, a drug is a substance other than food that affects the structure or the function of the body through its chemical action. Our society has both legal and illicit drugs. My focus for this essay is the use of legal prescription medications.