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.
Before Bill was given medication, food, or fluids he was assessed for ineffective swallow by the nurse. If the screening shows swallow impairment the patient must be referred to SALT within 24hours (NICE,2008). The screen used in this hospital was the “Stroke dysphagia screen” (Lepine,2009 cited in Barnard,2011). This involves giving an alert patient (absent of facial droop and with a gag reflux) a sip of water, if they can swallow without coughing/choking they are allowed more and observed for coughing/choking (Barnard, 2011). If facial droop present, as in this case, the test is not done and the protocol requires immediate referral to SALT.A nursing diagnosis of “ineffective swallowing” was
Groups of human beings with regulations: assign individuals to provided care and deliberate decisions about self and others. Orem’s theory is a universal theory that focused on the following assertion: (Smith 2012): The theory of nursing systems, the theory of self-care deficit, and the theory of self-care. 1. The theory of nursing system: The theory of nursing system describe nursing as actions performed by human (nurses). These actions are planned and discharged following the task of the nursing agency for individuals or group of people with health-related issues or limitations.
RCOG GUIDELINES ON PCOS92 PCOS should be diagnosed according to the Rotterdam consensus criteria. Women diagnosed with PCOS should be informed of the possible long-term risks to health that are associated with their condition by their healthcare professional. Clinicians may consider offering screening for gestational diabetes to women who have been diagnosed as having PCOS before pregnancy. This should be performed at 24–28 weeks of gestation, with referral to a specialist obstetric diabetic service if abnormalities are detected. Women presenting with PCOS who are overweight (body mass index [BMI] ≥ 25 kg/m2) and women with PCOS who are not overweight (BMI < 25 kg/m2), but who have additional risk factors such as advanced age (> 40 years),
Using the Assess, Plan, Implement and Evaluate process there will be a structured care plan which demonstrates awareness of the roles and responsibilities of nurses within an inter-professional care delivery. To conclude, a summarisation of all the key matters that have been discussed in the essay will be made. The author has chosen to use a pseudonym for this patient to respect the person’s right to privacy as required by the Nursing and Midwifery Council ‘the Code’ of professional standard (NMC, 2015). Margret is a 50years old black-African woman who lives with her husband and 4 children, she was diagnosed with T2DM in 2012 and has been able to manage (continue background story) According to Diabetes UK (2017), Diabetes mellitus is caused when the amount of
Everyone with diabetes who is 12 years old or over is invited for screening once a year. The screening test involves examining the back of the eyes and taking photographs of the retina. Screening can detect diabetic retinopathy before one notice any changes in the vision. Causes Over the time, hyperglycaemia (high blood sugar content) causes blockage of the minute blood vessels that provide nourishment to the retina, thereby cutting off the blood supply. As a result, the eye attempts to grow new blood vessels.
In an article by Alzheimer’s Association it mentions that many experts who study this type like to call it “Vascular Cognitive Impairment” because it better explains the idea that your vascular thinking skills can change and it can either be small or serve. Also, in this article it mentions that Vascular Dementia is account for 10 percent of cases and that is remains underdiagnosed even though it is considered common. B. Symptoms i. With this type of Dementia, the symptoms can be very different due to how badly the blood vessel are damaged after having the stroke.
Since the recommended dosage contains 1200mg, there is a need to carry out further clinical trials at this dosage to determine whether an increased dosage has any other benefits or not. As Meoli et al. reports, a dose of 450mg of Valerian caused a significant reduction on sleep latency. Nonetheless, an increased dose of 900mg caused no additional benefits with reports of a significant increase in subjective somnolence.2 Carrying out a study using the 1200mg dose will shade some more light on the possible hangover effect of subjective morning
To our knowledge, our case is the youngest one who received a high dose of cisplatin (500 mg/m2) in the absence of intravenous hydration, and nephrotoxicity result in renal failure, hearing loss, visual impairment, severe myelosuppression complicated by life-threatening sepsis were presented in this patient. Although vigorous therapies were given, the patient decreased. As the toxicity of cisplatin is dose-dependent, early elimination of the drug from plasma should be critical in the management. Most of the platinum in the blood plasma is bound to proteins within a few hours after intravenous administration. Binding of cisplatin to proteins and enzymes is generally believed to be the cause of its side effects, especially ototoxicity and
Root Cause Analysis (RCA) is used to facilitate the team analysed to identify the root cause of the above event that resulted in undesired outcome and develop corrective action (Sondalini, 2011). After three months of observation, staff nurse in hemodialysis is too engrossed in writing the nursing report and desolate the bedside patient care. This includes knowledge of the dialysis technician to overcome trouble shooting such as hypotension and cramp which need to be done as soon as possible during dialysis treatment. Other factors have been identified, such as lack of staffing for training staff nurse and newbies dialysis technician. Those factors will not be discussed in this essay.
Initial Discussion Post: •How will the RN update the plan of care? The RN would first review the goals and outcomes of the patient care plan. The next step would be to collect Reassessment Data, " Assess the client response to the interventions."(pg. 128 Treas, Wilkinson) in which include vitals, auscultation of breath sounds, observation of activity, and asking the patient how they are feeling and family for observation. The RN would record the evaluation summary in the nursing note or care plan about the conclusion whether the outcome was achieved and the reassessment data supports the judgment.
She developed blurry vision the next day, nausea disruptions to balance and hearing changes on the right side. She had a computed axial tomography scan done which was negative, was referred to neurology and was taken out of work for 2 months. She is currently getting Botox injections every 4 months which is helping her headaches and associated neck problems as well. Her neck problems seem to be worsening over time. They are more obviously dysfunctional when her Botox relieves some
Hey if that will be okay me clock in now ,I don 't feel good my chest hurst alot,and my blood pressure is verfy high since yesterday and now my back hurts alot too and that is not a good signal so I will have to call my cardiology at soon they open the office today and hopefully he can see me without me have to go to the hospital.
Michaela P. Capulong NU 333-01: Physical Assessment for the Nursing Professional June 29, 2015 Journal 7 When I do my assessment on admission, I always include the assessment findings that I expect to be abnormal if the patient has definite cardiovascular problem. I notify the MD and the nurse practitioner immediately if I find abnormal findings or values. I ensure to chart the education and the correction in response of the abnormal findings. In addition to that, tests and labs should be done to rule out problems. It is essential to know the patient’s health history before conducting the physical exam.