Negative Pressure Wound: Case Study

Patient 1 Medication History Patient Initials: M.K Reason for Physical Therapy: 62 years male Three weeks post right (Rt) CVA, Pain on leftshoulder, left shoulder subluxation, Lt side weakness inability to perform functional ADL. Diabetic, Unstablehighblood pressure,______________________ ___________________________ PT Treatment Plan (Specific Interventions, Frequency, and Duration): 1hour program 3 times weekly, Increase PROM-10mins Lt UE/LE strengthening muscles of (Lt) shoulder. Lt side muscles-30mins, relieve pain on the Lt shoulder, IRR to the Lt shoulder-10mins STM ( Lt) UE/LE, Balance training in all postures 10mins Sitting-standing reducation-10mins Trade Name Generic Name Prescribed for: Dosage Rehab Implications Prisolec Omeprazole

To be effective, CPT should be done three to four times per day. (Cystic Fibrosis - Clinical Manifestations In Cf., n.d.). When the chest percussions of CPT are being performed, the patients needs to be lying on their stomach, with their head facing down. This position is often called the postural drainage position (PD) (Mandal, 2014). and helps facilitate the use of gravity to help drain all the mucous that may be trapped in the

• Wearing a catheter at the moment. • District nurse visits once a week. He was recently in hospital for the catheter change as it was infected. Mr Johnson attends Forest hill dialysis centre three times a week.

A. Petechiae Pinpoint hemorrhagic areas that occur during birth and disappear 2-3 days after birth B. Forceps Marks Linear marks across both sides of the face in the shape of the blades of the forceps. Marks resolve on their own over several days C. Pathologic Jaundice Higher levels of unconjugated bilirubin that appears in the first 24hrs and requires phototherapy to resolve D. Port wine stain Red birthmarks that are smooth made up of tiny capillaries. They are not blanch on pressure or disappear E. Hemangioma Raised growth that is bright or dark red F. Café Au Lait Spots Flat pigmented birthmarks Head: Normal Finding or Definition A. Relationship to body Makes up ¼ of the body length B. Relationship to Chest 2-3 cm less than head circumference

His gait improved slightly with modalities, like deep tissue massage, ultrasound and also some home exercises but the pain was still present. Roger lee kilfoil jr Therapist treated the gentleman with iontophoresis of 4% acetic acid using phoresor PM900 at 2.0 mA DC current for 20 min of a period of 2 weeks. The positive electrode was on midshaft of fibula, and the negative electrode over the Achilles tendon insertion bilaterally. After two weeks, the patient’s pain scale improved and after the third treatment the patient no longer need the assistance of the rail for the stairs. The fifth iontophoresis treatment, he was discharged from physical therapy, and reached a goal of decreased posterior heel pain.

In the past the most common way to remove a Kidney was a technique called an Open Surgery. During an Open Surgery you are put under general anesthesia and the surgeon makes a 6-10 inch incision along the side of your abdomen. “The surgeon may need to remove a lower rib to gain better access to the Kidney (Mayo Clinic Staff).” “Depending on the type of Nephrectomy being performed, the Ureter, Adrenal Gland, and/or the surrounding tissue may also be removed. The surgery may take upto three hours to complete (encyclopedia.com).” An Open Kidney Removal has a lengthy recovery time. It may take a minimum of 6 weeks to partially heal, and those six weeks are painful and tedious.

Opioid therapy was used in three patients (14%). The complications observed in this group were a recurrence of the disc herniation after 18 months requiring surgical treatment in one patient, a seroma that resolved spontaneously with complete recovery in one patient, and a dural tear that resolved with conservative treatment prolonging hospital stay to 48 hours in one patient. When comparing Group 1 (OD) with Group 2 (MED), the only statistically significant differences found were for the following variables: the size of the incision, length of hospi- tal stay, operative time, and immediate postoperative pain at the incision. The two former variables were greater in the OD group (P 0.01 and P 0.05, respectively), and the latter two were greater in the MED group (P 0.01 in both) (Tables 1 and 3). The VAS score (Fig.

They removed one fourth of her left right ovaries. When she awake, she spent 2 days in the hospital then was sent home. A week later, Christine got a life changing call from the gynecologist. The tissue that had been removed has been cancerous. Christine was diagnosed with ovarian cancer.

In my first clinical placement day as 2nd year St Clair College collaborative nursing student in Metropolitan Hospital, I was assigned to assess the patient (SS) who was recently done 2 surgical procedures , and as I did the routine checkup of the patient’s data from the medical file and chart, it was mentioned that MRSA test was done 3 days ago as the patient was susceptible to it because of lengthy stay in the hospital but the results were not ready yet. At the door of the room there were notice that to use PPE precaution with the other patient sharing the same room of my patient, so I attempted to wash my hands and wear the gloves to get in the room, but my instructor advised me to wear gown too as the MRSA status was not known yet and the other patient is a known case and a nurse came to add the bed number of my patient to the note of using the PPE.

I asked my Grandmother, when you finally went for your scan and the results came out positive what was your first reaction? She answered in tears and said i immediately fell to the ground in shock, “I suffered through the treatment and ended up in breast conserving surgery were i got my left side breast removed, over a 2 months of healing after being in hospital for 1 week after my surgery, after a couple of months after my surgery i went for my weekly check up and the Doctor then informed me that i had to get a mastectomy done on my right breast because the cancer cells had spread too and also a bit just by armpit , i am now 77 and finally recovered from the removal of both my breast and now i am proud to say i am Cancer free but in saying that i will never again hesitate getting a check up to insure I’m well. Because my grandmother was a victim to this disease me and my 5 sisters have a great chance of also getting breast cancer. My grandmother asked me to research some of the symptoms that could possible indicate that i may have breast