My patient, MG was a 72-year-old female who came to the emergency department because of a fall in her bathroom. Her admitting diagnosis was a right hip fracture. Other concurrent health challenges she had were: hypertension (HTN), high cholesterol, chronic obstructive pulmonary disease (COPD), and chronic kidney disease (CKD). MG was a full code status with no known food or drug allergies. They surgery she had undergone was a right hip cannulated screw. My patient contributed in care and believed that partaking as much as possible will get her healthy and home sooner. Also, she believed in independence and doing things on her own if capable. After working with MG, I attained a great amount of knowledge in knowing: the
Explain the pathophysiology of Mr Jensen’s post-operative hypovolemia and how some of his post-operative assessment data might have contributed to this. In addition explain how the body might compensate for this physiologically (approximately 800 words). (997 Words)
Good day Sir, our names are Logan Bosak and Kiera Markham, and we are pleased to represent Rebecca Nurse on this vitally important case. Your Excellency, the defendant stands hither accused falsely of witchcraft, a severe crime that should be dealt with the utmost care and understanding. You see Sir, Rebecca is a pious woman of high standing within the community, and as such, many citizens are surprised that Rebecca would be suspected of dealing with the devil. In fact, over thirty of the most prominent members of the community signed a petition attesting to Rebecca’s innocence and still others wrote individual petitions as well (Linder). Your Excellency must recall that Rebecca has not once strayed from her claim even as she was barraged with
Jean Russell of Michigan Insurance Company referred this file for medical case management. Instructions were given to meet with Flavia Tocco and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery.
EXAMINATION: He continues awake and alert. He converses easily and appropriately. He is in no acute distress. Blood pressure 120/78. Pulse 70 and regular. Weight 177 pounds. Height 5 '6". Cranial nerves continue intact, including the extraocular eye movements being intact without nystagmus. Visual fields are full in both eyes. He had no papilledema or atrophy of either optic disc. Pupils react from 4 down to 2 mm, bilaterally brisk and round to light and accommodation. He continues to have good strength with normal bulk and tone throughout his extremities. He had normal sensation to light touch, pinprick, and vibration sensation throughout both upper and
Understanding respiratory volumes, capacities, and measurements will help me perform my job as a medical assistant because they are significant being a medical assistant. First of all, when the patient is on the bed, I will measure the respiratory rate while he/she is at relaxation. In the next, I will observe the rise and fall of the victim 's chest and count the number of respirations for one full minute. Then, I will record the current time, respiratory rate and respiratory characteristics. Spirometry is used diagnose conditions that affect breathing such as asthma, pulmonary fibrosis, and cystic fibrosis. Spirometry is used periodically to assess whether breathing problems are under control and how well your medications are working. A nebulizer
It is important to assess the patient and determine that it is the appropriate time for teaching. The patient must be stable and the environment must be free of distraction. I will include the benefits of purse-lipped breathing in my teaching by saying that this technique will help to release the carbon dioxide that is trapped in the lungs and permit more oxygen. This will improve the quality of respiration by reducing the dyspnea and slowing down the rate. I would assess the patient learning style to determine the most effective way to teach. Demonstration of purse-lipped breathing to patient is one of the most effective ways to teach. I would demonstrate to the patient the technique by closing the mouth and take a deep breathe through the nose like smelling a rose. Purse your lips as you would to whistle or blow out a candle. Breathe out slowly through your mouth, without puffing the cheeks. Teach the patient to that the exhaling of air is twice the length of time compared to
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.
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. IW states her muscles are tight and tense. IW continues with choking on saliva at times, increased from her normal. IW complains of increased radicular neck pain with pain radiating between her shoulder blades, arms and fingers. IW notes she gets a purplish hue to her hands after driving and when her neck pain increases. IW complains of increased headaches in general all over her head. IW states she continues to use her cervical stimulator 100% of the time unless she is driving.
The CT scan of her chest, abdomen and pelvis did not reveal any cause for her night sweats but did reveal the presence of mild, mid and upper lung paraseptal emphysema with some non-specific scarring in the basal segment of the right lower lobe basal lingula and anterior basal left lower lobe. There were multiple scattered small irregular cysts elsewhere throughout the lung. Alongside this, there were also two small pulmonary nodules in the right middle lobe and right lower lobe which were 3mm.
Homeostasis is the body's method of keeping internal stability no matter what external influence disturbs its normal functioning (Anna, 2011). And the respiratory system is one of the systems in the body that helps to maintain homeostasis by maintaining pH and regulating gas exchange. The main function of this system is take in oxygen and get rid of carbon dioxide. This system has external respiration and internal respiration. External respiration is a mechanical process that exchange of gases in and out of the body, while internal respiration is the chemical process that breaking down nutrients with oxygen to produce energy. Lung volume and lung capacity are two measurements of respiratory health and measured during pulmonary functions tests. It is show the physical condition of the lungs. Pulmonary ventilation, or breathing, is the process of air flowing into the lungs during inspiration (inhalation) and out of the lungs during expiration (exhalation). Air flows because of pressure differences between the atmosphere and the gases inside
It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice.