Patient Goals Case Study

Doctors have determined that Harold is anemic. Describe this condition. What are the primary pieces of evidence from the CBC that point to this diagnosis?

F is incorrect because while patients over 70-years old are at risk for fluid overload, the nurse would assess the patient’s lungs, however assessment of the heart is not necessary. Moreover, the RN should measure vital signs and assess lung sounds before the transfusion, after the first 15 minutes and every 30 minutes to 1 hour, per agency policy, until 1 hour after the transfusion is completed (Silvestri, 2018).

Medical assistants can work in any type of job responsibilities When doing vital sign, giving medication, or even helping in the operating room are few of the many job duties they have. “They give patients injections or medications as directed by the physician and as permitted by state law. They Schedule patient appointments. Prepare blood samples for laboratory tests. Medical assistants take and record patients’ personal information.” (Bureau of Labor Statistics [BLS], 2015, What Medical Assistants Do section, para. 2) Medical assistants have to milt task a lot on a day to day basics.

An increase reading may elicit post-op infection. Cefazolin 1g IV 8 hourly for 7 doses are routinely prescribed post-op.

Findings showed that for a proper care planning, vital stability factors as well as specific identified in the study must be dully addressed and considered. On this premise, the relevance and importance of our principal framework (Figure 3) transcends risk identification and elimination but provide an explanation on how the challenges each factor pose at different times and situations.

Mr Collins, a 27-year-old male, is involved in a serious motor vehicle accident. He sustains severe trauma to his legs and large pools of blood are seen at his feet. His heart rate is 128 b.p.m. And his blood pressure was 80/55 mmHg. His breathing is laboured and his RR is 37/min. An ECG reading showed that Mr Collins had developed sinus tachycardia. He was anxious, and tachypnoea. Peripheral pulses (except the brachial pulse) were absent. Capillary refill time was 7-8 seconds. Mr Collins’ skin was cool and clammy. What type of shock is this patient experiencing? Explain how loss of blood would lead to the signs and symptoms observed.

Larry, who has 20% hct and 95% oxygen saturation would benefit by a transfusion because his hct is low, but does not need supplemental oxygen. Curly who has 40% hct and 95% oxygen saturation would be helped by neither because both hct and oxygen saturation percentage is in the normal range. Moe who has 30% hct and 95% oxygen saturation would benefit from a transfusion because his hct is low; however, supplemental oxygen would not be of any assistance.

My second day placement was completely different than the first one. I arrived late because of the weather. Once I met with my instructor Alison in acute care floor, she assigned me to work with the RN nurse Linda. Linda is very kind, thoughtful, and wanted me to be the there and she thought me the first thing to do, is use computer and read the patents vital sign, diagnosis and read night shift report. If any thing had change like medication information.

Prader-Willi Syndrome, an imprinted disorder, is caused by the absence of paternal chromosome fifteen, at least in approximately seventy percent of all cases. In other unlikely cases, a child may have inherited two copies of chromosome fifteen from its mother, which is referred to as maternal uniparental disomy. Similarly, in vitro fertilisation may increase the risk of a mother birthing a child with an imprinted disorder. PWS can cause delayed development, low muscle strength and tone, stunted growth, difficulties feeding, obesity, infertility, and behavior problems. Infants with PWS have “insatiable appetites” which causes them to overeat and can result in obesity into adulthood, and even death,

During a visit at the mall a 50 year old male was asked by a Nurse at a health fair if he would like to have his blood pressure taken, the man was hesitant at first but agreed to have his pressure taken. During the test the Nurse received a reading of 168/94mm hg, and the wife had a very strong reaction to the result, where she accused her husband of no taking proper care of himself and that’s the reason that she would be a widow at sure a young age.

Directions: Define and provide examples of descriptive and inferential statistics and reliability and validity in research. .6 point for each definition and .6 point for each example.

Each of the four theorists, Dorothea Orem, Imogene King, Dorothy Johnson, and Jean Watson, share one common element, the overall well-being of the patient. From there the theorists start to differ with theories that are influenced by their own unique educational background, nursing specialties, and philosophy. Whether their focus was on needs, interactions, outcomes, or caring, each theorist developed a theory that can be implemented in many patient settings.

According to Mr. Robert McClelland nursing diagnosis, following interventions and rationales are needed for his care plan.

Fig.2. shows the sinus Tachycardia. Sinus tachycardia can be indicated by the heart rhythm which has an elevated rate of impulses originating from the sinoatrial node. The heart rate for an average adult ranges from 60–100 beats/minutes, for infants having normal heart rate of 110–150 bpm to the elderly, who have slower normal.

3. The conclusions section where we share our final thoughts on the Blood Pressure Protocol…