Obstructive Pulmonary Disorders: A Case Study

The number one killer in the United States today is heart disease or also known as cardiovascular disease (U.S. National Library of Medicine, 2015). As death rates begin to rise due to cardiovascular disease, in 1948 the Framingham Heart Study became a joint project of the National Heart, Lung, and Blood Institute and Boston University to pinpoint the most common factors that play a role in cardiovascular disease and strokes (Framingham Heart Study, 2015). Over several years, the Framingham study has identified several risks factors that are believed to increase the likelihood of a person being diagnosed with cardiovascular disease. These risk factors include high blood pressure, high cholesterol levels, smoking, obesity, diabetes, and physical

It was a warm summer afternoon of August, 1999, at a friend’s house when I was introduced to rheumatoid arthritis. It was a casual and startling encounter. His aunt greeted me at the door to take me to the guest room. She seemed to be in her mid-40’s, had a round face with thin reddish skin, painful looking hand deformities and a slow, limping gait; most strikingly, an aura of pain was visible all around her. I asked my friend, concernedly, why she looked so different. He somberly replied that she had rheumatoid arthritis. He opened to tell me how, despite the available treatment, she was unable to complete her education or have a job because she could not walk in the evenings and had severe pains all night every night since her teenage and that she was never married and was dependent on her parents. For a 15 years old me, it was distressing. This experience exposed me to the reality of human suffering. It’s not just the disease, the pain, there is also a taboo which one must endure.

Carla Washburn is a 74-year-old female. Her husband …has been married for 45 years before his death 10 years ago. Washburn is currently residing in Plainville…and has retired at the top paper mill that is currently in operation. Her son’s name is Jr and her grandson’s name is Jr Jr whom are currently deceased from actively serving their country. She currently lives alone and is reluctant of social services and agencies support.

Disease is the disruption of bodily functioning with known pathogenic agent. Disease is context dependent on the medical model. For example, sleep disorder is identified as a disease that is inhibiting you from resting that can have serious implications on one’s health. Obesity can also be viewed as a disease according to the medical model because it deviates from a normal weight or BMI. The medical model defines obesity as an abnormal or excessive fat accumulation that presents a risk to health (WHO). It calls for an intervention within the obese individual to change their weight in order to avoid health implications such as heart disease. When physicians typically label a patient as obese, they are giving a prognosis that this patient may have a later disease such as cardiovascular disease associated with their weight.

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

Diabetes is on the rise and is becoming a major health issue in Australia. It can be hard to determine the extent of diabetes as there is an estimated large number of cases that remain undiagnosed. Approximately 275 adults in Australia develop diabetes every day that means more than 100,000 annually. This equates to 8 adults in every 1,000. Over five years, people with previously known the incidence of diabetes has raised significantly over the past 20 years. In 2007–08, 898 800 people or 4.1 per cent of the Australian population reported that they had medically diagnosed diabetes. The rate for diabetes was higher for males than females in most age groups. Aboriginal and Torres Strait Islander peoples have one of the highest prevalence rates

While Jose and Jorge are identical twins, their lives could not have been any more different. They have different health determinants to their unfortunate diseases that differ from each other. The case study of Jorge and Jose emphasizes the idea that your zip code determines your health more than your genetic code. Just a quick reminder, Jose is the twin who grew up in a largely improvised family, while Jorge is the twin who grew up in an upper-middle-class family.

For PYC-652 Advanced Health Assessment, my clinical site will be the Richard A. Roudebush Veterans Affairs Medical Center. This site is located in Indianapolis, Indiana. I will be working with a nurse practitioner who works in one of the primary care clinics located at the hospital.

- Lifelong learning and social engagement: Mentally and socially stimulating activities can also increase the risk of developing this disease, these activities will include: increased levels of formal education, a stimulating job, mentally

Food deserts are spaces that are at least a mile or more over from any super markets and/or shopping centers. They are usually located in places where most of the people who live there do not have reliable transportation. Most businesses in food deserts have corner stores and fast food restaurants, but there usually are not any healthy food places or choices in the area. Supermarkets have been harshly judged for leaving out a large population of the Black and Latino population in cities such as Memphis, Los Angeles and Detroit. These cities are desperate for more healthy food besides the many fast food places they have to offer. It is always good to have different choices

. Describe the growth and developmental tasks that were displayed by the child you interacted with in this setting (Erikson, Piaget and Freud). Were these tasks age appropriate? Did you assess any developmental challenges in the client that you interacted with? How were they dealt with (by you and by the health care team)?

Acute Decompensated Heart Failure (ADHF) is a clinical syndrome of worsening signs or symptoms of heart failure requiring hospitalization or other unscheduled medical care (Felker 2014). ADHF formerly known as congestive heart failure is one of the leading cause for hospitalizations in the United States. ADHF accounts for approximately 1 million hospitalizations per year in the United States (Arnold & Porepa 2012). According to the Acute Decompensated Heart Failure National Registry, patients hospitalized with ADHF have a substantial risk of in-hospital mortality and rehospitalization.

The American Heart Association has claimed the average adult intakes about 22 tablespoons of sugar. With 4 grams per tablespoon, that’s 88 grams of sugar consumed on a single day. The recommended daily intake for an average adult who works out is 25 grams, about 6 tablespoons. We may not notice it with the different names labeled on packages and because we’re not visually seeing this many tablespoons, it’s easy to keep eating the same way. However, the impact of sugar is still detrimental. American’s are seeing the results of poor eating habits in their everyday lives and especially in their health. The United States is quickly becoming the fattest nation and one of the sickest without anyone stopping to really process that. Cardiovascular diseases are now something common among both kids and adults and the only way to change how things are now is to realize there’s something wrong in the first place.

Based on my results of the self assessment the core physiological process that is the most compromised for me is, energy. For the last couple of years I have struggled to get a handle on my health and how I feel. My chief complaints have always been fatigue, heart palpitations and being winded. My result from the assessment made sense to me. It was talking about how on the mitochondrial level my system is compromised. I did not realize that the mitochondrial system was the cellular powerhouse for energy. The organs most affected are the brain, muscles, and heart since those organs have the highest mitochondrial activity. That explains the periodic brain fog, muscle fatigue, and heart palpitations.

The flow sheet shown here is based on one developed by Family Health Associates, one of three Family Care Network pilot sites participating in a diabetes quality improvement project.