When Mr. C begins to arouse as a result of the anesthesia is wearing off, he started to grimace and his blood pressure shut up above the target level. By applying Kolcaba’s comfort theory I would chose to treat Mr. C’s blood pressure with medications designed only for blood pressure. Now since that I am accustomed to assessing comfort needs, I would recognized that Mr. C’s BP is high suggestive of increase in pain, and I would administer the Morphine as per doctors order. I would place a warming blanket for Mr. C, to ensure he achieve nomorthermia. This close monitoring and intervention of treatment such as for pain represent a comfort intervention that addresses a particular care and it is a relief form of comfort.
1. What are Gary 's current health problems? (Tip: don 't forget the beginning history from last week) Gary’s main physical issue is a debilitating knee problem which possibly is psoriatic arthritis due to symptoms listed. His other health problems are being currently managed. His mental health seems to be deteriorating as evident by recent alcohol use increase.
DOI: 5/14/2015. Patient is a 48- year old male machine operator who sustained a cumulative injury from 12/15/14 through 05/14/15 due t normal job duties. Based on progress report dated 06/16/15, the patient reports that while performing her usual and customary work duties, she developed psychological symptoms, insomnia and digestive system problems due to stress at work. Patient states her stress was caused by mistreatment by superiors and cell leads induding, but not limited to yelling, harassment, putting hands in the workers face in order for them to stop taking, threatening with warnings, move workers from stations just to bug them. She complains of anxiety, pain to digestive system and pain to neck and shoulders due to stress.
DOI: 3/24/2010. The patient is a 55-year-old male machine shop lead who sustained back, neck, right shoulder and internal injuries due to repetitive work. As per medical report dated 04/27/16, the patient has a history of a spinal cord injury secondary to cervical stenosis. He underwent emergent decompressive cervical laminectomy on 3/26/10. The patient has ongoing neurogenic bowel, ongoing neurogenic bladder, severe depression and pain.
Nearly $134 billion was spent on medical treatment for disability and suffered from anxiety, depression and physical patients due to 2011 (Shah, Sabir. US Wars in Afghanistan, Iraq to Cost $6 trillion). The stock market also had a crash on the September 11 that forced to close for four days. As U.S. economy expert Kimberly Amadeo written, “The Dow promptly fell 7.13%, closing at 8,920.70. The 617.78 point loss was the Dow's worst one-day drop ever… until October 9, 2002, when it closed at 7,286.27, a 37.8% decline from its peak… until the Dow hit a higher low on March 11, 2003, closing at 7,524.06.
CASE: John Smith is an 11 year old Asian boy with PMHx of hypothyroidism x 2 years, on levothyroxine 25 mcg daily presented with painful progressively enlarging goiter that started 2 months ago. The pain is described as constant shooting and radiating to the neck, rated 6/10, nothing made it better, moving his neck made it worse. Pt states that the pain is mostly localized to the right, and it is associated with compressive symptoms like difficulty breathing and swallowing, but no change in voice. The swelling was painful and progressive and at the time of examination was 2 × 2 cm on the right side of the neck and was moving with deglutition. She had no other complaints and her family history was noncontributory.
It was also noted that the office will give a new lap slip. It was also noted that the patient is scheduled for a repeat caudal epidural steroid injection. Physical examination revealed that the cervical spine has decreased range of motion; tenderness to palpation at the paraspinal muscle; spasm at the bilateral cervical trigger point, bilateral trapezius rigger point, and bilateral rhomboid trigger point. There is also bilateral tenderness to palpation of facet joints C5-C7, positive Spurling’s test, foraminal compression test. Physical examination of the lumbar spine revealed decreased range of motion on all planes; tenderness to palpation at the lumbar paraspinous area; tenderness to palpation over the lumbar spine; bilateral straight leg raise; bilateral knee extension weakness, bilateral lumbar radicular sign, and spasm noted.
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
He suffered a collapsed lung, multiple fractures to his right leg, cuts on his scalp, as well as a broken hip. King went through five operations along with physical therapy and was hospitalized for three weeks (Lusted 15). After the accident King was unable to write for more than forty minutes at a time. Because of the pain and frustration while attempting to write, King announced in 2002 he thought it would be best to stop writing. (“Stephen King” Par 4).
They are used after surgery, to treat cancer pain, and for children who experience ongoing pain. Symptoms of opioids include nausea, vomiting, sedation, pruritus, respiratory depression, and constipation (West Midlands Pedatric Macmillion Team 2005). Constipation is the most common adverse reaction. It affects quality of life and causes additional stress in children already suffering from serious illnesses. Although children over time get used to the other effects of opioids, such as drowsiness, they never adapt to constipation.
's health deteriorated as a direct result of the shot to his chest. He had emergency surgery which lead to a narrowing of the aortic valve opening, aortic stenosis. Thus causing D.R. to have poor circulation in his lower extremities and an increase of pressure that could only be relieved surgically. An infection developed in the bone after his second surgery.