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End stage renal disease case study
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A Change in Perspective Over the course of about six months my sister’s health began to rapidly deteriorate to the point where she began to look like a walking corpse. I was only in sixth grade and never fully understood the severity of her unknown illness. I never thought that her scraggly brown hair, exposed ribs, and extensive bed rest was becoming a massive problem, I just thought she was losing weight and needed to eat more. My family finally had and answer during early March 2013. In the days prior, I was struck with a stomach virus which induced vomiting and fever. While this was happening, I thought I had the worst luck in the whole world. Meanwhile, My sister, Rachel, was beginning a cleanse for a test she would have the following
Read the posted case study about Benita Vasquez and discuss the following questions: 1. What are the clinical causes of death in the story? a. Senora Vasquez died because of uncontrolled diabetes, Infected wound and diffusing kidneys. With not well-controlled diabetes and acquiring an infected burn wound makes it harder for the patient to get treatment. Thus with the condition of the patient and her current social status, she is unable to afford the treatment and medications needed to alleviate her suffering.
Amy Widener is a real estate agent, mother of two, and a sepsis survivor. In 2013 Amy was in the best shape of her life. She had just finished a Disney half marathon and was reaping the benefits of her intense training, little did she know that that training was going to save her life. One night she woke up with extreme abdominal pain and was rushed to the emergency room where she learned that she had a kink in her intestines. They performed emergency surgery and released her after a little bit of recovery. Instead of Amy’s pain getting better with recovery after her surgery, it got worse. This resulted in subsequent trips to the E.R. only to be sent home with more and more antibiotics. Two months after her surgery she went into the emergency
...ical necessities and furthermore cannot trust any doctor anymore because people in Hopkins took her tissues and cells and exploited them.
Laura Copeland was a twenty four year old Peace Corp representative in Ethiopia. During her work her health seemed to be “off” (Magic Foundation 2014). Some of the odd health effects were extreme weight gain, deep purple stretch marks, slow wound healing, hair loss, “severely depressed with suicidal ideation”, and a ceased menstrual cycle. Her Manager and the other people involved with her care became severely concerned. She was flown out to Washington D.C. to get a medical evaluation, and was placed on suicide watch in the mental ward. She spent 28 days in the hospital being poked, and prodded as a “human lab rat.” While all this testing was going on a nurse noticed on Laura’s ID that her face had become significantly rounder in appearance than it was when the picture was taken ”moon face”. She mentioned this to Laura’s doctors who immediately ordered a 24 hour urinary sample. The nurse’s suspicions were confirmed, and Laura was diagnosed with Cushing’s disease. After receiving an MRI a tumor was located on Laura’s pituitary gland. Laura received three brain surgeries to remove the “gooey tumor.” Laura’s cortisol levels are still not, and may never return to normal. However with diet, exercise, and medication she can keep the symptoms in control for now.
“Elaine” is a 34-year-old white female patient with an extensive medical history. She has a history of seizures, uncontrolled diabetes since the age of fourteen, neuropathy, fibromyalgia, COPD, Sleep Apnea, and is currently suffering from two venous ulcers on her feet. She came to the ER one week ago with nausea and vomiting and was found to be in Diabetic Ketoacidosis and her wounds had become infected. She spent three days in the ICU and for one day was ventilated. She was then sent out to the Medical/ Surgical for further management 3 days ago.
Although she got medical help as soon as she noticed things becoming abnormal, an accurate diagnosis was hard to come by. Susannah’s friends and family began so see her become a different person, all her mental and emotional ailments were matched by physical ones, she motor-control became unpredictable, her speech was slurred, and she was plagued by seizures. Although all her medical exams came back as normal and showing no reason for worry, Susannah’s health only declined. Seeking advice and help from her friends, Susannah decided to see to get further medical help after being released from the Emergency Room from her first seizure. From this point on, Susannah began to lose more and more of herself to the disease, becoming somebody else entirely until
During the first few days of my illness Mrs Hayden was always there for me, providing me blankets, warm soup and comfort. Eventually Mrs Hayden determined I wasn’t getting any better. If anything I was becoming worse. She then immediately decided I needed to see Frank Hayden (Montana
Her parents didn't even realize what was happening. The only person who tried to help her, Ana rejected, saying she was getting on her nerves being so worried about her. Ana denied that something was wrong- everything was fine, and it was normal for her to be under 1,000 calories and to be extermely thin. Ana might still be here today, if she had recieved treatment, including: Intensive Outpatient (IOP) and Inpatient/Hospital Treatment. During the the IOP treatment, the patient is able to continue on with schoolwork and daily activities. The patient will recieve individualized therapy with a nutritionist, and there is the option for a family support group. Ana could have still ran track, while meeting with her nutritionist a couple of days throughout the week. If her parents were not so busy arguing over the weight of her mother, maybe they would have noticed Ana not eating dinner, never wanted to eat her favortite desserts, or running 4 times a day everytime she even smelled
She got a new disease called stenotrophomonas, which is very difficult to treat. She was becoming pan-resistant, meaning she was resistant to everything. She had a bacteria called Gram negative. This bacteria has an armor formed around the negative bacteria that makes it harder for normal antibiotics to cure it. She was left with only one option, a lung transplant. For one, it was a very risky option since her body was so weak, and two, she would have to wait until a transplant even came up for her to have. She ended up getting the lung transplant though. Two years after she came home from the operation and she is still alive, but she has to be very cautious every day. She takes a handful of prescriptions twice a day and still picks up bacteria easily. Her mom said she has gotten pneumonia twice already. Her life is now extremely difficult, but she is at least
Summer vacation, and school ends for about three months, and then you have as much fun as you can, then back to school… right? Well I had to go to summer school, but it wasn’t as bad as I thought it would be. Everything was going fine, I had a job after summer school, and that was going fine as well. They say that summer is supposed to be fun and exciting, and it usually is for me and my family. However in July my father started coughing up blood. My father usually doesn’t make it his top priority to go to the doctors, so he waited about four weeks until he really didn’t feel good.
In 1990, my aunt Ann started experiencing heart-problems. My family was very close to Ann because she lived only a block away. Aunt Ann would walk over to our house everyday for a visit. During this particular summer, Ann noticed that she was becoming increasingly out of breath from just the short walk. The entire family strongly urged that she see a doctor as soon as possible.
My perspective has changed from the first moment I entered the class, to my last moments departing class. I feel inspired and motivated. The knowledge accumulated from doing the assignments had real world application. I must professed with certainty that every assignment completed improve my chances in the workforce. Being a nontraditional student I had my doubts about finishing the class with a solid grade. But the schedule proposed by you, Professor Vaughn was excellent.
A major event that has changed me as a person is my friends. I have a lot of friends and some of them I am very close with. It wasn't always like this though I used to only have one best friend and his name was drake. I was unable to make new friends around 5th and 6th grade because I was too shy and not comfortable. Now In my junior year in high school, I feel like I have never been so involved with my friends and have so many to hang out with.
A little over four years ago my younger sister became very ill almost overnight. She has always been a very active athletic playing every sport imaginable. What seemed to surely be a virus soon proved to be much bigger. The doctors were perplexed and seemed to be almost guessing. Everything from a brain lesion to the C word cancer was given as options. Doctors would receive a referral and want to see her as she was a barely watching question mark. 53 doctors to date have evaluated my sister and that number might be a little low.
Very few things deserve the time you thought they did anymore. In a world of ever-changing ideals, moral compasses and economies; the world never slows down. Even in a small town community like Mineola, we can see the constant hurry of the outside world creeping in. This effect has cause a chain reaction of sorts that has even the youngest of citizens moving in a frantic pace.