Confidentiality Disclaimer - This essay uses patient initials only. No identifying features are included within this essay.
Patient: BA
Patient’s age: 63 years old
1. Medical conditions (active) :
After taking the patient’s medical history, I found out that the patient experiences several active medical conditions. She was diagnosed having rheumatoid arthritis, diabetes type II, sleep problem, high blood pressure and high cholesterol.
She got rheumatoid arthritis when she was 49 years old, and has been having this for 14 years. She will feel the pain at places involving joints like the hands, knees and hips. She also feels the pain in the area around her head and neck, which contributes to headache. This is actually a condition where our immune system which is supposed to fight infection, attacks the cells lining our joints, causing them to be swollen, stiff and painful, and in process, damaging the joint, the cartilage and our nearby bone1. The sharp pain she feels usually radiates from her heels to her hands. Walking is really painful for her due to the inflammation of the joints. This condition is worsened during hot weather and if she feels stress, where it triggers pain most. Not only that, she feels exhausted and tired easily after doing any activities and thus, she tends to sleep a lot due to this illness.
The patient also has a condition called fibromyalgia, which is a disorder that causes muscle pain and an extreme feeling of tiredness (fatigue)2. Patients will experience chronic fatigue syndrome and achy muscles, and this is treated with anti-inflammatory medications. Fibromyalgia affects her lifting ability, which limits movement and activities such as shopping. According to the patient, this bothers her ...
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9. National Heart, Lung and Blood Institute. What is COPD? [Internet]. United States : U.S. Department of Health & Human Services; 2013 [updated July 31]. Available from : http://www.nhlbi.nih.gov/health/health-topics/topics/copd/
10. World Health Organization Europe. The Solid Facts (Second Edition). Denmark : World Health Organization; 2003.
11. Cleveland Clinic. Occupational and physical therapy for arthritis [Internet]. Ohio : Cleveland Clinic; 2012 [updated September 17]. Available from : http://my.clevelandclinic.org/disorders/arthritis/hic_occupational_and_physical_therapy_for_arthritis.aspx
12. MedlinePlus. Type 2 diabetes – self care [Internet]. United States : National Institutes of Health; 2013 [updated October 31]. Available from : http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000328.htm
J.P., a 58 year old female, presents to the Emergency Room on March 18th. She has a past medical history of cervical cancer, atheroembolism of the left lower extremity, fistula of the vagina, peripheral vascular disease, neuropathy, glaucoma, GERD, depression, hypertension, chronic kidney disease, and sickle cell anemia. She complains of right lower extremity pain accompanied by fatigue, a decreased appetite, increased work of breathing, burning on urination, and decreased urine output for three days.
The secondary diagnoses of the patient are psychotic disorder, impulse control disorder, and post traumatic stress disorder (PTSD). His medical history includes hepatitis C, diabetes, benign essential hypertension, obesity, and history of falls related to
The patient has a history of anxiety disorder, depression, diabetes, and hypertension, controlled with medications.
The patient is a 45 year old male who was in a car accident that
...health of a patient and a follow up check at the GP’s may be required.
This patient is very friendly and sociable. He was able to answer my questions without hesitation. He comes for weekly treatment of IVIG. He stated that he accepted his disease/illness and will do his best to live normal like everybody else. He stated his family especially his mother has always been there for him and see his mom sometimes tired. I was able to perform my head to toe assessment without any
Dutton, M. (2012). Dutton's Orthopaedic examination, evaluation, and intervention (3rd ed.). New York: McGraw-Hill Medical.
Arthritis affects people of all age groups. More than 100 types of arthritis are known. Among these osteoarthritis and rheumatoid arthritis having the highest incidence. One of the major causes of chronic debilitation in industrialized nations is Osteoarthritis which results from damage to the joints, which may be due to trauma, infection, or age-related wear. Rheumatoid arthritis is encountered less frequently than osteoarthritis and is estimated to affect around one per cent of the world’s population. Amongst patients of Rheumatoid arthritis, women are three times more likely to be affected by this condition than men. This condition is caused by an inflammatory process where the body starts attacking itself. Rheumatoid arthritis also affects several joints, with inflammation sometimes seen in and around the lungs, the heart, the eyes and the skin. The most commonly reported complaint by arthritis patients is pain. The pain might be from the joint itself and be a result of inflammation, damage from the disease, or through daily wear and tear. Muscle pain is also common and is caused by having to force movements against stiff and painful joints. Although range of movement in the affected joint may be limited and uncomfortable, physical exercise has been shown to benefit those with arthritis. Physical therapy has been shown to significantly improve function, decrease pain in the long term and delay the need for surgery in advanced cases. The majority of arthritis cases occur among theelderly, however the disease can occur in children as well. Over 70% of the population that get affected by arthritis in North America are over the age of 65 (4). The disease occurs more commonly in females than males in all races, age groups, and ethn...
very spiritual and attends a place of worship every Sunday mornings. While in Haiti, the client was diagnosed with high blood pressure, which is ongoing condition in the family. Client has any history of hospitalization. The client is able to manage the disease by taking her medications in regular basis and by eating low salt diet food. Recently, for the pass tree months, client has fell twice while getting out of them --------- the client was diagnosed with Rheumatoid Arthritis, a chronic inflammatory disorder affecting many joints, including those in the hands and the feet. Client is complaining of joint stiffness and morning pain.
According to the CDC, diabetes is becoming more common and has more than tripled from 1980 through 2011, from 5.6 million to 20.9 million (Diabetes public health resource, 2013). Type two diabetes can be managed through diet and exercise. Type two diabetes is a condition formerly called ‘adult-onset’ or ‘non insulin-dependent’ where the body doesn’t
cancer that is causing all the debilitating pain. Anytime that either doctor would enter into her
Considering the Beverly’s complaints, she has been undergoing through a season of stressful moments. She kept wondering why she couldn’t do the things she used to before. The doubt presented by her family members and her husband made her discouraged. This kept her depressed. She also engaged in hard activities that triggered other physical challenges that harbor the existence of Fibromyalgia and depression at the same time. Her daily activities forces her to take bed rest in order to fight the fatigue developed from the previous day’s hard labor. These are the major contributing factors to the condition affecting the
Norris SL, Lua, J, Smith SJ, Schmid CH & Engelgau, MM 2002, ‘Self- Management Education for Adults With Type ‘Diabetes’, Diabetes Care, Vol. 25 no.7, July, pp.1159-1171.
For confidentiality (NMC, 2008) purposes, patient’s real names will not be used and will be referred to as R where appropriate.
Type 2 diabetes mellitus is a growing disease in the United States. When developing a care management plan for new diabetic patient, several areas of education and resources should be considered. The purpose of this paper is to describe a hypothetical care plan for a newly diagnosed diabetic, including case management model used, initial and ongoing educational needs, and data collection and evaluation.