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Essays on factors that predict recovery from a stroke
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This 70-year-old patient who presented after what appeared to be a syncopal episode. According to her grandson the patient had a change in mental status at home she was cooking, felt dizzy, went down to sit down and slumped over. It was estimated that she was out with loss of consciousness for about 15 minutes. She was subquently brought to the emergency room. When she did awake she was somewhat confused. She has a prior history of a stroke in 2014, dyslipidemia and hypertension. Initial evaluation her blood pressure was 135/96. Her heart rate was 60. Her EKG had sinus rhythm with no significant abnormalities. Her CT of her head showed no acute mass or infarct. There was also suspicion of urinary tract infection and the patient was
Within the U.S. Healthcare system there are different levels of healthcare; Long-Term Care also known as (LTC), Integrative Care, and Mental Health. While these services are contained within in the U.S. Healthcare system, they function on dissimilar levels.
Darien is a patient who possibly displays comorbidity. His symptoms lead me to believe that he could possibly be diagnosed with obsessive-compulsive disorder and generalized anxiety disorder. Darien’s symptoms that point to OCD are that he has rituals he must complete and if he does not he becomes anxious and is unable to continue with his day. He is however aware that these rituals are not actually helping him but he cannot stop doing them. He also reports feeling anxious most of the day, especially if he cannot perform his rituals, and that he is becoming increasingly more anxious. He is also unable to keep himself from worrying and feeling anxious.
Many programs develop a preliminary or initial treatment plan upon the client's admission to a program before a comprehensive assessment has been completed.The preliminary treatment plan starts the treatment process and is derived from the initial interview, intake assessment,ad other psycho social evaluations.The preliminary treatment plan defines the clients areas of concern and determines the severity of each problem to identify the clients immediate needs.it may involve drafting an abstinence contract and a schedule of treatment activities,such as establishing a time frame for the completion of a comprehensive assessment.Preliminary treatment plans outline an initial recovery strategy to support the client during initial treatment. They also achieve the
A 61-year-old gentleman was admitted on 25/1/2016 to Letterkenny General Hospital with central chest pain after history of a fall. He also had drastic weight loss and loss of motor and sensory function. He walks with the aid of a walking stick as he has problems walking due to his lower limb weakness. The patient was a heavy smoker of 90 pack years (3 packs/day for 30 years) and stopped nine years ago. He stopped drinking seven years ago. He is married and lives at home with his wife. He works as a plasterer. He has a strong family history of ischaemic heart disease and type 2 diabetes mellitus. Two of his brothers had coronary bypasses and stents. His father died of a myocardial infarction. Two of his brothers are also type 2 diabetics. During
Mr. X is 84 years old. He was admitted to the hospital on January 4, 2014, due to hematuria in his urine and a suspected Transient Ischemic Attack (TIA). After the admission, he was sent for a CT scan, which confirmed Mr. X’s TIA in his right hemisphere. On January 5, 2014 Mr. X was transferred to CP1, an acute care stroke unit. His first TIA episode had been on August 28, 2012. His comorbidities include hypertension and type II diabetes. His activities are limited to bed rest as he has risk of falls; also he is on input-output with a Foley catheter. He has left side weakness and mild facial drooping on the left side. He is alert and oriented; however, he has trouble focusing on many people at one time. His care plan state...
Client Profile: Lane Bronson is a 55 year old male with a history of angina, hypertension, Type 2 diabetes, COPD, and sleep apnea. He comes to the physican’s office complaining of worsening shortness of breath. His skin tone is grey, and his angina is worsening. Previously stable, he now does not get relief from rest or nitroglycerin. The physician called 911 and had Mr. Bronson directly admitted to the hospital.
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 urination, and decreased urine output for three days. Upon admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings.
Recognition, response and treatment of deteriorating patients are essential elements of improving patient outcomes and reducing unanticipated inpatient hospital deaths (Fuhrmann et al 2009; Mitchell et al 2010) appropriate management of the deteriorating patient is often insufficient when not managed in a timely fashion (Fuhrmann et al 2009; Naeem et al 2005; Goldhill 2001). Detection of these clinical changes, coupled with early accurate intervention may avoid adverse outcomes, including cardiac arrest and deaths (Subbe et al. 2003).
What is Alzheimer ? Is Alzheimer 's more difficult for the patient or for the patient’s siblings?
Mrs. Who dresses appropriately, well groomed, and appears to be well-developed and nourished: height is 170 cm, weight 74.3 kg, with BMI of 25.7; temperature 37.1, pulse 72 regular, respiratory 16 at ease, blood pressure 128/66, O2sat 99% RA. On examination, her head, eyes, ears, nose and throat are normal; auscultation of the heart with normal S1 and S2 without murmurs, extra sounds, or carotid bruits; JVP without extension; peripheral vascular exam are normal; extremities warm without edema; auscultation of lungs with good air entry bilaterally without adventitious sounds, vesicular throughout; abdominal and urinary exam are negative for pain, mass, and function. Neurologically, she is alert and oriented to time, place and person; mentation
This is an 84-year-old Arabic patient with a significant past medical history of hypertension, hyperlipidemia, and hypothyroidism. She also has a question of osteoarthritis and gout. She came to the emergency room with pain in her right ankle and foot extending into her leg. She had difficulty in ambulating. She had no chest pain, shortness of breath or other significant symptoms. Her past medical history she has a history of hypertension, as I noted, congestive heart failure and hyperlipidemia. Her initial diagnostic testing revealed a white count of 12.4 with uric acid of 5.5, creatinine was 2.36 however her previous creatinine was abnormal at 1.43 but that was from 3 years prior. She had a CAT scan of the foot which showed an osteochondral
D. standing near her room, breathing sharply. While asked what has just happened, she answered, ‘I feel dizzy and can faint!’ Mrs. D. then explained that she rose up from her chair in the television room and felt lightheaded. I decided to bring her to the room hoping she would feel less dizziness if she could sit. After consultation with my mentor and third year unit nursing student, I decided to perform measurement of her vital signs. Since only electronic sphygmomanometer was available for me that time, I had to use it for my procedure. Gladly, I discovered that I have already used such equipment in my previous nursing practice. Using the standard sized calf, I found that her blood pressure was 135/85, respirations were 16, and her pulse was 96 beats per minute (bpm). However, I decided to recheck the pulse manually, founding that it was irregular (78 bpm). The patient stated that she felt better after rest. Immediately after the incident I made a decision to explore carefully the medical chart of Mrs. D., along with her nursing care plan. That helped me to discover multiple medical diagnoses influencing her
Cardiovascular System: He does not experience any chest pain or palpitation. He does not have dyspnea or leg swelling.
Cases of elder abuse, neglect, and financial exploitation have been recognized over the years by the criminal justice system and there has been great emphasis on it. Trainings for prosecutors and law enforcement officers have been implemented in order to learn the various aspects and have a better understanding of such cases. These trainings have also helped with identifying a potential elder offender and/or victim. Mental and physical conditions play a part and affect the elderly who are victimized or have offended, therefore, it is important for the criminal justice system to be able to identify these unique aspects (Aprile, 2012).
[Name] returns. The last time we saw her she was admitted for chest pain, and T-wave inversions. The T-wave inversions were old, but they did evaluate her for pulmonary embolism, and also cardiac causes. She did have a CTPA protocol, and a nuclear stress test; which were satisfactory. She did have a slight heart murmur, and I asked her to follow up with me again.