Analysis of Cardiology Case Study and Plan of Care Subjective Data The patient is a fifty-two-year-old male of Irish American descent with initials A.B. who presents to the clinic for a follow-up visit to discuss key risk factors following an admission to the hospital where he underwent cardiac catheterization and the placement of a stent. Chief Complaint (CC) A.B. presented to the emergency department (ED) complaining of severe substernal chest pain that lasted for four hours and that he described as “crushing”. He reported that the pain radiated to his neck and jaw. Additionally, the patient was experiencing shortness of breath (SOB). History of Present Illness (HPI) The symptoms of severe chest pain are consistent with angina pectoris, …show more content…
His father passed from heart disease while his mother passed from breast cancer; the age of death for both was not specified. He has two living older brothers with two comorbidities, hypertension and diabetes mellitus type 2, who are currently under treatment and medical supervision. He is married and lives with his disabled wife; although they have three grown-up children, they are not geographically close. Social History (SHx) The patient is a carpenter by trade with a high school education and lives with his wife who is disabled due to complications from T2DM. He and his wife live in an unsafe neighborhood where they share a one-bedroom apartment. His employment provides their only source of income and he experiences high levels of stress and anxiety as being sick jeopardizes his ability to make a living and care for his wife. He has poor exercise and dietary habits. His meals consist mainly of fast food for lunch and a large meal at the end of the work day, primarily meat and pasta. A.B. reports smoking a pack of cigarettes a day for the last thirty years. He denies drinking alcohol or using street drugs. While he has insurance through his union, it does not cover the entire cost of his medications and he states that he does not have a stable primary care
This module of study has focused on many aspects of human health, anatomy, and the disease process. It has included such topics as the human organ systems, the mechanism of disease and the resulting disruption of homeostasis, the integumentary system, and the musculoskeletal system. The following case studies explore how burn classification will affect treatment, how joint injuries can disrupt mobility, and last, how a sedentary lifestyle can contribute to a decline in a person’s health status. The importance of understanding disease and knowing when to seek treatment is the first step toward enjoying a balanced and healthy life.
With the goals of 2010 in mind, it is important for the AHA to be able to measure the actions of their employees and ensure the alignment of their behaviors with the strategic goals of the association. The Balance Score Card developed below serves as universal tool to do just that, but also sends a message to leaders and employees across the association that this is the new strategic direction the association will be moving, and this is it will be mapped and measured to ensure we reach our goals for 2010.
After review of the clinical information provided by North Central Bronx Hospital, the Medical Director has denied your admission to North Central Bronx Hospital. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. You are a 56 year old female with complaints of worsening pressure-like chest pain on the left sided that radiated to your left arm and neck. The symptoms began when you were at rest and woke you from your sleep. Based on the Interqual guideline (a decision based program to determine medical need) criteria to for acute coronary syndrome the clinical guidelines were not met because troponins were negative, there was no diagnostic testing such as a stress test, or documentation of ischemia in the clinical information that was submitted.
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
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.
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
October 9th, 2016, after being discharged just three days prior, a 44-year-old African American female presented in the emergency department with complaints of shortness of breath with minimal activity and chest pain that radiates to the back and shoulders. Vitals signs were taken and reveled a heart rate of 134, blood pressure of 219/147 and a respiratory rate 28. Observation of the patient showed that she was slightly diaphoretic and anxious. Lab work was ordered to be drawn as well as an ECG and the admission process began. Admitting diagnosis recorded was tachycardia, elevated troponin, acute exacerbation of congestive heart failure, acute chronic congestive heart failure, chest pain and pleuritic chest pain.
Lee’s has been denied Tenncare and SSI, which he is needing to be seen by a doctor to get blood work on so he can find out what is killing him inside slowly. His history starting out when he was a 6 years old and his father passed died in a plane wreck, forcing him to not finish school and help around the house and find odd jobs to make sure that his mother was taken care of so they wouldn’t be homeless. Once she passed he married and had children, after 26 years of marriage his wife left him because he wasn’t able to work due to his illness that he has. If he was to be able to get Tenncare he would be accepted for SSI so that he could get his health diagnosis.
Furthermore, the patient then reports about quitting smoking and has made progress to this goal, at which this writer commends the patient. This writer reviewed the patient records as the patient as the patient tested positive for on 05/14/2016 for opiates, benzo, and oxycodone. Denies using any opiates as the patient reports, she has tested positive for this in the past. Denies relasping to using illicit drugs and says it's her medication, especially her steroid cream for her skin infection as the patient develop hives for the past several months. The patient felt being accused of using illicit drugs by the clinic and this writer informed the patient, no one is accusing her of anything, it's just clarification about her UDS Result as she has tested positive for benzo and oxycodone, not opiates since she's been assigned to this writer as to why this writer questioned the patient of the positive result and whether or not, something has changed in her livelihood. The patient was able to calm down and accepted this writer comment.
He immediately had a stat CTA performed and was found to have a pericardial effusion. A pericardiocentesis was then attempted yielding a minimal amount of bright red blood. Patient then proceeded to code in the ER and was revived. It was then decided to take the patient to the OR to perform pericardial window. The pericardial window yielded 300ml of blood. Following the pericardial window he remained in critical condition in SICU.
When the era has changed, people had turned to pay attention to more exercises, including cardio exercise in order to be able to protect themselves from the negative effect of this changing. For example, playing cardio helps people to make the body strong due to the weather that has the dust. The fact is from my experience and observation found that most people tend to neglect to take care of health. It appeared that poor health, so causes vision to develop this issue. What’s worse, when people want to investigate exercise to achieve the best for them; how they will know what kind of exercise is best. And what is the definition of workout that people who exercise tend to play regularly. The exertion and the movement of the body make the body
According to Tom’s genogram, there are no serious indicators of familial physical or mental illness. The only possible indicator would be his paternal great grandmother who committed suicide, but there was not enough information to know the cause behind her suicide since it was a family secret until recently. Tom’s maternal grandfather and siblings were shown to all be formerly or currently smoking. Tom does not currently smoke but about a year ago he mentioned he would smoke socially. With both paternal grandfathers currently diagnosed with cancer, Tom shared some concern of that he may have a predisposition for cancer. Tom mentioned that he has never met his paternal family members due to distance. Tom is currently living
A review of his medical record indicates that he has squamous cell carcinoma lungs with metastasis to the liver, kidney and bones. He is followed by Dr Iannotti for oncology and is receiving chemotherapy Navelbine Weekly. He previously has undergone radiation theraphy.
his father is dead while mother still alive. his mother had diabetes, hypertension and hyperlipidemia. he has three daughters and one son. All of his daughters and son does not complain of any chronic diseases. And also his brothers and sisters does not complain of any chronic diseases. one of his cousin is complain of heart attack and died after a couple of years.
Sudden onset of chest pain can signify a life threatening cardiac condition. In John Smith's case he experienced a severe sub sternal squeezing pain that