Colloid Cysts, Physical and Personal Impacts on Patient and Spouse
Introduction:
The patient is a 45 year old male who was in a car accident that
involved alcohol on July 29, 2004. I have known the patient
for three years and will be referring to aspects of the patient
that I know to be true, but am unable to cite all details due
to learning them via the dynamics of the relationship. The
patient and the patients’ spouse have requested complete
anonymity for the purpose of this paper. The car accident
resulted in a series of injuries for the patient which were a
fractured pelvis, a lacerated bladder, internal organ bruising,
a moderate concussion, and sciatic nerve palsy (nerve damage).
The moderate concussion was determined by a computerized axial
tomography (CAT) scan which also showed the colloid cyst. The
patient believes he was made aware of the cyst; however his
memories are not absolute and the spouse was not made aware at
the same time. The cyst was mentioned (again) at the end of
September and the brain surgery happened on February 13, 2005,
six and a half months later. This series of interviews has
occurred during the two months after the surgery. (Patient,
Patient Spouse, personal communication, April, 27, 2005)
Symptoms:
The patient was suffering from intense dizzy spells for a year
prior to the car accident. The patient is a licensed
chiropractor and as he put it, “Doctors make the worst
patients”, so he rationalized the dizziness and never expressed
a need or desire to medically investigate it. The patient had
not been experiencing the most common symptom, a headache.
(Patient, Patient Spouse, personal communication, April 28,
2005) In the literature about colloid cysts there is a high
prevalence of symptomatic headaches in the patients, often it is
the headaches the patients are trying to resolve when the
colloid cyst is discovered. (www.healthcentral.com/encyclopedia)
The car accident fractured the patient’s pelvis so the treating
physicians rebuilt his pelvis and began physical therapy before
they scheduled the colloid cyst surgery. It was at this time
the patients spouse learned about the cyst; it had been two
months since its discovery. After becoming aware of the cyst,
the patient presented with mild headaches. (Patient Spouse,
personal communication, April 28, 2005)
Surgery:
The surgery occurred six and a half months after the CAT scan.
Answer: Confidentiality of a patient’s file with personal and medical information in the healthcare industry is crucial. However, under the HIPPA guidelines it is legally allowed to view a patient’s file if it pertains to the patients medically necessary. Therefore, being that this patient left his prescriptions and after care instructions after his outpatient surgery procedure, it is vital that he be contacted so that healing complications are prevented during his recovery.
What? The patient is 65-year-old man Mr. John Douglas who is suffering from dysphagia and have been admitted to the surgical ward for insertion of a percutaneous endoscopic gastrostomy (PEG). Apart from that, he is a Type 1 diabetes patient and has weakness in his right leg and arm because of right-sided hemiplegia. He is thin in appearance and has stage 1 pressure sore on his right heel.
patient is in terrible agony, and since he is going to die anyway, it would
...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
Religion was the central focus during the Renaissance, but due to dreadful diseases called the “Black Death”, the church and society had a fallout. The cause of the Black Death was due to bad bacteria being passed along by black rats and fleas. It started along the Silk Road, than made its way into the Mediterranean and Europe. Since the bad bacterium was being passed along so quickly, it was impossible to stop. Due to this, over 17-200 million people were killed. This event happened so fast, it was unbearable and people did not have enough time to react and prepare themselves. People were becoming sick, getting extreme rashes and even, tumours in necks, armpits, and groins. The community’s went downhill, business men and workers were dying, guilds lost their craftsmen, and crops were dying due to no one being able to farm. This also lead to a time where food was very limited, and starvation was accruing. As a result of all of this happening, the church and religions were being targeted. Majority of groups were targeting the Jews because they ...
Each day we are faced with making decisions regarding the plan of care and discharge of a patient based on the number of days an insurance company allows to treat the patient. Most times the days allowed are less than what is required to assist the patient back to their prior level of function and ability to safely return home. This causes an internal struggle for the provider and can lead to easily accepting what the insurance company allows even though it is not always best for the patient. Typically, we follow the rule of always doing what is right, which could mean that we keep the patient on the unit longer than the insurance will provide payment.
Cyclothymic disorder, also known as cyclothymia, is a relatively mild form of bipolar II disorder characterized by mood swings that may appear to be almost within the normal range of emotions. These mood swings range from mild depression, or dysthymia, to mania of low intensity, or hypomania. It is possible for cyclothymia to go undiagnosed, and for individuals with the disorder to be unaware that they have a treatable disease. Individuals with cyclothymia may experience episodes of low-level depression, known as dysthymia; periods of intense energy, creativity, and/or irritability, known as hypomania; or they may alternate between both mood states. Like other bipolar disorders, cyclothymia is a chronic illness characterized by mood swings that can occur as often as every day and last for several days, weeks, months, or as long as two years. Individuals with this disorder are never free of symptoms of either hypomania or mild depression for more than two months at a time (Encyclopedia of Mental Disorders).
Mrs. D. was admitted to the unit in 2011. She is 84 years old widow who was diagnosed with dementia, diabetes mellitus type II, hypertension, high cholesterol
There are many other differences between the two machining processes. A comparison chart is listed below in order to better display those variances.
The nurse confirmed patient identification, asked subjective questions focusing on chief complaints, performed a focused assessment, obtained medication list, baseline vitals, and assessed the patient’s past medical history. She asked the patient questions such as previous hospitalization/surgery, metal implants, allergies, health history, sleep apnea, and alcohol/tobacco use. The nurse told the patient the doctor would be with her shortly. The nurse reported to the doctor regarding the patient and obtained orders for treatment from the doctor. The nurse then started an IV line and hung an IV solution bag of normal saline because the patient was experiencing abdominal pain. The nurse also administered pain medications and the patient was ready to be discharged. The nurse gave discharge instructions and made sure that the patient had a ride
My career goals are to: (a) initially gain practical experience in the field through employment with a consulting firm, and (b) eventually acquire a teaching position with a college or university, while continuing research and consulting endeavors. It is my intention to contribute empirically based findings to the Industrial/Organizational psychology field through my research and practice. I also hope to be a strong influence and encouragement in students' lives through my contact with them during their academic careers.
Nowadays, entrepreneurship becomes most popular career, where our government encourages our graduated student to involve in business so that unemployment will not happen in our country. Policymakers, academics, and researcher agree that entrepreneurship is a vital route to economic advancement for both developed and developing economics (Zelealem et al., 2004). Entrepreneurship has many types for example small business and others. Today small business, particularly the new ones, is the main vehicle for entrepreneurship, contributing not just to employment, social and political stability, but also to innovation and competitive power (Thurik & Wennekers, 2004).
South Africa is a unique country that has access to 11 different language uses (SA-Venues). In order from most used, they consist of Zulu, Xhosa, Afrikaans, English, Sepedi, Tswana, Southern Sotho, Tsonga, Swazi or SiSwati, Venda and Ndebele. Zulu and Xhosa being the 2 most commonly understood. Afrikaans derived from he Dutch and was used in its region as the 1st or 2nd language. The white inhabitants who have come to start a new life use English, Sepedi is grouped with the Northeastern part of South Africa. Tswana is the language of Botswana and are apart of Southeastern African language. The Vatsonga people, who are divided among their region, speak Tsonga. Swazi or SiSwati comes from this and create their own name in the country. Venda is a language common to the royal region of Limpopo. Their speakers are very popular and their speech influences others to adopt it. Then you have Ndebele, whose language is slowly fading because the other languages in Zimbabwe are more p...
...s are extremely high, not to mention diverse, both culturally and in ethnicity. The people who engage with are the best part of the job.