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Cirrhosis of the liver essay
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End stage renal disease case study
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E.F is a 45-year old African American male that was diagnosed with end stage renal disease five years ago. E.F. is divorced, no children and most of his families lives in different state. The diagnosis E.F are cirrhosis of the liver, Hepatitis C, hypertension and diabetes. The emergency room visit of E.F. is almost two times a week with mostly complaints of shortness of breath, swelling and hyperkalemia and at times, positive ETOH. The reasons E.F.’s frequent visit to emergency room is his o compliance to his medications, diet regimen and hemodialysis treatments. The schedule of E.F. to a dialysis center is three times a week, apparently, he does not show in his center as schedule. According to E.F. he has problem with transportation and he
Enterprise is an internationally known car rental, with more than “7,000 neighboring and airport locations throughout North America and Europe. Enterprise is the largest car rental brand in North America, well-known for its great rates, award-winning customer service and picking up local car rental customers at no extra cost” (About). Enterprise offers great leadership opportunities to its employees and helps them become entrepreneurs. They provide over 1 million job opportunities worldwide, this private company thrives its self in customer service because they thrive on being personable by creating relationships not just transactions
The E stands for explain. This step is to allow the health care practitioners to expand and elaborate about why they believe the symptoms the patient has described is one ailment versus another. For example if a patient presents with a sore throat that is caused by a virus, it would be critical for the physician to explain
...health of a patient and a follow up check at the GP’s may be required.
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.
Currently there are two types of renal replacement therapy. The original dialysis which we called it hemodialysis used for patients with chronic renal failure, needs the patients to come to hospital 2-3 times per week. This type of dialysis called the intermittent hemodialysis .However the intermittent hemodialysis is difficult to do it in the intensive care population with acute renal failure because of the hemodynamic instability and those type of patients usually are the most sick and critically ill patients within the intensive care units and have multiorgan dysfunctions, so medically is too difficult to do for them intermittent hemodialysis. In addition intermittent hemodialysis will increase the mortality and morbidity among them. Within the modern intensive care units new way of dialysis has been developed 30 years ago called continuous renal replacement therapy (CRRT).The definition of (CRRT) is any extracorporeal blood purification therapy intended to substitute for impaired renal function over an extended period of time and applied for or aimed at being applied for 24 hours/day, Bellomo R., Ronco., Mehata R. The CRRT was found because the traditional way of ...
EBP incorporates an organized search for the best up to date empirical research, with clinical expertise, to answer a focused clinical question concerning a patient or a quality improvement issue in the clinical environment. The focused question addresses the patient population, area of interest, comparison intervention or control group, and desired outcome (PICO). Using this question style saves the nurse time and will yield the best available relevant evidence.
Mr. GB is a 78 year old white male admitted to Bay Pines VAMC on 6/18/96. for " atypical chest pain and hemoptysis". V/S BP 114/51, P 84, R 24, T 97.4. He seems alert and oriented x 3 and cheerful. Bowel sounds present x 4. Pt. has a red area on his coccyx. Silvadene treatments have been started. Pt. Has a fungal lung infection with a pleural suction drainage tube inserted in his chest . Pt is extremely thin with poor skin turgor with a diagnosis of cachexia ( wasting) secondary to malnutrition and infection. Patient is no known allergies to drugs but is allergic to aerosol sprays disinfectants and dust.. Advanced directives on chart. Code status DNR. Primary physician Dr. R, Thoracic surgeon Dr. L. Psychology Dr.W. There is PT, OT Dietary and Infectious Disease consults when necessary. He lives with his wife who he has been married to for 56 years. His son and his daughter come to visit him. He does not smoke. He wears dentures but did not bring them. He dose not use a hearing aid but he does have a hearing deficit.
... smoking; this is making their kidneys die quicker than they already are which are struggling to try to maintain a small amount of filtration process. Lastly, a second long term goal is to encourage a person who drinks excessive alcohol to stop because that will defiantly put the person at risk to die faster than the disease itself and will also affect their liver function as well. These goals are meant to help and restore the process of Acute Renal Failure but will only be accomplished if the person with this disease is willing to give it everything they got to fight or await a miracle to end their sickness.
This article is for people whose kidneys fail to work. This condition is called end-stage renal disease (ESRD).
Their lives revolve around receiving dialysis three days a week for three to four hours per treatment, usually at an outpatient clinic. While dialysis can prolong the end stage renal disease (ESRD) patients’ lives, the three day a week trudge to this clinic can feel like an endless cycle of discomfort and inconvenience. Fortunately, the ESRD patient has more than one option, namely, peritoneal dialysis. Traditional hemodialysis (HD) is provided to the patient at an outpatient clinic that is often referred to as a chronic unit. Patients must come to the chronic unit to be hooked up to the dialysis machine, which circulates their blood through a dialyzer, thereby removing toxins and excess fluid.
Referral should also be considered if the patient's condition does not improve in the expected time or if there is any deterioration
As Burns and Grove (2001) & Polit and Hungler (1997) as cited in Ingham-Broomfield (2008 p.104) mentioned that the primary purpose of the literature review is to discuss what is known, gain broad background and understanding of the available information related to the study. As Coughlan, Cronin, and Ryan (2007) stated that literature review should also help to identify any gaps in the literature relating to the problem and suggest how those gaps might be filled. The authors of this article has not provided any review of literature and this could misinform the reader what the main focus of the study; however, several appropriate references were used in the background. The terms used in the key concepts are adequately defined and consistent with the topic. The background of the study introduces the previous knowledge or what is already known which is to investigate the effectiveness of an ATP designed to help ESRD patients to cope with stressors while receiving haemodialysis treatment.
Chronic Kidney Disease. Mayo Foundation for Medical Education and Research, 2014. Web. 20 May 2014.
My mother has suffered from a rare kidney disease called glomerulonephritis my entire life. This disease eats away at my mother’s health, leaving her mostly bed-ridden and depressed. My father is a store director at a local grocery store and has been for twenty-seven years.
The patient has high temperature-sign of fever, a very fast pulse rate (tachycardia), and chest wheezing when listened to using a stethoscope (Harries, Maher, & Graham, 2004, p.