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Neurology quizlet
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I see nephrology as the field of medicine that unambiguously answers complex medical questions based on objective data. I vividly remember the patient encounter that first kindled my interest in nephrology. During a renal rotation in Singapore General Hospital, I palpated a parathyroid gland in the right arm of a tertiary hyper-parathyroid ESRD patient. I was awed by the complex pathophysiology of how the kidney handles body hemostasis and balance and was amazed by the innovative clinical medicine that intelligently addressed the problem. My interest in mathematics, fluid balance and electrolyte makes nephrology an intuitive choice for me.
In the past four years, I have lived in three countries and six cities worked in three different health care settings and experienced different cultures. The diversity of my experiences mandated a steep learning curve to progress during each major transition, due to the different educational and cultural settings, as well as varied patient population. My ability to adapt successfully to the different settings while understanding and accommodating diverse patients’ needs have helped me evolve into a diligent and compassionate physician. I believe this would be a very important skill in taking care of renal patients and their families who, unfortunately, are amongst the most frequent visitors to any hospital.
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While learning medicine, I continuously strive to be a team leader and a teacher. I have been fortunate to learn from the best in nephrology field, and have had the opportunity to closely observe the insightful diagnostics and outstanding teaching skills of my role models Dr. Stuart Linas, Dr. Barry Wood, Dr. Jim Mertz and Dr. Jie
The article has been well organized and written. Mackay clearly states her rationale for writing the article and provides a valid reason to hold up her article with sources. Within the introduction section, the authors present worrying statistics of Americans affected by kidney disorders. Moreover, the author provides the disadvantages of dialysis with only Kidney transplantation being the only option. The author relates the topic to the readers...
“We never stand still; we are never satisfied. Individually, and as teams, we constantly look at what we do, and ask, “How can we do this better?” Then, we use a systematic approach to take action.” (About DaVita Kidney Care)
This case study which is taken from Robert M. Veatch’s Medical Ethics book is about a 5 year old girl, who from the last 3 years, has been suffering from “progressive renal failure” which...
(5) NIH Publication No. 03–4241. Your Kidneys and How They Work. National Kidney and Urologic Diseases Information Clearinghouse, 2003. http://kidney.niddk.nih.gov/kudiseases/pubs/yourkidneys/
The nephrologist has to deduce the major cause of the disease in the individual so that he or she can know the approach to apply in treating the ailment. According to the National Kidney Foundation (2016), the considerations made are the potential risks that expose the patient to chronic kidney disease. The major risks are other conditions in the body such as diabetes, hypertension and pregnancy. The age and weight of the individual also influence the treatment and diagnosis of the disease in the patient. Chronic kidney disease mostly affects individuals over the age of 60 years thus the diagnosis approach developed mostly suits them. If the disease is found in a child, the diagnosis and treatment approach changes since the dosage especially in prescription will change. Weight is another factor that is considered in the diagnosis and treatment of the condition. Obese individuals are at a higher risk of developing diabetes, which is a cause of the disease. The other factors considered in the treatment of the disease is the stage of the disease in the individual whether it is at mild, moderate or advanced
It has also developed numerous courses that are intended to provide information and tools that may be needed to approach both significant nursing care and patient care issues. Given the scale of the population suffering with chronic kidney disease and the diversity of backgrounds in which patients are found, this curriculum may be of benefit to nurses caring for nephrology patients in many settings (ANNA, 2015). It supports, promotes among its members, and sponsors nursing research intended to develop evidence-based practice and to advance nursing science (ANNA, 2015). It strives to provide nurses with leadership opportunities, and encourages nurses to seize opportunities to advance and refine their leadership abilities (ANNA, 2015).
Overall, for an acute kidney failure patient the hope is that they are able to have complete recovery and be free of complications and electrolyte and fluid imbalances by the end of treatment. Though, this is not true for most, because many AKI patients have co-existing morbidities and need treatment until the end of life. As nurses all we can do is give the best care that we know how and make our patients feel as comfortable as possible while they’re under our care.
I never stops to educate myself. I consider myself as a life-long learner. The profession of nursing offers an opportunity for me to learn daily because I always learn something every day. Once I learn something new, I like to apply it to my practice. Duffy’s quality of caring guides me to practice. I just had a 64-year-old patient who is going to have dialysis the first time. Understanding the anxiety that she had was more important than educating the process of dialysis. The patient stated that she wanted to live longer and finally decided to have the dialysis, but she was nervous about this. A care plan relate to coping mechanism was developed because showing a sense of sympathy and caring could help her to relieve the anxiety. When caring is evident, patients enhance self-esteem, quality of life, knowledge and coping mechanisms, as well as decreased lengths of stay and healthcare costs (Desmond, et al., 2014). On the other hand, in an uncaring situation, a patient feels humiliated, vulnerable, and
“We look for medicine to be an orderly field of knowledge and procedure. But it is not. It is an imperfect science, an enterprise of constantly changing knowledge, uncertain information, fallible individuals, and at the same time lives on the line.” There is more to being a great physician than having intellect, clinical experience, and competence in the medical field. A doctor must be daring and genuinely driven to positively impact a patient’s life. A doctor needs stand tall, even in the face of uncertainty.
Humanity presents individuals with extraordinary gifts as well as weaknesses. Growing up I realized this notion as I gave insulin shots to my younger brother and reminded him to check his blood consistently throughout the day. I was determined to fight this battle with him through researching alternative medicine options and attending his doctor’s appointments. This life experience enlightened me on my compassion for individuals with health issues and my passion for management and prevention of chronic diseases. As a nurse practitioner, my major goal is to help others like my family through properly educating patients and their families while being a source of comfort and strength in their time of distress.
My mom always used to say,” Look at the person as a whole to understand the condition.” Even though it made little sense to me as a child, I learned the concept when I was doing my Internal medicine rotation. The passion of knowing that I could improve a person’s quality of life drew me into pursuing medicine. The multitude of different organ systems that one covers while practicing medicine fascinated me to delve into a field that encompasses them all - Internal Medicine. In addition, I enjoyed the challenges that Internal Medicine would provide me with its diversity. Altogether, Internal Medicine was the amalgam of everything I learned in my medical practice and decided to pursue my residency.
Obesity has become a very critical problem in the United States. According to the Centers for Disease Control and Prevention (CDC, 2011) in the past two decades there has been an increasingly dramatic increase in obesity seen within the United States. Evidence from research indicate a strong correlation between being over-weight or obese with incidences of coronary heart disease, type 2 diabetes, hypertension and cancers increases (CDC, 2011). A major complication associated with diabetes is the occurrence of nephropathy which can lead to end stage renal disease (ESRD).
The purpose of this paper is to take an in depth look at a renal diet which is designed for people suffering from certain kidney conditions. A renal diet can be described as a nutritional regime which is: “low in sodium, phosphorous and protein... [It] also promotes the importance of consuming high-quality protein and usually limits fluids. Some patients may also need to limit potassium and even calcium” (Nephcure). Throughout the course of this paper various aspects are addressed. these include: the role of the kidneys, the importance of professional guidance, the reasons why people follow a renal diet, monitoring sodium intake, monitoring potassium intake, monitoring phosphorus intake, protein consumption, and fluid control.
On these occasions, I rely on my nursing assessment, evaluation, and interventions, collaborative skills, and scientific knowledge to make sound clinical judgments for the benefit of my patients. As a hemodialysis nurse, I will persevere to comply with innovation in nursing practice, EBP, research, and education. I believe growth requires generation of innovative, improved ideas and practices for the betterment of the organization and patient satisfaction. For this reason, I will embrace technological advancements; empower front line staff to embrace change and innovation; and motivate staff to be change agents on the floor with the aim to provide better quality of care for our
The kidneys are a bean-shaped organ in the human body and they have different functions and are of vital importance for it. The kidneys are the pair of organs, which are able to regulate the reabsorption of ions such as potassium, sodium and calcium, which are fundamental substances for the cell. Furthermore, they are involved in the reabsorption of nutrients in the bloodstream and they can regulate the acidity of the blood. Besides the regulation of the fluids and ions, the kidneys are also responsible for the regulation of many different hormones that are involved in homeostasis and metabolism. Because of their importance in the regulation of substances in the body, when the kidneys stop working properly all the body is influenced by that creating disequilibrium in the maintenance of homeostasi...