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Critical analysis of patient assessment
Critical analysis of patient assessment
Critical analysis of patient assessment
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Regina Geis is a ten-year old female who is diagnosed with celiac disease. No one in her immediate family has been diagnosed, including her parents and her younger sister. Celiac disease is an autoimmune disease of the digestive system that is usually indicated by long-lasting inflammation in the small intestine that occurs when a protein from the plant called gluten, which is usually found in grains such as wheat, barley, and rye, is consumed, resulting in an interference of absorption of nutrients from food (Calvo, Soriano del Castillo, & Vinuesa, 2012.) Regina was diagnosed with celiac disease when she was five. After she was diagnosed, she was put on a gluten-free diet.
Regina was a healthy baby, toddler, and preschooler, or so her parents thought. Regina did have some unexplained incidents. When she was just a baby, there were a couple of occasions where she cried nonstop. As a toddler, Regina visited the emergency room occasionally with intense stomach aches. In addition, when she was in preschool, her parents would sometimes get a phone call from the school nurse saying, “Regina has a tummy ache and wants to go home.” When the doctors examined her, there was no explanation or answer to what was causing her severe stomach pain. Since Regina’s incidents were very far apart from one another, her parents did not think to worry.
It was not until Regina started kindergarten that she started showing symptoms characteristic of celiac disease. She was showing great fatigue and when taken to the doctor was found to have iron-deficient anemia. When further blood tests were taken, the doctors found the iron-deficient anemia to be part of a larger problem and, after more tests, formally diagnosed her with celiac disease. T...
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...D: TSTGP Tissue Transglutaminase (tTG) Antibodies, IgA and IgG Profile, Serum. Mayo Medical Laboratories . Mayo Foundation For Medical Education And Research.http://www.mayomedicallaboratories.com/test-catalog/Clinical+and+Interpretive/83671
“Overview.” (2014). The University of Chicago Celiac Disease Center. Retrieved March 9, 2014, from Cureceliacdisease.org http://www.cureceliacdisease.org/wp-content/uploads/2011/ 09/CDCFactSheets1_Overview.pdf
"Symptoms". (2014). The University of Chicago Celiac Disease Center. Retrieved March 09, 2014, from Cureceliacdisease.org.http://www.cureceliacdisease.org/wp-content/uploads/2011/09/ CDCFactSheets2_Symptoms.pdf
"Treatment". (2014). The University of Chicago Celiac Disease Center. Retrieved March 14, 2014, from Cureceliacdisease.org.http://www.cureceliacdisease.org/wp-content/uploads/2011/09/
CDCFactSheets6_Treatment.pdf
Lisa was in school and pricked herself with a needle that drew blood. Many told Lisa’s stubborn parents that she needed a psychiatrist. They simply refused to accept the fact that their daughter was in need of anything. When Lisa even screamed out that she needed help, they simply wouldn’t understand. She even w...
What clues in the story let you know that Camilla Cream was feeling sick? Objective 2: As the students engage in thinking, pair, and share activities they will refer to the text to complete the assignment. They will learn from each other, receive feedback, and will also have a chance to engage in public speaking while discussing the story. This instructional strategy will encourage the students to reflect on the questions, share their ideas with their partner, fill out a worksheet with 5 questions, and then share their ideas with the rest of the class.
There is a strong family genetic predisposition for this condition, specifically with the Human Leukocyte Antigen (HLA) genes DR3, DQ2 and DQ8. The Caucasian population and people of European descent experience celiac disease. Moreover, women seem to have a higher prevalence than males for this illness. Incidence within the general population is 1 in 3,000 citizens. People from Mediterranean and African ancestries, Jews, and Asian cultures rarely suffer from this disease. Children can also be affected. Patients who suffer from celiac disease may also experience additional autoimmune diseases like arthritis, systemic lupus, sojourn syndrome, down syndrome, intestinal cancer, lactose intolerance, type I diabetes, intestinal insuffici...
IBD is a group of chronic disorders that cause inflammation of the gastrointestinal (GI) tract. It is generally separated into two categories, ulcerative colitis and Crohn’s disease. A primary difference between the two categories is that ulcerative colitis is characterized by a more superficial, colonic inflammation that affects the mucosa and submusoca while Crohn’s disease is more discontinuous, transmural inflammation occurring anywhere along the gastrointestinal tract. Twin studies provide evidence that there is a genetic predisposition for IBD (cite). Some patients harbor susceptibility genes that leave them at higher risk for acquiring both Crohn’s and ulcerative colitis. Bacteria, which are plentiful in the inte...
Food allergies, particularly gluten, are more common now than ever because of the increased quality of medical testing and the decreased quality of food. Many people who follow a gluten-free diet have Celiac’s Disease, gluten intolerance, or are following a fad diet. The University of Southern Indiana currently does not meet the dietary needs of students who must follow a gluten-free diet. The University of Southern Indiana should accommodate to those who need to be on a gluten-free diet because the meal plan is expensive, the accommodations would be cheap and easy, and the number of people following a gluten-free diet is greatly increasing.
Her eyes were heavy, her body weak. As she crawled into the bathroom two feet away, Abby felt her body slowly succumbing to the numbness. All of her pain would be gone in less than 10 minutes, so why would she want to turn back? What about the senior trip Abby had planned with her best friend? What about the chair at the dinner table that would now be vacant? A couple of hours later Abby’s family came home from her little sister’s soccer game. Little did they know what they would find as they approached the top of the stairs. Her little sister, Ali, stood still as she looked down at her feet. There on the cold floor lay her big sister, her role model, and her super hero. Ali was crushed when she saw the pill bottle in her hand and the pale color of her skin. Her mom fell to her knees screaming and crying, wondering where she
Vesa, Tuula H, Leena M Seppo, Philippe R. Marteau, Timo Sahi, and Riitta Korpela. “Role of irritable bowel syndrome in subjective lactose intolerance.” American J Clinical Nutrition 1998; 67: 710-5. 1998. Web. 12 November 2013.
This paper will show how assessment is a core part of the client’s treatment. It will show how assessment is done at the beginning of the treatment process but, will allow you to see that assessment is a continuing process. It results from a combination of focused interviews, testing, and record reviews. Assessments give the social worker a framework of reference to understand the strengths, weaknesses, problems, and needs of the client for the development of the treatment plan. It provides the social worker with a theory-based framework for generating hypotheses about the client’s experience and behaviors, which in turn helps prepare the basis for a specific treatment intervention. This paper will discuss the assessment tools
The Food Groups and Calories Report presented Julia was deficient in refined grains, she could improve her intake by substituting white grains with whole-wheat grains. Julia should increase her consumption in some areas, such as whole grain, vegetables (dark-greens, red/orange, beans/peas, and starchy vegetables), fruits, dairy, seafood, and oils. Implementing
The doctor contains his professionalism, but as it goes on, pieces of frustrated irregularities begin to surface. As the doctor learns that the parents say no, that the girl says she doesn’t have a sore throat, he purs...
When digested by anyone, gluten is mistaken for an invader in the digestive track. People with gluten sensitivities have bodies that attack the gluten. For people with celiac, the worst gluten sensitivity, their immune systems attack the proteins in gluten and the intestine wall, causing possible damage to the small intestine. Understandably, celiac disease is classified as an autoimmune disease. Autoimmune diseases are diseases where the person’s body attacks itself. This immune reaction can cause degeneration of the intestinal wall and lead to increased risk of many other diseases and nutritional
There are no large population based epidemiological studies estimating the prevalence of NCGS. In the United States, the only population based study is the National Health and Nutrition Examination Survey which was done in the United States between 2009-2010 on 7762 persons from the general population and aimed to estimate the prevalence of CD through serological testing for tTg IgA and if findings were abnormal, for IgA endomysial antibodies. It secondarily aimed to measure the self-reported estimated prevalence of individuals on a GFD. The estimated prevalence of individuals on a GFD without CD was 0.55% and this was considered by the study authors to be synonymous with the prevalence of NCGS(Rubio-Tapia A., 2012).
The field of research for celiac disease is still ever growing and changing. The field is trying to decipher what triggers this and how the conditions can be investigated further (Pietzak). People who have Celiac Disease are sometimes even at a higher risk for other diseases (Pietzak). From this research, individuals who do the gluten-free diet for weight loss may affect their body in an unhealthy way. This proves the point that the gluten-free diet should only be chosen if necessary. Niewinski write that if the diagnosis is early in the finding, the doctors and dietitian can decide what supplements and extra nutrients will be beneficial to the individual (Niewinski). The gluten-free diet for celiac disease and intolerant people is known as “medical nutrition therapy” (Pietzak) which describes the fact the diet should be used as a therapy or aid to someone to feel better. The change in removing the diet typically relives the intestinal
health problems who Googles their symptoms will find at least one link to gluten as a cause on the first page of their search results—and that is a big reason why 25% of people choose to reduce gluten in their d...
What I do well is gather patient information properly from the Holy Spirit computer system. I am great at performing vital signs and collecting report from the night shift nurse. I am always on time before the start of my shift. I understand how to properly prepare before entering a room on isolation precautions. I always have a positive attitude when I step foot in the hospital. I have recently developed more therapeutic techniques to communicate with my patients. I have improved with organizing myself as well as establishing a sufficient routine. I can develop interventions for my patients based on the information I received from my assessment. I am proud of myself, because I can see my growth and improvement since