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Diabetes mellitus physiology
Diabetes mellitus physiology
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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
issues.
His story of how they thought he had a heart problem, but it really was just a communication problem is baffling, however, it is not uncommon. “About 80% of all serious medical errors involve miscommunication during care transitions (to different care settings)” (Govette, 2016). Health care facilities always talk about how working as a team and communication is important to the facilities success, but it is often overlooked. I believe the reason for this, is that most facilities use text as a way to communicate and often don’t use any other methods. However, the miscommunication problem could be solved if they met with other health care professionals, or even talked to them over the phone to discuss the problems with a particular patient. Even just double checking with someone to make sure they read the patients file would help the situation
The patient is a 45 year old male who was in a car accident that
This week’s course work was and excellent review of the material that I have learned previously. I definitely like our textbook; however, it gets a little heavy to hold after a while.
The lack of communication between patient and physician is a difficulty that this group experiences. The patient may be in denial, angry, and or frustrated and may not be able to communicate their feelings to the physician. It is important that the physician and team be aware of the body language. The physician needs to take the time to listen, and ask open-ended questions so the patient can reveal what is going on with them. Being supportive, sensitive, and nice will go a long way with this
In addition, the patient may seem to understand the information or directions about treatment. However, he or she may feel uncomfortable saying "no" to the doctor for the reason that they may see it as being disrespectful. Communication is very vital, it is important to make sure the patient understands by asking open-ended questions or asking them to repeat in order to verify what they understood.
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.
A patient has the right to be given information regarding their diagnosis, treatment, prognosis, and services that are available.
the patient's life and feelings to get an understanding of what the patient goes through on
Ordered reviewed and interpreted laboratory data and other diagnostic studies to assess the patient's clinical problems and health care needs.
The shadow health assessment was thorough and precise. Completing the final head to toe required a lot of work. I was not expecting it to be so difficult, considering head to toe assessment is my daily routine at work. The content that I learned from the textbook and shadow health assessment helped me complete the final head to toe assessment. However, I noticed that completing head to toe assessment gets easier on most of the patients, once you get comfortable on the systemic approach. The physical assessment and communication skills that I learned from the class made my assessment less difficult. I find the documentation part of the final head to toe assessment challenging. I think that is due to our electronic charting software (EPIC) at
Over the course of this class I have pieced together many things about my own life that before went unnoticed. I am now able to see things in a bit of a different light. Now that I have been introduced to the realm of psychology I understand some of the reasons for behavior around me. I have learned that there is a reason for most everything and a lot of our behaviors and mental processes can be explained through psychology. Studies have been conducted for many years to try and pinpoint the source of our behavior and it is not something that most people think about every day. Having a better understanding of why we operate the way we do will help me to better understand myself and the others around me.
When I went to the hospital the coordinator told me to go to the GIT department, I have been interviewing Mr. Abdulmohsen. He is Saudi, sixty-five years old male, married retired who has a history of irritable bowel syndrome.
Patient profile: Heterosexual Muslim Woman who has been in the United Stated for three years. She came from Pakistan. She is 42 forty-two years old, from low socioeconomic standing, English language barrier, and is Muslim rituals and practices. She came to emergency department with her husband due to shortness of breathing, high fever, severe cough. She was dignosed with new onset of pneumonia and currently on antibiotic. she also has history of Vitamin D deficiencies and diabetes mellitus type II. She admitted to medical-surgical floor for observation...
After the handover, I was asked by my mentor to attend to a patient who is bed ridden to have her personal care done with the assistance of one of the health care assistant staff. The patient was recently admitted to the ward and she looks sc...
Throughout this term, my fellow classmates and I have had a chance to participate in a group project with two or three of our peers. The general topic was a vivid problem in a industry. Our class had a very wide and diverse sets of topics: from Styrofoam, to industrial hacking, to corruption in an influential international organization like FIFA, and so many more. Our group decided to develop a project named “Outsourcing and the price we pay for brands”. The name itselves is somewhat self-explanatory, however the problem is so much more complicated and interesting. In this paper, many struggles and concerns, of the group and of my my own, will be unfolded as I reflect the progress of this project.