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Neurological assessment quizlet
Attention deficit hyperactivity disorder case
Attention deficit hyperactivity disorder case
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This is a follow-up visit for [Name], who is a 9-year 6-month-old young man who brought here today, by his mother, for medication management.
REVIEW OF SYSTEMS
Mom reports that [Name] has had itchy eyes and has been sneezing for about 1-month. Mom plans to take him to [Place] for a visit because she thinks he has allergies.
ALLERGIES
[Name] is not allergic to any known food or medications.
_____(INDICATIONS/VACCINATIONS)
Up-to-date.
SLEEP AND APPETITE
[Name] goes to sleep about 9:30 every night after taking his clonidine, and then generally sleeps well until about 5 o'clock in the morning.
Mom reports that [Name] has always, and continues to be a picky eater. It is unclear whether the medication effects his appetite.
MEDICATIONS
…show more content…
This is a 7 ounce weight gain since his last visit, about 3 months ago.
VITAL SIGNS
His blood pressure today is 101/62. His pulse is 90. His respiratory rate is 20. [Name] is afebrile.
PHYSICAL EXAMINATION
[Name] is well-appearing today.
ENT: His TM's are _____ with _____. He has no palpable masses or nodes in his neck.
Lungs: His lungs are clear to auscultation.
Heart: His heart has a _____(ir/regular) rhythm and is without a murmur.
Abdomen: His abdomen is soft and nontender, without palpable _____(mass) _____(organomegalia). [Name] has positive bowel sounds.
NEUROLOGIC EXAM
Motor: [Name] has a normal gait. No involuntary movements are known to report.
Mental status: [Name] has a normal aspect. He is oriented and answers questions appropriate.
Cerebellum: No tremors or _____(ataxia). No report.
DIAGNOSIS
1. Attention deficit hyperactivity disorder with hyperactivity.
2. Developmental delays.
PLAN
1. Continue with 1 _____(Viravan) 60 mg capsule every morning with breakfast.
2. Continue with 0.1 mg tablet of clonidine at bedtime.
3. Consider trial of melatonin 1-4 mg at bedtime in place of the clonidine.
4. Return to this clinic in 3 months.
5. Call here with questions or
Concerning his sleep, Ransley generally retires to bed between 10.30 and 11.00pm with short sleep onset latency. There is a history of snoring and witnessed aponeas. He describes fragmented sleep, but significant sleep maintenance insomnia. There is infrequent nocturia and no significant restless legs symptoms. When he wakes at around 4.30am, he often feels initially refreshed, but within a couple of hours will start to become somnolent and will often nap for half an hour between 1.00 and 3.00pm.
The presented case is of a patient named R.S. who has a smoking history of many years, which can be directly tied to his development of chronic bronchitis, a chronic obstructive pulmonary disease (COPD) specified as Type B. It is estimated that in 90% of chronic bronchitis or “blue bloaters”, cigarette smoking is the major cause. Chronic bronchitis involves persistent and irreversible airway obstruction, due to the constant inflammation of the bronchial mucosa, leading to hypertrophy and hyperplasia of bronchial glands. The latter exposes the individual to higher risks of bacterial infections; often colonization of organisms such as Streptococcus or Staphyloccocus pneumoniae can be exhibited. This is due to the lost or impaired function of mucociliary clearance action which results from the replacement of certain sections of ciliated columnar epithelium by squamous cells in the bronchi. (Copstead &Banasik, 546-547)
R.S. has chronic bronchitis. According to the UC San Francisco Medical Center “Chronic bronchitis is a common type of chronic obstructive pulmonary disease (COPD) in which the air passages in the lungs — the bronchi — are repeatedly inflamed, leading to scarring of the bronchi walls. As a result, excessive amounts of sticky mucus are produced and fill the bronchial tubes, which become thickened, impeding normal airflow through the lungs.” (Chronic Bronchitis 2015) There are many things that can be observed as clinical findings. R.S. will have a chronic cough that has lasted from 3 months to two years or more, and a lot of sputum. The sputum is due to
The purpose of this essay is to explore nursing care priorities for a patient with a common health condition. A common health condition is a disease or condition which occurs most often within a population. The author has chosen scenario 3 for this essay and will describe the nursing assessment and care planning provided to a patient with Chronic Obstructive Pulmonary Disease (COPD). The WHO definition of COPD is a lung disease which has a chronic obstruction of the airways that impedes normal breathing and is not fully reversible (). According to), there are estimated to be over 3 million people in the UK with COPD. It is common in later life and there are approximately 25,000 deaths each year, with 15% of COPD being work related (The identity of the patient will remain anonymous in adherence with the Nursing and Midwifery Council, Code of Conduct on patient confidentiality (). However, the patient will be referred to as Mr B in this essay. The author has chosen the priority of eating and drinking for Mr B. Patients with COPD are at increased risk of malnutrition and nurses must make certain they screen patients and offer advice or refer as necessary (). If this priority is managed well it will have a positive effect on the other priorities (, 2012). In accordance with NICE Guideline 101 (), the treatment and care provided should consider each persons’ individual requirements and preference. Care and treatment should take into account people’s individual needs and choices. To allow people to reach informed decisions there must be good communication, supported by evidence-based practice (). This essay will provide an evidence based discussion on how care will be implemented in relation to Mr B and his eating and drin...
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
Caring for people is my passion. My senior year of high school is when I witnessed my grandmother live on a ventilator for about a week. It awakened a new level of passion in me to care for people with cardiopulmonary problems. The Respiratory Therapy Care profession has intrigued me with how they improve the quality of life in their patients. I will enjoy working closely with patients in addition to working high tech equipment. By entering into this program and graduating out of this program I know that this will satisfy my personal goals for the next five years in many ways. The continues challenges of trying to figure out what’s wrong the heart that day or what’s wrong with the lung the next day will always keep me on my toes. It will always
Reason for admission: Patient would binge eat at each meal, and was purging up to 35 times a week. She was recently diagnosed with Cushing’s Syndrome, type 2 diabetes, reoccurring mononucleosis, and kidney issues. She has been admitted to the hospital over 5 times because of pyelonephritis and reoccurring kidney stones. Patient refers to her purging episodes as “getting sick” and wants to stop her impulsive eating behaviors. Sometimes she feels guilty, and occasionally cuts her wrists.
Respiratory assessment is a significant aspect of nursing practice. According to the National Institute for Health and Care Excellence, respiratory rate is the best indicator of an ill patient and it is the first observation that will demonstrate a problem or deterioration in condition (Philip, Richardson, & Cohen, 2013). When a respiratory assessment performed effectively on a patient, it can result in upholding patient’s comfort and independence in progress of symptom management. Studies have acknowledged that in spite of the importance of the respiratory rate (RR) it is documented rarely than the other vital signs in the hospital settings (Parkes, 2011). This essay will highlight the importance of respiratory assessment and discuss why nurses
Her facial expressions are consistent with her chronological age. There are no abnormal hair distributions. No lymph nodes are palpable. She has no tenderness with sinus palpation. Her eyes are symmetrical with full mobility. Conjunctiva are white. She has no periorbital edema. With her glasses, she has 20/20 vision bilaterally. Without her glasses, she has 20/40 vision in the right eye and 20/60 vision in the left eye. She has positive PERRLA. There is no ear drainage, itching or pain. The nose is symmetrical and septum is intact. She has no nasal congestion. She has no nosebleed, mouth sore, or dental pain. Her mucosal membranes are pink and moist. She has no retraction of the gingivae. The tongue is ink and moist, midline with full mobility. Her tonsils have been removed. The neck is symmetrical and midline. She displays no dysphagia.
To introduce the respiratory system, use the SOS strategy found in the DE Techbook teacher section Silence is Golden. Show the video segment Cow’s Lungs in Explore More Resources with no audio and ask the students to describe what is happening and why. As they discuss aloud what they are seeing, educators will get an idea of what they understand, need to still master and want to know more about. Ask the students to record their observations in their notebooks. Then to finish up, have them explain to a partner what the video has demonstrated. As the students observe the cow’s lungs experiment, they will be isolating a single system and constructing a simplified model of it; imagining an artificial boundary between the respiratory system and
“[....] 110 patients (87%) gained weight and just 16 patients (12%) lost weight” The people who gained weight probably did so because of careless eating (such as eating lots of meals per day) and low levels of exercise (Correia & Ravasco, n.d.,
A review of his medical record indicates that less than 6 months ago he was diagnosed with squamous cell carcinoma of the right tonsil. He is followed by Dr. Abesada (oncologist) for chemotherapy and Dr. Castillo for radiologist oncology. He had completed his radiation treatment and continues to receiving chemotherapy. He is schedule to have a follow up PET scan in 2 months. He suffers from dysphagia which is related to his tonsil cancer. As a result he has a PEG tube and takes 5 can of 2 cal Hn daily via peg. He also suffers form constipation- opiate induced and hearing loss which began when he started his chemo and radiation treatment.
I am writing to express my interest of acceptance into the University of Cincinnati online Bachelors of Science in Respiratory Therapy program. After evaluating my options I have chosen the University of Cincinnati to pursue a Bachelors degree in Respiratory Therapy. The University of Cincinnati’s reputation, and successful online BSRT program is the catalyst of my decision to attend the University of Cincinnati.
last only a couple hours. An attack may happen again in hours to even years
She does take a daily prenatal vitamin and consumes the daily recommended amount of fluids. Based on her 24-hour recall, the patient needs to add more calories to her diet by increasing meal proportions and incorporating snacks throughout the day. She needs to add dairy products to her diet as she currently is consuming none. Dairy needs can be promoted by include milk or soy milk as a fluid choice, or by adding cheese to her salad. Snacking between meals on string cheese paired with an orange which can help meet both dairy and fruit recommendations. More protein sources can be added into her meals, such as adding sausage to her breakfast and other lean meats or beans into her other meals. Nuts are a great, protein-packed snack she can easily include throughout the day. She needs to increase her daily consumption of grains, by making her salad a tasty wrap or adding toast or crackers throughout the day. She needs more fruits and vegetables added to her diet. Pairing up foods together, such as carrots with hummus dip, peanut butter with celery, or yogurt with berries and oats help to add variety per sitting. Another consideration would be varying her fluid intake from water only to include juices, smoothies and other