The resident skin upper and lower limbs are pink, warm, and dry with a soft texture. Her skin turgor is less than 2 seconds with no wounds or lesions noted. There are pressure ulcers located on left and right buttocks. Resident scored a 13 which means she is at high risk for pressure ulcers on the Braden scale. The resident’s hair is straight, gray, fine with no appearance of balding.…
Protection of Human Subjects. After receiving approval from Baptist Hospital and University of Florida IRB committees data collection began. Data was gathered by Tanya Warner, DNP student and employee of Baptist Hospital. Data was kept in Tanya Warner’s office on campus at Baptist Hospital. Computer data and patient’s medical records were password protected.…
• The mechanism of action of cyclophosphamide is an alkylating agent that causes cross-linkage of DNA strands, thereby blocking synthesis of DNA, RNA, and protein. Has pronounced antineoplastic effects and immunosuppressive activity. EFFECTS?? • The Pharmacodynamics of the cyclophosphamide includes the absorption from the GI tack.…
I will discuss two Non Small lung cancer (NSCLC)cases and the evidences used to decide the patients’ management. Case 1: A 60-year-old man with history of breathlessness and cough. Lung function revealed FEV1 1.60, TLCO (60% predicted) and patient’s performance status was 1. Subsequently, he had staging CT scan/PET scan/EBUS and all the investigations revealed the final diagnosis stage…
Wade Sutherland said, “We may not look sick, but turn our bodies inside out and they would tell different stories”. Have you ever wondered what was going on inside your body? What’s causing your tummy to ache? Why it takes the doctor so long to figure out what's actually wrong with you? Although X-Rays may show us dense materials like bones, it can’t tell you things like what's in your veins.…
In the short story, The First Appendectomy by William A. Nolen, the author explains to the readers how that even though he made numerous mistakes he persevered and did not stop until the job was finally done. Dr. Nolen begins by filling us in on how much experience he actually has,“After two months of my internship... I’d watched the assistant residents work… [and] made an occasional incision” (Nolen 146). Clearly this is very first operation ever, meaning you would assume he of course wasn't going to be perfect yet the hospital still wanted him to do the job. He treated this operation very seriously, prior to the operation Dr. Nolen mentioned his various steps he took to preparing, including reading the textbook again and running through some of the hand…
The end results of patient care: The guideline serve as an outline and recommendation for use of the Toolkit: Implementation of Best Practice Guidelines (2012), which provides an evidenced-informed process for a systematic, well-planned, implementation for the comprehensive care management of the diabetic patient with foot ulceration. Emphasize the processes used to provide patient care: The guideline process for use in patient care provides steps that begin with the comprehensive health history and performance of physical examination of the diabetic patient with or at risk for foot ulcerations. Furthermore, the following steps involved in the process of patient care include, but are not limited to, the below listed areas such as:…
From figure 15 the single most striking observation is that the curve seems to be falling toward a limiting survival probability (horizontal asymptote). However, that limiting probability is somewhat below 0.52 rather than anywhere near zero. The last focal event occurred after 20.7146 years, yielding an estimated survival probability of 0.5172. After that the curve appears to flatten out (i.e., to become virtually horizontal).…
Biopsies were performed by one of four radiologist from body Interventional Radiology unit, department of Diagnostic Radiology, Srinagarind hospital and a body Interventional Radiology fellow under the supervision of a staff. The lesions were initially detected on US, CT or MRI and the decision to biopsy was based on opinion of referring physician and…
Patients who were scheduled for colonoscopy procedure in the afternoon, were subjected to ingest a full dose of PEG+ Asc ( 2 litres) in the morning of the procedure (around 6 AM to 9 AM). Later filtered water was given to the patients until the urine was clear in colour. Nurses made sure that all procedures were performed within 2 to 8 hours of the purgative intake. The nurses from the educated ward were imparted education by two expert colonoscopists and were given away leaflets containing the details of the education. Nurses were educated about the significance of bowel preparation and possible adverse events that can occur during the preparation.…
PRP Therapy By Cameron Wieght Jul 24, 2014 Plasma made protoplasm (PRP) medical aid is an innovative treatment that helps to alleviate pain and speed up the healing method. Since PRP uses your own tissue to help in healing, there'll not be complications arising from antibodies reacting. PRP seems to be useful in system treatment of the body in places like the knee, shoulders, spine and hip.…
Endoscopic ablation uses different techniques to destroy the dysplasia that is present in the esophagus. If a treatment is successful, the body should be able to regenerate differentiated normal cells. The two most commonly performed endoscopic ablation therapies are photodynamic therapy and radiofrequency ablation, but depending of the severity of the dysplasia, an esophagectomy may be…
D-The patient arrived early for her appointment. Requested to decrease her methadone by 5mgs as she wishes to be stabilized at a lower dose. Denies any sort of cravings/withdrawals. This writer updated the patient about a recent conversation with her attorney and also, informed the patient that this writer was subpoena to appear in court pertaining to the patient's case on 06/28/2016 at 9:30am. The patient signed an ROI for court and for her attorney.…
CONCEPT 7: THE SIGNIFICANCE OF NURSING HISTORY AS PART OF GASTROINTESTINAL TRACT ASSESSMENT. This concept is taken from Block 4, Module 8 which is entitled as ‘Assessment of gastrointestinal system’. The digestive system is made up of organs that function together to transform food substances to energy and nutrients that are needed in the body.…
Advantages of Endoscopic Septoplasty Endoscopic Septoplasty is associated with several advantages over the traditional one. It has many benefits such as magnification, suboptimal view of middle turbinate, better illumination and visualization. Separation of collagenous fibers connecting the perichondrium and periostium to underlying bone and cartilage is made visible with endoscope during surgical dissection. Mucosal disruptions are recognized immediately, and their size may be controlled using careful and meticulous dissection. Iidocaine and epinephrine are used to minimise bleeding and a suction freer elevator is used for optimum visualization.…