Over 50 million Americans suffer
Over 50 million Americans suffer
Clinical Context & Experience I completed my final two shifts on 11/24 and 12/1 at Sharp. The unit had a pretty large census both nights, so we were fairly busy both nights. During this shift I had to notify the doctor twice and felt the most relevant journal topic was advocacy. The first night I had three patients which included a 84 year old man who sustained a hip and right shoulder/humerous fracture from a fall at home and a history of HTN, CKD, MI with coronary stent placement, and diabetes, an 86 year old woman admitted for rapid A-fib with history of TIA, HTN, CHF, and rheumatoid arthritis, and finally a 35 year old woman who was being discharged following her treatment for polynephritis. During my final shift, I cared for a 71 year…
CC Mrs. Hoffman is a 57-year-old female here today complaining of a persistent cough. HPI The patient tells me she actually saw Katy Lilly, MD for the same cough back on September 25, 2015. At that point, she had had a cough for about three weeks. She is now going on approximately five weeks with the cough.…
DOI: 12/23/2013. Patient is a 51-year-old female registered nurse who sustained a work related injury due to repetitive work. Per OMNI, she is initially diagnosed with strain to the knee patella. MRI of the right knee dated 10/9/15 revealed globular increased signal intensity is seen throughout the medial meniscus most consistent with intrasubstance degeneration; tricompartmental osteoarthritic changes; joint effusion; pre-patellar soft tissue edema, query contusion; and chrondromalacia patellae.…
Database and Assessment Table 1 – Physical Nursing Assessment Data GENERAL: Patient is an 88 year-old Caucasian male. Vital signs stable at 97.3°F, 82BPM, 22 breaths/min, 84/54mmHg, 100% on 1.5lL O2, 0/10 pain, patient weight 58kg. SKIN/HAIR/NAILS: Skin was thin and fragile, warm and moist, skin color slightly pale, skin tear on left upper arm measuring 3 inches, no bleeding or pain.…
Nurse Craig received a phone call report of a patient from Nurse Lucinda. When assessing the patient Nurse Craig should have administered oxygen to the patient in order for her to breathe smoothly. Nurse Craig should have applied O2 and do some deep breathing exercise with the patient which should eventually help the patient feel better. After some time, Nurse Craig went back to Mrs. Jordan and found that she was had in difficulty breathing. Nurse Craig suspected that the patient was suffering from an acute dyspnea so the patient’s vital signs, temperature and lung sounds were taken.…
Assessment: The patient has developed painful post traumatic arthritis to the left ankle. She has large osteophytes to the anterior ankle joint causing impingement and pain with active range of motion. The left ankle fracture is well healed by x-ray evaluation. The most likely diagnosis is post-traumatic osteoarthritis after an open fracture dislocation of the left ankle 20 years ago. In a fracture dislocation of the ankle, the exposed cartilage can be disrupted and lead to osteoarthritis.…
Thank you for referring Cinzia Canturi, a 40-year-old lady who is currently not working, but previously was working in an office and a clothing warehouse. Cinzia is a non-smoker and keeps no pets. She does not take any regular medications but will use Advil, Voltaren and paracetamol on a prn basis for migraines. Around a month ago, Cinzia developed a dry cough with a tickle in the throat. A couple of days later, she started to notice a choking and the sensation of her throat closing over.…
The Lake Michigan Chapter of the National Association of Orthopedic Nurses (NAON) recently held a community meeting for healthcare professionals regarding sports injuries in the community. The meeting was lead by a local orthopedic surgeon and followed by a presentation by a paramedic. The purpose of the meeting was to assist healthcare professionals in the community identify orthopedic injuries and properly treat them as a first responders. This particular meeting was informative and not exclusive to NAON members.…
Bianca was referred for counseling by her son’s insistence due to her visible tremor, slow thinking, slurred speech, and sleep problems. She came to the office with her twenty-eight-year-old son, Angel. The client is currently taking various types prescribed medications which might be life threatening. This assessment was requested to identify possible sources of Bianca’s problems and make recommendations for treatment. Section Two Background Information M.Q is a forty-seven-years-old, middle class, heterosexual, Mexican American female who works as a legal assistant.…
Want to know how to bring a U.S. Marine to tears? Give him a Rocephin shot. As one Marine quipped, “it brings half the men to their knees, and the other half to tears.” Doing a Google search on the term “Rocephin” (aka the peanut butter shot), you’ll find the #1 concern of military recruits is receiving this required penicillin shot during boot camp. “It feels like acid going in” is a common description.…
Why Do you Want to become a Physician Assistant: As we grow up, our experiences, life lessons, and failures are like puzzle pieces which shape us into who we become. These experiences help us find our passion, which is ingrained in our heart. Mrs. X, a 70- year-old sickle-cell anemic patient who weighs 75 pounds, comes into the Faith Family and Health Clinic for her regular check-up. I hold her hands and help her walk into the examination room. I notice that she is too weak to hop into the examination table by herself, and so I pick her up and set her down in a comfortable position.…
She worked on her feet for most of the day filling prescriptions and talking to different patients. I asked her what was the most difficult part of her job. She explained that the type of people she encountered could make her job difficult from time to time. Mrs. Keckler also recommended me people who I could talk to for…
My workdays in her office were rapidly filled with patients to check in, vital signs to record, phlebotomy procedures, allergy skin tests and pulmonary functions tests. A great deal of my time was also devoted to patient education. It was my duty to teach patients on the proper use of their medications…
The Comfort of Ignorance Much of my life has been filled with blissful ignorance about the world. Growing up, I was consumed by the little problems of my life and never thought twice about the hardships of others. However, as a self-absorbed fourteen year-old, I found that although ignorance is comfortable, it blocks the true reality of what the world is. It was a crisp, clear, and unusually warm winter day when I had to shadow my mom in the ER.…
My first clinical experience was at St. Vincent hospital on a geriatric unit, when I was a second year nursing student. During my time there, nurses often approached me to provide small learning experiences and teach students how to be efficient. When a nurse on the unit asked for help with a bed bath for a patient with whom I was not familiar, I agreed. I wanted to get as much experience as I could. The nurse led me to the patient 's room right away.…