He said he was discharged with Motrin and Valium with instructions to follow up with his family doctor. DIAGNOSIS/DIAGNOSTIC STUDIES/ SURGICAL INTERVENTIONS…
The patient is a 26 year old male, single but living with a younger brother and works as a freelance photographer. He doesn’t get enough sleep and rest at night because he has late photo shoot or he plays video games. He is on dialysis for 2 years, had 2 failed AVF on left arm and currently using AVG on his right arm. He is prescribed to use F80 hi flux dialyzer, blood flow rate of 250ml/min with 4 hours dialysis time with 3x per week frequency of dialysis. During dialysis his diet consists of Coca-Cola and 6 slices of pizza.…
Once the Mr. M is cleared from the skilled nursing facility he can return home and begin his regular medication regimen. As indicated above, Mr. M was appropriately admitted on an inpatient basis for the urgent management of that could not be managed in an outpatient setting. It is clear that inpatient admission for this vulnerable patient was appropriate and resulted in his favorable outcome after six days of complex inpatient treatment. Only after treatment was he deemed appropriate for…
Mr Harwood, is a widow, who got admitted to the hospital on 30-6-2011 with the complaints of pain, weakness in the right shoulder and unable to lift arm overhead. Mr Harwood has had history of fall on outstretched arm from descending stairs at home . X- ray and MRI revealed a partial rotator cuff tear for which orthopaedic surgeon advised a surgery . But, patient preferred non - surgical treatment and she was managed with medications and physiotherapy.…
Due to all these factors, a physical examination was done including an urinalysis and blood tests. Also a MRI was done, since the patient seems to be in a confused state since arriving to the hospital. Once these results came back,…
Yommala discuss with this writer about an issue pertaining to patient #2977. According to Yommala, the patient was suspended on 5/12/2017; however, the patient was hospitalized for pneumonia. During the patient’s reinstatement process on 5/17/2017-the patient was not medicated as it was an error by Nursing. Yommala expressed her frustration about her patient not being medicated. At this time, the patient have breast cancer but the patient’s medical recommendation for the patient to seek suboxone treatment for the patient to engage in chemotherapy.…
The carrier’s decision to deny coverage for the requested prescription medication, Restasis as experimental/investigational for the treatment of this member’s condition was not…
The patient is a 56 year old Bangladesh male came by ambulance due to sudden onset of shortness of breath at 3 o’clock in the morning when he woke up to go to the washroom. The patient also has chest pain, nausea and vomiting, fever and worsening orthopnea The patient is having dementia, hypertension and ESRF stage 4. However, patient reused HD and was under nephro clinic, but planned for palliative management. The patient had been admitted to the hospital due to the same presenting complaint for several times.…
He is getting PT, SN, OT from kindred home health and VA approved HHA visit from the VNA. He reports that he use to go to pain management for his pain but when he became homebound he was unable to make it to his appointment and wean himself off his pain medications. He complains of neuropathy in legs which he describes as “burning sensation that feels like my legs are on fire, especially upper thigh, it drives me crazy”. The patient was taking Lyrica, which he discontinued, states it was causing…
1. Background information The patient is a 64 year old male that was admitted to the hospital the night before with an intra-abdominal abscess. He has a history of Crohn’s disease and has recently undergone a bowel resection.…
According to Crohn’s and Colitis Foundation of America they say, “Inflammatory bowel diseases (IBD), which include Crohn’s disease and ulcerative colitis, usually affect as many as 1.4 million Americans, most of whom are diagnosed before age 30.” Even though both diseases have numerous symptoms alike, they have a lot of complicated differences. For example according to the CCFA, “Ulcerative colitis is limited to the large intestine (known as the colon) and the rectum”. Crohns Disease “affects the end of the small intestine (the ileum) and the beginning of the colon, but it can affect any part of the GI tract from the mouth to the anus.” In addition inflammation only happens on the surface layer of the intestinal lining.…
The patient is 76-year-old patient referred directly from the Alaris nursing home where the patient has been there for subacute rehabilitation. The patient was found to have a profound anemia with a hemoglobin of 5.5. The patient was weak and unable to fully participate in any type of rehabilitation. The patient has been there since the middle of November being treated for an osteo of the right foot. The patient is known to have hypertension, diabetes, hypercholesterolemia, GERD and some history of congestive heart failure.…
His exposed body such as eyes, ears, anus would be covered in honey to attract the insects. Honey and milk would be force fed to the prisoner causing uncontrollable diarrhoea. The prisoner would be left out in the sun or would be left to float on a stagnant pool of water. The accumulated faeces and the honey smeared on the prisoner’s body would attract worms, wasps and bees.…
Abdominal pain can present as visceral, parietal, or referred. Visceral pain occurs because of the nerves sensation of an organ due to acute stretching of that structure’s wall. The pain is normally described as an ache or a cramp. The pain from solid organs is constant while that of the hollow organs is intermittent ranging from mild ache to severe cramping. Parietal pain, also referred as somatic pain occurs due to irritation of parietal peritoneal wall.…
I assessed the client in the beginning to look for any complications which he had a really high blood pressure. Therefore, I had an order for labetalol which decreases blood pressure, and if I had time to administer it, I would have come back thirty minutes later to reassess his blood…