Case Study Cailtin Leggro is a 27 year-old female who presented to the outpatient oncology clinic at Mount Carmen Hospital for treatment. She is being treated for anal cancer with IV chemotherapy. Her diagnosis of anal cancer is new, and this is her first scheduled treatment. She is currently enrolled in nursing school to become a nurse and works as a patient care assistant at a local hospital. One of the outpatient oncology nurses, Zack Snider, was assigned to be Caitlin’s nurse for the day.…
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.…
CC Mrs. Amazeen is an 86-year-old female here today for a followup. She would like to talk about her visit with Roger Epstein, MD, regarding her abnormal findings on CT of her liver. HPI The patient tells me that she was not exactly happy with her visit with Dr. Epstein.…
Kathleen Evans is a mother of five she is married to Barry and they are a grandmother and grandfather of twenty including two great grandchildren. Kathleen comes from a small town Windale in Lake Macquarie. In the 1990’s she was diagnosed with a carcinoma in her right lung. When her x-rays and scans had been taken her GP sent her to a heart, lung surgeon.…
This client, Ms. V, is a twenty nine year old, African-American female, single mother. Client is also the head of her household. Client was referred to a drug treatment program by a health assessor from Social Services for an assessment. The reason for the assessment is to determine if she needs to attend a substance abuse outpatient treatment program. Based on the DSM IV, Ms. V suffers from Cannibal Abuse Disorder 305.20.…
He reports yesterday the patient stole a laptop and mountain bike from his parents and sole them for drugs. The brother states," my brother lie and is more worried about drugs, I don't want him to go back to my parents home because he might take something else." The brother reports the patient has been having conflict with their mother for the past few…
Jimmy is an 8 year old boy who came in the office with his father (Warren) and stepmother (Cara). They are the custodial parents of Jimmy and stepsister (Sammi). Jimmy was referred to this facility (mental health center) by his pediatrician. The pediatrician diagnosed Jimmy with Attention Deficit Disorder and prescribed medication to treatment this behavior disorder. Due to reason of concern over Jimmy’s risky behavior and the medication taken, Jimmy’s parents suspect the medication is exacerbating Jimmy’s behavior.…
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.…
Clinical Nurse Leader Introduction and Background The CNL is a master’s prepared registered nurse trained as a generalist who will provide clinical leadership in the emergency department (ED) at the point of care (Reid & Dennison, 2011). In conjunction with the unit manager and educator, the CNL will contribute leadership and knowledge at the microsystem (unit) level (Perry, 2011). The CNL will improve patient quality and safety outcomes via addressing organizational needs and assisting in the redesign of care delivery in the ED. In addition, the CNL, as a conduit between leadership, clinical staff, and providers, will improve staff and provider relationships.…
Within the situation category the nurse will include the patient name, age and sex, as well as the chief complaint, date of onset, and pertinent diagnosis. Recent diagnostics and labs will be included in this section as well. The background section will include any significant history, which may include allergies, medication, treatments, or recent hospitalizations. The assessment category will include current signs and symptoms, and physical assessment data that is pertinent to the problem in concise statements. If the patient is experiencing pain, the nurse will complete a pain assessment, including the last time pain interventions were utilized.…
This is a 57-year-old female with a 4/26/1995 date of injury. She was assisting a coworker to transfer a resident to a shower chair and the resident began to fall. DIAGNOSIS: Left above the knee amputation Pain joint knee Flexion contracture right knee Degenerative osteoarthritis right knee 01/28/16 DWC Form RFA for Opana IR, Lyrica, Cymbalta, and metaxalone 01/13/16 Progress Report by Dr. Minn documented a follow-up visit. The patient is doing about the same. She is resting and getting NGT feeding.…
At St. Luke’s Nursing Center, in Carthage, Missouri; safety is paramount and is taught through oral communication and the Disaster Manual. The oral communication is carried out on a daily basis in regard to safety of the resident’s general living environment. There is always a focus on the safety of the residents pertaining to their health, dietary needs, and transfer assistance for low or non-ambulatory residents. For this type of safety, there is a large amount of oral communication between staff throughout the day.…
The diabetes education is a multifaceted process and must address a variety of health principles related to prevention, maintenance, and treatment of this prevalent disease. Therefore, the diabetes educator must have well developed critical thinking skills accompanied by knowledge to promote and guide patients in self-management. For this reason, one should pose the question: Does the education focused on diabetes management makes a difference? Does it improve patients' glycemic control ultimately preventing many microvascular and macrovascular complications?…
Describe how you would choose clinical sites to complement the syllabus that you developed for Week 5? Include both a simulation and off-campus experience. Health promotion in nursing clinical experiences could be attained in a verity of settings. In order to choose a clinical site(s) that complement the course. I would use the service learning model (Mueller,2016).…
Progress (Midterm & Final)How am I doing? Midterm: - I used a determinant of health (DoH) framework to assess patient’s health. (eg. Engaging my patient in discussion about stressors and practicing writing out a genogram).…