When assessing for IV site, you also need to consider the indication for the IV. a. Will they be having a CT angio with contrast? Place in antecubital.…
Innocents die daily as a product of poverty, violence and religious wars. Are the actions of murderers and criminals the outcome of their environment, part of their destiny or free will? The novella written by Camilo Jose Cela entitled The Family of Pascual Duarte ,originally published in Spanish, reflects on the issues in society that shape the mind of the individual. The book depicts the life of the lower class people living in poverty and violence.…
Physiology What conditions contribute to turbulent blood flow or heart murmurs. Turbulent blood flow occurs as blood moves through narrowed or leaking valves producing a swooshing sound over the precordium and a high heart rate combine with narrowing, causing the heart to handle a larger amount of blood flow than normal; the basis is increased blood velocity, structural valve malfunction, or atypical chambers. Some pathological causes of heart murmurs are anemia, high blood pressure, overactive thyroid, pregnancy, and fever are forerunners to producing a number of heart defects. One must understand the location of the point of origin, type and severity, and the different methods of assessing turbulent blood flow to understand the physiology…
What are the patients problems? Dr. Alley is currently suffering from Hypertension (HBP) which is when the pressure of blood is stained against the arterial walls. Due to the fact that Dr. Alley has stopped taking his medication, this has caused long-term affliction to his heart. The doctor has also been experiencing dyspnea (difficulty breathing ). This can be a warning of a condition to his heart or lungs.…
Study #8 APA Citation Thomson, A., Morgan, S., Henderson, K., Tapley, A., Spike, N., Scott, J., . . . Magin, P. (2014). Testing and screening for chlamydia in general practice: A cross-sectional analysis. Australian & New Zealand Journal of Public Health, 38(6), 542-547. doi:10.1111/1753-6405.12261 Study Type (specific type e.g., cohort, RCT, specific qualitative study, and etc.).…
Extra if needed Diagnosis of PAI initially involves blood assay for elevated ACTH and plasma renin activity (PRA) with decreased serum cortisol and aldosterone, DHEAS [1, 2]. Exclusion of other autoimmune conditions and imaging of the adrenal glands completes diagnostic testing and results [3]. Diagnostic Testing and Results Optimal levels of serum cortisol and plasma ACTH are simultaneously measured early morning between 8-9am, in healthy individuals the serum cortisol levels can range between 275-555 nmol/L. In individuals with PAI serum cortisol concentrations can be as low as <5 nmol/l would also connote a diagnosis of PAI [3,4].…
Overview Venous thromboembolism (VTE) is the collective term used to describe deep vein thrombosis (DVT) and pulmonary embolism (PE). What is DVT? DVT is a clot formation within the deep vasculature in the legs. What is PE?…
The Reduction and Prevention of Catheter Acquired Urinary Tract Infections (CAUTI) CAUTI or catheter acquired urinary tract infections place an especially heavy burden on today’s health care system. CAUTI increase patient complications and extend admission time while reducing the health care institutions income because the care provided for CAUTI is no longer reimbursable. This means that the health care institution owns that CAUTI and all of its associated cost to care for it. This paper will compare intermittent catheterization with indwelling Foley use and explore evidence based practice criteria for catheter use. Literature Review…
Article Review Clostridium difficile is a bacterial organism that can be found in a small percentage of individuals alongside the natural flora of the digestive system; it produces spores, which can live for long periods of time outside of the body and due to their nature are excreted within fecal matter (Kenneley, 2013, pp. 63). According to Irena Kenneley in the article "Clostridium difficile infection is on the rise", C. difficile is increasing in frequency among individual populations which were previously considered to be low risk for contracting this infection. It is also believed that the current strain of C. difficile is far more deadly and resistant to many antibiotics that are usually used in the treatment of the infection. In…
Inter-professional Primary Health Care Teams Team-based models of primary health care have been created to benefit the health care system, health care providers, and patients. Discuss your experiences with an inter-professional health care team, including the following aspects: Beginning in 2004 I have worked primarily with diabetic patients within an outpatient health care system. However, the diabetes care and education provided did not occur in a vacuum, diabetes lends itself to numerous comorbidities that require coordination of care beyond that which is provided by one single provider. Who leads the team?…
Healthy People 2020 is the national government’s way of setting goals for communities of all of the states to get healthy. “Healthy People 2020 serves as the basis for the development of state and community plans to improve the health of their populations” (Harkness, 2015, p.116). Healthy People 2020 has a group of high risk health issues that they have placed as Leading Health Indicators. These Health Indicators are the states way of engaging the state’s population to become healthier. The progress is tracked over 42 public health topic areas, with 26 of the Leading Health Indicators placed into 12 topics.…
As intravenous access (IV) in the emergency department (ED) is pertinent to acute care, applied research would be most conducive in order to be able to improve and modify nursing practice in such occurrences. Establishing IV access is one of the most frequent procedures in the ED, and unfortunately, plays a key role in critical care treatment. According to the Emergency Nurses Association (ENA) multiple studies have been done looking at how trained the IV access user is and the techniques, and alternatives to invasive access such as ultrasound-guided access. According to Girard and Schectman (2005), there are many studies on improving intravenous access, that state that real-time ultrasound IV guidance has been shown to reduce complications…
Medical error and misdiagnosis found to be the third leading cause of death in the U.S., behind Heart Disease and Cancer. If medical error and misdiagnosis are third in one of the most medically developed countries, what is happening in the rest of the world? Poor Reporting of Medical Error Recent research published this month in BMJ uncovered startling facts about medical error and misdiagnosis statistics.…
“Prevention is better than cure,” stands good for the current issue-“An attempt to cut back the Pulmonary Embolism (PE) related death rate,” if everyone can follow the simple preventive measures and get diagnosed on time. The truth is, anyone can suffer a PE or deep vein thrombosis (DVT), which is the most common trigger for PE. The recent striking rise in cases of PE has provoked me to focus on this and thus alert every person possible to follow every possible preventive measure to avoid /delay becoming a victim of PE.…
INTRODUCTION This assignment is a continuity of my Assignment 1 in Module Clinical Practice 1. I have chosen 3 topics on my teaching session for my reflection; Arterial Blood Gases Interpretation, Electro Cardio Gram Interpretation and Ventilator Care Bundle. REFLECTION 1: Arterial Blood Gases Interpretation (496 words) Description: I have done on my teaching session with the topic Arterial Blood Gases Interpretation on 15th June 2016, I have been assessed by my senior colleague to evaluate on my overall presentation according to the evaluation of teaching checklist.…