She had not repeated the 2D echocardiogram as recommended previously. She reported getting fatigued easily and feel dyspneic with low amounts of exertional efforts. The physical examination was unremarkable. It was noted that the claimant had no signs of heart failure at this time of visit. She has had palpitations in the past and event monitors had shown sinus tachycardia which was likely related to her anxiety, chronic pain syndrome, and fibromyalgia.…
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.…
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,…
The patient has complaints of pain in his right knee, becoming sharp and shooting. He has clicking and locking in his right knee. He has episodes of swelling in the knee. His knee has given out, causing him to lose his balance. He has difficulty standing and walking for a prolonged period of time.…
He is not taking any medication and currently practicing conservative management due to financial problems. The patient is not working. He is an immigrant and married to the locals The patient is alert, conscious and tacypnic. He…
Program Evaluation of Substance Abuse Treatment Center Description of Ambrosia Treatment Center’s Program: Ambrosia Treatment Center’s mission statements is “We strive to offer progressive treatment modalities to help the sick and suffering addict and alcoholic start their journey of recovery in a respectful, nurturing and comfortable way”. Ambrosia treatment centers offer this as personal goals for all their clients – “While building a supportive environment to ensure sobriety is the top priority, life continues after treatment. Now that addiction no longer rules their lives, clients are encouraged to plan for their future. This can include continuing education, finding employment, managing finances and repairing family relationships”.…
Section 1: Tests used to identify unknown pathogen Mario F. Pedero a 30-year-old male visited his physician complaining of painful bumps and soars on his leg. The patient was diagnosed with HIV + 5 years ago. Due to his diagnosis, cutaneous disorders may manifest from the condition itself, or it can lead to opportunistic infections or infections that are more extensive than normal. The patient was sent to the emergency room were the physical examination revealed skin redness, papule lesions, and central ulcerations present on his left leg.…
A review of his medical record indicates a medical history of peripheral edema, chronic pain Seizures, Hypotension, Prostate cancer, bladder removal, sleep apnea, NIDDM, gout, kidney stones, neuropathy, pulmonary embolus-has filter, DVTin right leg, chronic edema in right leg and chronic pain syndrome. At today’s visit he is accompanied by his wife. He is homebound due to his immobility. His wife reports that his immobility started 8 years ago.…
Confusion, 6. Weak pulse, 7. Excessive fatigue, 8. Unconsciousness Diagnosis:…
Elder Mistreatment Case Study This case study was concerning the health and safety of Mr. Edward McKay in his home. Mr. McKay is an 82 year old gentleman who after suffering two cerebral vascular accidents has been left with left sided hemiplegia and is unable to speak. He is bedridden with bilateral lower extremity contractures, incontinent, dysphasic and dysphagic. Mr. McKay’s physical condition alone would require total care on a 24 hour basis to assist with feeding, changing and turning him. He lives with his only daughter and son in law and has no other people who check on him or assist with care in his family.…
Cushing’s Syndrome Case Study, Manifestations, and Nursing Implications Introduction A 44-year-old male presents with complaints of body malaise and anorexia. He has noticed his attitude going from happy to depressed. He complains of weight gain, bruising easily, and frequent backaches. His arms and legs are thin.…
Patient doesn`t abuse alcohol, but drinks socially, no use of tobacco or smokes or use of illegal drugs. Review of systems • Vital signs: RR = 20 BP = 138/74 P = 88 % sat = 98% (RA) T = 99.2 (oral) • HEENT: patient hair is normal, pupils are equal, and do respond to light, tympanic membranes are normal pharynx is…
Its chief symptoms are weakness and loss of weight, great thirst and increase in the amount of urine passed. There is sometime voracious appetite but the patient gradually becomes more and more emaciated. Owing to poor vitality of tissues, various skin eruptions like boils and carbuncles appear. There may be itching in the groins and eczema.…
Care Plan Problem: Risk for bleeding r/t postpartum complications. Patient Centered Goal: Patient will not experience any abnormal/excessive bleeding by the end of clinical shift.…
At Special Procedures, I was able to follow three patients. In this paper, I will discuss two of the clients I saw, and I will explain their stories and conditions. This will include knowledge of their current treatment, any medications they are on, and any diagnostic tests that apply to their condition.…