S- Valley Baptist responded to a call of motor vehicle accident. The 24 year old male that had injuries on his body. The paramedic greeted us to the patient while they escorted him to the room. O- The nurses and I DCAP-TLS and expose him with sheers as i did my patient assessment.…
S The patient is a 19-year-old gentleman who tells me he has been having a sore throat and congestion for the past two weeks. He was also having a cough that would wake him at night. He states the cough now is better but he continues with copious rhinorrhea and postnasal drip.…
PT 826 Reading Assignment The information given in the article by Lau, Chiu, & Lam (2010) about using thoracic manipulation for the treatment of neck pain was very new to me. There were several instances in the past where I treated patients with neck pain by giving mobilizations techniques and modalities in and around cervical area. This article was a convincing one which helped me to understand the concept of biomechanical and etiological relationship between cervical and thoracic structures and how this knowledge can be capitalized by effectively using thoracic mobilization in patients suffering from chronic mechanical neck pain.…
Q1. What clinical findings are likely in R.S. as a consequence of his COPD? Ans. The clinical findings are likely in R.S. as consequences of his COPD are SOB, history of smoking, thick sputum and sputum may be purulent, productive cough, wheezing, rhonchi and decreased breath sounds, dyspnea, chills, muscle aches, fatigue may be evident during meals, when walking and even after rest.…
On exam, there was perhaps more air excursion. Still no wheezing or rhonchorous breath sounds, and otherwise normal. A/P Dorothy Hoffman is 57-year-old female here today with a persistent cough and chest tightness. I did discuss with her at this point, that I do not feel antibiotics are necessary. She was in agreement of that, but we did talk about what to be monitoring for.…
Janice has returned six weeks since the last appointment. Overall Janice is feeling better with minimal cough present. She does report some nocturnal wheeze and chest tightness and does at time note a slight constricted feeling in the throat. As you would be aware, a recent RAST assay has demonstrated sensitisation to a number of allergens but in particular dust mite. A couple of weeks ago Janice put in place some dust mite minimisation strategies including vigorous cleaning of her carpet and changing her doona and pillow cases and has noted an improvement is symptoms since.…
The care of the patient is essential. When patients are experiencing cough, they should inform their providers about every symptom and give significant details…
On 10/31/2016, the claimant complained of neck and upper back discomfort. She also presented with a low back pain. According to the provider, to restore a normal function and increased the range of motion, continued exercise was suggested. On 11/14/2016, the claimant presented with a low back pain and neck soreness.…
Response # 2 Hello Tracie Eilerman, Great post on x-ray # 1. This is actually a difficult one especially for someone with limited knowledge. I concur with you that it is essential for the advanced nurse practitioner to be skillful to discern amongst normal and aberration chest image. While the x-ray # 1 depicted aberration, understanding the patient’s symptomatic physiology in vital to aid necessary clue for prompt medical intervention.…
Summary of Clinical History: A 56 year-old obese male, living alone in Chicago, was found dead in his home. Patient presented with high blood pressure, high cholesterol, and gout. Feet were swollen and necrotic along with poor vision. High levels of ketones were found in the urine and toxicology reports came back with metformin, glyburide, and novolin-N in the system Description of Gross Lesions: External Examination: Respiratory System: I examined the trachea and saw it in good shape and health.…
We didn’t know what to do. This is the 3rd time he’s come in complaining about this cough. So we decided to do more tests. We got Mr. Kruse checked in and we took him to the X-ray lab.…
I am writing to complain about inappropriate behavior and lack of proper care for my mother, Reatha Davis during a prior lung biopsy procedure performed on February 28, 2018 (her birthday) by Dr. Amir Kashefi (Taghipour), diagnostic radiologist and a practicing nurse by the name of Donna Patak-Robbins. The doctor was scheduled to perform CT-Guided Biopsy (needle point). Prior to the day of the procedure, my mother had just completed high doses of CHEMO and radiation treatments. Life for my mother will never be the same. Terrible things happen and sometimes one just moves on, however, this case will not rest until patient care and treatment improves, the involved health professionals are properly trained on how administer general sedation, improved surgery/procedure protocols are better implemented.…
In todays medical field, pulmonary rehabilitation is a critical coponet to help assist people with chronic lung diease. A pulmonary rehab is a program designed to help people with chronic lung diseases to cope with everyday living. The program tailors exercise nutritional needs along with education to help the patient improve his or her quality of life and abililty to function. In addition to making sure, the patient receives the right medication and right dose.…
Respiratory therapists evaluate and treat patients hurt from breathing or cardiorespiratory infection. They may help, premature infants, lung cancer patients and victims of a heart attack or stroke. Respiratory therapists operate many diagnostic and scientific procedures, such as performing chest physiotherapy, monitoring cardiorespiratory systems and evaluating lung capacity. They may evaluate patients of all ages and work with other medical professionals, including nurses and physicians.…
I cared for the patient who suffered blunt chest trauma and who was in respiratory distress. My patient was middle aged male who fell off his motorcycle and, as a result of the fall, obtained multiple rib fractures and pneumothorax. CT scan and chest X-ray indicated that he also had bilateral lung atelectasis at the bases. The breathing pattern was irregular, characterized by shallow, rapid respirations at the rate of 30-40 breaths/minute.…