Dysphagia

Esophageal cancers can be asymptomatic at its early stage and when it starts to show symptoms, the cancer is usually in its advance stage. Commonly, symptoms of esophageal cancers include dysphagia, chest pain, weight loss and hoarseness, etc. (Mayo Clinic Staff, 2014). The size of the tumor usually causes dysphagia because the tumor physically blocks the passage of the esophagus (Huether and McCance, 2012). However, most people who developed Barrett’s esophagus are suggested to be monitor…

It is more common in women than in men, highly unpredictable, and often debilitating. Some symptoms, although they vary from one individual to the next and in severity, may include optic neuritis, dysarthria, and dysphagia. While a patient can identify and express their struggles with this disease, they cannot speak for the impact it has on their children. Behaviors and Emotions Children cannot always express their emotions in a healthy way. They may be uncomfortable…

Theory of nursing is not the first concept people typically consider when thinking of the profession of nursing, but theory provides the basis of nursing in many different avenues. Theory provides an arrangement of information and data collection in order to utilize that information to define, clarify and predict nursing practice (McEwen & Wills, 2014). Nursing theories can be categorized in several ways; one mode of classification is by scope of practice (McEwen & Wills, 2014). The four…

The morning medication pass is when one of the med nurses at Mountainside Residential Care goes from room to room providing each patient with their medications. A computer is attached to the medication cart that provides a certain program that indicates the specific medications each patient receives. Each drawer of the cart is sectioned off for different patients containing various medication boxes that is specific to each patient. Everything within the cart contains a label that includes the…

Selected Nursing diagnosis: Impaired Swallowing The nursing diagnosis of impaired swallowing is appropriate for a patient with both myasthenia gravis (MG) and Guillain-Barre syndrome (GBS). Myasthenia gravis is an acquired autoimmune disease (Moore & Shepard, 2014, p. 21). The autoantibody attack, which takes place on the acetylcholine (ACh) receptors of nerve impulses, causing weakness of the voluntary skeletal muscles (Moore & Shepard, 2014, p. 21). Myasthenia Gravis affects approximately…

The first thing you see in a patient is their head, which include the face and the neck. When communicating with the patient, we observe their hair, eyes, nose, mouth, and neck. We observe the symmetry of the face. Working in a nursing home, where my residents have dementia and other co-morbidities such as hypertension, the face of the residents are the ones that tell you what is going one with them. I have included in my assessments for the head and face, including the eyes, nose, and mouth in…

Clinical Feature Polymyositis is one of a cluster of muscle diseases recognized as the inflammatory myopathies, which are categorized by chronic muscle inflammation convoyed by muscle weakness. Polymyositis is defined as is an uncommon connective tissue ailment. It is a kind of inflammatory myopathy, which is categorized by muscle swelling and weakness. The most obvious characteristic of polymyositis is feebleness of the skeletal muscles, which control movement. Causes To date, no reason of…

c Decreased exercise tolerance may be reported upon questioning - Gastrointestinal c Heartburn, dysphagia, Feeling of abdominal…

PERSONAL STATEMENT The night was unusually silent when the phone began to ring. The RN answered the call and came running to me saying that there was a horrific road traffic accident 20 miles away from my hospital and around 30 patients was being shifted to the hospital. I looked at my watch and noticed that it was 2:00AM. The ambulance arrived at the front door of the ER and seriously injured patients were shifted to the emergency room. The number of patients that needed urgent attention was…

The GERD-HRQL is a nine-item, Likert-type questionnaire that measures the severity of heartburn, heartburn lying down, heartburn standing up, heartburn after meals, change of diet, nocturnal heartburn, dysphagia, odynophagia, and effects of medications (Table I). The GERD- HRQL score is derived from simply adding the scores from each of the nine items. The best possible score is zero (i.e, asymptomatic in each item) and the worst possible score is 45 (incapacitated in each item).1 3.0…