Endoscopic retrograde cholangiopancreatography

and each one of the students had one patient. One of them was in her group but that student went to an infusion sweet for the day. When coming back she mentioned that she got to do one IV, but the instructor had to finish putting it in for her. I have four students who take two patients each. Anne gave the average of one or two medications per patient. Due to being there so early at the University my students give at least twenty medications a day. I have my students for eight weeks/ two days a week. My students all got to do lab draws a couple times, and each one got to put in a successful IV. My students also went with their patients on several different procedures. Three of my four patients got to see an Endoscopic Retrograde Cholangiopancreatography (ERCP) being done. Each student saw an ultrasound and a paracentesis. Another thing that I was thinking while I was there was each one of my students have taken at least one patient with severe mental health problems and morbid obesity. The acuity is so different at the University of Iowa Hospital and Clinics. I felt like the atmosphere at each hospital was very different. When I teach clinicals at the UIHC I am giving medications on up to eight patients at a time. The mornings fly by so fast, I do not have time to go to the bathroom. I pass medications (with different students) from 0730 to 0930. My day is so busy I like to strategically put two students into a pod so I am not running to three different pods…

“When it seems like the night will last forever, and there’s nothing left to do but count the years…” (Garcia). The Grateful Dead, in their song “Black Muddy River,” unwittingly describe the life of the person afflicted with amnesia. The difference between the amnesia laden life and “Black Muddy River” is that amnesiacs do not know they have missed years to count. Amnesia, a memory disorder that prevents the encoding or retrieval of new (anterograde amnesia) or old memories (retrograde…

There are four different types of amnesia, Anterograde amnesia which is when you can’t form new memories due to head trauma, Retrograde amnesia which is a loss of pre-existing memories, Lacunar amnesia which is a loss of memory of a specific event, and Childhood amnesia which is a common inability to remember events from childhood. In the film Memento, we meet Leonard Shelby or Lenny, who has an exaggerated form of anterograde amnesia. Lenny is on a mission to kill John G. because he believes…

Genre Analysis: Three Different Voices of Retrograde Amnesia The main purpose of writing in psychology is to share existent or new knowledge in the field with a wider audience. Since many psychology-related research are conducted within institutionalized laboratories, only a selective group of people, such as researchers, research assistants, and research review board members know about the conducted research’s progress. Therefore, scientists, who obtain respectable degrees, usually write…

All the general documents outlined activities and processes relating to the tube placement phase with 69.23% identifying that children would need to have an assessment by a medical officer and/or dietitian prior to tube insertion. Mode of delivery of enteral feeding and route selection information was outlined in 61.54% of the documents. Tube selection procedures (including sizing) was mentioned in 76.92% of the documents and insertion procedures and how to check positioning was outlined in…

Artificial nutrition and hydration should not be used for end of life patients because intravenous hydration can have a negative impact on the quality of their life. According to RJ Ackermann, M.D (Medical Doctor), “There is always a risk when someone is fed through a tube. Liquid might enter the lungs. This can cause coughing and pneumonia… They can become plugged up, causing pain, nausea and vomiting” (Artificial Hydration and Nutrition par. 19). This quote shows that it is risky to use a…

The goals of a dietitian must be measurable, realistic and a reachable outcome of favor elongating and improving quality of life. Geriatric patients with advanced dementia are the highest at risk population for getting a percutaneous endoscopic gastrostomy tube (PEG) placed in order to receive tube feeding. AND’s position does not support the use of PEG tubes for this population. Research evidence denies the benefits of prolonging life, prevent aspiration pneumonia, improve function and reducing…

Background and introduction Daniel Jackson was admitted into hospital for a right sided cerebrovascular accident. The impact of this has caused Mr Jackson to develop expressive dysphasia/aphasia, where he is able to understand what is being communicated to him but unable to respond verbally or in writing (Labreche et al. 2016). Mr Jackson is to be discharged to his mother’s house with a package of supportive care since she refused to have him at home unless he has a Percutaneous endoscopic…

Common bile duct stones are concomitant with gallstones in 10-15% of the patients, with the percentage of association between 8% and 15% in patients under the age of 60 and between 15% and 60% in patients over the age of 601. A standard treatment for concomitant common bile duct (CBD) and gallstones remains controversial and there is no consensus on the optimal management strategy, which could be due to multiple factors, including the level of suspicion for choledocholithiasis, preferences…

There are several surgical procedures done today to help improve the lives of people. One of those surgical procedures is a cholangiography. The cholangiography procedure was first performed in 1932, with the intention to demonstrate the biliary duct system, drainage into the duodenum, and any remaining stones in the biliary ducts (Bontrager & Lampignano, 2014). There are different types of cholangiography's including percutaneous transhepatic cholangiography (PTC), intraoperative…