Hospital-acquired pneumonia

The most widely known model of the development of bronchiecta¬sis is Cole's ‘vicious cycle hypothesis’.15b According to this hypothesis an environmental insult, often against a background of genetic susceptibility, impairs mucociliary clearance, resulting in persistence of microorganisms in the bronchial tree and microbial colonization.The microbial infection causes chronic inflammation, resulting in tissue damage and impaired mucociliary motility. This then leads to more infection, with a…

This was found to be caused mainly due to lack of an institutional oral care guidelines followed at this hospital. Hiroko and Blegen, 2015 carried out a research on how institutional guidelines for oral care and improvement of nursing perception on following the proper protocol helps in diminishing VAP infections. This research was a cross-sectional carried out within 8 hospitals with ICU in 2009. This was a quantitative study giving evidence that proper oral hygiene care with set guidelines…

consequence of his COPD? R.S., the patient, has many diagnoses, findings like his history of coronary artery disease, peripheral arterial vascular disease, irregular ABG, chronic bronchitis- COPD, and of course that leads to the possible diagnosis of pneumonia. Therefore, this leads to a very long list of signs and symptoms. The signs and symptoms of COPD type B, which is classified as a “blue bloater” (Copstead, & Banasik, 2010, pg. 483), is very expansive. Since R.S. falls under the “blue…

TERMINOLOGY CLINICAL CLARIFICATION • Acute respiratory distress syndrome {ARDS) is a condition of dysfunctional gas exchange {i.e., pulmonary interstitial and alveolar edema progressing to advanced fibrosis) that is characterized by acute onset, bilateral pulmonary infiltrates, severe hypoxia, the absence of evidence of left atrial hypertension, and a significant risk of mortality.25 DIAGNOSIS CLINICAL PRESENTATION • History o The patient may be in present with complaints of acute dyspnea and…

Cause of pain In the case study, the 40-year-old male patient suffered from retrosternal pain that occurred once he laid down after consuming food. The patients’ retrosternal pain is a result of a spontaneous muscular spasm also known as heartburn. According to the Mayo Clinic, “Heartburn is a burning pain in your chest, just behind your breastbone. The pain is often worse when lying down or bending over.” The heartburn that the patient is experiencing is associated with the regurgitation of…

Background: Francisella tularensis (F.tularensis) is the etiological microorganism for tularemia. There are different forms of tularemia such as respiratory tularemia. Respiratory tularemia is the most severe form of tularemia with a high rate of mortality; if not treated. Therefore, traditional microbiological tools and Polymerase Chain Reaction (PCR) are not useful for a rapid, reliable, accurate, sensitive and specific diagnosis. But, DNA microarray technology does. DNA microarray technology…

The distinction between pimples and zits zits vs pimples Pimples has a tendency to surface while the oil and melanin glands in the pores and skin get clogged. This outcome in a raised pop which produces pus. pimples are generally infectious in nature and generally tend to spread if carelessly popped main to worsened situations. On the other hand, pimples result from the blockage that occurs within the pores and skin pores. Pimples appear as raised pustules or papules and are very painful. Acne…

dental caries and periodontal disease (Haliza, Normastura, Azizah & Muhd Khairi, 2016). The early prevention of plaque to the patient who will undergo surgical intervention may reduce the mortality rate, reduce the complication during surgery, longer hospital stay and increased medical costs to the patient (Ying, Jung, Tsyr & Meei, 2011). According to Ganz et al. (2009) stated that barrier in performing oral care will affect 8-28% of patients undergo surgical…

Mr. ABC came in to the emergency department (ED) with a chief complaint of left sided chest pain with giddiness and associated with diaphoresis the same morning. While in the ED, he developed a sudden episode of shortness of breath. Mr. ABC has nil past medical or surgical history and has an allergy to Enalapril. His parameters taken are as follows: • Blood pressure: 112 /60 mmHg • Pulse rate: 42 beats/min • Temperature: 35.9°C • Spo2: 97% on room air • Respiration rate: 17 breaths/min An…

10/13/2015 @ 1620. KJ; 24 yo; female; Caucasian; nursing student. Vital signs: BP: 120/72 left arm, sitting down; T: 98.7 ̊ - Oral; P: 68 regular radial; R: 16 unlabored; O2 sat: 98 room air; height: 5’ 8”; weight: 160lbs; BMI: 24.3. General Assessment: Well dressed and groomed, no odor; alert and oriented x 4; affect appropriate for the situation, pleasant; no signs of distress. Overall body structure lean, symmetrical and proportional; sitting upright. 6 piercings above her head; no tattoos.…