Orthostatic hypotension

• Having vision problems. • Having altered mental status. • Having trouble with balance. • Needing to use the toilet frequently. • Having fallen in the past three months. • Having low blood pressure when standing up quickly (orthostatic hypotension). WHAT DOES THE HOSPITAL STAFF DO TO HELP PREVENT ME OR MY LOVED ONE FROM FALLING? Hospitals have systems in place to prevent falls and accidents. Talk to the hospital staff about: • Doing an assessment to discuss fall risks and…

Since the Wellbutrin XL had intolerable side effects for J.D. she was switched to 30 milligrams of Cymbalta (duloxetine hydrochloride) delayed release, an atypical antidepressant, once a day. This dosage is within normal prescribing range (Preston et al, 2013). Duloxetine hydrochloride has the added benefit of being prescribed for pain as well as GAD (Brown University, 2014), which was important since J.D. suffers significant pain due to the degenerative disc disease in her back and anxiety…

environmental factors are linked to the impaired balance (Terroso et al. 2014). Unwell supported ambulatory aid could lead to unsteady gait and impaired balance. Alternatively, as Mrs. Checkett’s blood pressure is relatively low, for instance, orthostatic hypotension may result in dizziness (Berman, Kozier, & Erb 2015), which might consequently cause fall. Match and…

FIM (Functional Independence Measurement Score): The Functional Independence Measure (FIM) scale assesses physical and cognitive disability. This scale focuses on the burden of care – that is, the level of disability indicating the burden of caring for the patients. Items are scored on the level of assistance required for an individual to perform activities of daily living. The scale includes 18 items, of which 13 items are for physical assessment and 5 items are for cognition. Each item is…

Patient R.S. is a 65-year-old African American male diagnosed with stage 1 hypertension. He complains of headache, nocturia, and an 8-pound weight gain over the past year. His past surgical history consists of an appendectomy. He has peptic ulcer disease and type II diabetes. His father had hypertension and died at age 55 of myocardial infarction, and his mother had diabetes mellitus and hypertension and died of CVA at age 55. R.S. is 5’9” and weighs 237.6 pounds. Specific goals for…

4. What medication would you suggest including dosing, medication education and counseling would you provide? (25pts) My prescription for Mr. RS would be Alprazolam 0.5 mg three times daily along with Zoloft 25mg daily. Titration on Zoloft to be increased to 50mg by the end of the first week and further increased to 100mg after another week. Starting at week 4, Alprazolam could be gradually tapered off and discontinued over the next 2 weeks. Meanwhile, referral is made by clinicians for the…

Clinical Decision Making Pathophysiology: Cerebrovascular Accident (CVA) A cerebral vascular accident (CVA) is defined as “a sudden loss of brain functioning from a disruption of blood supply to a part of the brain causing temporary or permanent loss of movement, thought, memory, speech, or sensation”(Belleza, 2016, p. 1). CVA is categorized as ischemic or hemorrhagic. Hypertension accounts for the majority of ischemic CVAs or strokes. According to the American Heart Association, ischemic…

Complications from postpartum hemorrhage include orthostatic hypotension, anemia, and fatigue, which can make maternal care of the infant very difficult. A nurse must carefully assess patient for signs and symptoms of anxiety associated with being a mother, interruption of the mother-infant bonding process, and…

Theoretical Framework The theoretical frameworks used in this project are composed of the concept of patient engagement and the levels of prevention model. When patients have knowledge, skills, and willingness, they are more likely to engage and involve in their own health care. Patient engagement occurs when patients actively participate in the patient-centered interventions; it requires a collaboration between patients and healthcare providers (Tzeng, Yin, & Fitzgerald, 2015). Patient…

Summary of Nursing care of patients with Parkinson 's disease--a rehabilitative view In order to help patients that present with Parkinson’s disease, a better understanding of what the disease can do to the body and mind is highly beneficial. The article written by by M. Coumarassamy and B. Saravanan titled “Nursing care of patients with Parkinson 's disease--a rehabilitative view”, did just such a thing for its reader. This article came from the Nursing Journal of India, Volume 93, Issue 11,…