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Diabetes mellitus physiology
Diabetes mellitus physiology
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This patient is very friendly and sociable. He was able to answer my questions without hesitation. He comes for weekly treatment of IVIG. He stated that he accepted his disease/illness and will do his best to live normal like everybody else. He stated his family especially his mother has always been there for him and see his mom sometimes tired. I was able to perform my head to toe assessment without any
The patient is a 45 year old male who was in a car accident that
This week’s course work was and excellent review of the material that I have learned previously. I definitely like our textbook; however, it gets a little heavy to hold after a while.
Client is a 78-year-old Haitian Creole-speaking male with a history of diabetes, edema, hypertension and seizures. Client was treated for respiratory failure at an inpatient hospital facility. Client was transferred from the inpatient hospital facility to Miami Jewish Health Systems for inpatient short-term care rehabilitation. Client appears average height, slender and weighs approximately 178 lbs. Client has a clean-shaven head, facial stubble, and appears to be stated age. Client is dressed in a hospital gown, with normal grooming and hygiene. Client appears relaxed
The patient is a carpenter by trade with a high school education and lives with his wife who is disabled due to complications from T2DM. He and his wife live in an unsafe neighborhood where they share a one-bedroom apartment. His employment provides their only source of income and he experiences high levels of stress and anxiety as being sick jeopardizes his ability to make a living and care for his wife. He has poor exercise and dietary habits. His meals consist mainly of fast food for lunch and a large meal at the end of the work day, primarily meat and pasta.
In addition, the patient may seem to understand the information or directions about treatment. However, he or she may feel uncomfortable saying "no" to the doctor for the reason that they may see it as being disrespectful. Communication is very vital, it is important to make sure the patient understands by asking open-ended questions or asking them to repeat in order to verify what they understood.
The lack of communication between patient and physician is a difficulty that this group experiences. The patient may be in denial, angry, and or frustrated and may not be able to communicate their feelings to the physician. It is important that the physician and team be aware of the body language. The physician needs to take the time to listen, and ask open-ended questions so the patient can reveal what is going on with them. Being supportive, sensitive, and nice will go a long way with this
A patient has the right to be given information regarding their diagnosis, treatment, prognosis, and services that are available.
Ordered reviewed and interpreted laboratory data and other diagnostic studies to assess the patient's clinical problems and health care needs.
His story of how they thought he had a heart problem, but it really was just a communication problem is baffling, however, it is not uncommon. “About 80% of all serious medical errors involve miscommunication during care transitions (to different care settings)” (Govette, 2016). Health care facilities always talk about how working as a team and communication is important to the facilities success, but it is often overlooked. I believe the reason for this, is that most facilities use text as a way to communicate and often don’t use any other methods. However, the miscommunication problem could be solved if they met with other health care professionals, or even talked to them over the phone to discuss the problems with a particular patient. Even just double checking with someone to make sure they read the patients file would help the situation
When I went to the hospital the coordinator told me to go to the GIT department, I have been interviewing Mr. Abdulmohsen. He is Saudi, sixty-five years old male, married retired who has a history of irritable bowel syndrome.
the patient's life and feelings to get an understanding of what the patient goes through on
The shadow health assessment was thorough and precise. Completing the final head to toe required a lot of work. I was not expecting it to be so difficult, considering head to toe assessment is my daily routine at work. The content that I learned from the textbook and shadow health assessment helped me complete the final head to toe assessment. However, I noticed that completing head to toe assessment gets easier on most of the patients, once you get comfortable on the systemic approach. The physical assessment and communication skills that I learned from the class made my assessment less difficult. I find the documentation part of the final head to toe assessment challenging. I think that is due to our electronic charting software (EPIC) at
Well-groomed, dress appropriately. BP 108/60; pulse 70; respirations 24; temperature 96.2 ̊. A&O * 1; resident was asleep; earlier resident was able to follow demands, state name, but was limited verbally. Resident affect was pleasant. Integumentary assessment: no new lesions; skin smooth and cool to touch. Respiratory assessment: skin light beige with yellowish undertone; red conjunctiva and eyes watery; pink lips; pink mucous membrane; no clubbing; nails dirty with yellowish/pink undertone; AP: lat ratio 1:2. Anterior symmetrical expansions; short breaths; no tenderness; no masses; wheezing lung sounds. Posterior symmetrical expansions; no tenderness; no masses; tactile fremitus present and equal Bil. Vibration diminishes ½ way down; no CVA tenderness; resident unable to lift clavicle up all the way…; no egophony. T. Zakrajsek, SN,
Mr. GB is a 78 year old white male admitted to Bay Pines VAMC on 6/18/96. for " atypical chest pain and hemoptysis". V/S BP 114/51, P 84, R 24, T 97.4. He seems alert and oriented x 3 and cheerful. Bowel sounds present x 4. Pt. has a red area on his coccyx. Silvadene treatments have been started. Pt. Has a fungal lung infection with a pleural suction drainage tube inserted in his chest . Pt is extremely thin with poor skin turgor with a diagnosis of cachexia ( wasting) secondary to malnutrition and infection. Patient is no known allergies to drugs but is allergic to aerosol sprays disinfectants and dust.. Advanced directives on chart. Code status DNR. Primary physician Dr. R, Thoracic surgeon Dr. L. Psychology Dr.W. There is PT, OT Dietary and Infectious Disease consults when necessary. He lives with his wife who he has been married to for 56 years. His son and his daughter come to visit him. He does not smoke. He wears dentures but did not bring them. He dose not use a hearing aid but he does have a hearing deficit.
Over the course of this class I have pieced together many things about my own life that before went unnoticed. I am now able to see things in a bit of a different light. Now that I have been introduced to the realm of psychology I understand some of the reasons for behavior around me. I have learned that there is a reason for most everything and a lot of our behaviors and mental processes can be explained through psychology. Studies have been conducted for many years to try and pinpoint the source of our behavior and it is not something that most people think about every day. Having a better understanding of why we operate the way we do will help me to better understand myself and the others around me.