TJ appears to be noncompliant or he may not have had enough education regarding his ulcer during his initial diagnosis. He also did not complete his course of treatment or go to his follow-up appointment. He continued to smoke and drink which can contributes to the bleeding ulcer. Smoking and drinking can be the cause of a bleeding ulcer as well as NSAIDs treatment for his osteoarthritis. TJ’s job as a police officer also can aggravate his condition due to the job-related stress daily. Diagnosis of the ulcerative disease involves radiographic and endoscopic evaluation of the upper GI tract and testing for H. pylori colonization. Even though he takes NSAIDs, it is recommended that he gets tested for H. pylori. Other tests that can be ordered
HPI: MR is a 70 y.o. male patient who presents to ER with constant, dull and RUQ abdominal pain onset yesterday that irradiate to the back of right shoulder. Client also c/o nauseas, vomiting and black stool x2 this morning. He reports that currently resides in an ALF; they called the ambulance after his second episodes of black stool. Pt reports he drank Pepto-Bismol yesterday evening without relief. Pt states that he never experienced similar symptoms in the past. Denies any CP, emesis, hematochezia or any other associated symptoms at this time. Client was found with past history gallbladder problems years ago.
A pressure ulcer is an area of skin with unrelieved pressure resulting in ischemia, cell death, and necrotic tissue. The constant external pressure or rubbing that exceeds the arterial capillary pressure (32mmHg) and impairs local normal blood flow to tissue for an extended period of time, results in pressure ulcer (Smeltzer et. Al., 2013). According to National Pressure Ulcer Advisory Panel, 2014, pressure ulcers are a major burden to the society, as it approaches $11billion annually, with a cost range from $500 to $70,000 per individual pressure ulcer. It is a significant healthcare problem despite considerable investment in education, training, and prevention equipment. This paper includes two different studies to link cause-effect
While in medical Justine was struggle allowing the nursing to check her wound. After getting treatment Justine was able to leave the nurse suite and walking into the 502 hallway. Once she reaches the 502 hallway she sat down on the floor and removed her protective boot and began to removal her wound dressing. Staff attempted to use caring gestures and hurdle help to support Justine and encourage her to use her words so that could understand what’s going on. Justine was able to removal her dressing and staff placed her in a seated restraint from 4:40pm to 4:48pm. Justine was able to recovery and come down to baseline. Staff remains seated next to using caring gestures and encourage Justine to allow the nurse to redress her wound. Nurse Carol
Wounds is a broad term that includes many other types. It is very important to know the proper and scientific method to care for wounds as well as knowing the types of them. Moreover, nurses must familiar with each type of wound, risk factors, prevention, and treatment. However, wounds may have a different range in skin breaks such as trauma, injury, cut, incision, and laceration. Skin prevention is the first step of preventing any break to occur in the skin. The various types of wounds, method of treatment and healing are mainly depending on their conditions. This assignment will include chronic wounds, which are diabetic ulcer, venous ulcer, and pressure ulcers.
A red blood cell count of 3.99, white blood cell count of 22.5, hemoglobin of 10.9, hematocrit of 33.7%, sodium level of 13, potassium level of 3.1, carbon dioxide level of 10, creatinine level of 3.24, glucose level of 200, and a BUN level of 33 were the abnormal labs. After a thorough examination, J.P. was diagnosed with deep vein thrombosis (DVT). “DVT develops most often in the legs but can also occur in the upper arms.” (Ignatavicius & Workman, 2013). Due to the progression and status of J.P.’s current diagnosis, the doctor’s found it necessary to perform an above the knee amputation immediately....
Patients with ulcerative colitis if usually referred to a gastroenterologist. This is a specialist who manages patients with gastrointestinal diseases. The physicians will need to assess the severity of the condition. The questions he or she is likely to ask include how many times are you passing stool? Is the stool bloody? Do you have nonspecific symptoms such as a high temperature, tachycardia and shortness of breath? The patient should be examined and investigated to rule out differential diseases.
Belvoir Media Group (2010) realised an article claiming that although pressure on the skin is the focal cause of decubitus ulcers, other factors frequently fund this problem. These factors include; shearing and friction causing the skin to stretch and blood vessels to curve which results in impair blood circulation, Moisture, circulatory problems, age, and people with poor nutrition. It further claims that ulcers can be categorised in different stages (stage 1; being the initial stage, and stage 4; being the most severe), and treatments for ulcers include distinct dressings to be applied to promote healing. Cooper (2013) likewise clarifies that many different factors contributing to the progress of ulcers in supplement to pressure such as moisture, shear and friction. She additionally goes on to say that hydrocolloid dressings do not relieve pressure, nonetheless do reduce friction and shearing of the wound.
Thomas, D. R. (2001). Issues and dilemmas in the prevention and treatment of pressure ulcers: A
The purpose of this paper is to provide research to support that infection, with urinary catheter use, is an ongoing issue, in many hospitals. Carter et al., 2014 defines a urinary catheter as an indwelling tube that runs through the urethra and into the bladder allowing for the passive drainage of urine from the bladder. A balloon at the inner end of the catheter is inflated with sterile water to hold the catheter in place. Catheterization is a sterile procedure, which if broken, could compromise the patient; however, catheter insertion may not be the only problem contributing to hospital-acquired infections. Studies have shown that indications for catheter use may not be medically necessary, also putting the patient
Peptic ulcer results from erosion within the walls three particular areas of the gastrointestinal tract (GIT); the oesophagus, the stomach or the duodenum. This is due to the excessive production of stomach acid, consisting of hydrochloric acid (HCl) and the enzyme pepsin, required for digestion in the gastrointestinal tract; this can also lead the acid to reach the oesophagus. Under normal circumstances the linings are protected from the irritation of the acidity via the formation of a mucus and bicarbonate barrier. However obstruction of the lining causes inflammation of the mucous membrane and leads to ruptures of the internal tissue.
Central Line Associated Bloodstream Infections (CLABSI) kills about 33,000 Americans each year, the total cost of treating CLABSI is one billion dollars annually. The cost to treat each patient affected is about 16000 dollars. With patients being discharged home with central lines, CLABSI can occur in the home setting too and not just hospitals. The case study presented in this paper discusses the statistics associated with CLABSI in discharged patients with central lines, and the efforts being made such as education and training in combatting the issue of bloodstream infection.
The patient is a 30 year old male with an active bacterial infection on his right leg attacking his Integumentary system. The patient is from Tanzania, Africa but came back to work in a factory that produces plastic. If he has Cellulitis, it can get bad enough to travel to other organs like the Liver and Kidney and cause failure. If this happens, Edema can form, usually on one half of the body; this is the Urinary system being attacked. The main system being attacked is the Lymphatic system because Cellulitis attacks the lymphatic draining system. For Cellulitis to travel to organs, it had to go through the blood, so the cardiovascular system is also in effect.
Field EA, Allan RB. Review article: oral ulceration--aetiopathogenesis, clinical diagnosis and management in the gastrointestinal clinic. Aliment Pharmacol Ther. 2003;18:949–62. [PubMed]
...p bruises, joint pain and swelling caused by internal bleeding, unexplained and excessive bleeding or bruising, blood in your urine or stool, prolonged bleeding from cuts or injuries or after surgery or tooth extraction, nosebleeds without a known cause, tightness in your joints, unusual bleeding after immunizations, or excessive bleeding after surgery” (Mayo Clinic).
Ulcerative colitis, or UC, is a chronic gastrointestinal disease that causes inflammation and ulcers in the lining of the large intestine. It causes ulcers in the colon and rectum. Ulcerative colitis is one of two forms of inflammatory bowel disease. In UC, the inflammation from the ulcers breaks down the lining of the colon and causes bleeding and discomfort in the abdomen.