History
Mr. S. G is an eighty year old African American male who was brought into the emergency room of County Hospital on the second of May, 2015 and was admitted with the complaint of Respiratory distress. He has no known allergies and he is on full code status. While he was at the hospital, Mr. Geis was diagnosed with Hyperkalemia, Hypernatremia and acute renal failure. He was then transferred to the intensive care unit to be stabilized and then transferred to the floor for recovery. He has a past surgical history of vertebrae fracture from a fall seven years ago. He also has a past medical history of pneumonia, prostate cancer, diabetes, cardiovascular accident, osteoporosis and hypertension. Mr. Geis is a retired school bus driver and has been married to his wife for forty-five years. They have five children together. He used to drink alcohol heavily and also was a smoker, smoking a pack of cigarettes a day but stopped nine years ago. He enjoys fishing and travelling but has been unable to do this due to his deteriorated state of health.
Acute and Chronic History
Mr. Geis’ acute medical problems which include Hyperkalemia, Hypernatremia, acute renal failure and the chronic illness that are listed in his past medical history were aggravated by aging ,alcohol consumption and smoking. Organ function decreases with age which in this case, the ability of his kidneys to perform the excretory function decreased which thereby resulted in acute renal failure which is also the leading cause of Hyperkalemia and Hypernatremia in him. Also the chronic illnesses of Diabetes, Cardiovascular accident and Hypertension contributed significantly in the acute renal failure. The fracture of the vertebrae from a fall was aggravated by age and...
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...better understand and manage the diseases that are affecting his health.
References
Sheldon,J.H (1960). On the natural history of falls in old age. British Medical Journal, 2, 1685-1690.
Huether, S., & McCance, K (2012). Understanding Pathophysiology. (5th ed.).St. Louis:Mosby.
Casino, S. (2009). episodic memory decay along the adult lifespan: A review of behavioral and neurophysiological evidence. International Journal of Psychophysiology, 71, 64-69.
Shon beck, Joan. “Cerebrovascular accident.” Gale Encyclopedia of Nursing and Allied Health. Ed. Jacqueline L. Longe. Vol. 1. 2nd ed. Detroit: Thompson Gale, 2006. Nursing Resource center. Gale.
Potter, P., and Perry, A. (2009). Fundamentals of Nursing. (seventh. Ed. St. Louis; Mosby.
Lippincott W. & Wilkins (2014). Nursing 2014 Drg Handbook (Eighth Edition).
Philadelphia. Lippincott & Co. 198, 233.
The EB’s case study said the female patient is 50 years old with symptoms of fever, chills, congestion, three weeks of coughing, shortness of breath when walking. The study implies that the patient is now seeking medical advice due to vital signs recording and the noting of decreased breath sounds and wheezing. She denies smoking and not taking any chronic medication.
will be referred to as ‘Peter’ in this essay which is in line with the
“Elaine” is a 34-year-old white female patient with an extensive medical history. She has a history of seizures, uncontrolled diabetes since the age of fourteen, neuropathy, fibromyalgia, COPD, Sleep Apnea, and is currently suffering from two venous ulcers on her feet. She came to the ER one week ago with nausea and vomiting and was found to be in Diabetic Ketoacidosis and her wounds had become infected. She spent three days in the ICU and for one day was ventilated. She was then sent out to the Medical/ Surgical for further management 3 days ago.
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.
*A history of frequent, acute, and severe metabolic complications (hypoglycemia, hyperglycemia, ketoacidosis) requiring medical attention
Strokes are not only the leading cause of mentally disabling adults, but they are also the third most common reason for deaths worldwide (Jarvis, 2012). In general, a stroke, also called a “cerebrovascular accident,” occurs when blood flow of the vascular system is blocked from reaching parts of the brain (Jarvis, 2012). There are two types of stroke, an ischemic stroke or a hemorrhagic stroke, and they differ in the way they affect the vascular system. An ischemic stroke is the most common type of stroke, accounting for 80 percent of all strokes, and it is due to a thrombus or embolus blocking blood vessels supplying the brain (Durukan & Tatlisumak, 2007). A hemorrhagic stroke is less common, but is caused by the rupturing of a blood vessel in the brain and causes bleeding (Jarvis, 2012).
Corcoran, J., & Walsh, J. (2008). Mental health in social work: a casebook on diagnosis and strengths-based assessment. Boston, MA: Pearson/Allyn and Bacon.
The purpose of the paper is to discuss the activities involved during the evaluation of a patient. Evaluation of a patient can be seen as the process of examining a patient critically. It comprises of gathering and analyzing data about a patient and the illness (Allan, 2012). The core reason is to make judgment about the disease one is suffering from. Such judgment will guarantee proper treatment and diagnosis. Typically, gathering of information from the patient is the role of nurses while making judgment and prescription is the doctor’s role (Jacques, 1988). In any case all practitioners are required to know how to evaluate a patient.
management of real-world memory demands despite profound anterograde amnesia. Journal of Clinical & Experimental Neuropsychology, 30(8), 931-945.
Nobody is perfect. We all make mistakes. Some of the best lessons in life are learned from making a mistake. But in the healthcare world making mistakes means losing lives. This has started to happen so frequently there has been a term coined – Failure to Rescue or FTR. Failure to rescue is a situation in which a patient was starting to deteriorate and it wasn’t noticed or it wasn’t properly addressed and the patient dies. The idea is that doctors or nurses could’ve had the opportunity to save the life of the patient but because of a variety of reasons, didn’t. This paper discusses the concept of FTR, describes ways to prevent it from happening; especially in relation to strokes or cerebrovascular accidents, and discusses the nursing implications involved in all of these factors.
The human brain consists of many subsystems within the long-term memory. One of which is episodic memory. Episodic Memory is the remembrance of a phenomenal personal experience in terms of what, when, and where. This memory begins by retrieving information such as, words, objects, or faces; using this knowledge the episodic memory finds links and slowly transitions into recalling the complete memoir.
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.
Patient profile: Heterosexual Muslim Woman who has been in the United Stated for three years. She came from Pakistan. She is 42 forty-two years old, from low socioeconomic standing, English language barrier, and is Muslim rituals and practices. She came to emergency department with her husband due to shortness of breathing, high fever, severe cough. She was dignosed with new onset of pneumonia and currently on antibiotic. she also has history of Vitamin D deficiencies and diabetes mellitus type II. She admitted to medical-surgical floor for observation...
Highlighting this concept is the case of Susie Mckinnon, who lacks episodic memory. Though she lacks episodic memory, she does have intact semantic memory, which is another form of explicit long term memory. The WIRED article by Erika Hayasaki, reflects Mckinnon’s unique perspective and how she was able to become aware of her deficiency, as she was not uniquely aware something was wrong with her until high school and further research. By analyzing Mckinnon’s case in respect to the findings of Allen and Fortin, this allows one to understand why episodic memory is evolutionarily important for functionality and interactions in daily life.
Client Profile: Lane Bronson is a 55 year old male with a history of angina, hypertension, Type 2 diabetes, COPD, and sleep apnea. He comes to the physican’s office complaining of worsening shortness of breath. His skin tone is grey, and his angina is worsening. Previously stable, he now does not get relief from rest or nitroglycerin. The physician called 911 and had Mr. Bronson directly admitted to the hospital.