Introduction : Mrs Dorothy Beecham has been admitted to hospital with community –acquired pneumonia and query DVT. She is currently on waiting list of total knee replacement. Her past medical history including cardiovascular disease, COPD, osteoporosis, varicose vein and recurrent DVT in the past two years. A blood test has been done and result is available. DVT on her right calf is also confirmed by Doppler ultrasound. This article is going to explain the future risk of how recurrent DVT going to impact on her health by use literature and relevant pathophysiology knowledge. At the same time, a patient education plan will be established for supporting care needs. This care plan including the symptoms of recurrent DVT and when to seek for medical advice after Dorothy after her discharge from hospital. Deep venous thrombosis(DVT) is the formation of a blood clot or thrombus in the large vein of the legs(Narani, 2010). The signs and symptoms of a lower limb DVT varies from asymptomatic to extensive ilio femoral thrombosis(Narani, 2010). The most common clinical manifestation can be sudden swelling of one limb accompanied with pain or tenderness,
Her BMI is 28 in the overweight zone. She had 4 episodes of DVT within 2 years. Her previous medical history includes osteoporosis which lead to poor mobility due to pain. She is currently waiting for Total Knee Replacement. After a Total Knee Replacement , patient is more likely to suffer from pain and being immobile for a period of time before commence physiotherapy. That greatly increase the chance of developing DVT(Brown, Edwards, Seaton&Buckley, 2014) .Patient education relating to physical activity includes encouraging early ambulation. First of all, administering medication oxycodone as patient request. Oxycodone is a opioid analgesics, belong to schedule 8 drug addition. It has to be prescribed by doctors to relieve moderate
Dr.Bain ordered a CT scan of Cynthia’s chest to rule out a possibility of an aneurism. Dr. Bain also did another CT scan of Cynthia’s abdomen to evaluate her liver. Additional lab work and thyroid testing was done. Around 5:00pm she was discharged with instructions to follow up with her primary care physician Leah Avera, M.D within one week. In Cynthia’s discharge summary that was signed by Dr. Pesante, states, in part, "it just seems like Cynthia’s problem may have more so been either some kind of infectious process or possibly a thyroid
The risk factors that Jessica presented with are a history that is positive for smoking, bronchitis and living in a large urban area with decreased air quality. The symptoms that suggest a pulmonary disorder include a productive cough with discolored sputum, elevated respiratory rate, use of the accessory respiratory muscles during quite breathing, exertional dyspnea, tachycardia and pedal edema. The discolored sputum is indicative of a respiratory infection. The changes in respiratory rate, use of respiratory muscles and exertional dyspnea indicate a pulmonary disorder since there is an increased amount of work required for normal breathing. Tachycardia may arise due to the lack of oxygenated blood available to the tissue stimulating an increase in heart rate. The pedal edema most probably results from decreased systemic blood flow.
One of the characteristics of the common disorder, and perhaps the most worrisome for the patients affected, is decreased blood flow in the atria, which is associated with and allows thrombi to form. Embolism from the atria can cause cerebrovascular accidents, which can be devastating to the affected individuals and their families.
Venous thromboembolism, otherwise known as VTE is a chronic condition, which is comprised of pulmonary embolism (PE) and deep vein thrombosis (DVT).
A registered nurse (RN) is someone that went through a university or college and studied nursing; and then passed the national licensing exam to obtain a license to practice nursing. The degree earned by an RN at the need of the program is deemed a professional nursing degree. The RN top nursing staff and they usually works independently. On the hand, an LPN only earns a practical nursing degree after completion of the program. LPNs are mostly recognized only in USA and Canada; they are also named as License Vocational Nurse (LVN) in the state of California and Texas. LPN work under the supervisor of an RN or a physician.
The etiology of DVT is unknown. It could be because of various reasons. It could be physical, chemical, or biological reasons. DVT can be caused by serious surgeries or i...
“Code Blue”, that the last thing anyone wants to here at the beginning or end of a shift, or for that matter at any time during their shift. With the development of rapids response teams (RRTs), acute care nurses and ancillary departments have a resource available to their disposal when need in uncertain situations. Many times nurses struggle to maintain a patient deteriorating in front of them all the while make a multitude of calls to the physician for orders or concerns. Having a set of “expert” eyes assisting you in these times helps alleviate stress and encourages collaboration amongst staff. (Parker, 2014)
On admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings. J.P. was positive for dyspnea and a productive cough. She also was positive for dysuria and hematuria, but negative for flank pain. After close examination of her integumentary and musculoskeletal system, the examiner discovered a shiny firm shin on the right lower extremity with +2 edema complemented by severe pain. A set of baseline vitals were also performed revealing a blood pressure of 124/80, pulse of 87 beats per minute, oxygen saturation of 99%, temperature of 97.3 degrees Fahrenheit, and respiration of 12 breaths per minute. The blood and metabolic panel exposed several abnormal labs. 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.
“We can’t turn away from a patient’s pain just because it’s difficult” (chapman, 2015, p. 88). I know the path of least resistance is taking a path of ignorance. Easy, is to ignore or neglect the true pain patients experience in times of crisis. As caregivers I believe we all want to heal others or we wouldn’t be in the field of nursing, but there are only handfuls willing to be present during the healing process because sharing one’s pain hurts. As a surgical nurse, I find being genuinely present takes hard work on my behalf, not only mentally but emotionally. On a unit where patient’s needs and conditions are changing at astonishing rates, being present requires mental strength in order slow down enough to recognize the value presence
There are many who believe that the next shortage will be worse and the demand for nurses will increase. There will be more jobs available especially with the baby boomer nurses retiring. Wood believes that when nurses retire, the next shortage could be even worse than the previous shortage. According to Wood this would lead to an “intellectual drain of institutional and professional nursing knowledge” (Wood, 2011, para 15). Staiger agrees as well that a shortage of nurses is expected again when nurses retire and since the economy will be more stable full-time nurses will go back to being part-time (Huston, 2017). Huston expects for the supply of nurses to grow minimally in the next couple of years and for a large number of nurses
I have been a registered nurse for the past six years. I started my nursing career in a long-term care facility where I worked for a year and half . I always wanted to challenge myself so l left long-term care and went to work in the intensive care unit for four years where I saw how people with diabetes are suffering when the disease in not managed well. I am currently working in post anesthesia care unit(PACU) where I recover many patients with diabetes complications post-surgery. I am committed in the innovation in order to provide an effective care for the people suffering from diabetes. For many years the disease has been killing people and introduction of the control tools will help in making the condition manageable. The innovation
According to CDC, hand washing is the only best to reduce cross-contamination. As usually as wash my hand and don gloves in order to reduce cross-contamination. I followed evidence based practice when provided morning care and later in the afternoon when I provided perineal care for the patient.
Deep Vein Thrombosis (DVT) is the blood clot formation in the human body, especially in legs. It usually occurs in a deep vein, which is a larger vein that runs through calf and thigh muscle in the legs. DVT is formed when the valves of veins present in calf muscles are deprived of oxygen leading to deepening of veins to form a clot (Yadava, 2013). Pulmonary embolism; which is a blockage of an artery in the lungs; and DVT together constituted as single disease procedure which is known as venous thromboembolism (Van Beek, 2009).
values for instance, nurses have to practise autonomously and responsibly also accountable for safe, compassionate, person centred, evidence based nursing that respects and maintains dignity and human rights (NMC 2014) communication and interpersonal skills, practice and decision making, leadership, management and team working. All nurses are personally accountable for their own practice for instance, work within their own limitations, decisions and actions, nurses must maintain professional knowledge and competences as well as continuing professional development. All nurses are expected to abide by the codes of conduct at all times, if a registered nurse or midwife fail to uphold these standards, the NMC can take action for instance, cautions,
The nursing profession is always aim to accomplish the demands of the evolving health care system by improved quality care which is based on critical thinking, research and evidence-based practice. In order to achieve the improved quality care to the patients, the nurses should engage themselves in lifelong learning which will prepare them for the advancement of knowledge and competency to encounter the transformed health care field (Wetters, 2011). The continuous lifelong learning is always target the needs for the up-to-date with the latest trends, practices and technologies in the health care profession. This is the reason IOM committee emphasized nurses to involve themselves in lifelong learning so that nurses can practice with their full