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The patient is 71-year-old African American female villager PMD on Saturday for a checkup and the doctor told her to come to the ED because of a low hemoglobin. The patient reports having seen blood in her stool for the last 2 weeks in 2-3 episodes. The blood was mixed with dark and bright red associated with feeling lightheaded. She denies any fever chills, nausea, vomiting or diarrhea. She has had some intermittent constipation. Her medical history is significant for hypertension, hypercholesterolemia, and dementia. The only meds she is on is 81 mg of aspirin daily and when necessary ibuprofen. It does not appear to be on any medicine for her blood pressure. Her initial BP is 176/86 with a pulse of 88. She is oxygenating well on
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.
Dementia is common among a large population of elderly people. The disease affects not only the individual diagnosed, but also the caregivers that work towards making their life comfortable in the end. Understanding and learning about the disease is crucial in helping those that experience or live with someone who has dementia. The services and support that are currently in affect for elderly people with dementia and the caregivers is poor, and ineffective because of the lack of research and information on the topic.
She had a two week history of feeling generally unwell, complaining of tiredness and lethargy. She had no other significant symptoms. Her past history includes well controlled asthma and anxiety. She was a smoker of 20 cigarettes per day. She was taking amitriptyline, Symbicort (budesonide and formoterol inhaler). She had no significant family history of medical illness and had no clinical findings on examination. Blood tests showed corrected calcium of 4.22mmol/L (NR 2.20 -2.60) with suppressed paired PTH of 1.45pmol/L (NR1.60- 6.9). Her renal function was initially impaired, but normalized with rehydration. Her liver function tests, full blood count, vitamin D, myeloma screen and serum ACE levels were all within normal limits. Ultra sound scan (USS) of kidneys, USS of parathyroid and computerized tomography (CT) of thorax, abdomen and pelvis were all reported as normal with no cause found for her
J.P., a 58 year old female, presents to the Emergency Room on March 18th. She has a past medical history of cervical cancer, atheroembolism of the left lower extremity, fistula of the vagina, peripheral vascular disease, neuropathy, glaucoma, GERD, depression, hypertension, chronic kidney disease, and sickle cell anemia. She complains of right lower extremity pain accompanied by fatigue, a decreased appetite, increased work of breathing, burning urination, and decreased urine output for three days. Upon admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings.
What is Alzheimer ? Is Alzheimer 's more difficult for the patient or for the patient’s siblings?
At the time, I was unable to mentally get past the fact that she was refusing blood products to potentially save her life. This was information that I did not know the answer to. I immediately called the doctor to see if there was we could do to help her. The doctor discussed with the patient if she was willing to receive intravenous iron. Intravenous iron has been shown to be helpful for patients in restoring red blood cell and hemoglobin levels. However, the effects are not immediate (Posluszny & Napolitano, 2014). I continued to do more research and found that by educating this patient on her diet as well as safety precautions to take when ambulating were other ways in which I could help this patient recover.
This paper is on dementia, a late-life disorder, as it pertains to the geriatric population. “It is estimated that 24.3 million people around the world have dementia and that, with an estimated 4.6 million new cases every year, we can expect about 43 million people and their families to have to handle the challenge of dementia by 2020.” (McNamera, 2011) I will cover three relevant points concerning this disorder that cause changes in the brain.
The participation in leisure activities, such as dance, is related with a reduced risk of development of dementia, both Alzheimer's disease and vascular dementia (Verghese et al., 2003). Dementia is “a general term that describes a group of symptoms-such as loss of memory, judgment, language, complex motor skills, and other intellectual function-caused by the permanent damage or death of the brain's nerve cells, or neurons” (Alzheimer’s Foundation of America [AFA], 2015, para 1). Alzheimer’s disease is the most common cause of dementia in persons over the age of 65, representing about 60 percent of all dementias. Dementia is specifically characterized by “different pathologic, or structural, changes in the brain, such as an accumulation of
For this assignment based on a dementia case study, we were placed in a group of four. On November 18th, we presented on the subtopics, specifically, wandering and elopement of the patient to our classmates and professor. My group collaborated well with each other, but differed in opinion about the inclusion of research and online video in our presentation. As a presenter, I felt that we did not present as smoothly as we would have liked, due to nervousness and anxiety when teaching a class on dementia care. When we began, aside from what we may have felt, I believed that as a group we maintained good overall communication and had the audience engaged throughout. Similarly, as an audience I gathered a lot more information about
During living Environment: 592 Living environment has a significant effect on patients with dementia. A well environment can maximize abilities of patients and improve their quality of life. So observing environment with standard about whether an environment support the special needs and abilities of people with dementia, such as comfort, attachment, inclusion, occupation and identity, to reach their full potential and does not cause needless disability. Most of the patients with dementia live in them home, hospital or retirement home, so we may have observation about the physical and social environment during the home visit or at hospital and retirement home, in order to provide patients a safe and comfortable environment. We should observe
Introduction This assignment critically discusses dementia, a widespread disability among older adults today. It provides an introduction to dementia and analyses its prevalence in society. The various forms of dementia are elaborated with descriptions of dysfunctions and symptoms. Nursing Assessment and Interventions are provided in the further sections which discuss actions nurses should take while evaluating patients and treating them.
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...
The care of a patient is a team effort and within the forum of a visit a patient is utilizing many sources, many individuals, and much more technology than anyone realizes. Patients age 65 and older are a unique subset of patients that are cared for each day. One major condition that many elderly patients succumb to is dementia. Dementia is described as the adverse actions of aging, in layman’s terms, one will return to what they were first born as. Dementia will cause a person to lose the knowledge, skills, and functions to perform daily functional task. Once this change happens, caregivers some trained but most family members are not beginning their journey of learning to care for the elderly. The ability to have accurate, real-time information
Dementia is a major neurocognitive disorder that interferes with the independence of the elderly by inhibiting memory and thinking skills. Fifty to eighty percent of dementia cases constitute of Alzheimer’s diagnoses; consequently Alzheimer’s disease is the most common type of dementia and currently affects 5.2 million Americans. Most of these cases are patients above the age of 65 and by 2050; 13.8 million Americans in total will suffer Alzheimer’s due to aging of the general population, specifically the baby boomers. Total cost to society ranges from $157- $215 billion (Associated Press). Some would assume the cost of Alzheimer’s to be incurred by pharmaceuticals or medical costs, however RAND Corp suggests dementia cost to society is from care rather than treatment. Therefore, assistance provided by informal providers and directs caregivers incur a majority of the financial and social cost. Currently, the workforce does not have the capacity or training to care for these unique patients; the delivery system needs to address Alzheimer’s as the population ages and more and more fam...
STEEMAN, E., DE CASTERLÉ, B. D., GODDERIS, J. & GRYPDONCK, M. 2006. Living with early-stage dementia: a review of qualitative studies. Journal of Advanced Nursing, 54, 722-738.