ealth History Assessment and Physical Assessment
Subjective data
Demographic data:
African American man named K.O. came to the clinic for a head to toe assessment. Patient has no present illness and has seasonal allergies to grass pollen and lactose intolerance. Patient states that they had all childhood immunization. Patient stated in 1999 he had surgery n his right ankle at NYU hospital. Patient states that their health is okay and denies fever, weakness, weight loss and weight gain. Patient current medication regimen is an occasional over the counter ibuprofen (Advil) for headache. Reports smoking marijuana at least 2-5 times weekly. Reports that he has been smoking for more than 16 years and currently smoke one and a half a pack of cigarette a day. Family medical history of hypertension, drug and alcohol dependency on mother's side and father died of end stage renal failure (ESRF). Review of systems patient states he has occasional migraines.
According to Erikson's developmental theory, KO is in the Intimacy vs. Isolation (Young
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Trachea is midline. Thyroid nonpalpable, not tender. Carotid arteries 2+ and = bilaterally; no bruits.Respiratory Rate is 18, even, unlabored respirations.Breath sounds clear in all areas.S1, S2 auscultated over aortic, pulmonic, erb’s point, tricuspid and mitral areas. Pulse rate 80. Radial 2+. Brisk Cap refill.KO is alert and oriented x3(person,place, time).Responds appropriately to verbal stimuli; no slurring of speech. Grips, flexion, extension strong bilaterally.Abdomen firm and round. Skin smooth with no lesions. Bowel sounds x 4. General abdominal tenderness reported. Reported last BM was formed this morning.Full ROM, no pain in neck, arms and legs. Able to maintain flexion against resistance and without tenderness. No redness, cyanosis,edema or varicosities in the upper and lower extremities. No calf tenderness. All peripheral pulses present, 2+ and =
Examination revealed an oxygen saturation of 98% and blood pressure of 145/90. Oropharyngeal inspection revealed significant crowding (Mallampati class 3) with macroglossia. Chest auscultation was clear and two heart sounds were audible with nil else.
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
First of all, through this assignment, I have learned that a theory is an interrelated set of concepts and propositions, organized into deductive systems that explain relationships among different aspects. It is an overall explanation of the person in environment configuration, and helps explain why a problem is occurring. It will also provide a social worker with a set of ideas that will help the social worker get a better understanding of the problem. In addition, there are many different theories, and perspectives that are used in the social work field to empower people and to promote a positive society for all. This particular case is associated with bio-psychosocial approach
“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 career that I chose to study was a Physical Therapist. I chose to study physical therapy because it is something that I have become interested in. In this essay I will be telling you about the kind of work a physical therapist does, the skills required to be a physical therapist, the working conditions, the training and education required, the career outlook, and salary.
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.
My field of interest once I graduate from WCU is physical therapy. This care specialty uses biomechanics, manual and exercise therapy, electrotherapy, and various other therapy techniques to remediate injuries and impairments, as well as promote mobility. There are several types of physical therapy, including orthopedic, pediatric, geriatric, neurological, pulmonary, and cardiovascular. The field of physical therapy was established in Britain during the late 19th century. Then, in 1921, Mary McMillan established the American Women’s Physical Therapeutic Association, which later became the American Physical Therapist Association.
I have dreamed of becoming a physical therapist since I was a child. A few of my family friends are physical therapists and it was just something that really interested me. Although some would think that a Physical Therapists career is smooth sailing, healthcare professionals challenge a series of regulatory and ethical issues in the modern varying practice settings. I grew up wanting to help people in some type of way, but after researching more about physical therapy I found out that doing what’s best for someone such as a patient is often manipulated and, at times, compromised. Clients are manipulated by other factors, including rules or guidelines linked
The occupation that I would like to research is Physical Therapy. I personally chose Physical Therapy because I have experienced it myself and I believe I would enjoy doing this for the rest of my life. Physical Therapy is in Health Sciences cluster. In the Health Sciences field Physical Therapy falls under Therapeutic Services and Health Informatics. When I did my Nebraska Career Connections interests test I scored the highest in Therapeutic Services. I then filled out a skills inventory and it ranked number four on that assessment. Considering I scored highly in both occupations means that this occupation is good for me as of right now.
How can a person take a simple examination of someone and know exactly what happened , this Athletic training is a job when considering a career in improving someone destabilization should know what they need to have and the information these area's someone will learn in this research paper , history , requirements , classes, salary , job availability , and work facilities . The national athletic trainers are the professional membership association for certified athletic trainer, founded in 1950 it has grown more than 43,000 members worldwide today. Athletic training has recognized as an health care profession since June 1991 it's a practice by health professionals who have worked with physicians to progress activity and participation of patients
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 patient has high temperature-sign of fever, a very fast pulse rate (tachycardia), and chest wheezing when listened to using a stethoscope (Harries, Maher, & Graham, 2004, p.
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.
A teaching philosophy is critical in my role as a future successful teacher. It will guide me in the way I conduct myself, how I develop curriculum, and how I establish order in my classroom. As a teacher it is important for me to be consistent with how I manage my classes. With a central philosophy as a backbone it will be easy to follow my own simple guidelines.
Assessments are according to Edglossary.org (2014), “the wide variety of methods that educators use to evaluate, measure, and document the academic readiness, learning process, and skill acquisition of students”. Assessments can be used to identify several important aspects of learning and development. First, they can be used to distinguish a child’s strengths and weaknesses as well as measure specific knowledge and skills. Assessments can also be used to demonstrate what a child has learned and what they understand (“Assessment,” 2014). My opinion of assessment has not changed; however, now I understand how to use assessments that will help ensure that I am providing the most benefits for my students.