Essay Evaluation Of An Independent 72 Year Old Man, Mr. Allan

Essay Evaluation Of An Independent 72 Year Old Man, Mr. Allan

Length: 2084 words (6 double-spaced pages)

Rating: Better Essays

Open Document

Essay Preview

An independent 72-year old man, Mr. Allan (pseudonym) was presented to the emergency department with progressively increasing shortness of breath (SOB) over the past few months. Initially shortness of breath was exertional however this shortness of breath has been worsening over the past week. He had an ongoing cough for one week. My essay will begin with a review of his presenting condition, patient history, and symptoms on arrival to Intensive care unit. I will also look at the patient investigations and assessment findings. Mr. Allan had a past medical history, including obesity, type II Diabetics for 10 years, hypertension, high cholesterol and mild asthma.

Mr. Allan was admitted to our Intensive Care Unit after a MET call from the ward. He was reviewed by our Registered Medical Officer(RMO). On physical examination, he had mild respiratory distress and could only talk in short sentences. His clinical observations were; GCS 15/15 Glasgow coma scale, Temperature 38°c, respiration rate 32-34 breath /minute, heart rate 100-110 beats /minute, blood pressure 90/50 mmHg, and Spo2 89-91% with 6L of oxygen via Hudson mask. The patient became more dyspnoeic. Hudson mask changed to None Breather Mask(NRBM). Arterial Blood Gas Analysis obtained and provided the following results: PH- 7.24, PaCo2- 55mmHg, Pao2 62 mm Hg, Spo2 - 81%, H co3 - 20.1 mm/L. On admission to our unit commenced for Frusemide intravenous infusion 10 milligrams per hour. He has very low urine output and pitting oedema. As per the patient 's Arterial Blood Gas result and continued to have difficulty in breathing, the patient was sedated and intubated was on mechanical ventilation for his respiratory support and management. Arterial Blood Gas repeated, there are no re...


... middle of paper ...


... a very common and significant diagnostic. It is evident that many body systems are affected by this complex disorder. Understanding the pathophysiology, risk factors and treatments for the acute kidney injury will be very important and relevant for us health care professionals. The nurses always play an important role in caring, patient with AKI. So they require substantial knowledge and skills for Continuous Renal Replacement Therapy (CRRT). The patient undergoing CRRT requires unique nursing knowledge and skill to effectively manage their needs. Nurses must be able to appropriately manage the patient, the extracorporeal circuit, the vascular access and the management of therapy in progress. Vigilant assessment, monitoring, and ongoing treatment evaluation also must. Moreover, psychological support of family and patient is very important part of nursing care.




Need Writing Help?

Get feedback on grammar, clarity, concision and logic instantly.

Check your paper »

The Evaluation Of The Microprocessor. Essay

- The Evaluation of the Microprocessor. The microprocessor has changed a lot over the years, says (Michael W. Davidson,http://micro.magnet.fsu.edu/chipshot.html) Microprocessor technology is progressing so rapidly that even experts in the field are having trouble keeping up with current advances. As more competition develops in this $150 billion a year business, power and speed of the microprocessor is expanding at an almost explosive rate. The changes have been most evident over the last decade....   [tags: essays research papers]

Better Essays
1365 words (3.9 pages)

Independent Reading Project: Creating a Museum of Living Literature Essay

- Independent Reading Project: Creating a Museum of Living Literature 1. Problem Statement In preparation for the Advanced Placement Literature and Composition exam, high school students must read many kinds of literature during the year-long course to familiarize themselves with different time periods, movements, philosophies, and genres. Advanced Placement students must learn to think critically, and be ready to find, analyze, and express literary connections through written analysis. The biggest challenge of teaching and learning Advanced Placement English is the difficulty covering the entire scope of literature in two semesters....   [tags: Lesson Plans AP Advanced Placement English]

Better Essays
2150 words (6.1 pages)

Evaluation of a Behavior Change System Essay

- System: Incidental Teaching Incidental teaching is a method of teaching in which the interaction is child initiated and the reinforcer is directly related to the behavior being taught (Hart & Riley, 1975). Incidental teaching makes use of motivating operations by ensuring the environment is set up to encourage the child's interest and then waiting for the child to seek assistance from an adult to gain access to the desired item (Hart & Risley, 1975). The adult will then reward the child with the desired item or activity after receiving the correct response from the child with the level of prompting appropriate to the child's developmental level and necessary to promote errorless learning....   [tags: language, incidental teaching, autism]

Better Essays
1623 words (4.6 pages)

Evaluation Of A Good Parenting Style Essay

- Also, being raised with this parenting style, most children have positive social skills, excel in school, and have a good psychosocial wellbeing (CITE BOOK/POWERPOINT??). This is a good parenting style, in my opinion, because while it teaches children discipline, it also shows the child the difference between wrong and right, and why there is a difference. It also shows children how to love, due to the emotional warmth given to them by their parents. When the Andersen’s make the move from Minnesota, Riley is shown to be under a lot of stress because of the initial move, her father working long hours, her parents having small arguments, and the fact that the moving truck was suppose to come...   [tags: Family, Parenting, Parenting styles, Parent]

Better Essays
1172 words (3.3 pages)

A Reputation Re-evaluation Essay

- A person’s reputation is only the collected opinion of his or her character, yet, it is protected with such intensity and passion. This preservation of visage has been carried on throughout the ages in literature and daily life. Arthur Miller’s play The Crucible properly demonstrates how this theme of upholding a reputation can motivate people to look within, and to decide whose opinion truly matters. Written in the 1950’s, Miller’s story is set in 1692 Salem, Massachusetts. Although his play is written about the witch trials of 1692, Miller “intended it as a comment on American life in his own time” (Popkin 139)....   [tags: Theatre]

Better Essays
906 words (2.6 pages)

Review Of ' Eighty Nine- Year- Old Paul Matteson ' Essay

- Review of Literature Eighty-nine- year- old Paul Matteson was a dedicated and beloved member of his Michigan community. He was known for his generosity and willingness to assist those in need. In late 2012, Matteson committed suicide, shocking his family and friends. Reporter Danielle Salisbury investigated the cause of the suicide and concluded that Matteson killed himself because he felt socially isolated. A few years prior to Matteson’s death, his wife of 62 years was diagnosed with Alzheimer’s disease....   [tags: Old age, Gerontology, Middle age, Ageing]

Better Essays
1047 words (3 pages)

Evaluation of Team win Percentage, Number of Star Players, Whether a Team Makes the Playoffs in Basketball

- Between the years of 2009-2012, the NBA had undergone drastic changes. After the CBA (Collective Bargaining Agreement) of 2005 had expired following the 2010-2011 NBA season, the NBA had to renegotiate a new CBA for the following years before a NBA season could be initiated. This caused a lock-out, in which the NBA season was put on hold so league officials could renegotiate with the NBA players' union to agree on a new set of regulations for the upcoming seasons. Important regulations to be restructured were mainly revenue sharing, player salary compensation, and player contract restructuring....   [tags: nba tickets, nba season, new jersey nets]

Better Essays
2041 words (5.8 pages)

Essay about Evaluation Approach Evaluation Design Evaluation

- This chapter presents the methodology applied in the evaluation. It discusses the evaluation approach, evaluation design, evaluation period, study population, unit of analysis, variables and their measurements, sample size and sampling techniques, types and sources of data, data collection methods, validity issues, data management and analysis methods and ethical issues. 3.2 Evaluation approach According to Görgens-Albino and Kusek (2009), there are several evaluation approaches which include formative, process, outcome, economic and impact evaluation....   [tags: Evaluation, Evaluation methods]

Better Essays
1042 words (3 pages)

Essay about Coca Cola Company Independent Employee Outsourcing Evaluation

- Coca Cola Company Independent Employee Outsourcing Evaluation Over the years, Coca Cola Company has realized the important role employees play in its successful operations. It is the company policy to value employees and to ensure that only competent personnel are posted to various positions. Given the numerous demanding tasks that are part of the Human Resource (HR) function, the firm’s HR department decided to undertake the services of an independent contractor in recruiting and selecting new employees as well as training existing employees at intervals of 3 months....   [tags: Human Resources, Globalization]

Better Essays
1285 words (3.7 pages)

Description of the Evaluation Program Essay

- Description of the Evaluation Program For this reflection paper I chose to look back at my first year as an elementary school assistant principal and the training and experience I had with the teacher evaluation process. The year was 2004 and during the first month of school I was assigned to participate in a three day training session on how to observe and assess teachers using the Formative Observation Data Instrument (FODI) and the Formative Observation Data Analysis (FODA) forms. I attended this training with six other new assistance principals from schools within the district....   [tags: Teacher Evaluation ]

Better Essays
1953 words (5.6 pages)