1 Meet the Patient: Nancy Jackson, a 72-year-old Caucasian female, is brought to the Emergency Department at St. John's Medical Center, a Catholic facility, by her daughter, Gail. Mrs. Jackson, who asks the staff to call her Nancy, is complaining of right-sided weakness, a severe headache, and just not feeling well for the last 24 Hours. Clinical Manifestations: The Emergency Department (ED) nurse is completing the admission assessment. Nancy is alert but struggles to answer questions. When she attempts to talk, she slurs her speech and appears very frightened.
The study was conducted on 46 women (mean age 31 years) recruited from one suburban midwifery practice and two obstetric practices in the northeastern United States. Participants underwent wrist actigraphy at home for 7 consecutive days to measure sleep quality. The Postpartum Depression Screening Scale measured depression severity. Women with postpartum depression experienced poorer sleep quality than women without postpartum depression. Sleep is very important for good health and especially for mothers who just gave birth.
E) Difficulty swallowing. Feedback: CORRECT Difficulty swallowing can accompany a brain attack (stroke), placing the client at risk for aspiration. Points Earned: | 1.0/1.0 | | Correct Answer(s): | A, B, E | The ED physician has completed an assessment. Gail is sitting at the bedside while the ED nurse continues to assess Nancy every 15 minutes. 2.
This is followed by collecting cues, processing information, identifying problems, establishing goals, taking action, evaluating outcomes and reflecting on process and new learning (Levitt-Jones, 2012). In this scenario an 86-year-old female patient has suffered a fall and is demonstrating early symptoms of dementia. Consider the patient/Patient Context: Mrs Checketts is a petite 86 year old woman who has been admitted to your facility for respite after treatment for a fractured wrist sustained during a fall at home. | Collect cues/information: You review this initial impression and current information and gather new information/cues you consider relevant:Mrs Checketts lives alone and manages her own activities of daily living. Her son lives interstate and her niece pops in to visit her a few times a week.
REFLECTION: Communication with Dementia Patient During my rotation in Care of Elderly on Sarratt Ward, WGH, we once had a patient with severe dementia. She came in with a chest infection and had been unwell for two weeks and therefore not mobilized during that period of time. Previously she was walking with supervision of one. She was living in a residential home and for her to be able to go back there she was expected to be able to walk again with minimum assistance of one. The nursing staff reported that her chest infection had resolved and she was now more alert.
Police need better training in mental illness”. Even though Miriam suffered from postpartum depression with psychosis, she was still no form of threat, which had to be riddled with bullets so badly that the body was barely recognizable for family and friends. First of all, the staff responsible for the safety and protection of that section of Washington should be better capable of
In the article “Gender Bender by Jill Vollbrecht we learn about a diabetic woman and her hairier problem. Her deep voice, furry arms and her bald spot points to a hormonal imbalance, but a deeper look into her problem reveals an even better explanation to why this is happening. As we read on we learn about Judy, the diabetic patient and her doctor visit. Dr. Vollbrecht seemed to been having a busy day. She had just finished seeing what seemed like a hundred diabetic patients, one after the other.
Anatphys 215 26 October 2009 Diagnosis of Carpal Tunnel Syndrome Paula is a 38 year old administrative assistant. She has visited the medical assistant at Heald College Medical Clinic. During the interview with the assistant, Paula explains she was waking up at night with pain in both wrists, Paula also states the wrist pain becomes worse after she has been working on the computer. Paula says she has been using wrist supports but they do not appear to help. The medical assistant refers Paula to the physician.
The patient made it very clear that she did not want the phlebotomist to draw her blood (Finnegan, 2013).This same phlebotomist has drawn her for several days for a Prothrombin Time (PT) and Activated Thromboplastic Time (aPTT) without incident, so he reports this situation to the nurse. The nurse informs the phlebotomist that the patient has formed a complaint against him and did not want him, in particular, to draw her blood. The blood had been drawn from the dorsal side of her hand for several days, which was now bruised and swollen. The patient complained of moderate pain, especially when she moved her fingers. Upon observation there was a diffuse ecchymosis over the dorsal side of the hand that extends up the forearm to the elbow.
This time the child did not make it. They were trying to charge the nurse from the previous visit with criminal charges for not reporting the child abuse to anyone. The fact that the child was unconscious and there was not a report of child abuse reported in her notes or to anyone. They wanted to blame her for this child death. The assume if she would of reported this abuse that the child would still be alive.