Prior to seeing the nurse practitioner, he fills out a history form which elicits a family history and review of systems. His father died of a heart attack at age 72. His mother is alive and well at age 76. He has a 44-year-old sister who recently had a hysterectomy and has been treated several times in the past for depression. He has a 22-year-old son and an 18-year-old daughter who are in good health.
Objective: To determine whether a pharmacist-led telehealth disease management program is superior to usual care in improving diabetes medication treatment adherence in patients with concomitant diabetes and depression. Methods: We propose to conduct a randomized, controlled pilot study of 80 patients with concomitant diagnosis of diabetes and depression with a hemoglobin A1C > 8%. Forty patients will be randomly assigned to receive the pharmacist-led telehealth program (experimental arm), which will include an initial visit to learn about the technology, weekly monitoring of telehealth data, followed by telephone calls when alerted by the telehealth system for 6 months. Another 40 patients will be allocated to usual care (control arm). The primary outcome will be the change in diabetes and depression medication adherence rates.
These codes are for Diseases of the Circulatory System 5. Jerry C., a 47-year-old male, is here to see his regular physician, Dr. Warren. Jerry has a family history of pancreatic cancer, so he is very diligent about his
He has been retired from the police force for 21 years. He lives in a 3 bedroom house close to the town centre. He still drives and goes to a weekly bowls club. Harry has a past medical history of type 2 diabetes mellitus, high cholesterol, suffers with anxiety and low mood. Once transferred onto the ward from accident and emergency, an initial nursing assessment was done with the patient; this is the first step of the nursing process.
Risk assessment for by the USPSTF breaks the use of aspirin down by age and by gender. For men, risk factors for coronary heart disease include age, diabetes, total cholesterol level, HDL level, blood pressure and smoking, for women, they include, age high blood pressure, diabetes, smoking, history of cardiovascular disease, atrial fibrillation and left ventricular hypertrophy ("U.S. Preventive Services Task Force," n.d.). Nearly one fourth of all cardiovascular deaths are preventable according to the CDC. Strategies to improve the survival rates are aimed at education, and promoting the use of aspirin when appropriate, blood pressure and cholesterol management and smoking cessation. With this information available to both the consumer and the provider, this aids in helping both make informed decisions ("Morbidity and Mortality Weekly Report,"
Managing infected in diabetic foot: NICE guidelines state that infection in the diabetic foot is a medical emergency and that patients must be referred to a specialist team within 24 hours. New ulceration, new swelling, or new discoloration over part or all of the foot these are some features that need a specialist team for diabetic foot. 5.Factors for dressing:- 1. A. There are some factors for choosing the dress for the patient that have the diabetic foot.
APA style is a difficult citation format for first-time learners (Jones, 1998, p. 199). A patient assessment is performed on the 40 year old patient, noting general health nutrition, mobility and functional level, knowledge, emotional health, and social and family situation. Also assessed is the general skin condition and the lower extremity focused assessment including Doppler assessment of the pulses (ABI) and assessment of the bilateral edema , hemosiderin staining, fibrosis, itching. Assess for peripheral sensory neuropathy using monofilament testing. The
Research Critique, Part 1: A qualitative study relating to the experiences of people with MS: differences by disease severity Annamma Thomas Grand Canyon University: NRS-433V: History and Process of Nursing Research, Evidence-Based Nursing Practice, Quantitative and Qualitative Research Process February 24, 2013 Problem Statement One of the main characteristics of Multiple Sclerosis is the differences where lesions arise on the body. As the disease progresses a variety of symptoms and severities occur for each patient. It is unknown what truly causes Multiple Sclerosis and what the best combatant for this disease is. The problem of this study was what key factors identify where the lesions on a person will turn up and how does the severity of the disease transpire for any patient. More than 2.5
Unnatural Causes, Episode 4 Bad Sugar The Bad Sugar movie addresses the roots of health issues specifically diabetes among the Pima and Tohono O’odham Indians of southern Arizona. According to Dr. Knowler and his colleagues at the NIH, “American Indians have the highest rates of diabetes in the world and about half of adult Pima Indians have diabetes, which they get at a relatively young age" (Knowler, et al 1993). The movie explains some of the major factors and its effects on the health of Pima and Tohono Indians. The 29 minutes clip was produced by California Newsreel with Vital Pictures. The National Minority Consortia in collaboration with the Public Engagement Campaign and the Joint Center for Political and Economic Studies Health Policy Institute presented this movie through PBS.
recovery. Nursing care plans include: an assessment, nursing diagnoses, interventions, goals, and evaluations. Nursing diagnoses are based on the top priorities for the individual client. Nursing care plans are constantly revised, as priorities change on a daily basis (Herdman, 2012). The following case study is on a 26 year-old male whom is a paraplegic and has developed one pressure ulcer on each buttock whom was looked after by the writer on November 26th, 2012.