o Moisture damage to the skin can be caused to the individual due to being unable to cope with or without aids or support. o There is an increased risk of infection. o Individual isolates self due to fear of unable to manage needs. o Cognitive deterioration due to dehydration. o Fearful of loss of dignity.
Also if the person is hospitalised or needs surgery, poisoned from wrong medication, shock and disbelief. If someone is being physically abused then the effects are going to be mainly physical, such as bruising and cuts. There are also Long term effects. Abuse is a major source of stress and can have long-term effects on the health and well-being of older adults. The stress of abuse could trigger chest pain or angina, and may be a factor in other serious heart problems.
Central nervous system disturbances may be noted with decreased cardiac output. •Observe for chest pain or discomfort; note location, radiation, severity, quality, duration, associated manifestations such as nausea, and precipitating and relieving factors. Chest pain/discomfort is generally indicative of an inadequate blood supply to the heart, which can compromise cardiac output. Clients with heart failure can continue to have chest pain with angina or can re-infarct. •If chest pain is present, have client lie down, monitor cardiac rhythm, give oxygen, run a strip, medicate for pain, and notify the physician.
Three aspects of burnout are emotional exhaustion, negative, cynical attitudes and feelings about one’s clients and the tendency to evaluate oneself negatively with regards to one’s work with clients. Consequences of burnout can have serious consequences to staff, patients and the healthcare institutions involved. The studies conducted led to the development of the Maslach Burnnout Inventory
Cardiac case study Case Study #2 Professor: Methavichit Sandra Martin 10/01/2013 Case Study Questions: Myocardial Infarction 1. What is the significance of an elevated ST segment inversion on an EKG and the PVCs the nurse sees on the monitor? It is Hypoxic Injury. Rapid discharges that record on the monitor as back-to-back PVCs tells us that his heart is getting ischemia. Usually requires more aggressive treatment such as reperfusion therapy.
This can bring about shortness of breath, leg swelling (called edema), and different issues. Furthermore, organs in your body may not get the oxygen and supplements they have to work legitimately. Heart failure is a perpetual (progressing) condition that creates after some time. It is typically created by fundamental conditions, for example, hypertension or coronary illness. These conditions harm your heart, making the heart muscle hardened or thick.
Congestive Heart Failure We all heard of congestive heart failure, but do you really know what congestive heart failure is? Congestive heart failure is when the heart isn’t able to pump enough blood or oxygen to meet your body’s need, do to other conditions that weaken or damage your heart. The term congestive heart failure comes from blood backing up into your liver, abdomen, lungs, and lower extremities. It can involve your left side of the heart and the right side of the heart or both sides. Left side failure is the most common failure which leads to fluids backing up in your lungs leading to shortness of breath.
* Diagnosis * Treatment * Welfare assistance - provide financial assistance, advocacy * Nursing – Individualized assistance and care plan * Physiotherapists (http://mswa.org.au/How-We-Help/Services-we-provide) Risks * Too many people and too much noise can be a stressful encounter for people with MS, specifically those with cognitive dysfunction. * Infections like flu can course a person with multiple sclerosis to have added complications, which can lead to pneumonia due to decreased lung function. * Lack of sleep, as a result of the constant fatigue that a person with MS
Mr. Hudson complains of symptoms such as, dizziness, ringing of the ears, dry mouth and dry throat. According to the DSM IV-TR, I diagnose the “Edgy Electrician” with (GAD) Generalized Anxiety Disorder. A disorder characterized by chronic distress and anxiety. He qualifies for this disorder because he possesses some symptoms such as difficulty concentrating and being unable to control his worries, which are all symptoms of (GAD). “People with Generalized Anxiety Disorder report that the anxiety that they experience cause substantial interference with their lives and they need a significant dosage of medications to control their symptoms.” (Gerow and Chatmon 2013, p. 258).
R’s past medical history includes acute renal failure, removal of gallbladder stones, hypertension, angiograms x 3, CABG in 1984, arthritis, prostate cancer with bony metastases, AMI 2004 and panic attacks. Mr. R’s current medications include Slow K, Lasix, Losec, Zoladex, Pravachol, Plavix, Cosudex, Coversyl, and Zyloprim. Mr. R is allergic to morphine At 1345hrs following episodes of chest pain radiation to his left arm since 0100hrs. Mr. R called an ambulance in which he was transported to Hornsby hospital. Mr. R described his chest pain as tightness in his chest and rated pain 8/10 he was given 300mcg of anginine and 300mg of aspirin, oxygen was applied, the pain was relieved slightly, rating the pain 6/10 then 1/10 enroute to hospital.