In 1943 his uncle got injured by a mortar-bomb splinter in his left tibia which caused a horrible leg infection. The doctors at the time were confused on what type of disease he had. The story goes that a doctor would diagnose Chris’ uncle with one disease and then a symptom would arise that would defeat that diagnosis. In more recent years doctors determined that his uncle’s infection was one of two types of malaria found in his bloodstream; P. vivax and P. malariae. What most interested Christopher was that his uncle had a recurrence of malaria in January 1945 and another three, severe flare ups that started in 1987 and ended in June 1993.
4. A 68-year-old male presents to the office complaining of pronounced weakness on the right side of his body and slurred speech for the past 24 hours. Based on the examination, the physician orders an MRI to investigate a possible transient ischemic attack (TIA). The range of codes that would be used for this patient would be Codes 390-459 because the treating physician ordered and MRI to rule out a transient ischemic attack. These codes are for Diseases of the Circulatory System 5.
RTT1 Organizational Systems Task 2 Jenene McDowell Western Governors University RTT1 Organizational Systems Task 2 The purpose of this paper is to analyze the unfortunate sentinel event of Mr. B, a sixty-seven-year-old patient presenting with severe left leg pain at the emergency room. A root cause analysis is necessary to investigate the causative factors that led to the sentinel event. The errors or hazards in care in the Mr. B scenario will be identified. Change theory will be utilized to develop an appropriate improvement plan to decrease the likelihood of a reoccurrence of the outcome of the Mr. B scenario. A Failure Modes and Effects Analysis (FMEA) will be used to project the likelihood that the suggested improvement plan would not fail.
The patient is alert and oriented times 4. Swollen with 3+ pitting edema on both lower legs, palpation is very warm, and reddish colored dots appearing on the surface of the skin. The patient winces in pain as palpate the area. Patient as a history of diabetes mellitus 2, HTN, hyperlipidemia, hypertension, right hip replacement 2007 and left inguinal herniorrhaphy done over 30 years ago, and tonsillectomy in his childhood. Patient denies any recent tobacco and ETOH use.
The nurse is caring for a middle-aged adult male client who is presenting to the emergency department with a severe headache, neck pain, and vomiting several hours after being involved in a motor-vehicle collision. The client is responding appropriately to verbal stimuli and is moving all extremities to command and contusions are noted around the cranium and left orbit. Questions: 1. Which assessments should the nurse perform at this time? List 3 assessments with rationales.
Imagine a healthy man, sixty years old, recently retired, with many years left to spend with his wife, four children, ten grandchildren, and two great-grandchildren. Then one day he begins experiencing difficulty swallowing and slurred speech. After being told by his daughter that these could be symptoms of a stroke, he turns to his doctor for answers. As his swallowing and speech worsen, each diagnostic test is inconclusive. Finally, after several months of increasing frustration and decreasing health, he is diagnosed with amyotrophic lateral sclerosis, or ALS.
RTT Task 1 WGU Organizational Systems and Quality Leadership RTT1 May 28, 2015 RTT Task 1 - Nursing-sensitive Indicators A. Nursing-Sensitive Indicators In the scenario presented, Mr. J is an elderly Jewish male with mild dementia. He is hospitalized due to a right hip fracture following a fall in his home. He has religious and cultural preferences that affect his diet. This scenario contains nursing-sensitive indicators that include patient falls, restraint use, pressure ulcers and patient satisfaction. Nurses need to be educated on these indicators to understand the care they provide directly affects patient outcomes.
Identify sites where a pulse may be taken in the hospitalized patient 5. Discuss common errors in blood pressure assessment Timothy Smith is a 46 year old male patient. He has returned to the unit from the recovery room for post-op hernia repair under general anesthesia. You take his vital signs 99F, P/80, RR/18, BP-120/84, O2Sat 94% RA, 3/10 pain abdomen. Focused Questions: 1.
Chronic Illness Psychosocial Implications Using the Behavioral Nursing Assessment Tool as a guide, this paper begins with a personal interview with a patient who had a right Below the Knee Amputation (BKA) related to Peripheral Vascular Disease (PVD). Mr. Gerke is a 72-year-old retired investment banker who was admitted at Manor Care Hospital on October 4, 2008 for post-op BKA rehabilitation. This assessment tool assists in developing psychosocial assessment criteria for individuals and families adapting to physical illness. Assessment Health Perception-Health Management Mr. Gerke has a history of hypertension, Diabetes and Peripheral Vascular Disease (PVD). He previously had undergone a right 5th toe amputation at Hemet Valley Hospital.
A point of view through an eye The Diving Bell and the Butterfly is written in the point of view by the editor of the French Elle magazine Jean-Dominique Bauby. Jean-Dominique suffered a sever stroke on December 8, 2005 and the stroke left him in a rare condition known as locked in syndrome which leaves the entire body paralyzed, but the brain continues to function properly. Jean-Dominique was left with some movement left in his head and left eye and he developed a system with the help of a physical therapist. They worked with a special alphabet ordered by the frequent usage of words in the French language, and Bauby would blink whenever the person reached the correct letter. There is much meaning to how Jean-Dominique felt while writing