Scenario The wife of C.W., a 70-year-old man, brought him to the emergency department (ED) at 0430 this morning. She told the ED triage nurse that he had had dysentery for the past 3 days and last night he had a lot of “dark red” diarrhea. When he became very dizzy, disoriented, and weak this morning, she decided to bring him to the hospital. C.W.’s vital signs (VS) were 70/- (systolic blood pressure [BP] 70 mm Hg, diastolic BP inaudible), 110, 20. A 16-gauge IV catheter was inserted, and a lactated Ringer’s (LR) infusion was started.
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.
Postoperative Care of the Septic Pediatric Patient Secondary to a Ruptured Appendix PediaSIM HPS® Program for Nursing Curriculum Integration (PNCI™) Simulated Clinical Experience (SCE™) Overview Location: Emergency Department and General Pediatric Surgical Unit History/Information: The patient is an 8 year old male who lives with his parents and 2 sisters. He presents to the Emergency Department (ED) with complaints of severe localized pain in the right lower quadrant of the abdomen, nausea, vomiting, and fever. Two days ago he began complaining of loss of appetite, cramping type pain, and his mother states that he just wasn't acting like himself. By that evening he was complaining of generalized abdominal pain. Yesterday he
Victoria had been racially abused by a white patient, staff had tried their best to move her off the ward, and this has made akinyemi very annoyed and angry. After this many nurses covered her mouth and blind folded her for 20 minutes, in result to this Victoria then died of asphyxiation. Adding on to this her family was not informed about her death for 4 days. In June 2012, an inquest came to a result of ‘unintentional death’. The coroner made suggestions to improve practices.
Neurological Disorder Case Study - Meningitis The nurse is caring for a 21-year-old female college student who presents to the emergency department (ED) with complaints of “bad” headache pain, nausea, vomiting and neck tightening. She states, “My sinuses were bothering me last week, but I thought I was getting better until this morning.” No past surgical history noted, has recurrent sinus infections, and denies drug use, but is a social drinker on the weekends. Physical assessment findings are as follows: T – 100.8 F, P – 104, R – 24, B/P – 122/78 Alert and oriented X3 – person, place and time with periods of confusion and agitation over last 4 hours Lung sounds slightly diminished at the bases Mucous membranes dry and capillary refill <3 seconds Assessment of cranial nerve XI elicited severe pain response Pain to neck worsening and unequal pupillary responses are noted 4 hours after admission Lumbar puncture was prescribed and results are: Turbid appearance WBC - 560 cells/µL Glucose - 20 mg/dL Protein - 510 mg/dL Other diagnostic test results CT scan identified no obstruction to flow of CSF Define the key terms below: * Meningitis - see pgs. 1451 – 1455 in Lewis (8th edition) Critical Thinking Questions: 1. Define meningitis?
Let’s look at a true story of a patient that discusses the challenges of her diagnosis and how she copes. D.C is a 16-year-old female that was just recently diagnosed in May 2008 (Bracken, 2008). Her video was made November 2008. She was at school when she didn’t feel well and thought she had the flu. When she was hospitalized it was discovered she had type I diabetes.
Natalya Bailey KOT 1 Organizational Systems and Quality Leadership Task 2 Mrs. Zwick Navigating healthcare is frustrating for many patients. Mrs. Zwick was hospitalized for 5 days and transferred to a skilled nursing facility for a projected 21 day stay. Mrs. Zwick ended up staying in the skilled nursing facility a total of 40 days. Mrs. Zwick’s daughter will need to be educated on Medicare coverage versus what Medicaid is, as well as what a hospital acquired infection is and its effect on Medicare reimbursement. Medicaid is a state government funded healthcare reimbursement program for individuals and families who meet certain income guidelines.
Risk Assessment: Cor Pulmonale NR 282 Pathophysiology II Spring B – 2013 Cor Pulmonale Introduction My patient is a 42 year old Hispanic female with a past medical history of pneumonia and hypertension. She is a single mother with one child (son) and is employed as a cleaner in a general hospital. She denies smoking but drinks alcohol occasionally. She denies using recreational drugs. The patient presented to her physician’s office with shortness of breath, chest pain, excessive coughing, and excessive fatigue and states that, “she has fainted on occasion before”.
Andrea Gore Dr. Jordan ENG 465 July 2, 2013 “A Rose for Emily” William Faulkner This story is divided into five sections. In section I, the narrator recalls the time of Emily Grierson’s funeral and how the entire town of Jefferson attended her funeral in her home. The men went out of respect for Emily, and the women went out of curiosity to see the inside of her house. No one has seen the inside for 10 years. The townspeople thought of Emily as a sort of hereditary obligation.
They wheel her from class to class, assist her in the restroom, and help her eat. Friends read class material to her and take notes for her as she is partially blind. She attends school for half the day and goes to therapy in the afternoon. Synthetic marijuana destroyed a large portion of her brain. 70% of Emily’s brain is now considered dead.