Cystic Fibrosis Heather Province Southwest Florida College Anatomy & Physiology August 30, 2012 Margaret Forget Cystic Fibrosis What is Cystic Fibrosis and what it means to me personally? This disease is a lethal genetic disease that’s common in the white population. Many patients with this disease live till 37 years old due to better treatment to improve their survival rate. “Average Life Expectancy in Cystic Fibrosis Better Treatment=Improved Survival” (Source: Cystic Fibrosis Foundation). Throughout my research I will explain treatments, therapy options, and prescription drugs offered to patients with this disease.
That is a very good question Mr. Brown. I will start at the beginning and explain what cholesterol is so that you can have a clear understanding. Then we will review the results of your recent blood tests and I can clarify why it is important to monitor your cholesterol levels. Lastly, we will discuss a plan of care that will provide you with options on how best to manage your cholesterol levels including any lifestyle changes that can assist you in achieving optimal health. Cholesterol is a waxy substance that is made in your body or can enter your body through the food that you eat.
Dr. Strickland placed Henry on a “blood thinning” drug called warfarin, which works by preventing clots from forming. Henry returned to his retirement plans but quickly found himself back in Dr. Strickland’s office after suffering from frequent nose bleeds. A laboratory test called an INR (International Normalized Ratio) was performed. This test measures the time it takes for blood to clot and compares it to an average. The test revealed that the time it took for Henry’s blood to clot was well above what would be expected for the dose of warfarin that he had been placed on.
On November 2, 2012 he underwent surgery to debride the ulcers and removed the necrotic tissue. After his surgery he came up to the surgical ward, and the writer of this essay cared for him for twelve days. Other than his paraplegia and pressure ulcers, P.L. is a healthy young man. Client and Family Coping with Illness The client is not coping with his illness effectively.
Because Mr. Trosack is male and elderly he may be at higher risk of complications from NIDDM. (Ruigomez & Rodriguez 1998) The third health concern is his newly diagnosed hypertension. Hypertension is known as the silent killer and his blood pressures must be monitored and controlled. While he has probably been living with this condition as well, undiagnosed, he must now monitor his blood pressure to assess the efficacy of his new medication; and adapt his diet for this condition in addition to his NIDDM. Mr. Trosack also has some hearing loss and poor vision which can impact his ADL’s as he tries to recover and care for himself after surgery.
Healthcare Issues As the discharge planner for Mr. Trosack, I will need to address several issues before I can safely send him home. He has had several new diagnoses while in the hospital for a fractured hip, and the hip fracture will be the first issue I will address. He will not have the mobility he had before his fall and even though he wants to be independent, he will continue to have issues at home that needs to be addressed. Second, he has been diagnosed with diabetes, and he is in denial about this. He and his family feel that he will be able to control his blood sugar level with diet alone.
For instance, in this article the military states that when a soldier is experiencing sighs of mental trouble or PTSD they will move him to a location not far from the battle field to rest for a couple days and speak with someone about their traumatic experiences and probably receive some medication. I think it is good when mental issues like these are recognized by higher ranking officials and they realize that some help needs to be enforced; although I don’t think enough is being done to let the soldier properly heal before he is sent back into battle. I think it would be more useful to completely remove a soldier suffering from PTSD from any dangerous war like area, in order to help decrease their anxiety level. Give them a psychiatrist to speak with and help with their traumatic experiences. Then when they show signs of mental stability send them back.
My first thought was that the patient might be in severe pain even though he rated the pain as 5/10 on the pain scale of 1-10. Upon standing order from the physician, I gave pain control medications and waited for the hear rate to slow down. Shortly after giving the medication, the patient's heart rate increased above 150's and he started to complain of his heart pounding fast. He ended up with a Rapid Response Code. Then only I understood that patient is running an event of SVT.
Case Study: JIT at Arnold Palmer Hospital Managing Operations across the Supply Chain – GSCM 206 1. What do you recommend be done when an error is found in a pack as it is opened for an operation? The most basic and immediate solution is to get another pack and order a replacement as soon as possible. Even though the Arnold Palmer Hospital uses the JIT system, they do have spare surgical packs for emergencies but they are bulky, must remain sterile and take up a lot of space. By adopting the JIT system, these types of errors are known instantly and the delivery company can be notified within a day so they can ascertain the reason for the error and take appropriate action to correct the error and ensure that the spare surgical pack is replaced.
After hearing that and instructing me to lie on my side I was very worried because I didn’t know what was going on. My husband was trying to calm me down saying everything was going to be alright and I just wanted the doctor to come back and tell me what was going on. We waiting fifteen minutes or more, which seemed like a half hour, the doctor finally returned. He began telling us the reasoning for his concerns based on the level of protein in my urine. After our discussion with the doctor additional test were ran including blood pressure in