A large tubal ectopic pregnancy was noted affecting approximately the distal half of the fallopian tube. Following this a Heaney clamp was placed in the mesosalpinx and another curved Heaney clamp was placed in the proximal aspect of the left fallopian tube beyond the area of the ectopic pregnancy. A partial salpingectomy was the performed removing the portion of the left fallopian tube containing the ectopic pregnancy. Heaney clamps were them replaces with suture No. 1 Vicryl.
a. What is cardiac tamponade and how does it cause the observed symptoms? i. Cardiac tamponade is when large amounts of inflammatory fluid seep into the pericardial cavity. The excess fluid compresses the heart and limits its ability to pump blood. b.
Aix Describe two strategies that you could use to clarify misunderstandings. Ax A social care worker wants to enable more effective communication with individuals using the service. Explain how they could access extra support or services that may be helpful. Task B Case study You are a social care worker and a service user, Hannah, tells you that she is unhappy taking her new medication as she thinks she does not need it and so she is throwing it away. You know from her care plan that Hannah does need to take the medication regularly and gets confused.
This is a condition in which the action of swallowing is difficult to perform (Royal Marsden, 2008). It is important to note that all confidential information relating to patient, ward, hospital and professional colleagues has not been included in this paper to ensure ethical practice and adherence to the NMC code of professional conduct (NMC, 2008). This nursing intervention was essential for a patient in my care, who for the purpose of the essay will be referred to as Sylvia. Nasogastric tubes are used as a short or medium term nutritional support and also for aspiration of stomach contents (Royal Marsden, 2008). Food can be administered through the tube directly into the stomach and the swallowing process does not need to take place.
The aortic arch then branches into three major branches the brachiocephalic trunk (branches into right common carotid and right subclavian), the left common carotid artery, and the left subclavian artery. These three vessels provide blood to the head, neck, and upper limbs, and also part of the thorax. The descending aorta runs along the anterior spine and is called the thoracic aorta when it reaches the thorax. Later it becomes known as the abdominal aorta as it reaches the abdominal cavity. The abdominal aorta supplies the abdominal walls, viscera, and ends at T4 level where it branches into right and left common iliac arteries to supply the pelvis and lower limbs.
Interventions and the evaluation method must be appropriate to the desired outcomes. Provide rationale for each nursing diagnosis, and explain how PES, NANDA, NOC, and NIC apply to each diagnosis. * Use a minimum of three peer-reviewed resources, and create an APA formatted reference page. Nursing Diagnosis 1: Imbalanced Nutrition: less than body requirements Actual metabolic needs in excess of intake with weight loss R/T to increased caloric requirements and difficulty ingesting or absorbing sufficient calories secondary to cancer. (Ackley and Ladwig, 2014) | Desired Outcome 1 | Desired Outcome 2 | Nursing Intervention 1Explain the need for adequate consumption of carbohydrates, fats, proteins, vitamins, mineral and fluids.
Neurohumoral activation in preclinical heart failure. Remodeling and the potential for intervention. Circulation. 1993;87:IV90–IV96. Kajstura J, Leri A, Finato N, et al.
The vagina takes the penis during sexual intercourse and also aids as a tube for menstrual flow from the uterus. The cervix is a cylinder-shaped neck of tissue that connects the vagina and uterus. It is also the lower part of the uterus in the female reproductive system. The cervical canal is a passage through which sperm must travel to fertilise an egg cell after sexual
Labour, or the process of birth is divided into three stages, which are: Dilation Delivery of the body Delivery of the placenta Dilation: this is where the strong uterine contractions cause the cervix to dilate until it is wide enough for the mother to bead to pass through- usually about 10 cm. this stage can take up to 2-24 hours. Delivery of the body: this is where the baby is expelled through the birth canal, to the outside world. The mother pushes down to expel the body. The bluish colour of the body quickly starts to turn pink as he/she starts to breathe.
1. What will you take away from observing the Janet: Clarifying a Plan of Action session and incorporate into your therapeutic communication tool box for your future practice as a nurse? Janet is a single mom who is trying to incorporate more exercise into her life. In this video, Janet sees the importance of making a change but struggles to create a plan to put in action. This is probably very common in patients.