Picoult continues on this theme of “saving” by using Suzanne as Sara’s crutch, as she makes her coffee each morning and informs her of any missed phone calls. While in the hospital, Sara receives a call from Jesse’s principal informing her of Jesse’s suspension. On the car ride home she notices a bruise on his arm from a needle and assumes he has been using drugs. Jesse angrily explains how he has been donating blood that gave Kate platelets behind the family’s back, in order to “save” his sister. After two weeks in the hospital, Kate developed an infection that placed her in a coma on a respirator, which is “saving” her for the time being.
The care plan was read and then the necessary equipment to continue with treating the wound was brought to where Sarah was sat. As the nurse was preparing the equipment we spoke with the patient, asking if she was managing to sleep any better, as it had been documented that Sarah was unable to sleep due to the pain caused by the leg ulcer. Sarah became very emotional and started to cry, saying that she could not cope much longer due to the wetness and odour of the bandaged leg or the pains in her leg when she goes to bed. The nurse spoke calmly and listened to Sarah, showing empathy. At this point I was able to see how experienced the nurse was with dealing with a situation that required in-depth knowledge of psychological factors that can lead to further distress for Sarah if not addressed.
Upon arriving at the doctor’s office, the nurse performs a brief assessment. His VS are: 138/86, 100, 30, 100.8 F. M.G. states that he has been feeling fatigued for several months and is experiencing occasional night sweats but he has also been working long hours, has skipped meals, and has been stressed over a project at work. M.G.’s physical is WNL except for his low grade fever and purple skin lesions. The physician orders a PPD, CBC and lymphocyte studies.
When she did so, her water broke. Aware of potential complications she climbed into the bathtub and delivered a baby boy before summoning her husband. When she summoned her husband, he came to the restroom, expressed his concern, and called the doctor. The doctor was upset from the news and insisted that she go to the hospital. Upon arrival, the staff were horrified with the news of an at home delivery.
Reflection Paper on Acupressure The task is to write a paper on the topic of Acupressure as it related to the treatment received by a patient who has decided to add the therapy to her treatment regimen. The patient suffers from chronic pain which includes lower back pain, neck pain and fibromyalgia. The patient is a 63 year old female who has suffered with daily pain for greater than twenty years. She has been on opiates as well as other medication to relieve her pain and discomfort. The patient reports that her pain is constant with intensity changes with various activities.
Folole Muliaga was found to be terminally ill with obesity-related heart and lung disease. She was confined to a home oxygen machine after doctors determined that Mrs. Muliaga needed help breathing after suffering from terminal cardiomyopathy. Folole Muliaga was in the hospital from March of 2002 until May of 2002 for her condition. During her stay in the hospital, Mrs. Muliaga’s electricity bill continued to increase. While Mrs. Muliaga was in the hospital, her husband attempted to make arrangements to payments towards the overdue electric bill.
Medication errors that cause harm are called preventable adverse drug events. For example, 40-year-old female was brought into the emergency room for shortness of breath and rash following an ingestion of seafood. On presentation, she was found to have edema of the throat with a mild stridor upon inspiration. Her temperature was 98.7 °F axillary with a blood pressure of 100/69 mm Hg and a pulse of 70 bpm. The patient was placed on supplemental oxygen and a 0.5 mg (1:1000) dose of epinephrine was ordered.
Mrs. A.S. came in with chest pain and shortness of breath. A preliminary electrocardiogram and cardiac enzymes levels ruled out a myocardial infarction. Mrs. A.S. was admitted onto a cardiac telemetry unit for further evaluation. The patient was asked about her religion upon admission and she stated Hindu. Mrs. A.S. is sixty-two year-old Middle Eastern Indian woman.
Individual Health Needs Assignment This assignment will examine the individual health needs of a client I have cared for in practice, from a holistic point of view and will be using a nursing model and relating it to my client. Mr X is 53 years old and lives with his wife and daughter in a small house. Mr X has had epilepsy, from the age of seventeen and has been on medication since then. Mr X has a poor diet and is obese. Mr X has been admitted to hospital with an increase of ‘Grand Mal’ seizures.
Nursing Management of Patient w/ Pain, Ambulatory Dysfunction & UTI S.L., a 31 year old female patient with a pertinent medical history of Lupus, Raynaud’s Phenomenon, Ablation for Supraventricular Tachycardia (SVT), Hypertension, Pyelonephritis and a mini stroke that has undergone surgical procedures of cholecystectomy, four C-sections and a hysterectomy, was admitted to the medical floor through the emergency department on January 12, 2010 with complaints of severe back pain. Patient reports that the pain began approximately two weeks prior to her arrival to the hospital. The pain became progressively worse and limited her ability to perform Activities of Daily Living (ADL’s). She was experiencing severe pain but was able to ambulate with the aid of a cane. For one week prior to her hospital admission she reports being bed bound and “couldn’t even get up to use the restroom”.