It was my first placement on a rehabilitation and palliative care ward. I was working a late so before me and my mentor finished we had to handover the patient information to the nurses just coming on shift. In particular we had been caring for a patient with diabetes, we went through all of the
When she attempts to talk, she slurs her speech and appears very frightened. 1. Which additional clinical manifestation(s) should the nurse expect to find if Nancy's symptoms have been caused by a brain attack (stroke)? (Select all that apply.) A) A carotid bruit.
Why? d. What teaching interventions would you provide to the client after the change in prescriptions you recommended? (List at least 3 interventions) 2. Mary S. is an attorney (who is 48 years old) who has suffered from epilepsy for about 25 years and is taking the medication phenytoin. You are looking at her electronic medical record and note she has missed several of her quarterly MD appointments.
Final Project Case Study Avonda Ellison Phy/210 October-13, 2013 Tenika Jean-Paul Case Study What are the causes of stress in Jennifer’s life? How is stress affecting Jennifer’s health? The causes of stress in Jennifer’s life is from daily hassles and life changes. Jennifer is dealing with a loss of a pregnancy, death of her mothers, and her father deteriorating health. Not only is Jennifer dealing with daily hassle she has to deal with the fact that she doesn’t see her husband much and her husband’s parents are pressuring to have a child.
It will also critically reflect on the interagency challenges and the range of ethical dilemmas which exist and or can exist in the case. Mrs T is an elderly lady living in an elderly mentally infirm residential unit, which she has lived at for the past four years, her next of kin is her only living relative her son Mr T. Mrs T has a diagnoses of Dementia and is continually reviewed by the community psychiatric nursing team. Mrs T requires assistance from one member of staff with activities of daily living and does not present with any challenging behaviour. She is happy in her mood and enjoys been cared for at the Home. Mrs T suffers from Headaches and is prescribed medication for this on an ‘as and when required basis’.
In Marla’s case, we know that she is having trouble sleeping at night and feeling jumpy all of the time along with an inability to concentrate. Medicines can be used to help her with her sleeplessness and anxiety, but therapy would help her to find out why she is not able to concentrate. Once she has established the root of her problem, which may be found through a psychodynamic approach, she can then use a humanistic approach and figure out what is best for her personally. She seems to have figured out that she needs help and has the strength to seek out help as an anxious dysthymic person would do; this gives much promise to how well she will react to therapy and
REFLECTION: Communication with Dementia Patient During my rotation in Care of Elderly on Sarratt Ward, WGH, we once had a patient with severe dementia. She came in with a chest infection and had been unwell for two weeks and therefore not mobilized during that period of time. Previously she was walking with supervision of one. She was living in a residential home and for her to be able to go back there she was expected to be able to walk again with minimum assistance of one. The nursing staff reported that her chest infection had resolved and she was now more alert.
Now she feels vulnerable and like she can’t enjoy life as she can’t take part. So this woman has a negative attitude towards elderly life. Programmed Theories of Aging. There are three different systems that are involved with aging and these are endocrine (hormal) system, the immune system and genes. These systems change as time goes on and cause symptoms and signs of aging.
Alzheimer's disease is a progressive neurologic disease of the brain that leads to the irreversible loss of neurons and dementia. The clinical hallmarks of Alzheimer's disease are progressive impairment in memory, judgment, decision making, orientation to physical surroundings, and language. Alzheimer's disease is a very difficult disease to deal with for the patient and family. Patients with alzheimer's deal with alot of anxiety and confusion while the family struggles with grief that the patients ability to reconginze the family and life are fading. In the Notebook we see both sides of the struggles of dealing with Alzheimer's.
I had the opportunity to interview a registered nurse who I have trained in the past when she was new to our department, but now I admire and view as a mentor. My interview was with a forty-two year veteran diploma graduate registered nurse who is but one year from retirement. She has worked at several different hospitals and in several different departments through out her career. I enjoyed hearing her experiences and related to a lot of the past and could understand what nursing has been, how it has moved forward, and what the future might hold for nurses. A time ago nursing was viewed as a “woman’s job”.