Mr. R is a 76yr old male who lives with his family, has complained of daily episodes of chest pain with palpitation for the last 2 months, has been non-compliant with medications for 2 months and has had a decreased oral intake. Mr. R also complained of increased shortness of breath and unable to mobilizes due to being “out of breath” and felt fatigued when walking a short distance, he also complain of burning whilst urination, becomes distressed and therefore suffers a panic attack which are relieved with reassurance. Mr. R has excessive sweating at times, at rest, and has also noted over the last 2 months he has overall swelling to his body and a persistent cough with increased palpitations at night and regular falls with “blackouts”
Finally, after several months of increasing frustration and decreasing health, he is diagnosed with amyotrophic lateral sclerosis, or ALS. Within two months, he is in a wheelchair with a surgically placed feeding tube. Six months after being diagnosed, he passes away in his sleep from respiratory failure. He was
This occurs when the heart becomes weakened and enlarged, and congestive heart failure follow quickly. The signs and symptoms are left and right heart failure, the autopsy signs would include central hemorrhagic necrosis in the liver. Hypertrophic is the other one which is just as our skeletal muscles hypertrophy in response to increased demand, cardiac muscle undergoes hypertrophy when placed under a high workload for a prolonged period of time. Pathologic hypertrophy is a result of disease that place increased demand on the heart, such as chronic hypertension, valvular damage, and myocardial infarction. The left ventricular hypertrophy is the most common type of hypertrophic heart disease.
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”.
According to articles online about half of patients with kidney failure receive treatment and are cured. Scenario B Chronic renal failure: Mr. Hodges, a 73-year-old man, has had congestive heart failure for the past 5 years. His doctor has told him that his heart is not functioning well, needing more and more medicine to maintain circulatory function. He has noticed that he
Throughout this assignment I will be using a pseudonym to maintain patient confidentiality in order to conform to ‘The Nursing and Midwifery Code’ (NMC, 2008). Harry Jones is an 82 year old male who was transferred to the ward with a left fractured neck of femur, following a fall in his home. As a result he was due to have a hemiartroplasty that day. Harry lived at home with his 79 year old wife and his dog. He has been retired from the police force for 21 years.
Last year, the patient was hospitalized more than 4 months total for the problem. He is from Atlanta. He is coming to visit his aunt accompanied with his mom and his sister. Patient states “he has to go to University Hospital Emergency Room for cyclic vomiting syndrome on Sunday 7/15/12 at 1pm. 2.
An ischemic stroke is usually characterized by a reduction or obstruction of blood supply to the brain due to blocked blood vessels caused by atherosclerosis or a blood clot. Up to twelve percent of ischemic strokes often cause death within thirty days and is among the largest health burdens in developed countries. It is worth noting that the epidemiology of stroke has been changing because of several factors, with the most important being an ageing population, as well as advancements in the treatment of the condition. Stroke prevalence is projected to increase globally as the population of individuals aged above sixty-five years augments (Ovbiagele et al., 2013, p. 2363). Ovbiagele et al.
Past Medical History This was an observed consultation which took place in surgery with a GP. A 44yr old male who had previously been treated for a muscular problem was found to have a blood pressure of 165 systolic. BP remained elevated at subsequent visits despite monitoring at home. NMC (2008) recognise that patients have a right to have their confidentiality respected and for this purpose the patient shall be referred to as John Brown. John is a current smoker of 20-30 cigarettes per day and has an excessive alcohol intake; his weight is also at the upper end of a healthy range.
Other Contributing Factors Smoking Smoking causes vasoconstriction, leading to increase in blood pressure and damaged blood vessels. If have an existing hypertension, tobacco use can even worsen the condition. Better kick the habit NOW! Stress Anxiety and stress can temporarily raise your blood pressure. Science has not proven how stress causes HBP but some scientists believe that stress can affect a person’s behaviour towards health, decision-making and socioeconomic status.