• A 62-year-old diabetic female presents for check-up and dressing change of on left foot. An examination reveals the wound is healing. The nurse applied new dressing and patient will return for a check-up in one week. This patient has a history of wounds on her left foot. The nurse applied new dressing in the wound and medical decision was established.
The study was conducted on 46 women (mean age 31 years) recruited from one suburban midwifery practice and two obstetric practices in the northeastern United States. Participants underwent wrist actigraphy at home for 7 consecutive days to measure sleep quality. The Postpartum Depression Screening Scale measured depression severity. Women with postpartum depression experienced poorer sleep quality than women without postpartum depression. Sleep is very important for good health and especially for mothers who just gave birth.
Scenario The wife of C.W., a 70-year-old man, brought him to the emergency department (ED) at 0430 this morning. She told the ED triage nurse that he had had dysentery for the past 3 days and last night he had a lot of “dark red” diarrhea. When he became very dizzy, disoriented, and weak this morning, she decided to bring him to the hospital. C.W.’s vital signs (VS) were 70/- (systolic blood pressure [BP] 70 mm Hg, diastolic BP inaudible), 110, 20. A 16-gauge IV catheter was inserted, and a lactated Ringer’s (LR) infusion was started.
CASE STUDY Assignment: Thyroid Drugs Ms. Kissinger, 43-yr-old Caucasian female, comes to the urgent care clinic, complaining of weakness, insomnia, awakening during the night with “a rapid heart beat,” and “feeling anxious.” Ms. Kissinger denies chest pain or shortness of breath associated with her rapid heartbeat. She also complains of muscle tremors when doing small motor activities and “can’t wait for the summer to end” because she cannot tolerate the heat. Past medical history includes hypertension diagnosed 8 years ago. Family history includes one sister with “thyroid problems.” Social history includes a twenty-five pack-year history of cigarette smoking, although she quit 5 years ago. She also consumes one to two drinks of brandy per week.
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.
In the article “Gender Bender by Jill Vollbrecht we learn about a diabetic woman and her hairier problem. Her deep voice, furry arms and her bald spot points to a hormonal imbalance, but a deeper look into her problem reveals an even better explanation to why this is happening. As we read on we learn about Judy, the diabetic patient and her doctor visit. Dr. Vollbrecht seemed to been having a busy day. She had just finished seeing what seemed like a hundred diabetic patients, one after the other.
This is followed by collecting cues, processing information, identifying problems, establishing goals, taking action, evaluating outcomes and reflecting on process and new learning (Levitt-Jones, 2012). In this scenario an 86-year-old female patient has suffered a fall and is demonstrating early symptoms of dementia. Consider the patient/Patient Context: Mrs Checketts is a petite 86 year old woman who has been admitted to your facility for respite after treatment for a fractured wrist sustained during a fall at home. | Collect cues/information: You review this initial impression and current information and gather new information/cues you consider relevant:Mrs Checketts lives alone and manages her own activities of daily living. Her son lives interstate and her niece pops in to visit her a few times a week.
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”. The patient looks very weak and flushed. Her son accompanied her to the doctor’s appointment. After diagnostic testing, the patient was diagnosed with Cor pulmonale. Risk Factors The inability of the right ventricle to properly pump blood in the arteries leading to these abnormally high pressures is known as cor pulmonale.
She has a history of smoking one pack of cigarettes per day for 50 years. She is alone and is ambulating slowly due to pain and discomfort in her hips. Based on the four national quality initiatives described previously, with the individual clinician as the level of measurement, the PQRI/DOQ-IT measure is a process measure reporting the percentage of patient visits for patients 21 years and older with a diagnosis of osteoarthritis with assessment of function and pain. The NQF measure is a process measure reporting the percentage of patients with osteoarthritis who were assessed for function and pain. The relevant ANA measures are linked to the changes in symptom severity and level of functioning domains.
Let’s look at a true story of a patient that discusses the challenges of her diagnosis and how she copes. D.C is a 16-year-old female that was just recently diagnosed in May 2008 (Bracken, 2008). Her video was made November 2008. She was at school when she didn’t feel well and thought she had the flu. When she was hospitalized it was discovered she had type I diabetes.