This assignment will use a case study of a patient with Alzheimer’s disease (AD), presenting with abdominal pain, to outline how to conduct an holistic assessment. It will compare the biomedical model to the holistic model of health, to illustrate how and when an holistic approach can be invaluable in pre-hospital emergency care. Using a biopsychosocial approach to pain and constipation, it will analyse reasons for differences in patient presentation and how these differences should be considered when adapting assessment and treatment to a particular patient. Finally it will explore the adaptation of safe practice to the wishes of the patient in question. To comply with Health Care Professions Council (2012) standards of conduct, performance and ethics all patient and National Health Service (NHS) ambulance trust identifiable data has been omitted.
Facet joint pain: physiology, diagnosis and treatment The facet joint has been increasingly recognized as an important cause of low back and neck pain. It has been estimated that facet joint pathology is a contributory factor in 15–52% of patients with chronic low back pain. However, it has also been reported that the prevalence of isolated facet joint pain may be as low as 4% (Binder D. S. and Nampiaparampil D. E., 2009). Prevalence rates of facet arthrosis were examined on 647 cadaveric lumbar spines. By the age of 60, 100% of the samples had prominent facet arthrosis.
Nurses play a major role in improving diabetes care and empowering patients to develop their self-management and life skills. Managing effectively this disorder is critical since it is associated with serious complications, which may lead to both reduction in longevity and quality of life (Mold et al. 2008). Early diagnosis of diabetes and early interventions can prevent the rise of complications. Obesity, adherence, diabetic foot, depression and micro- and macro-vascular complications are five of the many areas that pose the most challenges for nurses and other healthcare professionals in treatment of the disorder.
Acute Renal Failure NU270 Assignment 6.1 7/26/2012 Patients that are in acute renal failure have many obstacles that they are faced with. The nurse should follow evidence based interventions when caring for them. Electrolyte imbalance, blood loss, infection, and nutrition are just a few of the issues the nurse must be educated about. It is important for the nurse to impose every intervention available to reduce the risk of infection in the patient experiencing acute renal failure. “Make sure appropriate hand hygiene is used.
Decreasing the Risk of Falls in the Patient with Parkinson’s Disease Cathy Hanes RN, BSN Kent State University Contact Information Cathy Hanes Address: 447 Ninth Street Struthers, OH 44471 Phone: (330) 301-3672 Email address: chanes@kent.edu Abstract The leading cause of serious injury and death of older Americans are falls. On average 30% of people over the age of sixty five fall at least one time per year, and this percentage continues to increase with age. People with Parkinson’s disease are twice as likely to fall and have recurrent falls as other older people. These falls can result in serious injuries such as hip fractures and head trauma, a fear of falling, decreased mobility, and decline in functional ability and quality of life. Understanding the risk for falls for people with Parkinson’s disease and use of appropriate fall interventions as delineated in The American Geriatrics Society AGS/BGS Clinical Practice Guideline: Prevention of Falls in Older Persons can help maintain the functional ability, increased independence and overall quality of life.
The main goal of HD, is to “clean the blood” (Davita) While low Hgb is most common in seniors , younger adults are also affected by this disease, women with heavy menstrual cycles, men with lower androgen levels which also affects their sexual drive has been found. (Robinson,2009) The World Health Organization (WHO) states that anemia affects nearly 60% of the older population. ( WHO,
Black women in the District suffer from obesity, diabetes, heart disease and generally poor health in alarmingly high numbers, and white women do not. That is the finding of a study released early today by the Kaiser Family Foundation. The study said there is a large disparity in the incidence of certain chronic diseases between black and white women. Kaiser's study was based on data compiled by the Centers for Disease Control and Prevention and the federal Current Population Survey from 2004 to 2006. The study reflected health statistics in the states and the District.
Older persons experience the greatest amount of painful conditions but receive the least successful treatment of pain (Closs, 2005). A concise definition of pain is difficult but it is divided into two categories, acute and chronic (Touhy & Jett, 2010). The effects of inadequate pain assessment and treatment among older adults may lead to multiple problems. Pain is common in older people. The landmark study by the American Geriatric Society (AGS) conducted in 1998 found through a telephone survey that one in five older Americans are taking analgesic medicines regularly and 63% of those have taken prescription pain medications for more than six months (AGS, 1998, p. 635).
In America the elderly are seen as a burden and mistreated. But in other countries the elderly are respected and seen as advisors for the younger generations. The fastest growing age group in the United States is the elderly. According to the United States Department of Health and Human Services, in 1980, there were 25.7 million older persons; by 1990 the amount of older Americans had reached 31.2 million. In 2000, 35 million of the United States population was over 65 years of age, and by 2030 the figure is expected to reach 71.5 million older Americans.
The chronically ill and disabled is a vulnerable population that I personally work with in my healthcare career. Throughout this paper I will why they’re a vulnerable populations and what can be done to assist these patients. “Chronic illnesses are significantly more prevalent among low-income and other disadvantaged populations. Additionally, the impact of these illnesses is more severe among the unemployed, uninsured, and less educated. For example, patients with a chronic illness who have less than a high school education are 3 times more likely to report being in poor health than those with the same illness who hold a college degree.