On Washing Hands Response The first time reading On Washing Hands, I really didn’t understand what point Gawande was trying to get across. Gawande was listing a bunch of deadly diseases, and I was wondering how they pertained to washing your hands. As you read further, in the short story, the author mentions two million Americans acquire an infection while they are in the hospital and ninety thousand die of that infection (Gawande 343). The main cause of this is people not washing their hands. It took me a while to piece together all the information.
This is Drew Jennings and I have completed the health survey of Hamilton, Rhea, Bledsoe, and Cumberland Counties. I am writing to you because I have made an alarming discovery. Brain cancer rates have spiked in Bledsoe County and I believe that a popular pumpkincide is the source. However, I have only theories and I would like to do a toxicity test on the pumpkincide. During the survey, I found that none of the other counties were being affected.
The development of penicillin has served as the general model for most drug development and discovery during this specific time period. Research that resulted in sildenafil was originally conducted in order to find a lead compound with anti-hypertensive properties and over time a turning point had occurred, perhaps not the final one, where a completely new indication has been developed. In the early 20th century, a pandemic of diseases arose as a result of bacterial infections which killed many individuals due to the lack of available antibiotics. It was this series of incurable diseases that spurred research into drugs that could treat conditions caused by bacterial infection. In 1928, a Scottish biologist named Alexander Fleming made a serendipitous discovery of the antibiotic penicillin.
Jesse was the youngest chosen to participate in this clinical trial by a group of University of Pennsylvania researchers. The trial was being pursued with the hopes of developing a treatment for infants born with the same disease as Jesse. On September 13, 1999, Jesse received the highest dose of the adenoviral vector containing a corrected gene to test the procedure. Four days later after receiving the vector, Jesse’s body suffered a major immune response leading to multiple system failure and brain death. A federal investigation into his death was led by the Food and Drug Administration (FDA) to determine what went wrong.
In February 2006, Emily Jerry, a two-year old child was at a Cleveland hospital to complete her last series of chemotherapy treatment. Her doctor ordered intravenous chemotherapy solution that was filled incorrectly by a pharmacy technician. The prescription called for 1% saline; however, a lethal amount of 23% saline was given instead, causing her to slip into a coma resulting in death. Eric Cropp, who was the supervising pharmacist signed off on the technician’s work despite her informing him that the mixture did not look right; nonetheless, he approved it. The pharmacy was so busy that day and short staffed, which led to a preventable fatal error that changed Eric’s whole life in a matter of seconds.
Today Mr Gibson was admitted onto your ward after presenting to ED exhausted and in chest pain. Mr Gibson has also complained of a productive cough and pain on breathing in. He states that he has lost several kilos over the past two weeks. His vital signs include: • BP: 148/96 • RR: 28 bpm (shallow and on inspiration) • PR: 92 and weak • Temp: 38.9 • Weight: 78 kilos • Height: 174 cms • SaPO2: 92% (2L/min) His current medications include atenolol (antihypertensive) and Lipitor (reduces cholesterol) No known allergies. 1.
The client’s blood pressure is 162/105, pulse 92 and reparations are 20. The lab values found low hemoglobin and hematocrit along with a high BUN and creatine levels. From the last hemodialysis, two days ago, patient has gained six pounds and has edema of the ankles, with crackles auscultated in both lungs. The patient has claimed, “I’m sick of trying to follow the diet the dietitian recommended. It’s not worth it.” Client has stated, “I know what I am supposed to eat, but it’s too hard.
The doctors told him that he will be in the wheel chair for the rest of his life but he was determined to regain his strength and movement. How can one attain this disorder? The specialists struggled to find out the cause of this disorder for decades and there is still no answer. In Ian’s case, this disorder was acquired through the gastric flu because the antibodies to the infection attacked his body. His mother was assuming it was because Ian had a busy work schedule, he worked many difficult shifts.
Nehemiah Bull’s Narrative It is a warm spring day in end of March, 1740 in Westfield, Massachusetts and I am just hearing the shocking news that one of my fellow church members is sick. I had just been working with him not even a week prior. He is supposedly breaking out with a high fever and blisters covering his face and hands. The doctors seem to think it is Smallpox. A highly infectious disease characterized by a fever, body aches, and a sudden burst of red sores that eventually turn into deep, pus-filled blisters.
I will also relate my chosen topic to the care planning approach and the Psychosocial, physiological assessment procedure for older adult pain management. My rationale for choosing this topic is as a result of my experience during clinical placement in the older adult unit. I observed that most the older adult resident suffers from different variety of pain.. I was involved in the care of an elderly resident with severe dementia and impaired cognitive skills and unable to communicate his needs verbally. After one week of admission into the ward the client who has been cooperative and stable in mental state suddenly became aggressive, hitting staff and insomnia.