Height: 160.5 cm Mass: 59.4 kg Temperature: 36.7 0C Respirations: 13 per minute Blood Pressure: 118/76 mm Hg During her conversation with the doctor regarding her past medical history, Anita said that she had developed severe eczema about 5 years ago and mononucleosis the previous year. From April of the current year, she found that she felt fatigued quite often, frequently experienced diarrhea, myalgia and arthralgia. Her family doctor had referred her to an allergist who found negative reactions to a multitude of substances. Because her symptoms were so severe, more specific testing was done 2 months later. An enzyme-linked immunosorbent assay showed positive reactions to gluten, spelt, albumin, lactose, barley and rye.
Three weeks later we went for her next chemo treatment. After another long five hours sitting in the chemo chair, longer for my mother then for me, we go home. The next day she comes to me and she has a handful of hair. As she combed her fingers through her hair, it was just falling out like it was no longer even attached, weirdest thing I have ever seen. Well, she came outside where I was with the Wahl clippers and said “shave it off”.
It impacts the patient’s health and the ability to heal. Culture also directs belief about disease and how it should be treated (“What is Cultural Competency, “ 2013). The relationship between the patient and healthcare provider is compromised when healthcare providers are not knowledgeable about the cultural differences of patients. Frequently, patients find it very difficult to trust healthcare providers. Concomitantly, healthcare providers are unable to provide adequate care to patients when they are not empathetic to the way the patient views health and illness (“What is Cultural Competency, “ 2013).
I had the chicken pox when I was 5. I got them from my brother. I had kidney stones in 2001 that had to be surgically removed. I was in the hospital for 2 days.” Patient denies allergies to any foods but says, “I am allergic to latex.” Patient was treated for urinary tract infection recently. Family Health History Patient states that grandparents on each side of her family passed away because of cancer.
Mrs. Patricia Robinson is an 85-year-old woman who is Australian born and currently resides with one of her two daughters and has since her husband passed away. She was admitted to hospital with acute confusion. Her vital signs were: * BP 95/50 * Temp 38 * Respirations 28 * Pule 122 * BGL 32mmol/L * Oxygen Saturation 90% Mrs. Robinson was diagnosed with a UTI, which has since been resolved. She has an IV insitu of N/Saline and an IDC. She is on sliding scale insulin and required thickened fluids and a diabetic diet due to dysphagia.
rapy Program CASE STUDY REPORT Date: 12/14/2014 Student: Lauren Schubert Facility: Redlands Community Hospital NICU Week: 5 Chief Complaint: RDS History & Physical: Baby girl born at 23 weeks old due to mother premature rupture of membranes. APGAR scores were 5 at 1 minute and 7 at 5 minutes. The baby girl weighed 500 grams and required immeadiate intubation and mechanical ventilation, surfactant was delivered post intubation. Diagnosis: RDS and prematurity Current Medications: Name Classification Action Indication for this pt Ampicillin Antibiotic Acts as an irreversible inhibitor of the enzyme transpeptidase, needed by bacteria to make their cell walls. It inhibits the third and final stage of bacterial cell wall synthesis in binary fission, leading to cell lysis.
Two others live interstate, and one died last year. Her eldest granddaughter, Margaret, visits the most frequently, and is nominated as next of kin. Claire had a CVA five years ago, which was the reason for her being admitted to the RACF. A few months ago, breast cancer was diagnosed and her right breast was removed. She recovered well from the surgery and had a course of radiotherapy.
Opioid Administration and Pain Management in the Terminally Ill Cancer Patient: Case study of a patient in the terminal phase of breast cancer. This case study is based on Ms. D, a 48-year-old married woman diagnosed with Bilateral Breast Cancer. She underwent a bilateral mastectomy 4 years ago. Lymph involvement was noted at the time of the surgery. Recent metastases of the bone has been diagnosed and she is in the terminal phase of the disease process.
As nurses we have to remember that the words we use can mean something different to patients with different cultures ("Cultural barriers to effective communication", 2010). When the languages are different, and translation has to be used to communicate, the potential for misunderstandings increases ("Cultural barriers to effective communication", 2010). Not to mention there are times I have seen doctors use the housekeeper to translate to a non English speaking patient. This type of translator is completely inappropriate and furthers the risk for communication errors due to the housekeeper’s lack of medical knowledge and
The caregivers and their patients each bring their own learned patterns of language and culture. .If ta lack of cultural competency is perceived by the patient, the communication between them could be an issue. For example a patient who has limited English proficiency could easily misunderstand the instruction of a medication dosage, or could not understand what their medical condition is, like what they are restricted to do or eat. As a consequence the health provider could be sued by the patient’s families in case of death, or medical emergency, alleging lack