His initial medical diagnosis is heart failure (HF). Bert is immediately admitted to the acute care facility for further evaluation and treatment. Heart failure is called cardiac failure, pump failure, or congestive heart failure (CHF). It is defined as the inability of the heart to pump enough blood to meet the tissue's oxygen demands. Risk Factors Heart failure occurs most commonly in clients over the age of 60, and occurs more commonly in males than females.
Anemia Case Study Sarah E. Garcia Grand Canyon University: NRS-410V 4/26/2015 Anemia Case Study In this case study, Ms. A presented with shortness of breath and low energy that is exacerbated by her menstrual cycle. She also reports that she takes aspirin regularly during her menses and while golfing for pain and stiffness. Due to her presenting symptoms and history, Ms. A was diagnosed with anemia. This essay will identify the type of anemia that Ms. A is suffering from thorough analysis of her laboratory findings, history, and presenting symptoms. Ms. A’s presenting symptoms include shortness of breath, low energy level, and light-headedness.
Once again elderly females are more likely to end up with osteoarthritis than males. (Swift,(2012) Muscular atrophy is a third problem common in the elderly. This is simply a loss of muscle mass due to a lack of physical activity. (Evans, (2010) Pain, stiffness, and injury can lead to an inability or unwillingness to perform normal daily chores. As the muscle atrophies it becomes increasingly weaker.
This same study concluded that rescreening soldiers several months after their return from Iraq identified a large cohort missed on initial screening. The large clinical burden recently reported among veterans presenting to Veterans Affairs facilities seems to exist within months of returning home, highlighting the need to enhance military mental health care during this period. Increased relationship problems underscore shortcomings in services for family members as well. Reserve component soldiers who had returned to civilian status were referred at higher rates on the PDHRA, which could reflect their concerns about their ongoing health
In 2009, it was reported that the rate of low back pain among adults with no high school diploma or GED was 35.0 percent. The rate for adults with a high school education was somewhat lower, 32.2 percent, and the rate for adults with a college education dropped to 27.4 percent (NCHS, 2011). These figures suggest that people with lower rates of education are more likely to have jobs involving manual labor, in which low back pain conditions are more likely to occur. Causal Factors The major causes of low back pain include injuries through accidents or bodily movements that strain the muscles or nerves of the lower back. The workplace is associated with many cases of low back injury.
Anemia is associated with chronic fatigue, impaired cognitive function, and diminished well-being. This type of anemia is seen very often in women and people that have a poor diet low in iron, women with heavy menstrual cycle, pregnant or after recent births, breast feeding, its seen in individuals that had recent major surgery, GI disease, peptic ulcers, gastric bypass patients, Crone’s disease and vegetarians and individuals with poor iron-rich intake (Jimenez, Dabsch & Gasche, 2015).. Ms. A should be admitted to the hospital for couple days, placed on oxygen therapy, type and cross for identifying the blood type she needs, obtain IV access with a large bore catheter for possible RBC transfusion, normal saline for fluid resuscitation and iron injections or IV iron therapy could be ordered by the physician. Repeated laboratory testing should be done post transfusion and periodically while in the hospital. Also knowing that Ms. A takes large dosages of aspirin, continued monitoring for any active bleeding internally, imaging testing (abdominal ultrasound, CT scan), occult blood should be done and also
HCG linked to losing weight was discovered by a London physician in the 1950s. The claim states this doctor was treating boys with low testosterone levels using HCG and he noticed that they were losing abnormal fat. He linked HCG to this cause and started using HCG to treat obese patients. HCG can be used to lose weight quickly, at a rate of one to three pounds per day (because of the low caloric count). Due to the lack of nutrients this diet provides and such low calorie intake, this diet can be used for no more than 6 weeks, with a 3 week break in between.
Pressure ulcers Current issues in the NHS hospitals are pressure ulcers that are known to reduce the quality of life and are a major burden of sickness creating significant difficulties for patients. It is estimated that fewer than half a million people in the UK will get a minimum of one pressure ulcer in any given year in NHS. Pressure ulcers are also known to increase risks of secondary infection and risks of death in elderly people that are in hospitals,care homes and bedbound. (NHS,N.D). Pressure ulcers affects underlying tissue and skin, caused by continuous pressure to the affected area and often from a minuet patch on the skin to a large open wound that exposes muscle or bone.
ATCH causes the adrenal cortex to enlarge and release cortisol - this can then weaken the immune system. Therefore, if the body receives too much stress, it can result in serious illness. Gerra (2003) investigated the death of a spouse and how it affects the immune system. Individuals who had recently experienced an unexpected bereavement showed lower lymphocyte activity compared to matched non-bereaved controls. This difference was observed 40 days after the death and in some participants, still continued after six months.
Failure of one chamber causes reciprocal changes in the opposite chamber; Weakness and fatigue; Poor feeding, resulting in weight loss; Developmental delays; Irritability; Pallor and cyanosis; Dyspnea, tachypnea, orthopnea, wheezing, cough, weak cry, grunting, mild cyanosis and coastal retractions; Tachycardia; Hepatomegaly; Weight gain from edema, ascites and pleural effusion; Distended neck and peripheral veins; Sweating Nursing Diagnosis: Activity intolerance r/t generalized weakness; imbalance between oxygen supply and demand Goal: Participates in prescribed physical activity with appropriate increases in heart rate, blood pressure, and breathing rate Nursing Interventions and