| Elder Care Case Study | Contemporary Nursing Issues – GNT 1 | | | Hip fractures are common in the elderly. According to Medical Surgical Nursing: Assessment and Management of Clinical Problems,” more than 200,000 hip fractures occur annually. It is estimated that by the age of 90, 33% of all women and 17% of all men will have sustained a hip fracture” (Lewis, Heitkemper, Dirksen, O’Brien, and Bucher, 2007). One of the factors that contribute to a hip fracture in the older adult is a fall, and surgical repair is the preferred method of treatment. The National Institute of Health (NIH) states, “Mortality within the first year following fracture has been as high as 40%.” Collaborative team work is important in order to determine proper discharge for the elderly patient after having a total hip replacement.
According the American Heart Association’s posted statistics in Chapter 12 of this week’s reading, out of more than 6.5 million Americans suffer from strokes each year, roughly 150,000 die as a result from the damage. Al though strokes cannot be permanently prevented about 15 percent of all major strokes show signs prior to the event-taking place. Symptoms of random dizziness, numbness of the face, or even temporary paralysis are all danger signs of a possible stroke. These symptoms are precipitated directly from what is referred to as “Transient Ischemic Attacks” or “TiA”. There are many risks associated with
The average age of the general population at the author’s clinic is 60 and above. All of them have end-stage renal disease and a majority suffers from multiple underlying medical conditions. The majority of the patient’s receive an average of 3 hours of treatment per visit. In a root cause analysis study done at VA dialysis centers in 2008 it was observed that a high percentage of patients who experienced venous needle dislodgement were either confused, restless, agitated, cognitively impaired, and suffered from dementia. (Axley, Speranza-Reid, Williams 2012).
Congestive Heart Failure is a complex progressive syndrome in which the cardiac pump function is impaired resulting in inadequate systemic perfusion and an inability to meet the body’s metabolic demands. does not meet the metabolic needs of tissues. Heart failure can be described structurally or functionally; left-sided or right-sided heart failure, systolic or diastolic dysfunction. This disorder affects approximately 5.8 million Americans and can be costly, disabling, as well as fatal. Exercise interventions provided by a skilled clinician such as a Physical Therapist have been proven to help patients with CHF by improving their quality of life and physical capacity.
This is likely to be due to the effects of cytokines and growth factors delivered by T cells to the site of injury. Such protective immunity was appears to be a general phenomenon, that is homeostatic. (P.A. McCombe, 2009)1 According to population studies of the United States, a little over 5,600 people in the U.S. are diagnosed with ALS every year. Almost as many as 30,000 American have the disease at any given time.
A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. About 300,000 SSIs occur each year. While most surgeries do not result in infection; about 1-3 patients out of every 100 who have surgery currently develop SSIs. Certain preventable surgical site infections (SSI) will no longer be reimbursed according to the Center for Medicare and Medicaid Services (CMS). Effective October 1, 2008, The Centers for Medicare and Medicaid Services (CMS) selected high-cost or high-frequency events from the National Quality Forum's list of “never events” for inclusion in this reimbursement change (Brown, Doloresco, Mylotte, 2009).
There are about 20 million people currently infected with HPV. Women have an 80 percent chance of developing HPV by the time they are 50. HPV is most common in people in their late teens and early 20s. The vaccine is a preventative and they advise you get the shot before encountering in sexual activity. About 11,000 women will be diagnosed with cervical cancer and 3600 will die.
Following an MI irreversible necrosis of a portion of heart muscle results due to prolonged ischaemia (Lilly 1998). The prolonged, unrelieved ischaemia results in hypoxia and as the amount of oxygen to the cardiac cells diminishes cellular death ensues. However, cardiac cells can withstand ischaemic conditions for about 20 minutes even though they are metabolically altered and non-functional (McCance and Huether 1997). If oxygen supply is not resumed the death of a segment of heart muscle (i.e. a
And out of that 20 million, 4000 of them die each year from asthma. Thesis: With asthma being quite common, I would like to get you all today to understand asthma a little bit more and that you can still be diagnosed with it today as I was only a few weeks ago. Preview: I will start off by telling you about the different types of asthma. Second I will explain the symptoms that go along with asthma. Third I will tell you about you can and is affect by asthma and finally what happens when you have an asthma attack and what you should do.
Community Health Assessment HS 159, Spring 2009 SJSU March 23, 2009 Gurpreet Bola RUNNING HEAD: ELDER ABUSE IN CALIFORNIA Introduction/ Epidemiological Analysis Every year tens and thousands of the elderly Americans face abuse. Abuse takes place in various different forms such as physical, emotional, financial, sexual, neglect, abandonment, and self-neglect. Elder abuse may be a broad term; however it captures many different problems within itself. Elderly abuse can be defined as a “careless act that causes harm or serious risk of harm to an older person” (National Centers for Elder Abuse). Approximately 1.6 million people are in nursing homes in the United States, and another 1 million people reside in residential care facilities.