Reflection Paper on Acupressure The task is to write a paper on the topic of Acupressure as it related to the treatment received by a patient who has decided to add the therapy to her treatment regimen. The patient suffers from chronic pain which includes lower back pain, neck pain and fibromyalgia. The patient is a 63 year old female who has suffered with daily pain for greater than twenty years. She has been on opiates as well as other medication to relieve her pain and discomfort. The patient reports that her pain is constant with intensity changes with various activities.
Clinical Case Study | Chronic Obstructive Pulmonary Disease Introduction | This paper will cover the diagnosis and treatment of a 73 year old female that was admitted to hospital presenting with increasing dyspnoea and persistent cold like symptoms. She reported that breathlessness and coughing episodes had become particularly severe over the last 36 hours, and was now at the point where she could no longer stand or walk for more than 1-2 minutes without becoming fatigued. Using information from the family and personal history of the patient, along with diagnostic tests and observations, the patient was diagnosed and treated appropriately for an exacerbation of Chronic Obstructive Pulmonary Disease (COPD) (Hope, 1998). Background and History | The patient is a 60 pack-year smoker for more than 25 years which is the equivalent of 3 packets per day since her early 40's. She still currently smokes but has reduced the number of cigarettes she smokes per day.
CASE STUDY Assignment: Pain Management Mrs. Chang is an 80-year-old Asian female with terminal small-cell carcinoma of the right lung with brain metastases. The patient is on your palliative care unit and frequently reports intense breakthrough pain. Data Obtained From Nursing Assessment • Vital signs: afebrile; pulse, 92; blood pressure, 112/86; respiration, 28 • Dyspneic • Weight: 96 pounds • Height: 5 feet, 2 inches • Lung sounds: bilateral rales and gurgling; improved after nebulization therapy • Confused, restless, and agitated • Bowel sounds diminished in all four quadrants • Last bowel movement 2 days ago • Speaks few words in English; family members at the bedside can translate • Points to “4” pain rating on FACES pain scale • Has used 6 rescue doses for pain in last 24 hours Lab Data • CBC shows anemia: Hb 9 • Pulse oximetry: 92% on 02 2L/NC Current Drug Therapy • Fentanyl 75 transdermal patch, change q72h • Morphine, 1–3 mg IM qh prn for breakthrough pain • Amitriptyline, 150 mg PO bid • Albuterol solution for inhalation, 2.5 mg, diluted to 3 mL with normal saline via nebulizer, three to four times daily Case Study Questions: 1. How do these drugs work together to address Mrs. Chang’s underlying pathologic conditions? (10 pts.)
Appetite Suppressant: Adipex-P (Phentermine) Darla Zacharias Abstract Adipex-P (Phentermine) is an appetite suppressant that is being prescribed by physicians to help patients, who are considered obese, with weight loss. Phentermine, along with a controlled, healthy diet and a daily, 30 minute + exercise program, helps jump start weight loss in men and women at an average of 3 to 5 lbs. within the first three months of taking a daily dosage of 35 mg. Phentermine affects the central nervous system decreasing a person’s appetite and cravings as well as boosting energy to help motivate exercise and other activities. Phentermine is considered an amphetamine and is classified in the United States as a schedule II drug. For this reason, Adipex-P (Phentermine) can only be prescribed and monitored by a physician.
Mesmer’s first success was with a 29 year old woman “Who suffered from a convulsive malady. During one of the young woman’s attacks, Mesmer applied three magnets to the patient’s stomach and legs while she quieted and concentrated on the positive effects of ‘cosmic fluid’. In just a short time her symptoms subsided.” (Hadley & Staudacher,
Anorexia Nervosa: The Nurse’s Role In an article published in the New England Journal of Medicine by Yager, Andersen,& Arnold (2005) a scenario was used to describe a psychiatric condition seen in some adolescents. 17-year-old girl is taken to her physician by worried patient. Never overweight, in the past six months she became determined to reduce from her baseline weight of 59.1 kg (130 lbs). Her height is 1.7m (5 ft 6 in. ); her body max index (the weight in kilograms divided by the square of the height in meters) is 21.
1.0 Patient’s Identification Name : Fatin Izzatul Race : Malay Age : 3 months Address : Klang Date of Birth : 28/8/2012 Date of Admission : 17/12/2012 Weight : 5kg Date of Clerking : 18/12/2012 Gender : Female Source of referral : Biological mother 2.0 Chief complaint My patient Fatin Izzatul was brought by her mom to Hospital Tengku Ampuan Rahimah due to rapid breathing about 2 days prior to admission and associated with fever, cough and runny nose for 4 days. 3.0 History of presenting illness My patient, Fatin Izzatul was previously well child until she was having cough, fever and flu for 4 days. Then the mother brought her to the private clinic and was given medication but the symptoms did not resolve. 2 days before the admission, the mother was noticed that her child was having rapid breathing. Due to that, she brought her to Hospital Tengku Ampuan Rahimah for further investigation.
Rapid propulsion of intestinal contents through the small bowel results in diarrhea. (Joyce M. Black, 2008) | Short Term: After 2-3 hours of nursing interventions, the patient will verbalize understanding of causative factors and rationale for treatment regimen.Long Term: After 1-2 days of nursing interventions, the patient will reestablish and maintain normal pattern of bowel functioning AEB passage of semi-solid stools | 1. Establish rapport 2. Assess general condition and vital signs 3. Auscultate abdomen 4.
The patient was placed on supplemental oxygen and a 0.5 mg (1:1000) dose of epinephrine was ordered. Shortly following IV infusion of the epinephrine, the patient complained of chest pains on her left side with tingling in her fingertips. ECG showed ST elevation and elevation of her serum creatinine kinase levels consistent with a myocardial infarction. A subsequent ECG indicated her ST
| 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.