It seems as though the patient was discharged from the hospital instead of being admitted and monitored. With the patient’s presenting symptoms, sustained rapid heart rate and abnormal lab values, more care should have been offered to her at the hospital. With respect to Dr. Dorrough it seems in hindsight the patient was misdiagnosed by him and because of that they did not do critical treatments such as starting heparin or another blood thinner or performing an echocardiogram. The initial evaluation and treatment was what needed to be done differently to achieve a different and better outcome from this case.…
The patient had laceration and abrasions on both hands, knuckles, knees and a laceration on his head. The patient had some bleeding on his face and the nurse clean it up as we assess him. The patient had some x-rays all over his body for any broken bones and the x-rays detected a fracture on his left side of his head. The nurse also told me to give ventilation to the patient. The vital signs are follow B/P-165/97,149/90,143/87,139/79, RR-10,12,12,13,15, pulse 116,109,105,106.…
G.S. is a very pleasant 83 year old white female admitted to the unit on 10/29/15 for congestive heart failure and shortness of breath. This is her second time being admitted within a week of discharge for the same diagnosis. G.S. is a widow who lives along at home. She has never smoked and does not drink alcohol. She is, however, a little on the obese side.…
Database and Assessment Table 1 – Physical Nursing Assessment Data GENERAL: Patient is an 88 year-old Caucasian male. Vital signs stable at 97.3°F, 82BPM, 22 breaths/min, 84/54mmHg, 100% on 1.5lL O2, 0/10 pain, patient weight 58kg. SKIN/HAIR/NAILS: Skin was thin and fragile, warm and moist, skin color slightly pale, skin tear on left upper arm measuring 3 inches, no bleeding or pain.…
At today’s visit he is accompanied by his wife, he is awake, alert and oriented. He reports dull, left flank pain, severity 4/10, cancer related, manage with Percocet 10/325 mg. He states that he was talking morphine Er 30 mg, but has stopped the morphine because his pain improved.…
A review of his medical record indicates a medical history of peripheral edema, chronic pain Seizures, Hypotension, Prostate cancer, bladder removal, sleep apnea, NIDDM, gout, kidney stones, neuropathy, pulmonary embolus-has filter, DVTin right leg, chronic edema in right leg and chronic pain syndrome. At today’s visit he is accompanied by his wife. He is homebound due to his immobility. His wife reports that his immobility started 8 years ago.…
Preventing Falls in Acute Rehab Unit: Safe Patient Discharge is a Priority Introduction of Concept Preventing falls of all patients is the first priority of acute rehab unit. Stroke and traumatic brain injury patients are at higher risk due to cognitive impairment and weakness on the affected side after the stroke and fall. Patients forget their limitation of mobility and try to move independently without realizing their weakness after the stroke and ends up in falling and suffer more injury. Patients’ safety is the highest priority. Joint Commission’s National Patient Safety Goal 2009, ‘Fall Reduction Program’ (2014) stated every health care organization’s fall prevention program is expected to include all patient care settings and populations.…
Introduction Perfusion is a very important aspect to the human body. Perfusion is defined as the flow of blood through arteries and capillaries that deliver oxygen and nutrients to the cells and removing cellular waste from the body (Giddens, 2013, p. 148). For us to maintain optimal perfusion, we need are heart to generate sufficient cardiac output. This means transporting the blood through patent blood vessels to supply the tissues throughout the body. Impaired perfusion may occur when the blood supply is reduced or completely interrupted (Giddens, 2013, p. 148).…
After analyzing the critical incident, students should be able to: 1. Point out the names of the people in the case and remember the key information provided in it. 2. Determine the key issues from the information provided. 3.…
Cushing’s Syndrome Case Study, Manifestations, and Nursing Implications Introduction A 44-year-old male presents with complaints of body malaise and anorexia. He has noticed his attitude going from happy to depressed. He complains of weight gain, bruising easily, and frequent backaches. His arms and legs are thin.…
How Study to be Conducted This study will focus on protecting patients from fall and fall-related injuries after stroke in an Acute Rehab Unit. At first it would identify the patients who are at great risk of fall currently and after going back to the community. The Morse Fall Risk Assessment (MFA) tool will be used to initially identify fall risk patients in the unit. CDC’s Injury Center has created a tool kit, called STEADI (Stopping Elderly Accidents Deaths and Injuries).…
Environment does play an essential role in how the person can sustain their sobriety or being free from drugs. One factor is the dynamics of the treatment program. The tools and resources that are provided in the treatment program can serve as references that the person can use once they have exited the program and reentered into society. A second factor is the support the person has in the environment. A good support system is necessary for the person.…
Great post Garcia. Just as you said, the patient needs help in ADL’s such as clean up in bed or shower and application of body moisturizer which is very important at this time, if this is neglected due to the fact that she cannot bear weight on her left leg, this might lead to itching which could prone the patient to another cellulitis. Again, patient should be educated on the signs and symptoms of hypoglycemia in relation to sport or exercise and general management of hyperglycemia and…
On 11/10/17 I met with Ms. Perez at the Chesaning rehab center for a team meeting. Ms. Perez was in her hospital bed. She continues to have weeping edema to her right arm and the lower extremities. She had a recent appointment with, Dr. Malik wound doctor. He was very happy with the progress of the abdominal fold wound.…
Concerns that the student nurse would want to monitor for would be signs of decreased cardiac output and lack of blood flow to his peripheral tissues that would be evidenced by edema and relatively colder skin (Jarvis, 2008). R.M. also had weakened pedal pulses of +1 bilaterally. Another abnormal assessment was with R.M.'s musculoskeletal system. R.M. had very limited range of motion especially in his lower extremities greatly due to arthritis and a very labor intensive job his entire working life. In R.M.'s patient's chart, it stated he had functional decline and joint limitations.…