There is a critical situation that we are faced with today. We must dissect all the information and evidence in order to help the patient and her family through a tough decision. This is the current situation, L.D. a 39-year-old woman was admitted to the hospital and the health care provider noticed that L.D. has a rare illness called Arteriovenous malformation (AVM). AVM is an abnormal connection between arteries and veins bypassing the capillary system. “They typically consist of two or more feeding arteries, a knot of abnormal vessels referred to as the ‘nidus’, and one or more veins (Machet, et al., 2012).” The health care provider considered L.D. condition to be an emergency because she was hemorrhaging, so the health care provider …show more content…
The problem with AVM is considered to be critical. The treatment goal was not clearly stated, but it seems as if it is neurosurgical process that was preformed left her with severe neurological damage. There are four treatment options that should be recommended to help with the patient current condition, and these are microsurgical removal, endovascular embolization, intravascular embolization and radiosurgical. In microsurgical removal, a microscope is used to assist the surgeon with removing the AVM from surrounding brain tissue. Endovascular involve the doctor inserting a long, thin tube into the patient leg artery and threads it through blood vessels to the patient brain using X-ray imaging. This tube allows the doctor to inject an embolizing agent, which may include a glue-like substance or other materials, to block the artery and reduce blood flow into the AVM. The radiosurgical procedure includes the use of radiation to destroy the AVM (Rispoli, Di Chirico, Sibille, & Carletti, 2013). Each of these treatments should be carefully evaluated with a patient that is pregnant. Since L.D. has hemorrhage on the brain, cerebral angiography should be performed because it can be safe for her unborn child. Cerebral angiography reveals important details about the AVM such as location, size, feeding arteries, and drainage. The fetus is rarely affected by the material that is used during testing if the fetus is shielded
For as long as I could remember my ultimate goal in life has always had to deal with health care; I want to help as many people as I can in a variety of different aspects. Regardless if it is nursing or a physician assistant this is a career choice I’ve always saw myself pursuing. I could easily see myself waking up everyday and surrounding myself in a hospital setting; I’m not sure what it is but I enjoy that fast pace environment the hospital has and the variety of different environments I could put myself in while I take care of my patients. I hope to have personal, one on one relationships with patients because I find establishing close relationships with any patient you have helps in regards to their own comfort. I’m mildly content with being managed, I do not necessary want to manage others; I find I enjoy having a structure and someone to tell me what I am doing right or wrong appose to it being myself correcting my own actions without any guidance.
During the settlement of the west the completion of the railroads after the Civil War within the West caused a wide variety of the region to settlement and economic development. White settlers had traveled from the north to reach the Mississippi area to farm, ranch and mine. Promoters from the all-western towns had convinced African Americans from the South and East that there were opportunities for blacks out West. Diversity was expanded in the West; there were Chinese railroad workers which brought some diversity to the town. One major lost to the American people was the bison it was destroyed and farmers had to use other resources to plant crops. The lost of bison took a toll on the Americans and the rise of white settlers was affecting
Patent Ductus Arteriosus (PDA) is a common congenital heart defect which occurs in newborns and preemies. It is when abnormal blood flows between the two main arteries connected by a blood vessel to the heart called the ductus arteriosus: this vessel is part of the fetal blood circulation. Within a few days after birth, this vessel is supposed to close, but instead it remains open. Therefore, this allows the oxygen-rich and oxygen-poor blood to mix, which can cause a blood pressure increase in the lung arteries. Usually, it will shrink and go away, but some PDA stays open and will need to be treated with medications or surgery to shrink the PDA.
An arteriovenous malformation (AVM) is an abnormal collection of blood vessels in which arterial blood flows directly into the draining vein without the normal interposed capillaries. AVM are tangled anastomosis of blood vessels of varying calibre in which arteriovenous shunting occurs in a central nidus in which the area towards in which multiple feeding arteries converge and from which enlarged vein drains.1 They have a higher rate of bleeding than normal vessels. AVMs can occur anywhere in the body. Brain AVMs are of special concern because of the damage they cause when they bleed. The incidence of AVM is about 1 in 100,000 per year in unselected
Like all of the administrative rules, the security rule applies to health plans, health care clearing houses, and to any health care provider who transmits health information in electronic form in connection with a transaction for which the Secretary of HHS has adopted standards under HIPAA. Health plans include health, dental, vision, and prescription drug insurers, health maintenance organizations, Medicare, Medicaid and Medicare supplement insurers, and long-term care insurers. Health plans also include employer-sponsored group health plans, government and church-sponsored health plans, and multi-employer health plans. Every health care provider, regardless of size, who electronically transmits health information in connection with certain transactions, is a covered entity. Using electronic technology, such as email, does not mean a health care provider is a covered entity; the transmission must be in connection with a standard transaction. The Privacy Rule covers a health care provider whether it electronically transmits these transactions directly or uses a billing service or other third party to do so on its behalf. Health care providers include all providers of services and providers of medical or health services as defined by Medicare, and any other person or organization that furnishes, bills, or is paid for health care.
Arteriovenous Malformation Resectionis a type of procedure which is performed when there is an abnormal tangle of vessels in the brain or spinal cord which can occur with one or more arteries which can be directly connected to one or more veins people are born with this although the it is not found to be hereditary. The arteries which carry oxegen aged blood to the heart and to the tissues and veins take blood back from the tissues to the heart n an Arteriovenous Malformation Resection the direct connection between one or more arteries and veins gives rise to many problems. The most serious problem that you have to deal with is when that the veins are usually thinned walled and may not be able to accept high blood pressure flow for a long period of time. The result of this is that
There should be no monopoly in matters to do with ethical challenges in companies. These challenges affect all kinds of organizations, be it governmental, for-profit or non-profit. Some of these challenges can end in illegal defilements or civil liability for misrepresentation, fraud and misappropriation of properties. Other common ethical difficulties consist of actions that include conflict of interest, inadequate accountability and transparency, or misallocation of resources (Rhode and Amanda 28-35).
This paper describes in detail considering one of the possible post- procedural complications of Mrs. Elizabeth Green, who has undergone the coronary angioplasty procedure to relieve chest pain caused due to blood vessel occlusion. Mrs. Green, a 78-year-old Caucasian woman, lives independently at home with her pet dog. She has a son and daughter, who occasionally visit her and provide some support (School of Nursing & Midwifery 2014). ). Mrs Green has a past medical history of gastro oesophageal reflux disease, hypertension, hypercholesterolemia, osteoarthritis and diet controlled type two diabetes mellitus (School of Nursing & Midwifery 2014). There are certain complication arises as a result of the procedure
On the Fourth of July in 2012, a man by the name of Frederick Southwick, began to experience sudden pain in his left calf during a day at the beach. Just two months later, he required an above-the-knee amputation. The doctors, at that time, had no explanation for why the blood flow to that leg had been cut off. He had none of the usual risk factors for atherosclerosis, which is a hardening of the arteries. He had never smoked, did not have diabetes, and had low cholesterol. There was no blockage of blood vessels anywhere else in his body.
Daily there are thousands of people being found guilty for a crime they did not commit because of a prejudiced judge.Sidney Lumet and Reginald Rose the writers and directors of 12 Angry Men wrote and produced a play about 12 jurors that briefly discuss a trial and come to a verdict , personal issues develop which causes conflict and only makes the process more grueling. The accused boy is being found guilty for murdering his father, 12 jurors are put in a hot room in New York and spend hours briefly viewing the scenario. Although one might think that the justice system should be left in the hands of citizens ,the director and writer of 12 Angry Men , Sidney Lumet and Reginald Rose demonstrate that the United States justice system is unfair and is simply corrupt , inefficient , and injustice due to the jurors biases minds, ignorant attitude ,and the lack of time and energy put in the trial while trying to decide a verdict.
There are four evolutionary phases in healthcare. The first phase was the preindustrial era, which started in the middle 18th century to the beginning of the 19th century. At this time, American medicine was not developing as fast as other countries; in Britain, France, and Germany, medical science and research was much more advanced than America. The postindustrial era began in the late 19th century, physicians in America were becoming more successful than others in the world. The third phase was the corporate era, which was marked by the growth of managed care, organizational integration, the information revolution and globalization. Finally, the fourth phase is the one in which we are in today, it is still fairly new and is characterized by the health care reform, which was brought about by the Affordable Care Act.
Those who have peripheral arterial disease are 46% to 71% more likely to have coronary artery disease, depending on the study, which dramatically influences the success of interventions4. Since this is a slow progressive disease it is hard to give a definitive timeline as to how long a person can survive with PAD. The severity of the disease and dedication to interventions all play a role in the prognosis. Studies have shown that long-term survival is rare in patients with peripheral arterial disease since it has common comorbidities with coronary artery disease and cerebrovascular disease3. Death in patients who have PAD is usually the result of the two previous comorbidities in conjunction with the complications that arise from peripheral arterial disease. Only 10% of patient death is the result of a vascular problem such as an aortic aneurysm, while 55% is related to CAD and 10% related to
The United States in one of the richest, most populous and most powerful countries in the world and plays a central leadership role in the world. On the world stage, the U.S. often challenges other countries about their records regarding human rights. Yet the United States is failing its own citizens by not granting every citizen access to basic health care. Many citizens in the United States needlessly suffer and die each day due to the inequities of the health care system in the U.S. This is a horrible national catastrophe! The United States needs to provide universal health care to all of its citizens and legal residents. While the issue is very complex and touches many people and institutions, it is a problem that can and must be
The United States health care system has attempted to bring its health care structure into a position fitting of the richest nation in the world. Yet, evidence suggests that socioeconomic disparities still exist, and access to care is still an issue even for citizens who have enrolled in health care plans (Delgado, 2015). Access to health care should be considered a basic right, a natural right for everyone. In 2008 T.R. Reid traveled to 5 countries that were among the richest in the world and provided universal health care access in some fashion. Here we will use Ried’s (2008) findings to discuss distributive justice, vulnerabilities and the human right to health care.
Imagine being the single parent of two children avoiding going to the doctor, despite your constant cough and horrendous headache, due of the fear of going into life ruining debt. This is a problem numerous people in the United States face as spending on health care increased to $3.2 trillion in 2015 which is about $9,980 per individual, (Vital Signs: Rise in National Health Expenditures Slows) which is considerably high in comparison to the United Kingdom’s $148.34 billion or $2,292 per person (Department of Health 's Settlement at the Spending Review 2015). The United States spends comparably more than most other first world countries when it comes to health care and this is a problem for its citizens who have come into an issue of being unable to afford the care they need to live. Countless Americans are aware of the fact that the cost of health is high, but not as many are informed as to why it costs so much or how to make it more affordable. Instead, they look at health care as an incurable illness and choose to offer up the explanation that the better quality of American hospitals and services or the sizable population of people to care for are to blame for the high cost, neither of which we have the power to change. However, the reasons for health care costs being astronomical in the United States are the improper use of medical services, extra administrative costs, and the high costs of the services and equipment themselves, which are causes that can be remedied.