Atrial Fibrillation Patient: A Case Study

This case study discusses the management of a 68 year old male who presented with chest palpitations secondary to rapid atrial fibrillation. Atrial fibrillation is a common cardiac arrhythmia with serious complications if not treated correctly. This essay will discuss the initial clinical presentation of the patient and examine the management and outcome of the interventions applied. The significance of atrial fibrillation including its pathophysiology and aetiology will also be discussed.

Mr. Setzer is a 21 year old male who presented to the ED with suicidal ideation with a plan to stab himself with a knife. Mr. Setzer stated thoughts of self harm has been getting worst since girlfriend had fetal demise and then ended the relationship. At the time of the assessment Mr. Setzer denies suicidal ideation, homicidal ideation, and symptoms of psychosis. He acknowledges yesterday becoming overwhelmed with thoughts of harming himself. He proceeded to grab a knife and attempt to stab himself in the stomach, however was stopped by his grandmother. Mr Setzer reports recently he has been experiencing feelings of hopelessness, insomnia over the past 3 days, isolation, and tearfulness. Mr. Setzer expresses relational issues and loss of his

The right ventricle fills up  tricuspid valve closes  right ventricle contracts  pulmonary valve opens  the blood flows into the pulmonary artery  pulmonary valve closes  pulmonary artery splits into two vessels each going to the lungs.

My initial reaction after talking to my parents about our health history was mind-boggling. I never took the time out to look into my family history. I am grateful to have the opportunity to take the time out to investigate my family health history. This assignment was extremely necessary and well informative. To begin with, after completing this assignment, I learned that my sisters and I are at high risk of diabetes and hypertension. Let us start off with my father’s side of the family since it is smaller compared to my mother. In addition, my father has diabetes and hypertension; he was diagnosed with those diseases about 8 years ago. His mother (my grandmother), had a lot of diseases such as; Alzheimer’s, diabetes, kidney stone, hypertension, cholesterol, heart disease, and blind in one eye. My grandmother suffered a lot and once she passed away we felt that was the best thing to have happened to her to end her misery. My grandmother ended up passing away in December 2013 at 85 years old. I didn’t get any information on my parental grandfather. My father, on the other hand, has hypertension, and diabetes and many of his cousins have a history of heart problem, murmur in particular. That explains why I was born with a heart murmur (which was resolved in 1995).

Ramiro and Rosalba Alvarez are my hardworking parents who came to the United States for me and my siblings to excel. My mother grew up an orphanage and still managed to succeed and years later become a teacher in Mexico. When she followed my father to the United States her degree was worthless. Both my parents work labor intensive jobs. Being a family of six with two children at Universities is probably the most finically broken we have ever been. To make everything worse my father was just diagnosis with prostate cancer a couple weeks ago. The doctor insist that my father goes into surgery now, but because of work he is in denial. My father works outside so he wants to wait until winter comes when he is not working to get his surgery. This

I have been recently diagnosed with depression, over the course of eight grade year, my life gradually got worse. From getting my phone taken away, to attempting suicide, and planning on running, to drug use, abusing prescription drugs, day drinking, getting into fights with peers, prostitution. Anything that could distract me from my pain. I would do anything to escape reality. I started getting bullied towards the middle of my eighth-grade year, that was also around the time I began cutting and doing drugs. After that I planned on running away with one of my friends, then my dad found out, about everything. He gave my phone to the police and had me institutionalized, I stayed in the

My patient?s name is John T, age 41 was admitted to Bournewood Hospital in Brookline, MA. on September 16, 2015. He was severely depressed about his past and he started having suicidal ideals. John grew up with a mother, father and sister in Portsmouth, New Hampshire. They didn't have much money and his father was the only one paying bills while his mother was a housewife. John explained that living with his family was very uncomfortable. His father was a very mean and angry man; no one got along with him and everyone feared him. Being Italian, the meal must be plated once the husband got home. With that said, one day his father got mad at his mother about not having dinner on the table on time; things turned for the

What is atrial fibrillation? Atrial fibrillation, also known as afib, is an irregular heartbeat that produces disorganized electrical signals within the heart. This results in quivering of the atria, or top chambers of the heart which allows blood to pool. Stagnant blood in the atria increases the risk of developing a blood clot.1 The blood clot can enter the bloodstream and travel to the brain resulting in a stroke. Atrial fibrillation is associated with a 5 times increased risk for stroke, and approximately 15-20 percent of people who experience a stroke have atrial fibrillation.2 Symptoms of atrial fibrillation are heart palpitations, shortness of breath, weakness, chest pain, dizziness, nausea, and fatigue.1(p6) The incidence of afib increases

When one begins to discuss issues that arise with an intrinsic organ, things get serious. Unfortunately, vital organs like the heart and liver that are causing problems can’t be removed like the appendix or the kidney and “cure” people of issues such as Appendicitis or constant dealings with gallstones. This is true when things begin to go awry within the heart and conditions begin to arise. Atrial Fibrillation (A-fib) is the most common type of arrhythmia, or issue with the heart rate or rhythm. Though A-fib is not a condition that is life-threatening, depending on the severity and lack of treatment, this condition leads to more serious issues like heart disease, and even heart attacks and strokes, which are usually what end up being the cause of death in individuals diagnosed with the condition. Because of A-fib leading to other more detrimental problems, such as the ones listed above, it is difficult to identify and pinpoint if someone has it or had it, which is why it is known as one of the contributors to the “silent killer,” also known as the heart attack. In this paper, gaining a deeper understanding of Atrial Fibrillation will be accomplished through the exploration of: causes, diagnosis, symptoms and treatment, the variation of types, what all is affected within the body as a result, what happens physically, and what occurs at the cellular level when diagnosed with this disorder. All in all, Atrial Fibrillation should be taken seriously and further research is

Smith is a 45-year-old-man seeking treatment for anxiety and depression. During initial contact via phone, he repeatedly stated how important privacy was to him and wanted assurances that anything discussed in a session was confidential. In the first physical session, Mr. Smith asked again about confidentiality. As the session continued, he disclosed that the cause of his depression was due to the death of his mother ten months ago. His mother had fallen ill, and he had become the primary caretaker after his father was diagnosed with colon cancer before her death. She suffered from Ischemic heart disease, which required her to use an oxygen tank and she was diagnosed with onset dementia a year ago. Mr. Smith stated that she had been suffering greatly and out of empathy for her gave her an excess dose of sleeping pills during her nightly routine. Upon her death, medical examiners did not question her passing due to her illness and stated: “it would have happened sooner or later.” Presently, Mr. Smith is now suffering from paranoia and has regular night terrors about his mother’s passing. Concurrently, he also feels that he made the right choice due to his mother’s suffering. He continued that his father stated he wishes to be with his wife and hopes to die as peacefully as she did. With that in mind, Mr. Smith feels a sense of responsibility because he also does not want to see his dad suffer but does not want to endure the pain of losing both parents. He is in search

Patient is a 53-year-old female who presented to the ED after a attempt to commit suicide by cutting both her wrist. Patient stated: "I don't care about my life, I can die and it would not matter to me." Patient becomes tearful and expresses when she was cutting her wrist she didn't die. LEO brought patient into the ED from DayMark recovery services under IVC. At the time of assessment, patient endorses feeling suicidal with a plan. Patient reports health, conflict with neighbors, and financial issues as the primary factors contributing to her current distress. Patient reports having a history of suicide attempts by overdose, the last being "years ago". Patient reports no hospitalizations from incidents. Patient reports a history of domestic

Background information: John Smith is a mid-sixties old Caucasian male residing at a rehab center for broken his foot. He was sent to the er for suicidal ideation and admitted to SBBH. Previously, the patient has received inpatient and outpatient treatments for depression. The patient has an ongoing struggle with depression and occasionally suicidal ideation for the past six years. The patient’s strengths include the following: motivated for treatment and spirituality; however, his weaknesses consist of being homeless, abuse substance, family conflicts, and mood disturbances. His barriers to treatment consist of being homeless, money, and no transportation. His interests and hobbies are hunting and fishing. His major source of income is Social Security and Veteran’s Benefits.

During the time of assessment the patient was sitting upright in her bed, her father at her bedside. The patient denies HI, SI, and symptoms of psychosis. The patient reports a history of depression. She expresses that a few days ago her and her boyfriend ended their one year relationship and he left the home due to the multiple domestic violence situations that have occurred in the home. The father of the patient provided a copy of the message sent of Facebook sent to the boyfriend, which expresses that the patient is hurt by the relationship ending and has suicidal thoughts with a plan to take a prescribe bottle of Valium to cope with the situation. Per documentation, patient's boyfriend throws knives at her, beat her and is verbally abusive. This was confirmed by the patient and her father. Per documentation the patient's parents picked her up a few days ago and she feels safe to go home. The patient reports joking about taking pills on Facebook. Per documentation the patient states, " If I wanted to kill myself,I'd just stay with him." Further the patient states, "If I go back to my boyfriend, he's going to beat me and I won't be able to take in much long." Per documentation the patient express crying episodes and feeling sadness, panic attacks for the past few day, and trouble

Today millions of Americans live or have lived with Atrial fibrillation. The main concern with this health issue is that many people who lived with it sometimes are not aware of it. Atrial fibrillation is defined by Mayo Clinic (2012) as “an irregular and often rapid heart rate that commonly causes poor blood flow to the body”. It occurs when the four chambers of the heart have a disrupted rhythm. The abnormal functionality of health may lead to a stroke because of the possible blood clot that will be formed. The Atrial fibrillation or Afib put the body in a situation without oxygen and nutrients because the body is not well supplied by a heart that is became weak. In general, only few people will feel change in their heartbeat. They may verbalize

I had been out of the hospital for two weeks. I was staying on track with my medicine, with the help of my husband Bryon. I have been dealing with depression for a while now and I eventually ended up being emitted to the hospital. I decided to take time off work for a while until I got back in the swing of things. Me and my husband Bryon decided that was the best thing to do. Every day Bryon would make sure I took my medicine in the morning before he went to work and every evening when he got back. That’s what my psychiatrist recommended we do. I had been suicidal, and they wanted to make sure didn’t try anything to take my life.