Blood Trauma Case Study

Rosa Lee is on several different medications for seizures and for her full blown AIDS. Not long ago she was admitted into the hospital for taking too much of one of her medications. This is due to

The patient was a female on her 80s who was admitted to the hospital because of the COPD exacerbation. She had a history of stroke with minor residual effects, smoking, hypertension, and schizoaffective disorder - a chronic mental condition that is manifested mainly by the symptoms of schizophrenia, such as hallucinations or delusions, and mood disorder symptoms like manic or depressive episodes (NAMI, 2017). Patient length of stay was more than 300 days. She had two daughters who visited her everyday.

Wanda was yelling and pacing the unit. She began trying to hit staff member Pamela Goode. She did not calm down with verbal redirection. Provider Joshua Burgett, NP determined she needed IM medications. She refused to voluntarily receive the medications so PerryLee Chambers, BHT and Michael Osgood, BHT did a backward carry hold to get Wanda to her room. She was assisted to the bed and held to receive IM medications of Ativan, Haldol, and Benadryl. Ashish Lal, BHT and Shane Dewitt, BHT were also present to assist if needed. Once the injections were given she did not resist or fight so she was immediately released. Neither Wanda nor staff were at all injured.

The clinical features Mrs Lee now 83 is displaying changes to health and cognition noted in the last three to four months, with two transient ischaemic attacks but no significant medical issues. Although currently taking three medications for high blood pressure. Changes in word finding, getting words mixed up and confusing identifying words. Insisting everything is fine showing a lack of insight into her changes or difficulties. Short term memory Mrs Lees has difficulty retaining recent memories, however long term memory appears reasonable. Although Mrs Lees home is reasonably well maintained, she is emaciated and personal hygiene is poor. There is also evidence of emotionally Liable being frequently teary with no reason. History includes

The patient is an 85-year-old female who is brought to the ED by her family because of increasing confusion and supposedly she had a degree of altered mental status of two hours previous to presentation. In the ED she is completely worked up. CT shows advanced atrophy with microvascular changes and several lacunar infarcts nothing acute. Specific gravity in the urine reveals her to be markedly dehydrated. She culture completely, started on IV antibiotics, IV fluids and B12. On the day after admission she still presents as persistently confused. She is evaluated by PT. The patient who was formerly ambulating with a walker and allegedly driving a car is unable to be ambulated. Before the history indicates that she has a slow downward

Mrs A is a 71 year old widow with CCF and osteoarthritis who has recently been exhibiting quite unusual behaviour. Her daughter is concerned about her mother's ability to remain independent and wishes to pursue nursing home admission arrangements. She fears the development of a dementing illness. Over the last two to three months Mrs A has become confused, easily fatigued and very irritable. She has developed disturbing obsessive/compulsive behaviour constantly complaining that her lace curtains were dirty and required frequent washing. Detailed questioning revealed that she thought they were yellow-green and possibly mouldy. Her prescribed medications are:

MEDICAL UPDATE: Client continues to report arthritis in her left leg and hand, high blood pressure. She also reports she will need surgery but she is waiting to be housed.

Blunt force trauma is when a victim is hit with a weapon. This weapon can be a bat, pipe,

Mrs. Wilson is seen in her room at Glenbridge Nursing Home on 02/28/2018. She had an episode last night of chest pain. She is so ebullient and distracted that it is hard to get a straight history, it came on when she was asleep but she may been sitting up. She was seen by a nurse, a sat was taken. I am not sure if there were other orders taken, but there is none on the chart. She says that she spent most of this morning in the bed and still feels tired, but she does not think she broke out in a sweat. She was more short of breath. She is calling it is a "stroke." I had tried to begin tapering her diazepam by discontinuing the morning dose and apparently all daytime clorazepate was discontinued by error and she gets it only at night.

A is an 87 year old women, with a long history of health troubles including chronic kidney disease, congestive heart failure, coronary artery disease, a pacemaker insertion for her atrial fibrillation, type 2 diabetes, dyslipidemia, colon cancer, breast cancer, mild cognitive impairment and most recently paranoid psychosis.

They give a long list of diagnoses but the most prevalent is the fact that she has a rapidly progressing dementia. Note that she has a rapidly progressing dementia as well as a B12 deficiency. They describe a subdural hematoma in the CT scan reports. The one on 01/03 shows a lot of microvascular changes, a lot of cortical atrophy, and apparently, she had bilateral subdural hematomas that had converted to hygromas, but apparently the larger one on the left side still had some blood in it. When they repeated the CT scan of the head on 01/19, they commented that the hygromas were still present but there was less blood in the larger subdural. She had extensive blood testing, which basically was unremarkable. It did not appear that she had a urinary tract infection. Appears that since she has been here her status has been fairly stable. She was weak, but apparently, underwent physical therapy and made some improvement to where she became ambulatory in her gait. It looked like from the very beginning she was having a day/night confusion, was having a lot of un purposeful movements that might be have been contributed to either delusions or hallucinations. They gave her some Risperdal for the behavioral problems, but according to Cynthia she had taken Risperdal in the past and had an allergic reaction, and today when I have seen the patient there is a marked amount of periorbital edema

Our helpee reports experiencing anxiety every day. She feels a constant need to be in control of her surroundings and the people I her immediate care. I find this a direct result of her level of responsibilities as a caregiver. Her grandmother has been diagnosed with diabetes, congestive heart failure (has a pacemaker), and scoliosis (curvature of the spine) along with arthritis. She uses a walker and has a strict diet of no added salt or sugar. Her medications include blood thinner, digoxin, thyroid medication and diabetic medication. One medication requires bi-weekly blood test for levels, one requires monthly tests and the pacemaker requires an appointment to check for discharge and battery strength. Her grandfather has had at least two major strokes as well as two grand mal seizures, has a Foley-catheter and a g-tube. He also depends on a walker and can’t get in and out of bed, a chair or the bathroom without assistance. He is also on blood thinner, Dilantin and digoxin. He also has required weekly test for medication

When a person dies, the natural forces of decomposition cause for the soft tissue to breakdown and ultimately disappear over time. If enough time has gone by, any soft tissue evidence present at the time of death will also have disappeared. Once this has occurred, it is up to forensic anthropologists to analyze the skeletal remains for evidence of trauma in order to help the forensic pathologist assign a cause and manner of death to this individual. The task is complicated by the similarities between antemortem and perimortem injuries, the presence of skeletal anomalies, as well as the postmortem changes that can occur when skeletal remains are exposed to the elements of nature.

Scenario: An elderly woman showed symptoms of near syncope and was admitted via ambulance to a small community hospital. She experienced an inability to move on her own and almost lost consciousness while watching her grandson play basketball. Her symptoms occurred during a visit to her daughter’s home, which is approximately 150 miles from Liza’s home. When Liza was admitted to the hospital, her daughter explained the numerous types and dosages of medications her mother was taking. She also mentioned that Liza had not been taking her Coumadin as directed by her physician for the past week or so. Liza was admitted to the intensive care unit for evaluation. Over the course of hospitalization, Liza’s condition worsened.

Many people have heard different theories about why President Washington died. The most common one though, seems to be the fact that he was blood let, leading to his subsequent death. If that does not seem unusual enough, how about people drinking their own poop. Well believe it or not, people have been known to do that willingly, mainly for various medical reasons, one being fecal bacteriotherapy (FBT). Another even stranger solution people came up with for 'curing' maladies, is trepanation the act of drilling holes in others' heads. All of these unusual practices have led to valid current day medical procedures.