Case Study : Mr Smith

This process paper will evaluate the complex relationship between disease pathophysiology and how it has progressed to the patient’s current state of health. It will include a comprehensive discussion of chronic and acute problems leading to the patient’s hospital admission, a complete description of interrelationships and pathophysiology for all medical diagnoses, a comprehensive discussion of the client’s signs and symptoms and results of all diagnostic studies to the underlying pathophysiology, and a comprehensive listing of all medications ordered at the time of admission with explanations of why each was ordered and identification of the most common side effects which may

States that it started 3 days back and uses oxygen at home. States that he is a former smoker and laying on his back feels better. Also says he has a list of medication, more than 20. Pt has a history of COPD, CHF, DM,morbid obesity, HTN, HLM, hypothyroid, and sleep apnea. Has no accessory muscle use. CC is shortness of breath. Assessment is that there is no deformities or trauma of the head or neck area. Chest shows no signs of deformities or trauma. The abdominal area is tender and warm to the touch. Pelvis and back was not assessed. The upper and lower extremities show signs of low circulation and swelling. PMS=4. I helped with placing the BP cuff on the left arm and attaching it to the monitor. First vitals were recorded. O2 was given by the Nurse and then Albuterol by nebulizer. After 30 minutes, I assisted the Nurse and other hospital workers in moving the PT to a bigger bed. Second set of vitals were recorded. After becoming stable the Pt was moved up to the floor.

Mr. Cinton is a twenty-three-year old, Hispanic of Puerto Rican descent male. He was referred to the Evolutions Treatment facility for his Substance abuse usage. Mr. Cintron reported his struggle with substance abuse has impacted his daily functioning. The purpose of the current evaluation is to (1) assess present level of functioning, and (2) identify relevant treatment and service needs.

Tim Morgan hit Michael Kramer with a foam hand after a verbal argument at a Patriots/Steelers professional football game in Foxborough, MA. The actions of Mr. Morgan caused Mr. Kramer to fall down the bleachers and sustain injuries. Mr. Morgan is facing charges of assault and battery with a dangerous weapon.

HPI: Margaret Elliot is a 52-year-old Caucasian female that is presenting with shortness of breath that has recently worsen. Mrs. Elliot states that her problems began 20 years ago when she had bronchitis, which she consistently has 2-3 times a year. She said that her symptoms have been getting worse the last 2.5 month, but have severely worsen over the past three days. She states that it has been restricting her daily activities and has been troubling her while sleeping lying down. She states that her symptoms improve alittle when she takes her medications. She also states that her symptoms worsen when she tries to walk across the room

I am the Plaintiff in the above-captioned action, and am fully familiar with the facts concerning this matter. I respectfully submit this Affidavit in support of Plaintiff’s Motion For Continuation for Restraining Order.

Mr. S is a 29-year-old male with past medical history of (PMH) hypertension (HTN) and obesity who presented to local emergency room (ER) with headache and chest and back pain. Mr. s had been seen at urgent care three days prior for a headache and near syncope and was told to hold his metoprolol due to bradycardia. Due to health insurance related problem, he has been off amlodipine and lisinopril for a month.

No information is given to determine previous medical history, so all possible causes can be taken into consideration related to F.T’s shortness of breath. A history of Chronic Obstructive Pulmonary Disease could contribute to this acute episode of shortness of breath, and warrants further assessment due to the risk of Cor Pulmonale associated with COPD. The indication of his increased use of an albuterol inhaler also leads me to believe that he has a previous pulmonary complication, which could be likely be COPD, or possibly Asthma as the medication is

“The patient is Adam Rudd, a 78 y/o white male with a history of hypertension. He has been diagnosed with hypertension past 15 years and is on anti-hypertensive medications and aspirin. He is very weak and short of breath. He is accompanied with his longtime friend Jennifer, who reports that Rudd was looking very weak and was complaining of severe headache and blurred vision before coming to the hospital. He is 5’9” and weighs 270 lb. Vital signs recorded were: oral temperature 98.20 F, BP 224/120 mm Hg with a heart rate of 102 beats/minute and respiration of 24 breaths per minute. The pulse oximetry reading was 94% on room air. He is complaining of severe headache and blurred vision. Rudd said that he did not take his antihypertensive medication or aspirin since he ran out of pills. He has not been taking his medication for past 15 days. He reports no known allergies to any medications or other substances.”

In the film Mr. Smith Goes to Washington, Mr. Jeff Smith is next in line to be a senator after senator Foley passes away. Mr. Smith is then faced with many challenges as a politician and we see all a few of his qualities that helped him with all of his decisions. A few of these qualities were that he was honest, naive and he lived his life with integrity.

He also had a history of shortness of breath for several months (2014). He was evaluated by the cardiologist; the test results indicated that the heart was not causing the shortness of breath. Later he was referred to a lung specialist for further evaluation.

In the year 2006, still having a criminal record and long after getting out of jail, Sherry heard about an investigation that was happening about Smith’s case, stated on the second sentence of paragraph 11. He was being inquired for Joshua’s death. As stated earlier Dr. Charles Smith was accusing Sherry for her son’s murder and he had certain proofs to plead Sherry guilty. After reading an article she contacted the AIDWYC who later told her to talk to the Ontario Office of the Chief Coroner (OCC) and ask them to include her son’s murder into Smith’s case. After looking furthermore into his case the OCC found out that Smith has done a wrong investigation and that Sherry was not the one who has killed her son. Smith’s opinion in Sherry’s son’s

Generally, this is a well-developed man sitting comfortably in no acute distress. Skin is warm and dry. HEENT: Head is normocephalic, atraumatic. Pupils equal, reactive to light and accommodation. Sclerae are anicteric. Oral mucosa is moist without lesions. No JVD. No thyromegaly. Lymphatics: No cervical, supraclavicular, axillary, or inguinal adenopathy appreciated. Respiratory: Lungs are clear to auscultation bilaterally. Heart: Regular rate and rhythm. Abdomen: Soft, nontender. Positive bowel sounds. Liver and spleen not palpable. Strength is 5/5 throughout. Neurological exam is

PURPOSE FOR EVALUALTION: Miss. Olivia Smith is a first time admission for inpatient care at this facility. Miss Olivia was referred by her professor and parents due to their concern regarding her unexplainable behavior she has been displaying. She is a twenty two white female who parents name are Shelia and David Smith.

Fred Smith has created a package shipping empire on a vision he described in an economics paper while attending Yale in the 70s. Visions, in terms of leadership are defined by ideas such as having an ultimate purpose, identifying needed goals and a course for achieving, negative and positive outcomes, and visions are ultimately driven by the need for the leader to create a better business, community, or world, while addressing the three major elements: the right direction, right goals, at the right time (Manning & Curtis, 2008). The vision of a leader is one of the most heavily addressed issues in our reading, mostly due to the groundwork stage it creates. Should the direction and goals be perfect but the timing be off, then the plan and