The patient was pleasant and cooperative even though she was in pain. The patient was sent to the hospital because of the severe pain and quick confirmation of the diagnosis using Cat Scan. I encouraged her to return to the clinic after her discharge. I informed the patient that if her diagnosis is diverticulitis then, she could possibly reduce the flare up by increasing her fiber intake. We also discussed her weight and agree to work on that the next time that she comes. When I brought up her smoking habit, she informed that she will quit but not this year. I still went ahead to remind her about the consequences of smoking. Overall it was very pleasant encounter. All the subjective and objective finding on this patient
As I grew older, the need for me to attend these visits were increased due to my proficiency in English. Fortunately, there was now a translator between my parents and the physician, however the authenticity of the translation was skeptical. This is a common issue among the children of non-English speaking families who are unable to successfully relay issues regarding health and finances from the healthcare provider themselves. Due to the complexity of the conditions and the emotional burden that it may contain, I often found myself struggling to relay these messages to my family. There were times where I found myself sugarcoating the diagnoses given by the physician because I did not understand the severity and because I did not want it to impact my family. Once I became a teenager, I realized withholding pertinent information was actually doing more harm than good.
INTRODUCTIONThis is a case study concerning a patient presenting with low abdominal pain, frequent micturation and dysuria. I will discuss the consultation and show how I used the problem solving consultation style detailed by Alison Crumbie. This involves listening to the patients' initial complaint and developing hypothetical diagnosis. Focused questioning and clinical examination and investigations will then be used to eliminate some of the initial hypotheses. The patients' perspective of their problem will be addressed and the synthesis of gathered information will enable the practitioner to arrive at a differential diagnosis and to agree on a treatment plan with the patient so that they can manage their problem.
There has been a change due to my medical conditions that were not listed on my review form I'm writing you because I am concerned about some things and I would like if you could review my case. The last time I saw Dr. Anderson B. Funke was on October 26th, 2016 due to chest pains with back pain also, a referral to a new Dr. at Internal Medicine Greenwood Dr. Funke had to leave because his wife was ill therefore my appointment had to be rescheduled to February 27, then my appointment was canceled again.
The primary problem is the patient is having severe dehydration due to excessively having loose liquidly stools for the past two days caused by C. Diff.
I feel that the communicating between Patient A and myself worked well during this event. I noticed that she was uncomfortable by her body language and I picked up quickly which method was best to
DS is a 57-year-old white female whit a history of diverticulitis who presents to the clinic for an evaluation of abdominal pain. She stated that she began experiencing left lower quadrant pain last night that worsened through the night and into this morning. The pain is described as dull, occasionally cramping, rated 7/10 in severity. The patient also stated that this pain is similar to previous episodes of diverticulitis. The patient stated that she took Gas-X this morning with little relief. She was able to move her bowels yesterday and this morning, both reportedly normal. The patient denied any fever, chills, chest pain, shortness of breath, nausea, vomiting, diarrhea, melena, hematochezia, or any other symptoms. At this time, there were
B.S. is an 81 year old Caucasian female presenting with abdominal pain, diarrhea, nausea and vomiting in the emergency room on February 3, 2013. B.S. has a history of glaucoma, hypothyroidism, degenerative arthritis and diverticulosis. She has allergies to iodine and vicodin. B.S. is admitted for diverticulitis with possible partial bowel obstruction and hydronephrosis. B.S. was admitted on February 3, 2013 here at Verdugo Hills Hospital.
"Diverticulitis is a condition in which diverticuli in the colon rupture. The rupture results in infection in the tissues that surround the colon” (MedicineNet, 2010, para.1). Or at least that’s what MedicineNet.com states that it is. Sometimes what we find on the Internet isn’t as reliable as what we may think. Doing research and finding correct and reliable information is very important in the nursing practice. There is so much information available at our fingertips, but finding accurate information is sometimes a challenge and can be detrimental to patient care if the information found is inaccurate. The purpose of this assignment is to evaluate the validity of three health websites.
Approximately 15% of those with diverticular disease are symptomatic, and of that group 15% will develop significant complications such as perforation as stated in a paper titled Treatment of Perforated Diverticulitis with Generalized Peritonitis: Past, Present, and Future (Vermeulen, Lange 2010).
As humanly progresses along with the technology we recognized as nutrition. Nowadays, the treatment of the diverticulitis has not change. The study was done by scientists include S.Biondo, J.lopez Bora was a researcher by collecting the data of another researcher did in this paper hence that The heterogeneity of patients with colonic Diverticular disease means that both elective and urgent treatment should be tailored on an individual basis. Moreover, patients being treated in the hospital are more likely have depression and have more anxiety towards treating the illness; Recently the study has shown that dietary restriction may also reduce even prevent the disease to happen, it puts the patient on a high fiber diet. Since fiber will soften the stool and helps prevent constipation and it can also help decrease pressure in the colon and help prevent flare-ups of
I would like to describe my resent experience with the nurse. I visited the clinic to assess my health and immunity
Thus allowing me to form a differential diagnosis and rule out certain causes, such as; constipation, and indigestion. Subsequently, the physical examination enabled me to confirm a diagnosis of acute abdomen. As the patient was not experiencing any worrying (red flag) symptoms associated with abdominal emergencies, such as; appendicitis or pancreatitis. However, I did forget certain aspects of the physical examination and had to be prompted by the MO. Although with more practice such incidence would be reduced.
I was able to check the patient in a systemic order and to make her feel comfortable around me allowing openness and honesty about medical conditions. I responded to the patient in a professional way as to not make her feel uncomfortable and to represent myself as a professional. The patient felt very comfortable with me during the interview, I had asked her upon completion if I was professional and if she felt comfortable. She said that I was very gentle in examining her and that she was very comfortable speaking to me. During the examination there were moment when the patient and I had light conversation, as I did not want the experience to feel cold and calculated. She showed me picture of her family and the books that she loves to
diverticulitis. The patient has no diet regimen, which may be the likely cause of his
Note: Patients will tell you what you want to hear, so be careful how you ask your questions.