Characteristics Of A Female Patient At The Mature Age Of 78 Essay

Patient S is a seventy-eight-year-old male who presented to the ED in Rushville on October 25th with signs and symptoms of a stroke. These symptoms were leaning to the left side, a left facial droop, weakness in the left arm, and ataxia. The patient has no history of stroke. Patient S was admitted to 4-G in Memorial for a right-sided ischemic stroke. The patient has a history of atrial fibrillation (A-Fib), hyperlipidemia, bleeding problems, hypertension, sleep apnea, and a pacemaker. Patient S lives at home with his wife. Patient S was independent before the stroke. On October 13th, the patient had surgery of lumbar stenosis on L3, L4, and L5. The patient and wife reported increased serosanguinous drainage that soaked the dressing. Patient denied fever or pain at incision site. The doctor decreased Warfarin from 5 milligrams (mg) to 2.5 mg and prescribed a full dose of aspirin.

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

This report is an analysis of an anonymous patient’s medications and how they relate to his health issues. Please note that the patient will be referred to as patient Afib in order to protect his privacy. Patient Afib is a 58 year old male with a recent onset of atrial fibrillation (AF) that has been cured using ablation and antiarrhythmic medications. This report discusses how physicians treated patient Afib’s AF, the medications patient Afib is currently taking and their mechanism of action, and how these medications relate to the patient’s disease. Medications discussed in this analysis include Proair HFA, Multaq, Toprol XL, and Coumadin. Proair HFA, a rescue inhaler used to treat asthma, was prescribed to patient Afib in order to determine if AF or underlying asthma caused his shortness of breath. Multaq is an antiarrhythmic drug used to keep patient Afib in a normal sinus rhythm. Toprol XL is a medication used in the treatment of hypertension that also exhibits rate controlling properties which prove beneficial for patient Afib. Coumadin, an anticoagulant, is used to reduce the risk of stroke for patient Afib should his AF ever spontaneously return without his knowledge. Patient Afib does not like the regime of pills he is required to take but understands their necessity.

She was treated for neuropathy in Primary Care and received an extensive work up for syncope in Cardiology, but it wasn’t until she was referred to Neurology that she finally got a correct diagnosis: Autonomic Dysfunction. Of course, there are varying degrees of Autonomic Dysfunction that range from reversible to severe, but unfortunately she was diagnosed with the most severe form known as Multiple System Atrophy (MSA). “MSA is a sporadic, progressive, adult-onset disorder characterized by autonomic dysfunction, parkinsonism and ataxia (a failure of muscular coordination) in any combination” (Autonomic Disorder

Hi Christine, your female patient’s story inspired me too. It was hard to recover from an injury, and most people did not

Atrial Fibrillation is one of the leading causes of death across the globe. (1) AF increases an individual’s risk of stroke by 4 to 6 times on average. (2)(3) The risk increases with age, in people older than 80 years old; AF is the straight cause of 1 in 4 strokes. (3) Even though Atrial Fibrillation can be considered a mild arrhythmia; it is still associated with serious morbidity and mortality. (4)(5) First, it raises the risk of having thromboembolism and stroke, due to blood stasis in the left atrium. Stroke is commonly caused by a thrombus or clot. In patients with AF, the thrombus or clot is usually comes from the left atrial appendage (a small sac in the left upper chamber of the heart). Because stroke in AF patients may be particularly distressing, it is quite important to identify patients who are possibly at high risk before it occurs to them. Second, the irregularly irregular heart beat can cause symptoms palpitations, shortness of breath, anxiety and reduced exercise tolerance in the patient, so it requires medical consideration. Third, Atrial Fibrillation causes a lot of cardiac and hemodynamic changes including decreased myocardial systolic function and cardiomyopathy caused by tachycardia. (6)(7) Sometimes AF is identified only with the onset of a stroke or a transient ischemic attack (TIA or "mini-stroke"). (8) Whether if it is asymptomatic or symptomatic, AF is a progressive disease, worsening with time and it is accounting for

Prevalence, age distribution, and gender of patients with atrial fibrillation: analysis and implications. Arch Intern Med. 1995; 155:469-73.

Six months later, PET CT showed Subcarinal and subaortic lymph nodes with a maxim SUV of 2.53 and 3.3 respectively. Subcarinal adenopathy biopsy was performed with a result of sarcoid reaction.

Atrial fibrillation is the most commonly encountered arrhythmia (abnormal heart rhythm) in the United States, diagnosed in approximately 1% of the population or 2.5 million people (Nottingham, 2010). Atrial fibrillation has always been of interest during this author’s healthcare career. It is always out there, insidiously hiding, causes a multitude of symptoms and problems. This author remembers puzzling over the presentation of atrial fibrillation and it’s management. Identification is always the first challenge. Banner and Lauck (2013) cite Falk (2001) acknowledging the wide presentation of symptoms from asymptomatic to life threatening. Patient specific options can be confusing and challenging to navigate. Treatment algorithms include pharmacology, electrophysiological interventions, and surgery (Berry, Padgett, & Holton, 2015). This author believes, given the prevalence and consequences of mismanagement, the study of relevant evidence based practice in the treatment of atrial fibrillation is a worthy concentration. For many patients, nurses are the first point of contact in the healthcare system. This demands nursing leadership in the areas of identification, treatment and education for atrial fibrillation.

What is a medical condition? A medical condition falls into three or more categories, the most common one is disease. For example, Multiple Sclerosis is a disease that you will always have once you are diagnosed with it. When you have a disease now, you go for treatment. But when there was no treatments for diseases they just let you die on a bed or during the aztecs they ripped your hearts outs. Then decorated the ancient temples with the human blood. Now with diseases as I said you can go get treatment like you can get prescriptions go to group therapy and have special doctors. For treatment for people who do not already have diseases you can get injections for your body, so you are allowing small dosages of the disease. So if you do get the disease later on your

Stress can play an important role in causing atrial fibrillation. Even, healthy people, with no known heart ailments can develop atrial fibrillation, if they are under high amounts of stress. Moreover, a research found out that 54 percent of the people studied isolated psychological stress as the common trigger for the intermittent atrial fibrillation.

More recent cases and retrospective reviews suggested that the ST segment elevation or depression, T wave inversion and prolonged QT interval were commonly identified (Chin, Branch & Becker 2005; Malik et al. 2015; Shoukat et al. 2013; Waller et al. 2013). In addition, case studies claimed that these observed abnormalities predominantly occurred in the anterior and lateral leads (Franco et al. 2010; Waller et al. 2013), suggesting impaired ventricular repolarisation in a cardiac cycle. These ECG patterns are commonly seen in patients with acute myocardial infarctions. However, in the setting of SAH, the changes of ECG pattern were not associated with coronary obstruction (Banki et al. 2006), but rather the reflection of autonomic dysfunctions that are induced by the neurological insults.

Upon completion of all follow ups, the institute found that 285 of their subjects had incidents of atrial fibrillation. The most abundant risk factor among them was obesity with or without any readings of metabolic syndrome. However, the majority of the obese subjects that had an incident of atrial fibrillation did have hypertension. They also concluded that the subjects that were not considered obese but still encountered a time with atrial

If the patient describes a rapid, completely irregular rhythm, atrial and ventricular fibrillation should be investigated immediately. Rapid beats followed by forceful beats can

In the case study of the 75 year old woman these are some of the questions that could be added in the assessment process. The relation to the fatigue I would ask more question to get a better understanding in clarifying the direction. Like how long does it lasts when it occurs? Can you rate the level of your fatigue on a scale of 0-10 ten being the worst? Is it accompanied with a type of activity? Have you had any lifestyle changes? It is a gradual or sudden onset? Do you have any sleep disorders i.e. dyspnea? Do you sleep flat or reclined? This helps pinpoint the fatigue from different types. The types of fatigue are tiredness, exercise, depression, stress, medically like anemia, heart disease, emphysema. (Wilson & Giddens 2009)