CC Danielle is a 29-year-old female here today to discuss her upcoming travel. HPI The patient tells me she will be traveling to Nicaragua in the early part of July. She will be staying in the León area for a couple of weeks and then will be in an area closer though more rural than that, following that. Beyond that, she will be traveling to somewhere either in Africa or Europe to be teaching for approximately a year. She is not sure through yet, which area she will be in. She will be going there for a course, as well as building a library. She previously lived in Nicaragua when she was in the Peace Corp. She received travel immunizations prior to that. She was there in 2009 until 2011. However, she is not sure which immunizations …show more content…
BP: 112/60. HR: 70. R: 12. W: 136. General A well-developed, well-nourished female in no distress seated comfortably in the exam room. We did review her chart. It does show a Tdap in October 2008. She did receive her seasonal flu vaccine in the past fall and she did have the Pneumovax in October 2011. I do not have records of any other vaccines including travel vaccines. A/P Danielle Costanza is a 29 -year-old female here today to discuss her upcoming travel. I did review with her the CDC recommendations for guidelines for traveling to Nicaragua area. I did give her a lab slip to check her hepatitis A and hepatitis B antibodies and if indicated, we will write her an order for these immunizations. My suspicion is that she is immune already. She and I talked about the typhoid recommendations. She elected to want to take the oral typhoid vaccine, she was written for typhoid vaccine 1 capsule every other day for four dose #4 with no refills, and I did discuss with her the side effects and use the guidelines for that. In addition, we talked about malaria prevention. She was written for Malarone, one p.o. daily to start one to two days prior to travel. Take daily during travel, to take for one week following travel #90 with no refills. This should cover her trip to Nicaragua. She will let me know if she is having any other problems or concerns and I plan on seeing her back for routine care. She will call for the results of her testing, if
An “audit failure” is a situation in which a professional auditor fails to detect a material error in the financial statements of the company they are auditing. The audit failure in the situation of Rita Crundwell the failure was exacerbated by the fact that the auditors continually signed off on the misstated statements for years. Crundwell is responsible for many of the deficiencies mentioned, such as the missing funds and the incorrect invoices. However, she is not the sole person responsible for this fraud. The lack of internal control is to blame, and this cannot be placed on a single person. The government should have separated duties and used
Preparing for international travel is the perfect way to ensure you are up to date on all of your vaccines, as well as vaccines you might need to travel. The CDC website is a great resource for that. Many people don't bother to research what vaccines are needed when they decide to travel. However, CDC should be a requirement when purchasing a travel ticket. All of the CDC recourses offer great information that can help prevent the spread of diseases and/or death. We all want to enjoy a vacation safely and CDC is the best way to prevent some health problems during or after the vacation.
The new member of the Ghostbusters team, Melissa McCarthy, is not a fan of labeling clothes as plus size and is not afraid to voice her opinion about it. McCarthy believes that the plus size label gives majority of women in America the feeling of not being good enough. “Women come in all sizes. Seventy percent of women in the United States are a size 14 or above, and that’s technically “plus-size,” she told Refinery29. “ So you’re taking your biggest category of people and telling them, ‘You’re not really worthy.’ I find that very strange,” McCarthy said.
Great post Debra; unions do help strengthen by advocating on issues faced by the nurses and also strengthen the nursing team. Unions also ensures that proper trainings are provided to nurses to promote quality care to help prevent issues like readmissions as presented in the case study. Another alternative that helps nurses to come together to identify problems and ways to resolve these problems is the transformation by design nursing model (Palazzo, 2015).
Finally a vaccine we don’t have to get routinely! The Typhoid vaccine is now not recommended routinely to people who live in the U.S. It’s although recommended to people who are going to travel outside of the U.S. Even if you’re traveling out of the U.S. for a short time to see family this is still recommended. This is a preventative vaccine and along with the immunization you should provide client teaching about eating and drinking safely. The Typhoid vaccination should be given at least one week before traveling. The live oral Typhoid vaccine should not be given to anyone who is immunosuppressed, has HIV, and children under the age of six. The other Typhoid vaccination is not to be given to children under two and anyone who has been ill.
Given that, now, the Hepatitis A epidemic has become the disease of the homeless and illicit IV drug users, who are often transient, hard to reach, without addresses, and sometimes distrustful of health care practitioners, there could be barriers to administering vaccines. For example, extra staff would be needed,
For example, the yellow fever vaccination is essential when you travel to parts of sub-Saharan Africa and tropical South America (Vaccinations; WebMD).
One of the essential health procedures that he clinician carry out is immunization. Thus, it important that health care providers have a comprehensive and complete knowledge of the topic and know how to take care of irregular situation (Warren, 2017). In the MED U case, Asia started her visit at the age of the 2 months and maintained all scheduled visit up to 12 months.
In a collateral interview with the pediatrician, it is reported that immunizations up to date. There are no ongoing medical issues. There are no complex medical issues. The pediatrician reported that the parents permit only one
I hope all is well. We would more than happy to present to your Sr. Leadership and IT teams. Our team is available Thursday March 24 for the presentation. If you would let me know if this date works for your team, we will plan accordingly. If you have any questions, please let me know.
Immunizations, in my opinion, are one of the most crucial ways to protect yourself and others in receiving and spreading of diseases. On the 26th of October, in the McNamara Alumni Center, I volunteered for two hours with the Fall 2017 Immunization Tour. My role in the tour, along with three other nursing students, was to stand in the entrance and show people where to go. Even in this small act, I felt as though I was making a difference. This experience was valuable to me in my future actions to become a nurse. My experience at the Fall 2017 Immunization Tour was impacted significantly through the efforts of safety, teamwork, and communication.
Smith and Isaac (2016) included studies that used the Markov Chain Model from Veldhuijzen et al. 2009 to gain a more robust argument on the effectiveness of screening for the HBV. To retrieve data for the study, a multivariate sensitivity analysis was used for treatment effectiveness. Vaccinating and effective treatment has shown successful results in its cost-effective process. Smith and Isaac (2016) have agreed and recommend that if there is no immunisation history available, a course of the Hepatitis B virus vaccination to all children and young people who have been screened HBV surface antigen negative as it may indicate they have not yet been exposed to the virus and are potentially at serious risk. The WHO in 2010 published guidelines approved by the Guidelines Review Committee on giving all unvaccinated children under the age of five years the BCG vaccine if they are returning to endemic areas and if they are at risk of contracting the HBV. This is backed up by one theory by Dang and Tribble (2014) that in most cases, if there is any doubt of prior vaccinations, it is best to vaccinate refugee children and young people at the initial health
These keywords were located and established as important terms to discovering useful resources relevant to the PICO question, as they are the focus and the purpose of finding a solution to the patients’ enquiry. Other keywords located and deemed as significant and helpful to finding relevant information include risk factors of immunisation. The patient has mentioned she needs to know more of the risk of immunisation before making an informed decision to whether immunise her child. Therefore, it is important to search this key phrase, as the purpose of this task is to educate and answer the enquirer on whether immunising her child is in his best
The Centers for Disease Control and Prevention (CDC, 2012) recommends that travelers be current on routine vaccinations including: