Describe About Care Plan For Annie Who Is Diagnose With `` Gout ``

The aim of this assignment to explore the assessment and care planning phase of nursing process, communication and interpersonal skills related to a chosen case study. Nursing process is the systemic organised approach used by the nurses to improve the quality of nursing care and it consists of mainly five steps, assessment, diagnosis, planning, implementation, evaluation (RCN,2016) this essay also explain the basic pharmacology and nurses responsibility in medicine administration related to the case study. This essay focused on a 70 year old lady, shoo was admitted in the surgical ward during my placement. She was diagnosed with oesophageal cancer recently and now admitted with swallowing difficulty and neck pain. The patient is referred

Patient was in the ER room when first seen. PT was with her family members and family states that she speaks little English and that she has had abdominal pain for the past day along with bloody stools. Family states that she is on calcium supplements and no other medications. Last oral intake is 24 hours ago. Family states no known past medical history. Pt is in the hospital bed in the fetal position and towards the right side. Patient's airway is clear and breathing is normal. Skin is warm and dry. Patent is AAOx4. Assessment of head, neck, and chest show no signs of deformities. Abdominal area not assessed due to severe pain. Back is without deformity. The upper extremity shows no sign of deformities or trauma. The lower extremity shows

The general health of the patient is currently being compromised due to present illness mentioned above, but is stable. L.H. reports his usual health to be, “normal and not too crazy like this”. Patient has some fatigue noted while conducting daily activities; No recent weight change, fever or sweat. The skin noted to some discoloration on upper right side of back. There is no pruritus, rash or lesions present. Bruises noted bilateral on arms. Patient reported taking baby aspirin as daily medication. His hair is greying and thinning with no hair loss.

Chweyah, dated 08/11/2017, indicated that the claimant presented for a follow-up visit after his discharge from the hospital on 08/08/2017. He was admitted on 08/04/2017 due to normocytic anemia, pain in both knees, starvation ketoacidosis, hypertension, gout with tophus, and duodenitis. The esophagogastroduodenoscopy revealed erythematous duodenopathy, erythematous mucosa in the antrum, and small hiatal hernia. He had a colonoscopy which revealed internal hemorrhoids. Objective findings showed blood pressure of 112/86 with a pulse of 105. He was diagnosed with quadriceps weakness, pain in both knees, normocytic anemia, type 2 diabetes mellitus, hypertension, stable chronic kidney disease stage III, and bilateral impacted cerumen. It was noted that he can return to work on 08/16/2017 with limitations of not standing for more than 10 minutes at a time for 1

At today's visit, she is accompanied by her husband. She is awake, alert and oriented. She complains of chronic, dull, intermittent, burning pain in her thighs which radiates down her legs. She rates her pain as a 3/10. She states that taking the

Per the medical report dated 06/27/2016, the patient complaints of right ankle pain. It was noted that Elavil and Naprosyn provide relief about 20-40% each. Patient’s current medications are Ambien, Naproxen, and Gabapentin. Patient has tried Gabapentin and Tramadol which did not help. Treatment plan includes application of Voltaren gel 1% to affected area four times a day and as needed, increasing Naproxen to 500 mg, addition of omeprazole 20mg once a day, Elavil 25mg at night, and Lidoderm patches 5% for pain.

The patient is an 86-year-old female who was brought to the emergency room because of bilateral leg swelling. She was recently discharged from the Arbor Glen Reha and she's developed increasing bilateral leg edema. Her medical history is significant for hypothyroidism, chronic kidney disease stage II, anemia which is a chronic, ulcer in the sacral ulcer stage III and she denies any other symptoms. Review of the lab work does show a bump in her creatinine from 1.27 baseline in February of 18 to 1.54 on this admission with an increase in her BUN. She also demonstrates a mild anemia of 10 with a MCV of 90. Her edema is described as massive by the attending physician. PT examination reveals she needs significant assistance to moneuver her

The pt c/o abdomen8/10 pain x8 days. Pt was seen in the ER and in the clinic. However, current prescribed treatments are not relieving her pain. Pt states the her last BM was 2 days ago after taking Mag Citrate. Pt denies radiating pain. Due to increase pain level, per PA Alford the pt was instructed to go to the ER to be

At todays visit she is accompanied by her husband. She is awake, alert and oriented. She complains of chronic pain in her hips and legs that radiate down to her feet. She describes her pain as as shooting, dull, ache. “she states, sometimes its like

Based on the progress report dated 08/26/16 by Dr. Boparai, the patient presents for left foot pain, rated as 2.5/10 with medications and 10/10 without medications. Quality of sleep is good. Activity level has remained the same. Patient is going to hyperbaric oxygen treatment daily and wound care clinic weekly for left foot amputation due to frost bite/gangrene.

This inflammatory incurable disease Rheumatoid Arthritis came as a surprise to John as he had never experienced such an ‘excruciating pain’ in his joints. Pain initially started in his left hand and the next day he suffered from the same excruciating pain in his right hand. This really disturbed him as he had no idea what to do with it. The pain was absolutely excruciating that he decided to see a doctor and seek medical advice. His doctor was also confused and just recommended him some Analgesic or Paracetamol tablets to mitigate the pain. This indicates that John has led a healthy life in his past and has good medical record, since he was experiencing this kind of disease for the first time in his life; his doctor was unable to learn about his condition in the first place (Charmaz, pp.976-993).

Gout is one of the most common forms of inflammatory arthritis, affecting about 2.49% of the population in the United Kingdom. Over the past 16 years, there has been a rise in reported incidence in the UK (Lim et al., 2014). The condition tends to increase with age, especially affecting those above 65 years. It is known to be much more common in men, with an incidence of 4.42 per 1,000 in men but only 1.32 per 1,000 in women (Moi et al., 2014). The condition is characterised by the rapid onset of severe pain, swelling, and erythema of the affected joint. The first metatarsophalangeal joint is the site of the initial attack of gout in up to 78% of gout sufferers and is involved at some point in the course of the disease in up to 89% (Roddy et al., 2011). Other areas affected can include the mid-foot, ankle, knee, fingers, wrists and elbows. Chronic gout is defined as repeated attacks of gout greater than one episode in a year with persistent hyperuricemia (National Institute for Health and Care Excellence, 2015).

To be able to classify gout from other types of arthritis, it is a disease that is characterized by elevated levels of uric acid in the bloodstream. Elevated levels of uric acid, also known as MSU or monosodium urate, would cause them to crystallize and be deposited into the joints, tendons, and the tissues surrounding them, causing painful attacks that are recurring and, at times, can become so excruciatingly painful to the point of manifesting debilitation to those afflicted by it. The deposit of crystallized monosodium urate is referred to as tophus.

Gout can affect men and women, but men are more likely to have the condition. The signs of the condition are pain and tenderness in the joints. Women are more likely to develop the condition after menopause. Gout symptoms can happen anytime of day or night, but most people have attacks at night. The attack is similar to arthritis, and it causes a burning sensation in the toes. Fortunately, there are several medical and natural ways to treat the condition.

The pain and associated symptoms related to gout can be quite severe although mild at the outset. The following characteristics of the disease are utilized in the diagnosis and development of a treatment strategy in the patient (Roberts, 2010; De Miguel et al., 2012):