Student Name: Alanna Cooper | Date: 06-28-2013 | * Client/Patient Initials: F.F | Sex: F | Age: 83 | Occupation of Client/Patient: Retired Homemaker | Health History/Review of Systems(Complete and systematic review of systems) | Neurological System (headaches, head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, difficulty swallowing, etc medications):Patient c/o occasional headaches which are relieved with Tylenol.Patient is free from current and past head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, difficulty swallowing. | Head and Neck (pain, headaches, head/neck injury, neck pain, lumps/swelling, surgeries …show more content…
| Thorax and Lungs (cough, SOB, pain on inspiration or expiration, chest pain with breathing, history of lung disease, smoking history, living/working conditions that affect breathing, last TB skin test, flu shot, pneumococcal vaccine, chest x-ray, medications):Patient has never had a TB skin test. She gets annual flu shots and has had a pneumococcal vaccine at one time.Patient denies current or past cough, SOB, pain on inspiration or expiration, chest pain with breathing, history of lung disease, smoking history, living/working conditions that affect breathing, chest x-ray, medications. | Musculoskeletal System (joint pain; stiffness; swelling, heat, redness in joints; limitation of movement; muscle pain or cramping; deformity of bone or joint; accidents or trauma to bones; back pain; difficulty with activity of daily living, medications):Patient c/o occasional joint pain in hands for which she takes Tylenol or Ibuprofen.Patient c/o lower back pain on occasion for which she takes Ibuprofen.Patient denies current or past stiffness; swelling, heat, redness in joints; limitation of movement; muscle pain or cramping; deformity of bone or joint; accidents or trauma to bones; difficulty with activity of daily living, medications. | | Gastrointestinal System (change in appetite – increase or loss; difficulty swallowing; foods not tolerated; abdominal pain;
Trauma one Pediatric Emergency Department! Trauma one Pediatric Emergency Department responding over! Rescue Unit 29 transporting a 12 year-old boy, named Mike, hit by a car while riding his bicycle. This is a hit and run accident, but other motorists called a rescue unit. The child was not wearing a helmet. Facial bleeding is under control, but he suffered facial and head trauma. There appeared to be no facture of the extremities. Presently he is awake and semi-alert. Vitals signs: BP 120/56, Pulse 120, Oxygen
The patient is a 72 year old female. She has been experiencing progressively worse pain and stiffness in her joints. She is reports that she is having decreased range of motion, redness, and swelling in her joints. She is reports symptoms occur in the same joints on both sides of her body. She is also reporting the symptoms are worse when she first wakes up in the morning.
Health Assessment Physical Assessment Documentation Form Date: __3/1/16________ Patient Information Patient Initials BR Age 30 Sex Female General Survey Does patient appear to be their stated age?
Connecting consumers to reliable health care information or health care providers can be challenging for any institution. At the current time, there are two popular methods that allow consumers to access health care. One method to obtain reliable health-related information is through an electronic web-based resource. The other option, if a consumer prefers to see a health care provider in person, is through a walk-in clinic. Utilizing these resources allows the consumer to see a health care provider for acute and minor illnesses or obtain detailed information and potential treatment options via the internet. When looking to increase usability and awareness, institutions should understand the values and preferences of
In America we have very many ways people deal with their older relatives. Normally people put them in nursing homes or care facilities. I personally believe we should hold our elders in high regard. The older generations have seen and been through a lot of history, and have a lot of wisdom. Those who simply do not care about their older relatives are making a huge mistake.
This was the second time coming back to the nursing home visit. I was excited that I get to chat with the resident again. My resident was eating breakfast when I walked into the room and she had no idea that I was coming back that day. I got very anxious because she might not want to be bothered, but I was wrong. She was very welcoming and happy that I came back to visit. We had long conversations about her life and new things that came up since the last time we met. I also did an assessment on my resident this time around since I was not able to during our last visit. I explained the whole process to her while doing the assessment and make sure she knows everything that I am doing. Compared to the first visit, I was much more comfortable.
Joint pain is truth be told a typical condition with seriousness running from gentle to very extreme.
Respiratory. The client denies a recent history of significant breathing problems. Client states as a child she had asthma but that has since cleared up. She denies cough, sputum, shortness of breath with activity, wheezing, or pneumonia. Client states she has no history of exposure to tuberculosis. The client has a history of smoking. She smoked for less than a year in 2007. She states she smoked 1/20th of a pack per day and quit cold turkey. Client stated she had bronchitis once in June 2016. Her physician prescribed an albuterol inhaler and a steroid prescription. Treatment resolved the bronchitis. The client states she has limited exposure to secondhand smoke due to neighbors smoking on their front porches in the townhome apartment complex where she lives.
Musculoskeletal System: Patient denies having history of arthritis or gout. She also denies the presence of pain, stiffness, swelling, deformity, limitation of motion,
On admission, Ms. Kelly complained of low back pain ranging in intensity from 7 to 8, out of 10, on the pain scale where 0 is no pain and 10 is the worst imaginable pain. She subjectively describes this pain as throbbing, stabbing, burning and radiating down into both legs, left worse than right. In addition, she has sharp, stabbing, burning pain in both her arms, left worse than right, and experiences intermittent tingling and numbness sensations in both her hands. She has pain in her neck and shoulder that she defines as tension-type pain. Factors that can aggravate the pain include
I visited Wheaton Franciscan Healthcare- Terrace St. Francis on June 5, 2015 and I observed a new geriatric patient, who is female and 81 years old. She fell on the ground and has a left hip fracture and an open reduction and internal fixation (ORIF), but the therapist and I did not know how this happened to her because she has dementia, and did not remember when the therapist asked her or her sister, who is the only person responsible for the patient, was not with her during the session. After the evaluation was done to the patient, it was concluded that the patient has muscle weakness and mild pain in
Purpose: Comprehensive Geriatric assessment (CGA) provides in-depth evaluation of morbidity and mortality of geriatric patients and can be an effective tool in assessment of pre-transplant patients. A CGA requires hours to administer, additional time and personnel to obtain results, consultation with a geriatrician and multiple visits for result discussion and intervention. An electronic geriatric assessment (eGA) can offer a more complete and accurate assessment of deficits in a time efficient manner. We assess feasibility of incorporation of an electronic GA with real-time instrument scoring into cancer clinic.
Citation: Fabbian, F., De Giorgi, A., López-Soto, P. J., Pala, M., Tiseo, R., Cultrera, R., & ... Manfredini, R. (2015). Is Female Gender as Harmful as Bacteria? Analysis of Hospital Admissions for Urinary Tract Infections in Elderly Patients. Journal Of Women's Health (15409996), 24(7), 587-592. doi:10.1089/jwh.2014.5140
at the time of your visit. We have divided the DGA in two parts, each with three
Sputum tests may be required for testing if the chest x-ray reveals signs of TB.