M. T Case Study Nursing

The author read Mrs. X’s medical notes prior to their initial consultation to afford herself the knowledge she required should she need to prescribe for her when fully qualified. It was evident from reading her medical notes that there were a few considerations to take note of before commencing any treatment, such as her medical history, drug history and allergies. Her past medical history consisted of Type 2 diabetes mellitus, which was diet controlled, hypertension, hypercholesterolaemia, neuropathy, rheumatoid arthritis and raynauds syndrome.

Maureen shows clinical manifestations such as hypotension (BP 80 mmHg systolic), tachycardia (HR 120 bpm and irregular), tachypnea (Resps 28 bpm), SaO2 unreadable, capillary refill time >4secs, temp 36.5°C (core) indicating the signs of hypovolaemia (Perner & Backer, 2014, p. 614). With the reference of Mrs. Hardy’s medical condition, such as arthritic knees and atrial fibrillation (INR 2.7), she is under diclofenac Acid 50mgs PO BD and warfarin 2mgs PO mane respectively (Jordan, 2010, p. 567; Zacher, et al., 2008, p. 930). Diclofenac is a

Nursing care is a dynamic field of practice. The way it looks today is far out greater intense and very structured. It advances itself by the use of nursing theories and evidence based practice. Policies and procedures constantly change with the advancement of technology and science. While caring for the patient in the given case studies, a nurse involved utilizes practical knowledge, a culture care model and transpersonal caring relationship to attain a caring environment (Smith & Parker, 2015).

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act.

Obesity remains an extremely serious issue worldwide. Once considered a problem for wealthier counties, overweight and obesity are now dramatically increasing in low and middle income countries (WHO, 2011). In American, the rates of obesity continue to soar. CDC (2009) recognizes obesity as a risk factor for diabetes, heart disease, high blood pressure, and other health problems. According to NHANES over two-thirds of the US are overweight or obese, and over one-third are obese (CDC, 2009). Treatment for this illness varies; it may include the incorporation of diet, exercise, behavior modification, medication, and surgery. Since there is no single cause of all overweight and obesity, there is no single way to prevent or treat overweight

Mr. S is a 25 year old male of Haitian descent, who was diagnosed with schizophrenia and assigned to the FEPP (First Episode Psychosis Program) after a two month stay in the inpatient unit. Mr. S was first admitted to the ER after being brought in by police for “bizarre” behavior, which included walking the streets responding to auditory and visual hallucinations; unable to concentrate or pay attention, while denying any hallucinations, but still accepting the treatment. Mrs. S kept to himself throughout the hospital stay, being very socially isolative. Mr. S had been living on the streets for 4 years prior to admission, receiving his meals from organizations such as “dans la rue” or “chez pops”. Mr. S’ roommate had originally kicked Mr. S

He has never been on any statin therapy. His most recent lipids were done in January showing total cholesterol 213, triglycerides 172, HDL 61, LDL is 118.

Two patient verifier completed. Per PA Wu , the patient was informed that she has added an additional bp med to his current regimen. Asked the patient that he has any swelling in legs. The pt says no. Informed the patient that only a 30 day supply was ordered on his Lisinipril. Please record bp readings for the next seven days at the same time then email reading via Micare. If bp in not controlled then a f/u with his provider is needed. The patient agrees and verbalized

CHIEF COMPLAINT: This is a post op note from a procedure performed July 21, 2015 by David Lin, MD.

Mr. S is a 29-year-old male with past medical history of (PMH) hypertension (HTN) and obesity who presented to local emergency room (ER) with headache and chest and back pain. Mr. s had been seen at urgent care three days prior for a headache and near syncope and was told to hold his metoprolol due to bradycardia. Due to health insurance related problem, he has been off amlodipine and lisinopril for a month.

Intro This piece of writing will focus on the case study of a lady named Ms T. This identity will protect Ms T’s Confidentiality in relation to the guidelines of the Data Protection Act (1998). Ms T has suffered from mental health issues and challenging life events have further affected her mental health, resulting in social withdrawal, psychosis, poor physical health management and eventually the end of her life. It follows events involving inter-agency teams who were involved with Ms T and allows a insight into where inter-agency working went wrong and eventually lead to a poor outcome for Ms T and challenged person-centred and compassionate care. The case study also follows the intervention of different health and social care agencies with

As previously determined, multiple risk factors contribute to a person developing cardiovascular disease. For further discussion, obesity will be the primary risk factor discussed due to the high obesity rate in the county I currently reside in. Guernsey County, Ohio, boasts an alarming high rate of residents who lack sufficient physical activity at 83.3%. This is an alarming finding but one that arguably contributes to the obesity rate of Guernsey County’s population at 30.2% which is just above the national percentage of 28.1% in America (city-data.com, 2014).

The patient has been on lisinopril since prior to becoming a patient here since June of 2014. At his prior visit, his dose was increased to 30 mg because he was not having good blood pressure control. He says since the last time I have seen him, he has made significant lifestyle changes. He has significantly changed his diet. He is taking much better consideration for carbs and trying to watch that. He is very conscious about what he is choosing to eat. In addition, he has up his exercise. He does a three mile loop almost every day and now just instead of walking, he has added some running into that as well, which he has been enjoying. Overall, he has lost 13 pounds since his last visit. He was finding that his blood pressures were dropping a little bit low. He was having some problems with feeling a little bit dizzy and lightheaded, particularly, when he first stands up after being seated. He called a couple days ago. I asked him to cut his lisinopril in half and he has done so. He says he feels better at this dose. His blood pressures prior to this, had been ranging in the 90s to 110 systolic over 60s to 70s diastolic. Here today in the office on arrival, he was 122/72. Recheck at the end of the visit was 118/80.

Mrs. L stated that she takes Baby Aspirin daily, two Vitoran pills for blood pressure, pills for high cholesterol, fish oil, and extra Vitamin B. She did not mention any adverse effects the medications had on her.