Medical Case Study: MRI Issues

MICU 15A was dispatched to 30 West Ave, @ Genesis Healthcare, Wayne Center in the Wayne Business District in Radnor Township, for an ALS Emergency, Assault Victim. The weather conditions were cloudy, cool and dry. MICU 15A responded with care per protocol to the stated location with EMT Straub driving. On arrival, the EMS Crew proceeded to the nurse's station, and the individuals there did not know anything about an incident, there was a female standing in one of the hallways who advised that there was a person sitting over where she was. The EMS crew proceeded to that area and found a 43-year old female who was a registered nurse and was conscious and alert x4 and was sitting on a chair, the EMS crew asked her what was happening, "she replied that she was in a patient room and stated that the patient had an IV in her arm and became disturbed and picked up a pocketbook and then assaulted her by the swing it and striking her in the right frontal region of the head", the nurse then exited the room and went and sat down in the hallway, where the EMS crew found her.

The patient was located on the fifth floor and as I was bringing them down the elevator, there was a family member of a patient in the elevator. Under HIPAA regulations, I cannot allow others to view the patient confidential information that I had in my hand. As we got to our stop I told the patient to follow me through the mechanical doors. I told the patient to wait in cubical 2 and that the nurse will be with then in a few moments. In addition, I will be getting them a warm blanket once I come back. I headed to leave the binder at the receptionist desk in the OR where they had another patient pick-up waiting for me. Before I left, I went to get the patient a warm blanket from the storage area that had temperature control. I gave it to the patient and left. Ronnie saw me and asked me if I did the patient pick-up alone, I said yes and he was surprised. Usually he needed to teach others in order to know what exactly they had to do. The only reason why I knew that I had to do everything that I did was because Ronnie told me everything verbally. He did not have to show me what to

The original transcript report and the MRI films are attached to the patient’s files and sent to the basement for filing and storage.

On 8/11/15 S/O EMT Perez responded to a 911 escort for CL-322. S/O EMT Perez escorted Engine and Ambulance crew 841 up to the apartment. While 911 was assessing the resident a Mr. William V. Johnson S/O EMT Perez talked to S/O EMT Anti and inquired of the situation. S/O EMT Anti stated that the resident was complaining of chest pain and high blood pressure. The 911 crew after assessing then suggested to the resident that it would be in his best interest to be transported to the hospital and seek a higher level of care. The resident agreed. The aide then proceeded to call the residents son Donald Johnson to inform him of the transport. S/O EMT Perez talked to Donald also and stated to the Son that his father was being transported to the hospital

One of the paramedics massaged Candee’s hands as she breathed. Once they had her calm I answered questions from one of the paramedic regarding the cause. I told them I was in contact with her husband providing updates and I asked if she was going to be taken to hospital. The paramedic stated they did not want to take her for an anxiety attack and asked me if her husband could come and pick her up. I called the husband and he stated 30 – 45 minutes ETA and I relayed that to the paramedics. They were ok with staying with her until her husband showed up. The paramedics and Candee walked to the conference room, a short distance down the hallway, to wait it out and I stayed closed by in the lunch room, across the hallway, to make myself available while providing privacy. After about 25 minutes one of the paramedics informed me that Candee requested to be taken to the hospital and that they have no choice but to take her when she makes a demand. The paramedic said that her husband could follow them there and that Candee was in communication with her husband on her cell phone. They were taking her to Kaiser Oakland as Candee was on the phone while they wheeled her out the

She stated she did not have the patient and the only contact was with the nurse was the phone call.

At 9:00AM, he got a call, telling him about a potential child abduction, immediately he responded to the ambulatory surgical unit, discharge are and interview the nurse, which it told him that a minor patient has been missing for approximately 25 minutes, he was upset that he wasn't called sooner.

The nurse kept answering Patient B that they needed her bed because she was no longer telemetry monitored and the bed was required to monitor another cardiac patient. Patient B, thinking that she was the first patient in that room and Patient A is no longer telemetry monitored, responded by asking why can 't Patient A be move instead. The nurse abruptly replied, "Due to the possibility of Patient A having C-diff, we have to move you as a precautionary measure." This explanation occurred within the earshot of Patient A. Patient A became visibly upset and tearful, and vocalized that she believes her rights to privacy of her medical condition were violated. Patient B was moved to another room within the same unit. Subsequently, Patient A asked for another nurse to be assigned to her. However, to add fuel to the flame, in the process of providing bedside report to the replacement nurse, the outgoing nurse mentioned Patient A 's new cancer diagnosis in front of Patient A 's family. The patient, once again became visibly upset and tearful because she hadn 't had the chance to talk to her family about her terminal cancer diagnosis after speaking with her physician earlier that morning. On several occasions, the patient complained about her privacy being violated and threatened to file a lawsuit against the nurse and QMC for violating her rights. Subsequently, the charge nurse, nursing supervisor and

We have been given a new type of Magnetic Resonance Imaging (MRI) machine that will be available at our healthcare facility. As everyone knows an MRI machine is a non-invasive imaging technology machine that will help detect diseases in the brain, spinal cord and even soft tissues such as muscles, tendons (NIH, 2015). We need to organize a team that will oversee the education of the staff on how to use the machine. Then we need to figure out how we are going to educate the public on the machine and how it will benefit everyone. We need to have goals, timeframes as well. We also need to figure out the best forms of communication that we would use to get the information to the public as well as within our timeframe for the roll out of this new

I have an urgent MRI appointment for my brain today so I will be taking my lunch around 12:15 pm so I can go to it. Once I am back from my appointment I will let you guys know so you can start to send the member services calls back to my desk.

RT informed writer that she had an appointment on 5/9/16 with the nurse for a genetic testing but she wasn't able to come into the office because RT claimed that was not feeling well. RT stated that she had "body pain"; Therefore RT showed up today 5/10/16 to meet with RN Chandani and to meet with CM Sanny. Due to the fact that Sanny was absent, writer was told by Supervisor Marly Jourdain to meet with RT. Writer did inquire about RT's health and how she was feeling and RT ensured writer that she is feeling much better but still feel a "little drowsy". However, RT said that she is taking her medication and eating well. RT communicated well and was thankful to writer for meeting with her.

Delusions and hallucinations appear in middle to later phases of AD, studies conducted in delusion and hallucination are fewer than that in apathy, as the prevalence of these behaviors are unequal. In this section of review we summarized the studies of delusion and hallucination in AD by means of structural MRI, studies subjects, assessment used for delusion and hallucination and the main finding. This will helps in understanding the AD patients brain changes and their association to delusion and hallucination scales and severity.

Serious neurological problems such as meningitis, encephalitis, strokes, brain tumors and intervertebral disk disease require Magnetic Resonance Imaging (MRI) technology in order to make the most accurate possible diagnosis. When it comes to imaging the soft tissues of the body, which includes the nervous system, MRI is considered the most advanced tool available to modern medical and veterinary science. CT scans and plain radiographs are frequently inadequate at diagnosing such problems. By utilizing a powerful magnetic field, Magnetic Resonance Imaging devices are able to make a more comprehensive image of the internal structures of your pet's body in the affected

MRI’s, magnetic resonance imaging, is a medical imaging technique used in radiology to form photographs of the anatomy and physiological processes of the body in both disease and health. Those who are more susceptible to use this machine are those who have been directed by a doctor because of some type of health problem they suffer from. According to medical news today, “MRI’s measure brain activity by monitoring blood flow in the brain and a functional MRI can also be used to decide the effects of tumors, stroke, head and brain injury, or neurodegenerative diseases such as Alzheimer's.”² About 36.7 MRI units have been reported to be used in the United States per million population. This specific technology is important to understand because

Magnetic Resonance Imaging (MRI) produces images of organs and structures inside the body by using magnetic field and pulses of radiofrequency (RF) energy. An MRI machine consists of two powerful magnets that generate strong magnetic field when electricity is passed through a conductive field coil. Human body contains large amount of water molecules that are randomly arranged. Upon entering the machine, the hydrogen nuclei of the water molecules align in one direction. Then, a second RF pulse is applied in a series of quick pulses that cause the hydrogen nuclei to be out of spin alignment. When the RF pulse is switched off, the hydrogen nuclei realign themselves and relax by releasing RF signals, also known as free-induction decay (FID) response