When a disease that has a regular prevalence in a geographic region begins to present a higher incidence rate than the standard, an investigation is can be necessary to verify a possibility of an outbreak (WHO, 2017). When an epidemic occurs in a community or region several people are infected by the same disease that originates from the same source of spread (Gordis, 2014). An outbreak can also be identified when a disease that has already been eradicated or has never been detected in a region infects one or more victims (WHO, 2017). When an epidemic spread, reaching global levels of infection, it is categorized as a pandemic (Gordis, 2014). An endemic is characterized by the number of occurrences frequent within a pattern stabilized in a …show more content…
The symptoms presented are compatible with the initial acute phase of the Chagas disease (WHO, 2017). Data show that Chagas disease presents occurrences in both rural and urban areas (de Noya et al., 2015). During this phase, the diagnosis can be made through a blood test that is able to observe the parasite in a blood smear through the microscope (CDC, 2014). If the disease is proven to be Chagas disease, two serological tests are recommended for people who do not have the symptoms but have been exposed to the same location where the patients have already been diagnosed (CDC, 2014). In most cases of the Chagas disease, symptoms may not manifest in the acute phase of the disease, which lasts about two months after infection (WHO, 2017). The causes (Gordis, 2014) for this outbreak may be related to the consumption of food contaminated by feces or urine of animals, such as triatomine bugs or marsupials contaminated by the protozoan Trypanosoma cruzi or by the sting of infected triatomine bugs (WHO, 2017). Other causes do not appear to be tied to this case, such as receiving blood transfusions or organ transplants from contaminated donors; congenital contamination or laboratory accidents, due to the high volume of symptomatic patients (WHO, 2017). The risk population, that is, the denominator (Gordis, 2014) of this case can be calculated as soon as the results of blood tests are qualified and quantified. The second step in the investigation of this
On Tuesday 06/27/2017, veteran Mr. Saenz walked very angrily in my office with his wife about 11:00 AM. I greeted them and offered to sit down; Mr. Saenz and Mrs. Saenz were very upset and asked me where they need to go as they have VA examination, they both said “nobody tells them anything; they have been sitting in waiting room”. They told me that the lady on the desk told them to come to me.
On 7/27/2015, HOH and client attended to ILP meeting with their daughter Emily. Child was observed well dressed for the weather. Client explaining to cm that her floating hospital was cancel and she doesn’t know the reason.
1. I do believe that large pharmaceutical companies as well as doctors prescribing opioid medication should be held partially responsible in cases when patients are over-prescribed drugs. Although they are in no way actually forcing those patients who are over-prescribed these drugs to misuse them and it is ultimately the fault of the individual misusing the medication, they are, however, allowing for the the misuse.In regards to pharmaceutical companies, I think that they should be held responsible for marketing and allowing such drugs available to virtually the mass public opposed to only those that need it in order to increase their profits. If they would not advertise the medication to medical professionals as something that they could
In early 2013, an employee of UnityPoint Health-Trinity Wellness departmnet developed a program titled HEART- Helping Everyone Access heaRt Treatment in an effort to combat the above average mortality rates from cardiovascular disease in Rock Island County in Illinois. Deaths from cardiovascular disease were 21% higher in this county compared to the national average at that point in time. After the Trinity employee developed the program, Trinity applied for funding from the AstraZeneca Healthcare Foundation (AZHF) to support the implementation of this program. In October of 2013, AZHF announced that they were awarding Trinity a one year grant for $187,270 to support the implementation of HEART. After Trinity received the grant, the
SC received a call from Pa and completing monitoring telephone call. Pa reported that she is having difficulty securing transportation to her medical appointments because her doctor did not complete the necessary paperwork the insurance company needs to continue to provide door to door pick up. Pa reported that she missed three important appts with her Nephrologist, pulmonologist and rehab for lungs. Pa reported that her lungs are really bad and she was offered lung therapy because she is experiencing SOB more and more so she is unable to help completing her ADLs and IADLs. Pa reported medication changes she now takes Benzonatate 200 mg to help with severe coughing and Prednisone. Pa confirmed that she is receiving her services as specified
My client’s, Miles Meredith, goals are to decrease disease risk, body fat, as well as improve strength, flexibility, and performance. The physical examination determined that Miles is 5 feet 8 inches tall, weighs 166lbs, and has a waist circumference of 34 inches. That puts him at a BMI of 25.24. According to the skinfold test his body fat percentage is at 15%. His other vitals are all within normal ranges. His resting heart rate is 76 bpm, and he has a resting blood pressure of 78/110 mmHg.
Pt states that he was seen in the clinic yesterday and was treated for sore throat and postnasal drip. Pt states later that he went to the ER becase he started feeling fatigue, increased postal drip, nausea/ vomitting unable to eat and drink.Pt states the he was treated with Zofran and IV fluids. Pt states that he was informed to pick up his quarter slip her at the clinic. At this, time pt states he is feeling somewhat better but he feels fatigue and he has not attempted anything. Pt pt with 48 hours quarters. Brat diet instruction provided. Informed the pt take Zofran as directed. Pt instructed to return to the ER if has fever greater than 101, abdomen pain/cramping, unable to take liquids or bland diet. Pt agrees and verbalized understanding.
Michelle brought a sheet from home, and said she got it off a hand out EV Staff provided for fun things to do inside with your children. Michelle fed her children first at the table then they built a fort in the living room. Michelle told EV Staff that her doctor took her off some of her medications. Michelle said she hoped that her doctor would figure out what is best for her to calm down her high strung personality. Michelle was very loud at the visit today, and referred to herself as obnoxious multiple times.
Removes restrictions on originating sites and geographic limitations for end stage renal dialysis and telestroke services by 2020
Patient attends with increasing worsening discomfort in his right extremity as well as left lower extremity. The patient had a stenting done in 2010 he states of the right limb but they entered the left limb to stent the right limb. Fortunately, St. Cloud has sent off for his medical records and they have not arrived. Be that as it may, he has noticed over the past several months he has had increasing and worsening discomfort in his right calf with ambulation. Becomes rock-hard particularly if he is walking from his living unit to the dining hall. It is so hard that he has increasing and worsening discomfort while ambulating. When he finally reaches the dining hall where he can rest then it tends to improve. Walking back it is not as bad because it is a downhill walk. He does not have resting pain. The limb has not changed colors. He has not noticed dependency rubor. He states he also has a history of
Chagas disease is caused by the protozoan parasite Trypanosoma cruzi, and about 7 million of people are infected in the endemic area of Latin America. Was discovered in 1909 by the Brazilian physician Carlos Chagas, and the infection occurs mainly by contact with de feces or urine of infected triatomine bugs, but there are other infection routes such as: congenital, transfusions, transplants and contaminated food. The Chagas disease has two stages, an acute and a chronic phase, in the acute stage the parasite can be found in the circulating blood and may be mild or asymptomatic. In the chronic phase, the parasites are in the heart and digestive muscles, most of infected people never develop Chagas-related, but a parcel of the infected suffer
This study represents one year follow-up of two prospective groups of patients. Group A (potentially septic wounds-peritonitis) included 80 patients, 64(80%) males and 16 (20%) females. Group B (Aseptic wounds-IPHge) included 80 patients, 60(75%) males and 20 (25%) females. All patients (160) of group A and B underwent urgent midline laparotomy. As regard to socio-demographic data which are shown in table(1). There was insignificant difference between the two studied groups regarding gender [as shown in fig.(2)], residence and country. Both studied cohorts included more men than women. The mean age of group A was 39.14 years(15-77) versus 29.83 years(15-75) in group B (P=<0.0001)[as shown in fig.(1)]. 54(67.5) patients were
Physician has the option of terminating the physician-patient relationship, but after giving sufficient notice of withdrawal to the patient or his guardians to allow another physician to be secured. Appropriate steps to terminate the physician-patient relationship include:
Non-moral facts, moral principles and moral problems, what do they all have in common? The answer to this particular question is that these factors are used to make a decision.Decision making may arise in a multitude of different situations. However, the focus will be directed towards medical case study.
results in death or survival with no disabilities so there are no other methods of prevention to discuss.