Medication And Diabetes: A Case Study

I chose this objective since it is important Tina stay off the foot to allow healing and since she is a fall risk while ambulating with crutches. This objective would be designed to state: By the completion of home activity instruction, the patient will be able to relay two (2) reasons to limit ambulation and three (3) ways to reduce the risk of injury in the home. Offloading the diabetic foot ulcer is the key treatment to healing the ulceration (Piaggesi, Goretti, Iacopi, Clerici, Romagnoli, Toscanella, & Vermigli, 2016. The teaching method I would use is handouts for healing the diabetic wound and safe ambulation which the patient would be able to take home. Additionally, I would discuss with the patient ways to gather necessities to keep close by and limit the need to ambulate. The barriers I would anticipate are lack of wound healing knowledge and reluctance to limit ambulation. I would assess the patient learning by having the patient write out the answers, consequently this would include having the patient write a list of items they use often and should keep close by. I chose the handout and written test since Tina is educated well enough to read and having the handout and test would be a good reminder for her. These are teachings I use in the wound center when I come across a patient who has every excuse why they can’t offload a foot wound. My goal with the patient is to find a way to discount every barrier they hand me. The hardest barrier to overcome is the patients need to work. We offer to supply disability justification for work, along with continued support should the patient not be able to miss

The timeline for this project is around six months. The final goal is designing a new educational training manual related to chronic wound management for nurses in the home health care agency.

First, the medical assistant should convert the doctor’s prescription into layman’s terms for Doris. Medication A is two teaspoons by mouth every four hours. Medication B is 2.5 milliliters by mouth three times daily (Fulcher, Fulcher, & Soto, 2012, p. 1b). Doris should be cautious of confusing her medication dosages as that could lead to possible overdose. If Doris is afraid of mixing her medications, the medical assistant should convert to the unit that Doris is more comfortable with. For example, if Doris prefers milliliters, she should take around 9.8 milliliters of medication A. Alternatively, medication B could be taken at .5 teaspoons (Fulcher, Fulcher, & Soto, 2012, p. 131). Patients taking multiple medications should have a medication

1000 Pt denied pain at this time and rate 0 on a scale of 0 to 10. Pt thanks me a lot for pain medication I gave her. Instruct the pt to report her pain early before it get worse so I can give pain medication. Pt verbalized understanding of the teaching. No sign of distress or discomfort at this time. Will continue to monitor………L.Gotora

A review of the records reveals the member to be an adult female with a birth date of 03/14/1983. The member has a diagnosis of Generalized Anxiety Disorder. The member’s treating provider, Vickki-Ann Samuel, MD recommended the member continue treatment using the prescription medication Pexeva 30 mg.

The patient stated that overall the symptoms have decreased. Antalgic gait has improved. The pain is decreased but it increases in the morning. The patient reported pain 3/10-scale level. Rom and Muscle strength remained the same. Swelling has decreased. Tenderness to palpation in the lateral and medial malleolus decreased. Muscle testing plantar flexion remains weak. Dorsiflexion remains weak. Review of Systems revealed joint swelling and loss of bladder/bowel control. Treatment plan included PT

And as a nurse, following the instruction on how it is done, applying the right medication and doing it on schedule are very important for a quick wound healing process and a quality patient care (Waugh, 2014, p. 354). Not only that, wound and total skin assessment at least twice a day, good documentation and multidisciplinary collaboration are essential (Smeltzer, Bare, Hinkle, & Cheever, 2010, p. 209). Prompt notification to the doctor for any wound progress, collaboration with the dietitian regarding the proper diet to help speed up the healing process, a clear instruction to the nursing aid that frequent patient turning and repositioning, and changing the diaper timely will aid in the wound healing and prevent further skin damage and the development of a new one (Smeltzer et al., 2010, p.

Saturday, November 13, 2015 The American Diabetes Association will be sponsoring the Bridge to Wellness Expo at the David L. Lawrence convention center. This event is free to the public and will provide them with a number of different events to help promote a healthy lifestyle. I believe that this event will be target towards a large range of different people such as uninsured, underinsured, or people who just want to live a longer healthier life. I think that many people will come out to this event because there is a lot that is going to be offered. Personally, if I was not participating in this event I would consider going to it just to see the different stations that will be set up there. I think that it is important to stress the importance of prevention because once something happens the damage is already done. I believe in living a healthy lifestyle and getting a handle on my health early. The expo will be offering a wide variety of different focus areas including but not limited to: active lifestyle, diabetes, cancer prevention, stress management, tobacco cessation, and heart health.

Based on the latest medical report dated 02/10/16, the patient has undergone extensive PT. She was diagnosed with sprain/strain derangement of the cervical spine, cervical subluxation complex, and cervical brachial radiculopathy, sprain/strain derangement of the lumbar spine, lumbar subluxation complex and lumbar radiculopathy.

After Doris was sent home with two types of medication, she should really read closely to what the bottle says. Medication A is to be taken every four hours by mouth and medication B is to be taken three times a day by mouth. Usually when some medication is three times a day, it has to be taken with food, that way it can be taken with meals. The medication that is every four hours probably will be okay taken on a empty stomach. Since these medications are liquid, the doctor will advise nothing to be ate or drank within 30 minutes of taking. Liquid medications are usually made for coating the throat/intestines. And of course, no alcohol and no operating machinery until Doris gets used to the side effects.

Objective Functional Improvement shows that the patient is now able to get dressed with minimum assist. He is also now able to navigate 2 flights of stairs without pain, same as prior, now able to walk for 8 minutes, same as prior, can now lift 6.5 lbs. of weight, improved from prior, and push 6 lbs. of weight, same as prior. Therapy goals for this patient in the next 4 weeks are to reduce inflammation from moderate to minimal and increase cervical and lumbar spine flexion and bilateral rotation by 3 degrees. The patient in the next 4 weeks will be able to get dressed easier, navigate 2.5 flights of stairs without pain, walk 9 minutes from 8 minutes, lift 7 lbs. of weight, and push 7 lbs. of

Prescription medications ordered by physicians to treat a patient’s ailment are intended to be used strictly as prescribed to relive painful symptoms or to act as cures for various illnesses both physical and psychological, and yet often time’s they are abused, meaning they’re taken for unintended purposes, in unwarranted ways, amounts, or by those other than the individual for whom they were prescribed (Robinson & others, 2015). A number of individuals take prescription drugs for recreational purposes and are lucky enough not to experience any negative health impacts, adverse side effects, or addiction. Yet, for every person who abuses prescription medications without experiencing dangerous consequences, there are countless other abusers who will. For instance, abusers of opioid medications such as OxyContin, the Schedule II federal calcification brand name for oxycodone-hydrochloride; an opioid (narcotic) pain reliever used for analgesic purposes; may experience respiratory complications, reduced lung function, irregular heartbeat, increased alertness and/or extreme fatigue, dizziness, swelling of the eyes, tongue, and throat, rash or hives, decreased cognitive function,

In order to fullfill my healthcare competency in evidence-based practice, the leadership goal that I have formatted is to obtain my certification in wound management. I will begin to work towards attaining my wound certification by discussing my future goal with the Director of Nursing, in hopes to find financial resources and the support needed to complete all requirements. I would like to obtain my certification in wound management by January 30th 2016. One of the resources that will be an excellent guide is the assistance of house doctors. In my current position, I have been able to schedule joint visits with providers in the patient’s home, for assessment and coordination of wound management on the patients we currently serve. Also, our current computerized system for completion of visit note entries has a very detailed wound management field. In persuing wound certification I will be able to acquire more knowledge in wound management, applying the education to wounds on patients who are at risk of developing wounds, have existing complication for non healing wounds and on achieving agency wide goal for improving non- deteriorating wounds. With medicare and medicaid keeping track of wounds and posting outcomes for the public to review, this will be an asset for my current place of employement.

Per verification to the PT facility, the patient has attended 4 PT sessions to the cervical/thoracic and lumbar spine, right wrist and left knee from 03/26/16 through 06/17/16. It was verified from the provider’s office that this is an initial request for chiropractic treatment.

On examination, there is tenderness upon palpation over the greater trochanter. IW has a mild limp.