My Patient Is A 68 Year Old Indian Male Essay

He is total care with his ADLS, he is able to verbalized his needs but unable to perform them. He reports that he had a colostomy placed in 2011 and urostomy placed in 2014. His father provides hygiene care and changes for both his colostomy and urostomy bag. He has bilateral arm/hand contractures and he has gotten weaker. He is getting OT and PT from kindred home health. He uses a hospital bed with air mattress and his father changes his position every 3 hours. He reports pain in his legs and back that is constant, dull and aching. His pain is worse with movement and dressing change. His current pain level is 8/10 on a pain scale. His pain regimen consists of fentanyl 75 mcg patch every 72 hours and oxycodone 5 mg p.o every 6 hours as needed for breakthrough pain. He has been taking 2 prn doses daily because he did not want to run out of medication. He states that 2 prn dose is not effective in relieving his breakthrough pain. He previously was getting his medication from his PCP but since his condition has deteriorated his parent who are elderly is not able to get him to the

The resident is an 88-year-old Caucasian male who has been married for 63 years along with a long-term care living arrangement. He has medical diagnoses of generalized muscle weakness, cutaneous abscess of buttocks, and lack of coordination. The resident rated his health status as a score of “7” because he stated that he felt pretty energetic most of the time.

Mr. Jones is in healthy condition and has family support to assist with recovery after surgery. He does not drink alcohol or smoke. The patient does have HTN and takes Cozaar 10 mg daily. He also takes one vitamin supplement per day. Mr. Jones walks 30 minutes daily with wife for

Member experienced moderate pain due Dx. Osteoarthritis, have an unsteady gait, experiences dizziness (new medication Flomax 0.4 milligram) and is a risk of falling (score 11). He needs assistance of daily living. Goes to bathroom frequently due to Enlarged prostate.

Introduction: Jessie Buchanan, an 80-year old female, was admitted to Bethany Care Society in room 3088-1 at the center unit. She is an extensive assist, requires 1 staff assistance and uses the transfer belt to transfer from bed to her wheelchair. She was admitted here because none of her family members can look after her because they are all busy with their own personal life. Jessie prefers to stay at Bethany because she receives full-time care from the health care providers. Jessie had a history of edema on her right ankle because she was experiencing hyponatremia. Currently, she is on fluid restriction and every morning I would put her compression stockings to prevent the occurrence of edema. Her condition worsens when she was diagnosed with osteoarthritis(OA), delirium, depression, type 2 diabetes mellitus, schizophrenia, hypertension, and urinary tract infections. Her recent urine culture shows that she is positive for urine nitrite and urine leukocyte which caused the UTI. Jessie is incontinent and she wears an indwelling catheter. Jessie said that sometimes her knees are painful. She takes an analgesic to relieve the pain that she feels. Jessie 's blood sugar level is within the range. She is not taking insulin or any oral medications like metformin because she knows how to control it, by following the proper diet. Jessie always have a good sleep and never complains about her sleeping pattern. She is taking medications for GERD, iron supplement, bone health,

The patient received 1 mg of Hydromorphone QID and 0.5-1.0 mg of Hydromorphone prn Q4H for the breakthrough pain. The phantom limb pain was controlled by gabapentin. However, the patient stated that “it didn’t work well”. I identified pain as a primary nursing diagnosis. Another major issue was the patient’s blood sugar level. The patient refused to follow the diabetic diet, and often skipped meals. The blood sugar had to be closely monitored. Several times I had to withhold the insulin and notify the main responsible physician, so that the dose could be adjusted. Behavioural issues (AVB) were present due to the prolong hospital stay, the pain and unrealistic expectations regarding the health-related outcomes. The patient also was upset about the wound care nurse who “talked to him like to a baby” as per

Lisinopril – This is a medication that lowers your blood pressure by relaxing the blood vessels in your body so that your heart does not have to work so hard.

On the weekend of March 11 and 12, I had the pleasure of being assigned to GJW, a 72 year old, female patient in room 41. She is a retired nurse and when I was assigned to her, she had been in the hospital for 11 days. Her concurrent health challenges include rheumatoid arthritis, obstructive sleep apnea, chronic lower back pain, chronic anemia, type II diabetes mellitus, coronary artery disease, hypertension, fibromyalgia, obesity, gastroesophageal reflux disease and dilated ascending aorta. The patient’s code status is a full code and her allergies include butazoiodine, naproxen, nalfon, chloropromozine. The reason for her admission to the orthopedic surgical ward was to do a revision of her left ankle replacement that was done last year

This 54 year ld AAM. Patient has a history o fDM, HTN, and hyperlipidemia. Patient's current medications are Glipizide 10 mg BID, ASA 81 mg QD, Triamtereine /HCTZ 75/50 mg, Pravastatin 40 mg QHS, and lorsatan 300 mg QD. Patient states he is taking all mthe medications as prescribed, and he thought he was doing fine. Patient states no one in the Federal Prison System had checked his A1C in several years. The patient's A1C today is greather than 14 %. Patient denies buller vision, headache, chest pain, SOB, N/V/D, or fever. The patient denies decreased sensation of his feet, increased thirst or urination. Patient denies any depressive moods. The patient is here with his wife and had a long disussion with the plan of care for his DM, HTN, and

This patient is a 35 y/o young women with a new diagnosis of breast cancer. Problems are the diagnosis of breast cancer, dehydration, and depression. Her depression is affecting her nutritional intake which is causing her malnutrition and poor intake. As an RN, I would encourage her to increase her daily intake and encourage

He does not smoke or drink. He is married with two children. There is no cancer within the family. No known drug allergies. Current home medications are Omeprazole 20 mg 1 tablet daily, Ondansetron 4 mg 1 tablet daily, Oxycodone 5 mg 1 tablet p.r.n. for pain. He was recently started on FOLFOX with chemotherapy. Currently patient has been on Hydrocodone, morphine IV for pain, Ondansetron IV for nausea, and Lovenox SC for DVT prophylactic. Patient has been not taking any blood pressure or diabetes medication as per hospital record which may lead to raise in blood glucose level and blood pressure (due to pain) postoperatively. Close monitoring of vital signs, pain scale and CBG will be the important in patient’s care. Due to his extensive metastatic condition, obesity and being prediabetic makes his overall prognosis poor with high chance of having complications postop including fistulas, bowel injury, infection, slow wound healing and

Oct 1st This was the first day on the floor and I got a patient that is a 49 years old female. Her past medical history was HIV/AID (+), untreated hepatitis C, HTN, asthma, chronic back pain, respiratory failure and SOB. She current diagnosed is meningitis, COPD, and sleep apnea. Client was oriented and alert x3 and ambulates independently with a steady gait. She is allergy to ciprofloxacin HCI, efavirenz, nevirapine, and oxcarbazepine. When asked for pain, she stated at her belly and lower back. She has a Picc line on her left arm that was a little resistance. Patient was given hydromorphone 2mg/mL IV, and promethazine 25mg IV. I was not able to assess much of her since every

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.

This essay will aim to identify the needs and requirements of the 45 year old female patient to form a suitable plan of care, whilst she is in the radiography department. The needs of the patient, legal requirements and the role as a healthcare professional will be taken into consideration. Areas that will be considered in this essay include communication, consent, patient dignity, health and safety, patient management and interprofessional collaboration. Each individual who uses the health care services requires a care plan tailored for their individual needs, so this essay will also take into account the patients beliefs, ethical issues and confidentiality, in order to provide the best quality of care for the patient.

Patient has also been having problems with functional urinary incontinence because of her inability to get to the bathroom in time. Her oral intake had decreased and she has lost 10 pounds in the last six months. Her baseline weight is 230 pounds. She ambulates with the walker, but only when she must go to the bathroom.