A review of the medical records indicates that the patient and her husband have refused hospice admission until speaking with her oncologist to discussed prognosis and candidate for further chemotherapy. The patient complains of worsening shortness of breath at rest. She is on oxygen continuous flow. She denies pain but reports increased anxiety related to her breathing
PHYSICAL EXAM: Temperature 98.6, Blood pressure 140/90. Pulse 110. Respirations 26. Her lungs are clear, showing mild signs of distress. Heart sounds are normal, irregular rhythm and bradycardia noted. No edema noted in extremities. Patient skin is cool to touch, slightly clammy. EEG shows prolonged QRS wave, with ischemic ST changes and PVCs. Chest radiograph clear.
The patient has no family history of heart disease or diabetes, however both her parents are on medication for high blood pressure. Her paternal grandmother died of breast cancer at age 47. Her maternal grandmother
2/10/2016, 1600, Vital Signs: BP 140/85 P132 RR32 Temp 102.2 SpO2 85% on 2 liter by nasal cannula. Jacquline Catanzaro is 45 years old female on disability admitted to Medical Unit Hospital. Sister with patient. Reason to admit is can’t breathe. Diagnosis is 30 year of asthma exacerbation, psychiatric schizophrenia, obesity, pneumonia and herniated disc. Smokes 40 packs year. Drinks 2 pots of coffee a day. Drinks 3 beers each day. Frequency ED visits and hospitalization dependence on rescue inhaler. Patient refuses wear nasal cannula because of worry that it contains poison. Patient has a long history of stopping taking psychiatric medication and asthma medications. Patient has isolated herself from others. Sister is only caregiver. Neuro
HPI: Margaret Elliot is a 52-year-old Caucasian female that is presenting with shortness of breath that has recently worsen. Mrs. Elliot states that her problems began 20 years ago when she had bronchitis, which she consistently has 2-3 times a year. She said that her symptoms have been getting worse the last 2.5 month, but have severely worsen over the past three days. She states that it has been restricting her daily activities and has been troubling her while sleeping lying down. She states that her symptoms improve alittle when she takes her medications. She also states that her symptoms worsen when she tries to walk across the room
Client is limited in her mobility with exertion she suffers from shortness of breath, dizziness and tiredness. At times her breathing becomes a great effort and soon she will be using oxygen continuously. Client is seen by Bellevue Hospital Center located at Frist Avenue & 27th Street, New York, New York tel# 212-562-4141.
Briefly describe the patient and his/her situation, diagnosis and prognosis, brief history of the disease, and how/why the patient entered palliative-focused care.
8. Hypnotherapists aim to help their client perceive things in a different and more helpful way. Their ultimate goals include treatment of physical and psychological problems, as well as examining the impact of hypnosis on sensation, perception, learning and memory. 9. Aspiring clinical hypnotherapist are required to have the education and training needed to work in their current occupation.
Susan is a 78 year old widowed lady who was admitted to a medical ward following an episode of coffee brown vomiting and breathlessness. Susan has a past medical history of chronic
Alyssa, a 56 year old patient at LA Hospice has been admitted in December with a brain tumor, following having stage 3 lung cancer. Alyssa is currently getting radiation treatment along with chemo therapy. Alyssa and her husband John both do not have medical insurance, leaving them with using Medicare. Her functional status is having to use a walker if she has enough strength that day. Alyssa is forgetful from time to time having short-term memory. She has fallen several times in the past and has broken quite a few bones. The last time she had fallen was a week before getting admitted. A nurse or physician is watching her 24/7 every day. The nurse has to write down every symptom and change in her health every day. Alyssa’s overall goal is to be able to go back home and continue her treatment. Alyssa said “I know I can be strong enough to fight this battle, I have to for my husband.” Jenna the IDT talks with her husband about her situation. Jenna asks “Here at LA Hospice we
Illegal immigration into the United States has caused America's population to grow, but has also kept jobs from Americans and has ultimately been a negative since illegal immigration into the United States is undermining our federal government. Immigration began in the 1920's and the number of illegal immigrants into the U.S. has quickly escalated in the past 96 years. Even after Ronald Reagan put restrictions on the border to prevent illegals from coming in, illegal immigrants continue to come to America. Illegal immigration is a huge problem for the U.S. that needs to be solved, it can be solved with more restrictive laws that prevent immigrants from coming to the States illegally. Illegal immigration into the U.S. has been a problem for over 90 years, but there are ways and laws that would prevent as many illegal immigrants.
"You have stage IV lung cancer that has metastasized to your lymph nodes and bones. Your prognosis is poor; you may have another 18 months left [to live]." The oncologist’s words marked the beginning of my ex-husband’s physical and emotional suffering until his untimely death in January 2017. Witnessing his unrelenting pain and watching him suffer from lung cancer and the horrible side effects of chemotherapy, I wondered why the doctors did not offer him any other alternatives other than living in progressive pain. Why would they let him suffer for the next 18 months with ineffective pain management treatment when his prognosis was so poor? This option should have been available to him, but due to state laws and
Macbeth is a complex story and encapsulates several themes. Every theme plays a big role and has a very significant meaning to the plot and character development included in the play. The figurative language present in each of the themes forces you to think about what each theme means and how it effects the story. The most relevant and prominent themes in this play consist of ambition, guilt, things are not what they seem, and fate verses free will.
The term "media bias" implies a pervasive or widespread bias contravening the standards of journalism and is mostly a perceived notion that the press has and is pushing a specific viewpoint, instead of reporting news or airing programs in an objective way. Such bias often refers to media as a whole, such as a newspaper chain, or a given television or radio network, instead of individual reporters or writers of television shows (Wise GEEK, 2014).
The movie “Wit” is a great educational tool for healthcare professionals in terms of dealing with terminally ill patients. It teaches that nurses and medical professionals should always remember that their patients are not a case nor illness nor experiment but rather human beings with souls and pains. Palliative care is one of the most disputed issues of worldwide importance. While bureaucrats in different countries are making laws on the use of palliative drugs, patients with excruciating pains learn how to “take deep breaths and be strong” (Nichols & Brokaw, 2001). That is what nurse Susie Monahan from “Wit” advises her dying patient Vivian Bearing suffering from unbearable pains due to stage IV ovarian cancer after eight painful rounds
Hypnosis explained by the psychology community as an altered state of consciousness that leaves people in a more subjective state, or more likely to listen to verbal suggestions. The term of hypnosis came from the Greek root word for sleep. There have been records of Hypnosis going back 2,500 years in ancient China and Egypt, (Gurgevich, 2011-2015, para.1). Hypnosis or also known as hypnotherapy is said to be used to help you gain control over undesired behaviors or to help you cope better with anxiety or pain, (“Test and Procedures Hypnosis,”2015, Para. 2). An example of how a hypnotherapy session might go like this; a therapist comes in while a patient was in an relaxed state and proceeds to tell the patient that they will be cured from their illness when they came out of the relaxed state and then the patient may or may not be cured.