Patient Case Summary

Art Beaumont, the newly hired president of MediSys Corp, created a core team in August 2008 in order to accelerate the IntensCare project. Team consisted technically competent employee in six areas: research and development, engineering, software design, production, marketing and regulatory affairs. Jack Fogel, a senior production manager was assigned the project leader. IntensCare project was very important to the success of Medisys but the team had very tight schedule. However, differences started to emerge soon after which obfuscated the future of IntensCare project.

DOI: 11/24/2011. The patient is a 48-year-old female home health aide who sustained injury while turning a patient in bed to put a clean pad when the bed moved. Per OMNI, the patient is diagnosed with L4-5 disc herniation with annular tear and left knee radicular syndrome. She has undergone posterolateral and interbody fusion at L4-5 on 02/18/2013.

A 74 y/o female patient transferred from Mease Countryside Hospital for comprehensive inpatient rehabilitation of impairments secondary to CVA. On 7/15/2015, she presented to the hospital emergency service with left hemiparesis, aphasia, and dysarthria. Patient has also dysphagia, GE reflux and history of esophageal dilatations (last was 3 month ago); CAD, Carotid Stenosis, and chronic low back pain, and she was pending for surgery prior to her CVA due to chronic bladder problems.

The following paper will be on the health status and nursing care for patient J.S. Throughout the paper, the reader will be presented with patient information such as: patient history of present illness, pathophysiology of illness, physical nursing assessment, functional health pattern assessment as discussed with patient, laboratory data, applicable nursing diagnoses, and a care plan for two diagnoses. In conclusion will be a brief summary and evaluation of what the author learned from this experience.

The patient is a 47 year old male who presented to the ED with a non-compliance with his medication for a month. Patient reports since he has been off he medications he has been having some self-harming thoughts with no plan and depressive symptoms. Patient reports visual and auditory hallucinations of monsters that tell him to kill himself.

The patient is a 75-year-old gentleman who presents to the ED brought in by wheelchair with complaints of falls and injuries. H he presents also with pain it's chronic it radiates down his left leg symptoms became worse over the past 5 days is also consult related having weakness neck pain in his medical history is significant for enlarged prostate hypertension good cancer carcinoma of the neck and liver carcinoma patient also does some indication that he had a liver transplant 14 years ago on a CT brain done in the ED revealed him to be highly suspicious for normal pressure hydrocephalus number of the lumbosacral was noted to have mass in the sacral area highly suspicious for metastatic cancer is also known to have cervical myelopathy in

This is a 49-year-old male who required inpatient hospitalization due to acute CHF exacerbation. He went to the ED due to complaints of lower extremity swelling accompanied by shortness of breath and productive cough. He also stated that he was having difficulty when lying, due to fluid collection in his lungs. His past medical history is significant for hypertension, CHF, DM type 2, and status post right toe amputation. On physical examination, he exhibited 4-plus bilateral edema which was red in appearance and tender to touch. He also had a left diabetic ulcer on the left foot. His vital signs included of a blood pressure of 148/88 mmHg, a temperature of 36.1 degrees Celsius, and a pain score of 10/10. Chest x-ray showed right pleural effusion

The presented detailed flowchart reflects the clinical pathway of the patient with a chest pain presenting at Emergency Department. Upon arrival the patient's personal details need to be registered to identify the patient and store the relevant information into database. After the registration, the patient is immediately examined by proposed medical led triage which replaced Triage Nurse with a more senior doctor for assessing the patient on arrival, examining physical functions, records medical history, makes an initial objective diagnosis based on the information provided, administer appropriate urgent and aggressive medication if required and takes bloods for the test marker panel. It is proposed to do CK-MB isoforms and mass which is specific and reasonably sensitive at six hours after onset of pain. Moreover these tests are

The patient is a 70-year-old female that presents to the ED complaining of right upper quadrant pain and nausea with sudden onset. The patient is known to be diabetic, fibromyalgia, has morbid obesity, and sleep apnea. She also is complaining of some chest pain and on presentation initial troponins were 0.032. She therefore is seen in consultation by Dr. Atul Prakash and the patient undergoes a stress test approximately 3 weeks ago after having presented to the ED with a similar complaints. Stress test was interpreted as normal. It is to be noted she has CO2 retention having PCO2 of 51. She is dehydrated having a urine specific gravity greater than 1030. On ultrasound she is noted to have cholelithiasis, fatty liver and mesenteric panniculitis.

The patient is an 84-year-old gentleman who presents to the ED complaining of severe chest pain, mostly retrosternal, radiating to the left side essentially with shortness of breath. When first evaluated in the ED they felt he was in atrial fibrillation, however as the later EKGs revealed was really a sinus rhythm with multifocal atrial premature contractions. The patient also has a history of hypertension, dyslipidemia and some prostate issues. He is a smoker, continues smoke but has no alcohol history. On presentation initial blood pressure was 143/70 with pulse of 73, respirations of 14, is febrile and oxygenating well on room air. His laboratory work is essentially unremarkable. Initial troponins were 0.02, 0.03 and 0.026 with CK

The patient was referred to the Radiologist from his GP, because of ongoing pain and difficulty when swallowing. The patient was 45years old male, consumed alcohol regularly and a heavy smoker.

Patient is a 77 year old male who was brought to the ED from a Adult Living Facility (ALF) by mobile crisis after cutting his right forearm with a pocket knife. Patient reports feeling depress and seeing no reason to live anymore. The patient reports that recently there has been issues with his roommate and him. He express that he did not like his roommate and isolates himself from him in the lobby of the ALF. The patient reports that 2 moths ago his brother who use to visit him past away. He expressed that he is still dealing with the grief because he has very few people who come visit him. The patient reports having a friend who visits once a week. When asked about SI, patient reports currently still feeling like he wants to die. Patient

Patient A was really amazed when patient A came in contact with me, describing that I was a good student and pleased with my assistance. With this action, came the first thorough interview and when along for a good time. Patient A's cultural aspect was reflected on patient A's life through struggles between living in the city or enjoying the free life with animals in the farm . Patient A illustrated her/his discomfort when talking about living in the city and described this place as being too loud and to busy all the time compared to living in the farm where it is quit and peaceful. Patient A specified the enjoyment of petting farm animals as petting something you loved, including patient A's dog that died named black, and remembering her

Second day on the female surgical ward there were only fourteen patients that day. Nutrition and Documentation was the highlight of the day. My preceptor outlined the objective for both nutrition and documentation and went through them briefly. Our preceptor gave each one of us a patient to assess for nutritional needs. My patient was a 77-year-old, which came to the hospital because, she fractured her right interior incomplete fractured of hip. Also, she was diagnosed with type 2 diabetes which was uncontrollable and thyroid disorder.

One of the most important steps in health professions is to write down a patient’s information into a report for later use. This information is crucial to a physician when they are evaluating a patient’s daily progress. In typical cases, physicians publish their findings for others to evaluate and possibly use the information to make groundbreaking discoveries. Without the ability to share information, science could not exist. Science depends on written communication for physicians to utilize their peers’ research findings to discover new treatments (Lang, 2010). This type of communication is done through conducting patient case reports, case series, case control studies, cohort studies, and more (Earnshaw, 2010). However, writing a patient