Patient Cohort Essay

Total joint replacements are very common in the United States, and are becoming even more common with increasing obesity rates and an increase in life expectancy. Long-lasting and high-performance implants are needed for the younger, active population that receives them. The Agency for Healthcare Research and Quality states more than 285,000 total hip arthroplasties (THA) and 600,000 total knee arthroplasties (TKA) are performed in the United States alone each year (2). Longevity of these joint replacements is dependent on several factors: the durability of the fixation of the implant surface to the bone, the bearing surface’s wear rate, and the accuracy of the surgeon in implantation of the total joint (2). Of these total joint replacements, periprosthetic osteolysis and aseptic loosening occurs in about twenty percent of cases, and aseptic loosening is responsible for about seventy-five percent of total joint replacement failures (2). This is

This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has

Data was collected in the health center, after the permission to conduct the study with the patient population of interest was secured from the administrator of the health center. Data was collected from January 5th, 2017 to March 5th, 2017. Patients in the waiting room were handed flyer invitation to participate by the researcher, who goes over the contents individually with prospective participants to determine eligibility for the study based on the criteria. The flyer explains the purpose of the study, the population of interest, including how to participate, and once a patient is eligible he or she is given a cover letter written in both English and Spanish that explains that participation is voluntary, and that submitting the survey amounts to giving a consent to participate in the study. The cover letter also explains that there are no benefits to the study, but the results will be posted in the health center where the patients were recruited. After reading the cover letter and agreeing to participant in the study, the patient is handed paper versions of both bilingual surveys along with writing instruments. When a participant is done and has submitted their completed surveys, he or she will be given a copy of correct responses to the DKQ-24 in both English and Spanish.

Increased public demand to access health information and growth of consumerism in health care industry are two important reasons form increasing attention to Personal Health Records (PHRs) in the recent years. Surveys show that a considerable number of people want to have access to their health information. In one survey, 60 percent of respondents wanted physicians to provide online access to medical records and test results, and online appointment scheduling; 1 in 4 said they would pay more for the service.

I also have a PHR and I love it. I enjoy having a patient portal because I can review my lab results rapidly and I can communicate with my doctor through the portal if I have any concerns or questions. As Hebda and Czar (pg. 331) stated, “patients are able to be more involved in their care as well as be more knowledgeable in their health status. The use of personal health record allows for more effective continuity of care as information is more easily shared and accessible by those caring for the patient. Personal health records contain information from ones entire lifetime allowing for a more informative development of a plan of care”.

-​ The habituation of the new cohort is moving ahead as per the AEP plan; I'll habituate the cohort for a week and move ahead with the implantation surgery once the rats are older than 11 weeks old.

Hip replacement surgery is one of the most performed orthopedic surgeries around the world with high success rate. According to various studies, the hip implant has shown to have a survival rate of at least 15-20 years. Initially hip replacement surgeries were performed only on elderly patients but due to its high success rate and increasing popularity, it has been considered for the younger patients as well. Younger patients have more daily activities associated with them which leads to wearing of joint surface much sooner than expected. Once the joint is worn off, it is required to be replaced. So, replacing the artificial joint through revision surgery is becoming more common. Revision surgery is always more complex than the original operation

I have to agree with you in regards to the importance of personal habits, environmental factors, and sedentary lifestyles on a patient’s overall health. There are obviously certain genetically linked or chromosomal passed disorders that can not be prevented. The genogram helps identify these types of diseases. It also helps shows trends of illness that can be possibly eliminated or reduced significantly if addressed early on with proper preventative plan of care. Your examples of alcoholism and smoking are two great examples. As healthcare costs are rising, preventative care is being incorporated now more than ever when treating patients. The genogram gives the physician and the patient a tool to address predisposing risk factors and develop

to be at right now? Well, he’d canceled it at 1:45. What about that email that he had

Patient collections are much more than collecting $10 copays: those days are long gone. Patients are paying a greater percentage of what you get paid and will be paying an ever-higher percentage in the years to come. Smart and consistent patient collections tactics must be a part of every practice's financial strategy.

According to Healthy People 2012 there are more then 800,000 new cases of diabetes each year, with the numbers on the rise. With this in mind, Healthy People 2012 has identified diabetes as their number five focus area. In order to reach their goal of improving the quality of life for people with diabetes they have identified diabetes teaching as their number one objective. Furthermore, in order to reduce the number of complications of diabetes, Healthy People 2012 has identified foot ulcers as their ninth objective. Through patient education Healthy People 2012 hopes to reduce the number of foot ulcers in people with diabetes, as diabetes is the number one cause of nontraumatic amputations in the United States. In order to

The role of the large-diameter ASR devices in males are linked with considerably lower metal ion levels in contrast to the BHR devices, proposing that under perfect in vivo conditions the ASR has a less wear rate than the BHR device (Underwood et al. 2011). Although, problems also occurred with the smaller hip resurfacing implants among women and small men. It was discovered that these implants did not lubricate as well, unlike the bigger implants and therefore they produced a large amount of metal debris and produced a very concentration of metal ions in the blood. (Cohen 2012).

Hip implants experienced large cyclic loads during service condition. Pre-clinical analysis must be performed to withstand millions of loading cycles. The fatigue failure of hip implant significantly reduces now a day due to improvements in technology. However, instances of fatigue failure of the hip replacement, resulting in the revision of the patient. Proximal aseptic loosening is the most common cause of stem fracture. ISO 7206-4 fatigue testing of hip implants reproduced this scenario. This test must be applied to avoid fracture of the stem. In order to assess the fatigue reliability of the hip prosthesis, the ISO 7206 international standard has been developed. The ISO 7206 test describes the fatigue test equipment and procedure. It is

Friday, December 21, 2017 at 23:33 I was dispatched to Jefferson General Hospital (JGH) regarding a female patient who checked herself out of the Emergency Department (ER) after receiving 3mg of Dilaudid by Intravenous solution (IV), and one additional medication. I was advised she was going to get into her vehicle, a blue Subaru Forrester (WA AWK5262) and drive away. Jefferson Communications (JeffCom) advised that the reporting party advised the patient would not be safe to drive her vehicle under the influence of the IV narcotics.

Today I had a great day at the clinic. For the morning section, I had Omar Lora as my patient. Last time when he came, I collected all my assessment data. Today I updated his medical history, dental history, vitals, and EIOE, then I completed filling out the gingival assessment, the treatment plan, and the SAOP. Finally, I was ready to have my assessment data checked. It went really well, and I learned ways to helped me be more efficient with my time management, for example, I did not know how to have my radiographs up in the other monitor while I was doing my assessments. It was a little time consuming having to open and minimized the window every time I needed to look at the radiographs. Also, I discovered that having a piece of paper out and taking