Patient Cp Case Study Nursing

With Anorexia Nervosa, there is a strong fear of weight gain and a preoccupation with body image. Those diagnosed may show a resistance in maintaining body weight or denial of their illness. Additionally, anorexics may deny their hunger, have eating rituals such as excessive chewing and arranging food on a plate, and seek privacy when they are eating. For women, they go through immediate body changes from abnormal to no menstruation periods and develop lanugo all over their bodies. Characteristics of an anorexic individual also consist of extreme exercise patterns, loosely worn clothing, and maintain very private lives. Socially, to avoid criticism or concern from others, they may distant themselves from friends and activities they once enjoyed. Instead, their primary concerns revolve around weight loss, calorie intake, and dieting. In regards to health, many will have an abnormal slow heart rate and low blood pressure, some can develop osteoporosis, severe dehydration which can result in kidney failure, and overall feel weak (Robbins, 27-29). It has been reported that Anorexia Nervosa has one of the highest death rates in any mental health condition in America (www.NationalEatingDisorders.org).

Mrs. Wilson is seen in her room at Glenbridge Nursing Home on 02/28/2018. She had an episode last night of chest pain. She is so ebullient and distracted that it is hard to get a straight history, it came on when she was asleep but she may been sitting up. She was seen by a nurse, a sat was taken. I am not sure if there were other orders taken, but there is none on the chart. She says that she spent most of this morning in the bed and still feels tired, but she does not think she broke out in a sweat. She was more short of breath. She is calling it is a "stroke." I had tried to begin tapering her diazepam by discontinuing the morning dose and apparently all daytime clorazepate was discontinued by error and she gets it only at night.

D.D is a 16 yr old male who was in his usually state of health until he developed right-sided abdominal pain approximately 5 days prior to arriving at the hospital. His pain progressively worsened and spread throughout his abdomen. He also had nausea non-bloody, non-bilious vomiting, some diarrhea, as well as fevers, when pain did not improve he presented to ER. He was admitted and diagnosed with sepsis and perforated appendicitis. He had a laparoscopic appendectomy and a central venous catheter was placed. Following surgery he was then transferred to the med-surg floor. His parents are both Spanish speaking and at the bedside.

The following case scenario is based on a fictitious patient, and it would be use on this paper as a guidance to develop a patient and family teaching plan. The situation: Mrs. Marquez, a 39-year-old Caucasian female was admitted into the Emergency Department due to complains of shortness of breath and anxiety. Patient cannot take deep breaths, appears overweight and denies Allergies to medication. The background: Patient has medical history for panic attacks, atrial fibrillation, and Grand Mal seizures; however, patient is not constantly taking her seizure medication. Patient previously had a cholecystectomy, and smokes 1 pack of cigarettes per day for 12 years. The Assessment: Patient vital signs 98.8° F oral, 109 heart rate, 26 respiratory rate, 150/86 blood pressure, SaO2 97% on room air. Denies pain. Neurological; Patient is 65 inches tall, weighing 246 lbs. She is able to move all extremities with strong pushes and pulls. States her “last seizure was two months ago.” Respiratory; Respirations are even, deep, and rapid. Lungs are clear on auscultation. Cardiac; EKG reveals atrial fibrillation; patient states, “It feels like my heart is racing at times.” Pulses are palpable +3 all extremities; capillary refill is instant. GI; Abdomen soft, no distended, and no tender with bowel sounds present in all four quadrants; skin is intact and warm. Current medications: Dilantin 400mg PO BID, Lexapro 20mg PO daily, Metoprolol 25

Topic: Nurse Practitioner the Role they hold in our Health Care, how changing their scope of practice may help with the demand.

L.V. is a 51-year-old Hispanic female. She is 5’4 height and 150 lbs. Patient denies pain, discomfort, or chest pain during physical assessment. Patient is allergic to Aspirin she states that she gets rashes when she takes it. She was diagnosed with thyroid cancer 5 years ago and got her thyroid glands surgically removed. Patient denies the use of tobacco and drinks 2-3 beers on special occasions. Patient works for an American Restaurant as a server, she’s been serving for over ten years. Patient states that she’ll be getting her first colonoscopy next month and she just recently got her yearly mammogram done and results were normal. Immunizations are up to date and she gets the flu shot every year. Patient has four daughters and has been happily married for 20 years. Patient denies using glasses or contacts she visits her optometrist every year and has never had a problem with her vision.

Patient denies chest pain, SOB, N/V/D. Patient is a current tobacco user, denies use of alcohol or illicit

The clinical presentation of Anorexia Nervosa are; patient have low body weight, amenorrhea, yellow skin, lanugo, cold extremities, peripheral edema, muscle weakening, constipation, abnormal laboratory values, abnormal computed tomographic scans, electroencephalographic changes, Cardiovascular changes and impaired renal

I just wanted to thank you for your time and consideration for the Nurse Practitioner position. It was a pleasure meeting everyone and learning more about the opportunities within the emergency medicine group.

Anorexia Nervosa is the condition when an individual abstains from food in order to lose weight or prevent more weight gain. In the Diagnostic and Statistical Manual of Mental Disorders IV(DSM-IV) there are four aspects of criteria to be diagnosed with anorexia: a refusal to maintain weight above what is minimally normal for one’s age and height, and extreme fear of weight gain, distorted body image, and (in females) having amenorrhea(missing three or more consecutive menstrual cycles.)(DSM-IV, 2000:589) Anorexia not only affects weight, but also alters bone growth, neurotransmitters and hormones in the brain, and electrolytes.

D-The patient arrived a few minutes late to her appointment. Reported stable on her dose and denies the need for a dose increase when offered by this writer. The patient discussed her current living situation as she had recently moved into her appointment in mid-June and was upset that her worker gave her the incorrect information as to what she had to owe for rent. The patient reported, she struggled with paying the rent and had to borrow the money from her grandfather; however, she hopes, it does not happen again. Then the conversation shifted as the patient discussed about her significant other drinking problem as it had affected his employment status and his relationship. The patient also shared that her significant does not see it has

This is 34 year old AAF. Patient is here to be establish as a new patient, and several compliants as listed above. Patient is a non-smoker, denies use of alcohol or illicit drug use. Patiet is acurrent resident at Lovelady Center. Patient deneis depressive moods, thoughts of suicide or homicide.current pain

Relating to the identified issues for Philip, as a nurse, it is very crucial and essential to take effectual nursing interventions to treat the current health concerns. So, before implementing any action, it is mandatory for a team and me to specify when and what intervention I want. In Philip’s case, it is necessary to target his low blood pressure at first place. If the blood pressure remains low, this could lead to other complications. Currently, it is important to administer bolus of fluid (e.g. 0.9% normal saline). I want to improve his haemodynamic state i.e. want his BP within normal limit and urine output back to normal over the next hour. In order to take action on established goals; as nursing professional, I will make sure that patient is comfortable and I will also repeat observations such BP, HR.

I have been a CNA since 2007. I started working in a nursing home when I was 18 years old and by the time I was 21 I was given the opportunity to work on the Med-Surg floor at KGH. When the hospital moved to its new location in 2014, I chose to work on the Medical floor since the unit was splitting into two separate units. Though I was content on the unit, there were occasions in which I was floated to the ICU. The acuity of the patients, the use of equipment I had no experience with (i.e. vents, central lines), and the overall flow and air of the unit intrigued me to the point that I had no doubt in my mind that this is where I wanted to work. In August 2016 there was an opening in the ICU that was going to accommodate my school schedule. Without hesitation I applied and was given the position. Since that time the things that I have seen on the unit have both fascinated me and completely blown my mind (in a good way). Though the patients may not be as stable as on some of the other units and the risk of things going awry is so much higher, I

Self-esteem is reliant upon body shape and weight. Physical implications may include disruption of the menstrual cycle also known as amenorrhea, signs of starvation, thinning of hair or hair loss, bloated, yellowish palms/soles of feet, dry and pasty skin. The risks that people take while indulging in anorexia can also become physiologically and mentally damaging. There are several effective treatments. One of which is hospitalization, this occurs when the weight loss is greater than 30% in 3 months time. Some other effects to be taken into consideration when hospitalizing a patient are the risk of suicide and depression, severe binging and purging, and serious metabolic disturbance. Therapy and counseling is used to help the patients with depression and family complications that may have led to the state they’re in. Clinical studies have not yet identified a medication that could improve the core symptoms of anorexia.