Patient Observation Paper

As a clinical requirement for my Adult 1: Medical-Surgical course, I had the opportunity to observe a patient in the Operating Room and in the Post Anesthesia Unit of Advocate Good Samaritan Hospital. The procedure that I observed was a left total knee replacement. The patient needed this surgery because she was experiencing osteoarthritis, and this surgery could alleviate her pain and discomfort. I was with the patient from the end of her stay in the pre-operative holding area to the Operating Room, and then to the Post Anesthesia Care Unit. This paper will include background inquiry, preoperative and operative

tells you that he began feeling changes in his heart rhythm about 10 days ago. He has hypertension

Pulse rate is at 72. The blood pressure was 140 / 95,which is suggestive of high blood pressure and related to his medical history. No heart murmur was noted, and no other abnormalities were noted.

The psychiatric clinical rotation at Clinch Mountain House was a very prodigious experience. This facility is unique because of the role it plays in the community; it serves to provide daily recreation for the members of the community who suffer from mental illnesses. This facility focuses on providing essential social skills to this community and accomplishes this goal by providing social interaction, a structured schedule, and daily assignments for each member.

While PSC staff is scheduling appointments, staff members should be entering an email address for the patient to receive appointment reminder and link to complete Digital Registration prior to arriving for the appointment.

Developing educational goals that can improved patient centered care after being discharged from the hospital is challenging. Our curriculum has to be designed from an understanding of adult learning needs. It has to be based on their cultural background and languages barriers. The medical staffs, who will be working in the simulation center, have to be properly train to deliver the course.

Mr. Jones is a 68 year-old-man with a history of impaired glucose tolerance. His only other medical problem is hypertension treated with a small dose of angiotensin-converting enzyme inhibitor. He quit smoking 20 years ago. He has no dyslipidemia and has had stress electrocardiograms every 2 years with normal results. He does not use alcohol. Approximately 3 months ago, he noticed some burning and tingling in his feet. He admitted that he had not felt well as usual and that his walking was becoming more of a chore. He denied chest pain or shortness of breath. He denies any other symptoms had no fever, or chills, cough, blood stools, or hematuria. When seen in the office, he had gained 5 lbs.

Her Blood pressure was 150/90 and her heart rate was 109 irregular. Pulse oximetry 93% on 3 liters nasal cannula. Since she was diagnosed with pulmonary hypertension and emphysema her life changed. She was unable to work, and ambulate without

The assessment of Mrs. Baker should include vital signs including pulse oximetry. Given her difficulty in breathing, lung sounds should be auscultated. Because she is on two different medications that could affect blood pressure, lisinopril and hydrochlorothiazide (HCTZ), hypotension could be one cause of her collapsing. In addition to vital signs, decreased peripheral pulses and capillary refill can also be indicators of hypotension. Also, because HCTZ is a diuretic, dehydration should be considered. Since she was in her backyard when she collapsed, it could be that

Provide and maintain life support and airway management and help prepare patients for emergency surgery.

The patient is a 52-year-old gentleman who did restart his lisinopril/hydrochlorothiazide, which he had run out of previously. He continues on his amlodipine 10 mg one p.o. daily. He tolerates these medications well. He does have a history of nephrolithiasis. His blood pressure has been well controlled at home.

The patient wrote that he practiced the breathing exercises daily. We established that every session will be start and finish with the breathing exercise. He still answer the questions writing on the paper. We review the information for the last session (what is anxiety, the symptoms and treatment options). The patient learned and practiced others ways to greeting and, express about his feelings (closing the hand with the thumbs up for good or, with the thumbs down for bad). He smile when practice with this therapist and says yes with his head to answer the question: Do you feel comfortable answer those questions using your hands?. The patient is preparing for the meeting next Tuesdays with the community group and he wants to try those options

A 45-year-old male comes into the emergency department with symptoms of acute dizziness, dyspnea, chest pressure, and palpitations. He states that he feels that his heart is “racing.”. He has a history of hypertension (HTN) and coronary heart disease (CAD) status post one bare metal stent. He is currently on clopidogrel, aspirin, metoprolol, and Llisinopril. His BP blood pressure is 87/60 mmHg, pulse heart rate 160–-170 beats/min, respirations rate 26 breaths/min, oxygen saturation 90% on room air, and afebrile. His physical exam has pertinent positive findings of diminished global breath sounds and rapid sinus heart sounds. He has no jugular venous distention (JVD), abdominal tenderness, nuchal rigidity, lower extremity swelling, or focal

There are 11 hospitals located within 25 miles of my house, which is rather astounding considering I live in rural Pennsylvania. Hospital compare only allows you to compare 3 facilities at a time. I chose to look the Hospital where I work. Our major competitor and a tertiary hospital to which we refer our trauma cases 20 miles away. It is interesting that several of the facilities listed are not really hospitals at all. The website is deceiving and includes surgery centers. You can only tell they are not Hospitals because they are listed as having no emergency services. Under general information all 3 hospitals were similar. Our hospital and our competitor carries a 3 star rating. I was surprised the tertiary hospital only had a one

The patient had been in his usual health: hypertension, dyslipidemia, and coronary artery disease on a medical regime until approximately 8:30 on the morning of admission when his girlfriend found him unresponsive and lying on the floor of his home. She called emergency medical services (EMS) and shortly after that, he regained consciousness, rose to sit in a chair, and reported chest pain and dizziness. He took two sub sublingual nitroglycerin tablets. On examination by EMS personnel and at 8:42 am, they found that he was alert and oriented and appeared uncomfortable and that he had pale and diaphoretic skin and was grasping at his sternum and moaning. He reported that he had taken his regular daily aspirin (325 mg, orally) earlier in the