Patient Overview Patient Q, a 58-year-old Caucasian male, is married, has never smoked, and only occasionally consumes alcohol. The subject is 6 feet 1 inch tall and weighs approximately 205 pounds. He has been employed at manual labor jobs since approximately 16 years of age and, at the time of his initial diagnosis of atrial fibrillation, patient Q was working as a delivery driver. Patient Q is a relatively active individual who participates in a number of physical activities including cycling, hiking, and kayaking. At work, he walks approximately one to two miles up a moderate incline five days a week on his lunch break. The subject has been diagnosed with degenerative disc disease in the lumbar region of his spine. Patient Q has also had trouble managing his cholesterol levels in the past and has previously been diagnosed with hypercholesterolemia. Other than these two abnormalities, Patient Q has not sustained any major injuries or been diagnosed with any other major diseases.
Presentation and Diagnosis Patient Q reported experiencing a number of symptoms months prior to his initial diagnosis. These symptoms were consistent with the symptoms one would expect in a patient suffering from atrial fibrillation.
Initial Presentation
Patient Q reported experiencing general fatigue approximately three months prior to his initial diagnosis. The subject also reported a decreased ability to exercise and experiencing substantial episodes of shortness of breath while going on his
During our lives, serval blissful, traumatic, culture event that established the transformations during cognitive, social, physical, and characteristic changes in our lives from the time of birth through our death. A person’s existence is shaped and molded by the experiences that have set us physically and mentality. The interview conducted for this project for an understanding of, Mrs. Candi Jones, is a mother, daughter, and sister. She was the middle child of in a physically disable household where father and sister hearing-impaired; a mother who is deaf. They are a mixture of a sibling through birth, adoption, and foster. During the interview with Ms. Jones, she discusses experienced numerous events in her life that play a major influenced
He also had a history of shortness of breath for several months (2014). He was evaluated by the cardiologist; the test results indicated that the heart was not causing the shortness of breath. Later he was referred to a lung specialist for further evaluation.
Tananarative , Patient Zero I walked out of the doors and the parking lot was so quiet I couldn't hear a thing. I walked a bit further and passed cars with broken windows and flat tires and no one in sight. My stomachs began to rumble . I'm really hungry. I have to find food quick. I walked upon a convient store. The convient store had a bunch of food. I grabbed a big basket from the front and started to drop things inside . Things I'd liked , things for Mrs.Manigat and Nurse Rene and Dr. Ben . I'm pretty sure that's why no one was in the hospital with me . They went to find food. I wish we all had phones for me to be able to tell them that Ive found food. I gather all the drinks no food that I could fit inside my basket and started walking
This essay is based on the Case study of a patient named as Mrs Ford. It will be written as a logical account, adopting a problem solving approach to her care. She is elderly and has been admitted onto a medical ward in the hospital, following a stroke. This essay analyses the care that she will receive and focuses on the use of assessment tools in practice. Interventions will be put in place directly relating to the assessment feedback and in line with best practice.
This report is an analysis of an anonymous patient’s medications and how they relate to his health issues. Please note that the patient will be referred to as patient Afib in order to protect his privacy. Patient Afib is a 58 year old male with a recent onset of atrial fibrillation (AF) that has been cured using ablation and antiarrhythmic medications. This report discusses how physicians treated patient Afib’s AF, the medications patient Afib is currently taking and their mechanism of action, and how these medications relate to the patient’s disease. Medications discussed in this analysis include Proair HFA, Multaq, Toprol XL, and Coumadin. Proair HFA, a rescue inhaler used to treat asthma, was prescribed to patient Afib in order to determine if AF or underlying asthma caused his shortness of breath. Multaq is an antiarrhythmic drug used to keep patient Afib in a normal sinus rhythm. Toprol XL is a medication used in the treatment of hypertension that also exhibits rate controlling properties which prove beneficial for patient Afib. Coumadin, an anticoagulant, is used to reduce the risk of stroke for patient Afib should his AF ever spontaneously return without his knowledge. Patient Afib does not like the regime of pills he is required to take but understands their necessity.
This department is a branch of the court system used in assessing clients that have been arrested for DUI, Domestic Violence (1st time offenders), probation violation or placed on home detention to attend specific court appointed hours of diversion programs, substance abuse education and/or training (alcohol or drugs), groups, or individual counseling as a positive means of rehabilitation in lieu of substantial jail time.
The 5 questions and their answers I asked in my interviews are as follows; 1). How did the professionals such as the Dr.’s, nurses, PT, OT, etc. treat and/or interact with your father/client? My first woman told me that her father was a Korean war vet and that the majority of his Dr.’s were at the VA in MN. She was not impressed because many times they all seemed as if it was a burden for them to have to see him. She also observed young men and women there in waiting rooms who were treated with respect and they seemed to get right in to their appointment whereas her dad would sometimes wait 1 to 3 hours only to be told that they would have to reschedule. It was very sad. My second woman I interviewed told me that rarely would she ever see Dr.’s
Under the "Patients Bill of Rights from the Association of American Physicians and Surgeon's (AAPS) a health care provider needs to understand that the AAPS merges with Affordable Care Act (ACA) to provide protection and offers rights regarding interactions with insurance companies, medical facility, or physicians (Woodard, 2017). It is the health care providers responsibility to make sure they know the current patient bill of rights law. For example, they need to know that the patient has the right to a second opinion. A patient has the right to refuse treatment (Woodard, 2017). As long as the patient is deemed competent when making the decision to refuse treatment. There is 21 patient bill of rights, and it would be the health care
Atrial fibrillation (AF) is the most common sustained heart rhythm disturbance in the United States, affecting over 2 million individuals with over 150,000 new cases of AF being diagnosed each year. Approximately 4% of the population over the age of 65 is affected. As a person ages,
Atrial Fibrillation (AF) is defined as an irregular heartbeat, often of a rapid rate, that causes insufficient blood flow to the body. During atrial fibrillation, the upper chambers of the heart (atria) beat chaotically and out of synchronization with the lower chambers of the heart (ventricles). Atrial fibrillation is the most common sustained arrhythmia, affecting more than 2 million people in the United States, with an estimated 150,000 new cases being diagnosed each year (Shea and Sears, 2008). The Chronic Illness Trajectory Framework, developed by Corbin and Strauss, focuses on the patient living with atrial fibrillation and the ability to manage the course of the illness based on
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
“Nursing is an art, and if it is to be made an art, requires as exclusive a devotion, as hard a preparation, as any painter’s or sculptor’s work...” (Nightingale, 1868)
This submission is going to focus on the nursing care that I gave on two placement simulations and one shift on placement, placing emphasis on oral care, bed bathing and medication management. It will outline the fundamental aspects of clinical nursing skills that have taken place in my setting. This will also highlight the learning process taken place and how it helped me to enhance my knowledge, and ethical values in order to deliver quality and safety of care. Using other sources of current literature, I will use a reflective model to discuss how I have achieved the necessary level of learning outcome. By utilising this model I hope to demonstrate my knowledge and understanding in relation to these skills as well as
A twist on the "patient's perspective" approach is to describe a time when medicine failed to save or heal someone close to you. The purpose of this tactic would not of course be to rail against the medical profession, but rather to show how a disappointing loss inspired you to join the struggle against disease and sickness.
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