Clinical Presentation G. J. is a 28 year-old male patient with no past medical history. On September 13, 2015, he was admitted at Kendall Regional Medical Center with a chief complaint of worsening back pain lasting for over a month. He denies any recent trauma or falls, numbness, tingling, or paresthesia.
1. I do believe that large pharmaceutical companies as well as doctors prescribing opioid medication should be held partially responsible in cases when patients are over-prescribed drugs. Although they are in no way actually forcing those patients who are over-prescribed these drugs to misuse them and it is ultimately the fault of the individual misusing the medication, they are, however, allowing for the the misuse.In regards to pharmaceutical companies, I think that they should be held responsible for marketing and allowing such drugs available to virtually the mass public opposed to only those that need it in order to increase their profits. If they would not advertise the medication to medical professionals as something that they could
As a nurse executive leading an accountable care organization (ACO), I lead monthly patient-centered medical home (PCMH) meetings that involve interprofessional clinical experiences. During these meetings, primary care office staff present patient cases that currently are, or have been, challenging to manage. The registered nurse (RN) case manager will usually start the discussion, but anyone on the team can present a patient case. Round robin type discussions between the physicians, certified registered nurse practitioners (CRNPs), physician Assistants case manager, front office staff, medical assistants and pharmacists, and students of any of these disciplines, are conducted to find solutions or to provide success stories about how patients
SC received a call from Pa and completing monitoring telephone call. Pa reported that she is having difficulty securing transportation to her medical appointments because her doctor did not complete the necessary paperwork the insurance company needs to continue to provide door to door pick up. Pa reported that she
Patient is a 30 year old male who presented to the ED via LEO with HI. The Patient is under IVC paperwork due to complaint aggressive behaviors towards family. The patient reports that his brother and him got into an altercation over him dating the same girl he did 10 years ago. TACT contacted family about event that took place and was able to reach mother and brother. The patients mother reports that he tried to punch brother because he would not let him use his credit card to buy something while they were out at the store. She reports that the patient has never dated the brother's girlfriend and only seen her once before. The Brother reports saying in Georgia and is home for the holiday's. Brother reports that his current girlfriend lives
Patient attends with increasing worsening discomfort in his right extremity as well as left lower extremity. The patient had a stenting done in 2010 he states of the right limb but they entered the left limb to stent the right limb. Fortunately, St. Cloud has sent off for his medical records and they have not arrived. Be that as it may, he has noticed over the past several months he has had increasing and worsening discomfort in his right calf with ambulation. Becomes rock-hard particularly if he is walking from his living unit to the dining hall. It is so hard that he has increasing and worsening discomfort while ambulating. When he finally reaches the dining hall where he can rest then it tends to improve. Walking back it is not as bad because it is a downhill walk. He does not have resting pain. The limb has not changed colors. He has not noticed dependency rubor. He states he also has a history of
Presentation of the Patient Identifying information. - Ms. L. is a 54 ¬year ¬old, single woman - has a Ph.D. in psychology and works as a college professor - lives alone - social support: 2 good friends in Providence, and others who live in other states Presenting problem: Chief complaint and symptoms. - six¬ month history of episodes in which she becomes confused and is unable to continue with her train of thought
Patient X Syphilis is a sexually transmitted disease that can cause serious complications when left untreated, but it is simple to cure with the right treatment. It is caused by a bacterial agent known as Treponema pallidum. The most common form of transmission is during oral, anal, or vaginal sex in which the bacteria comes in contact with a cut or mucous membrane within the vaginal walls. It is otherwise known as the “great imitator” because of its ability to mimic so many other symptoms. This makes it very difficult to diagnose because so many of the symptoms could mislead you into thinking it is something different. The following story of Patient X gives us a little more detail into the disease and just how serious it can be if left untreated. It will teach us the effects of the disease, what the disease does to our bodies, and how the disease can affect our everyday lives.
The patient is a 70-year-old gentleman that presented to the ED complaining of inability to walk because of right hip pain. The patient was seen in the emergency room on 11/20/16, was given Tylenol 3 discharged with pain meds after hip x-rays reported as being negative. The patient continued to be in great pain and could not bear the pain any longer and in fact had an appointment with his pain management physician and could not get there it was increased with any movement and not relieved by Percocet. His comorbid conditions are asthma, congestive heart failure, hypertension, morbid obesity, dyslipidemias and obstructive sleep apnea. He has also a right inguinal hernia repair, back surgery a number of years ago. Upon admission it is noted that he has intractable right hip
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
Patient is a 13 year old male who presented to the ED with concerns from mother regarding a suicidal note at school which patient has a history of doing, however within the journal entry he wrote about being raped and identified his perpetrator. Patient reports that during math class he started write because he was not engaged in the lesson being taught by teacher. The patient reports writing a journal entry talking about the past events of his sexual abuse from his older brother. In addition, expressing history of SI. Patient denies current SI, HI, and symptoms of psychosis. Speaking with the mother who was in the room via interpreter she expressed that since his last visit with the hospital help him develop coping strategies like the journal.
¬ The activities that led to this good prognosis is that the patient was actively involved in taking care of her health. She did regular self-examinations and that led her to identify a small, hard, painless lump in her left breast which she kept an eye on. She also sought for medical attention when the lump did not disappear. Also the removal of the five lymph nodes of which two containing the malignant cells helped decrease the chance of developing a secondary tumor due to metastasis. Lastly, with the courses of radiation and chemotherapy that will help to kill any remainder tumor cells and decrease the chance of tumor growth and also decreases the effects on healthy tissues. In conclusion, the early diagnosis and treatment limit the extent of the cancer and improves the chances of survival leading to a good prognosis.
BLID Case Study 1 Clinical Background 58 Year old male with pain in the hip and a soft mass in the left gluteal region (previously thought to be a haematoma, and treated as such). Recently suffered from mild infections (such as coughs and colds) and feeling lethargic and fatigued, as well as
O Summary of therapy: The speech pathologist has provided a lot of training on improving his overall orientation. He specifically having difficulties orienting himself to time as also with a calendar. He has been provided with a calendar and has given been given several strategies to help him identify night versus day. To also help him improve with executive functioning skills, the therapist has provided a few signs posted in his room to help him remember to do things. Staff all report that he is doing much better and is utilizing the cues provided to help him improve. Specifically, he is not just laying in bed anymore, he is sitting up in the chair walking around. All goals that were established during the last treatment plan have been completed. These included tract visual stimuli, complete focus simple attention tasks 5-6 of them for 1-2 minutes with less than two cues or reminders. Identify a problem in a picture and through addition alone with 80% accuracy and to sequence a 4-6 steps daily living tasks with pictures and through audition alone. Again, patient has completed all goals.
Case Study Assignment for Unit 1 Diane Vinciguerra Jacksonville University March 6, 2015 Case Study Assignment for Unit 1 Patient Profile and Background Information Mrs. J. arrives at the emergency department with her 6 year old son, PJ, who has a history of Cystic Fibrosis (CF). He is febrile (101.7° F orally), BP 98/66, HR 122, RR 32 with the use of accessory muscles. Mother states PJ has, for the last five days, exhibited signs and symptoms of upper respiratory infection, runny nose, low grade fever, cough, and fatigue. He has lost 2 pounds over the past 5 days due to anorexia though he has not had vomiting. He weighs 36 pounds and height is 3’2”. Today, PJ became more lethargic and his fever was difficult to control with pyretics.