Literature Review Curtis et al., in the article, “The importance of daily weight measurements in heart failure patients: a performance improvement project”, addressed the problem of lack of accurate daily weights by 0500 daily. Despite the policy and importance of daily patient weights, it was shown that accurate daily weights were still lacking. They discovered that the problem was the lack of availability of standing scales and lack of nursing staff support (NSS) understanding of the importance of daily patient weights. They supplied the floor with an additional standing scale and educated the nursing staff and support on the importance of daily weights. With these implementations, accurate patient daily weights increased by 90% (Curtis et al., 2012).
Patient Condition JG, a 34-year old Caucasian female presented to the primary care physician office with complaints of losing weight and feelings that "her heart is beating out of her chest". On assessment it was noted that JG had lost twenty pounds in 3 months. JG exhibited tremors in hands, bulging eyes, and pretibial edema. On physical examination there was a goiter, or enlarged thyroid gland noted.
Patient falls are the leading patient safety event that causes injuries in health care organizations today. The National Database for Nursing Quality Indicators describes a patient fall as an “unplanned descent to the floor”. Inpatient falls account for forty percent of all hospital acquired injuries (Rheaume & Fruh, 2015, p. 318). Fall rates are higher for older adult patients, and half of all falls result in injury. Patient falls contribute to an increased length of stay and an increased cost of hospitalization. The medical costs related to patient falls is approximately $30 billion dollars per year (Centers for Disease Control and Prevention [CDC], 2016). In 2008, the Centers for Medicare and Medicaid Services (CMS) introduced pay-for-performance
Sarah Miller is a 42 year that is suffering with obesity, and a long history of diabetes. She is 5’5 weighting 450 pounds. She was diagnosed with diabetes at the early age of 20. Her current insulin dose is 10 unit’s regular insulin before lunch and dinner. Mrs. Miller complains lack of motivation, mild fatigue, depression, and difficulty losing weight. She states that she has gained a massive amount of weight since being placed on 10years ago. She has struggled with weight gain since childhood. Her weight has continued to increase over the past 9 years, and she is presently at the highest weight she has ever been. She has been hospitalized for difficulty breathing She states that every time she tries to cut down on her eating, she has symptoms
It is a good indicator of an individual’s overall health because it tells you the % body fat. Testing body composition is important because it will help diagnose some health problems, whereas knowing weight is not good enough. According to the lab manual, % body fat of 25 for men and 32 for females is considered the standard for overweight.
Radonc asked the surgeon what the cutoff is for Medonc: Rob, I see it. With Nexivar. (No hierarchy seems present) NEXT PATIENT: 1 minute 39 seconds Surgeon: On my list I have a young, 54 year old male, with past smoking history. His main tumor is 3cm involves _________, bi-lateral involvement of _________at 4 and 6cm.
A crucial part of saving lives in acute care involves administering life saving medications. These medications can range from TPA for strokes, Heparin for acute myocardial infarctions and even just regular intravenous fluids to treat severe septic shock. In order to administer these medications safely and adequately, a nurse is required to know his/her patient weight. Having an accurate weight will ensure that the patient is receiving the adequate amount of medication necessary to save their life. An inaccurate weight can either result in inadequate medication or maybe even an overdose of medication. Either one of these can result in devastating effects for the patient. Working in the Emergency room, it is sometimes difficult to obtain accurate
Assessments The assessments performed on this patient were vital signs, blood glucose levels and regular blood tests. The vital signs were temperature 36.5 degrees, 80 beats per minute, 20 respiratory rates, blood pressure was 140/70 and oxygen saturation was 99%. This objective data is all within normal range (Bellchambers 2015, p. 588). It is important to monitor the patients’ blood pressure as he has hypertension. This gives the healthcare professionals a baseline of his blood pressure so they can determine a difference in the patient’s health.
Equipment Challenges for Hospitalized Bariatrics Patients Seynor Massalee Kennedy Oakland University Being able to safely care for Bariatric patients is a nursing phenomenon of great importance. There is a safety concern amongst nurses and other health care worker when providing caring for Bariatric patient due to their immense body mass and the
These behaviors, sedentary lifestyle and poor food choices, are further supported by both Patient A and B’s healthcare behavioral display in the hospital. Patient B would not allow the nursing staff or the phlebotomist to draw any blood specimen from him (to include finger stick for glucose checks) unless he has a can of a caffeinated-carbonated drink with all his meals to include breakfast. While Patient A admitted, “I stop eating when I get full,” with his family members bringing in fast-food bought sandwiches in addition to his hospital meal.
Patient recently had his medication changed and he feels like "his attention and memory is improving and it is helping him to focus more."
DOI: 1/23/2016. Patient is a 39-year-old male field technician who sustained a work related injury to his lower back when he strained his muscle when reaching under customer's desk. He was diagnosed with lumbar strain and herniated nucleus pulposus right L4/5.
The mainstay of therapy includes cognitive behavioral therapy (CBT) and interpersonal psychotherapy to reduce BE behavior, however, implementation has not been widespread and some patients fail to respond. Pharmacotherapies such as antidepressants and antiepileptics have shown some efficacy to reduce the frequency of BE, however, failed to have effects on weight loss and are associated with high rates of discontinuation.1 Other options that are being investigated are agents such as dextroamphetamines, specifically, lisdexamfetamine dimesylate (LDX). LDX inhibits the reuptake of dopamine and norepinephrine and elicit the release of monoamine neurotransmitters. Due to this, it is thought that this agent has the potential to alter pathologic
Another aspect of the patient’s burden is the treatment centers’ obligation placed on the patient. Second Chances presents the idea of the ‘therapeutic clientship’. This is the model that a HIV-positive individual is a client, rather than a patient, of a treatment center because the role of the HIV positive individual consists of an exchange that occurs between them and their treatment center. In order for the client to reap the benefits that the treatment center has to offer, the individual is required to follow through on the obligations (rules) determined by the treatment center such as coming in for check-ups, adherence and practicing preventative measures. This can be a burden for patients because of the difficulties that can come
usually people with a high body mass, which is often accompanied by cardiovascular and respiratory diseases (hypertension, ischemic heart disease). Our analysis showed that only men from the control group met the standards recommended by ACSM and ADA for health enhancement, and the frequency of activities in these men was significantly longer than in the diabetic