Physical Examination And Management For Patients With Multiple Comorbidities And Medication Management

screening and evaluating patients. Genesis rehab policy is that clinicians must first conduct screens before enrolling patients on rehab services. The screening process helps to filter out patients who are indicated for physical therapy on outpatient services versus patients who requires skilled home-health services. The other benefit of screen is to recognize patients who requires consultation to a specialist. “In primary care setting, PTs should be routinely triaging patients for need of referral”

Chronic Obstructive pulmonary disease (COPD) has been known as umbrella diagnosis of multiple pulmonary disorders. COPD is a complex disorder that is very prevalent in the older adult population and causes significant complications in the older adult due to age related aspects and multiple co morbidities that are involved. According to the World Health Organization, COPD is defined as chronic obstruction of lung airflow that can be irreversible and results in decreased pulmonary lung function. COPD

incidentally during another illness ○ Symptoms of marked hyperglycemia are uncommon in patients with diabetes mellitus type 2 but include: polyuria, polydipsia, polyphagia, unexplained weight loss, weakness, and blurred vision ○ History of hypertension, dyslipidemia, cardiovascular disease, frequent infections (ie. candida, urinary tract infections), slow-healing wounds (ie. foot ulcers) • Physical examination 14, 1 ○ Obesity ○ Increased abdominal adiposity ○ Acanthosis Nigricans ○ Increased blood

A Study of the Efficacy of Self-Management Education in Heart Failure Outcomes Heart failure (HF) has been singled out as an epidemic and is a staggering clinical and public health problem, associated with significant mortality, morbidity, and healthcare expenditures, particularly among those aged 65 and older (Roger et al., 2013). HF is a major health care issue with a current prevalence of over 5.8 million in the USA and over 23 million worldwide, and rising. The lifetime risk of developing

morning during our medication rounds with my preceptor, our attention was drawn by one of the caregiver’s report about a resident who is experiencing difficulty in breathing. The resident’s name is Map (pseudonym). He is 76 years old with a history of stroke. He has right sided weakness and has the inability to produce speech. He also has a history of multiple hospital admission over the years due to chest infection. As soon as we heard her report, we stopped doing our medication rounds and attended

(APNs) play a vital role in research and practicing evidence based medicine. The many influences that may negatively impact a patients health include social, environmental, and physical factors. This paper will discuss the importance of researching evidence on a health concern and the modalities developed through the implementation of programs for postural orthostatic patients. There is a need for more to take part in the research and contributions to evidence based research in understanding Postural

sensory in nature, that is, depending on loss of proprioception. A negative Romberg test suggests that ataxia is cerebellar in nature, that is, depending on localized cerebellar dysfunction instead (Khasnis & Gokula, 2003). Mini-Mental State Examination (MMSE) is series of questions and tests each of which scores points if answered correctly. Maximum score of 30 is indicative of normal cognitive ability, score of 25 or less could indicate dementia. MMSE is not a diagnostic test for dementia, but

Introduction: This case study discusses the management of a 68 year old male who presented with chest palpitations secondary to rapid atrial fibrillation. Atrial fibrillation is a common cardiac arrhythmia with serious complications if not treated correctly. This essay will discuss the initial clinical presentation of the patient and examine the management and outcome of the interventions applied. The significance of atrial fibrillation including its pathophysiology and aetiology will also be discussed

difficult, or; o Fear that help may be unavailable if panic-like symptoms occur o Physical symptoms of panic attack include [2, 3]: o Excessive sweating o Sudden flushing or chills o Feeling sick or faint o Upset stomach or diarrhea o Chest pain o Dysphagia o Trembling o Dizziness or lightheadedness o Tinnitus o Cognitive symptoms that the patient may feel include thoughts of [2, 3]: o Life is in danger (patients may be worried that their heart will stop or they are unable to breathe) o Inability

failure - In patients with a history of myocardial infarction and reduced ejection fraction - Preventive medications o Stage C - Structural heart disease with prior or current symptoms of heart failure - Nonpharmacological and pharmacological interventions o StageD - Refractory heart failure requiring specialized interventions - Advanced heart failure • Classification by New York Heart Association (based on symptom severity) 4 o Class I - Heart disease with no symptoms or limitations on physical activity