Rp Case Study

ASSESSMENT The author read Mrs. X’s medical notes prior to their initial consultation to afford herself the knowledge she required should she need to prescribe for her when fully qualified. It was evident from reading her medical notes that there were a few considerations to take note of before commencing any treatment, such as her medical history, drug history and allergies. Her past medical history consisted of Type 2 diabetes mellitus, which was diet controlled, hypertension, hypercholesterolaemia, neuropathy, rheumatoid arthritis and raynauds syndrome.

Case Study #35Case Study #35Scenario S.P. is admitted to the orthopedic ward. She has fallen at home and she has sustained an intracapsular fracture of the hip at the femoral neck. The following history is obtained from her: She is a 75-year-old widow with three children living nearby. Her father died of cancer at age 62; mother died of heart failure at age 79. Her height is 5’3 and weighs 118 pounds. She has a 50 pack year smoking history and denies alcohol use. She has severe Rheumatoid Arthritis (RA) and had an upper GI bleed in 1993 and had Coronary Artery Disease with CABG 9 months ago. Since that time, she has engaged in “very mild exercise at home.” Vital signs are 128/60, 98, 14, 99 degree farenheight (32.7 degrees C) SAO2 94%

Onset: 2 hours ago Location: Right leg Duration: Steady consistent pain Characteristics: Associated with altered gait, edema, limited weight bearing, and range of motion. Aggravating Factors: Applying pressure on the right leg when walking. Relieving Factors: At rest pain decreases to 4 out of 10. Treatment: Wrapped leg in ace bandage. Current Medications: Hydrochlorothiazide 25 mg, orally once a day, for hypertension. Acetaminophen 500 mg, 2 capsules every 6 hours, while symptoms last, for leg pain Allergies: Penicillin, Sulfa PMHx: Last immunization was tetanus on 6/2014 No influenza immunization was taken. Childhood immunization for DTaP, MMR, meningitis, varicella, Hep B, Hib B, OVP, Surgery include tonsillectomy at year 8. Social Hx: Patient is a high school counselor. He participates in physical activities by running 2 to 3 times a week, playing golf, and volunteering at a nursing home. The patient is married with one daughter and one son. He does not use tobacco and periodically drinks at

I will be using the patient initials (MK), throughout this paper when I reference her. I asked the patient a list of questions about her life and I will summarize the answers for you now. MK is an alert and oriented 84 year-old female who is happily married and lives with her husband of 56 years. MK is retired and worked as a high school secretary for 20 years in the town she lived in. She grew up in Pennsylvania with her parents and was the oldest of five children. Her family medical history includes cardiac disease and diabetes with all of her brothers and sisters still alive. MK has three of her own children who all live with in a 30 minute drive from her home and they speak frequently on the phone with her and her husband. MK and her husband are going on a vacation together this summer to South Carolina with her son and his family. MK still hosts holidays and family gatherings at her home with only a couple holidays hosted by her son at his home. MK and her husband receive social security and her husband’s pension as their income. They have Medicare and also a supplemental insurance through AARP. MK enjoys her exercise class, reading, her card club, traveling and is also very active in her church including being on the bereavement committee. MK still drives her own car around town to visit friends and shop but prefers not to drive at night

Chief Complaint: 72-year-old woman who fell on her right hip. History:  Margaret Donovan, a 72-year-old white female, was brought to the emergency room by her son-in-law after falling in her bathtub. She was previously in good health, despite leading a relatively sedentary lifestyle and having a 30-pack-year history of cigarette smoking. The only medication she currently takes is Inderal (propranolol) for mild hypertension. She fell upon entering the bathtub when her right leg slipped out from under her; she landed on her right hip. There was no trauma to her head, nor does she complain of right or left wrist pain. However, she reports severe pain in the right hip and upper thigh, and was unable to get up after her fall. An injection

Patient Summary One afternoon a 67 year-old man presented to the emergency department of a small, rural hospital complaining of severe left leg and hip pain following a fall at home. The patient had no past history of falls. He had a history of impaired glucose intolerance, prostate cancer, hypercholesterolemia and hyperlipidemia. The patient’s current medications were atorvastatin and oxycodone for chronic back pain. The patient stated his pain was ten out of ten on a scale of one to ten with ten being the worst. The left leg appeared shorter than the right, edema was present in the calf, as was ecchymosis and he had limited range of motion. After an evaluation in triage by a registered nurse and a subsequent examination by the emergency department physician, a plan was established to sedate the patient using moderation sedation protocol and perform a manual reduction of the hip.

Anna stroke lives with her husband Steve Stork in a three-bedroom apartment in Newport Richey, Florida. Her both parents are deceased. Her father died at 68 due to myocardial infarction and mother died at 92 due to old age problems. She has a total of 4 siblings. One sister with hypertension which is controlled by medications and diet, one brother with hypertension and cardiomyopathy, and the other 2 siblings (boy and girl) are in good health with no current illnesses. Her husband has mild dementia, diabetes, and hypertension. She has 2 children (son & daughter); both are healthy with no significant medical history. Anna Stork is happily married for 40 years. She denies alcohol, tobacco, and illicit drug use. She was a former smoker and quit smoking few months ago. One of her sister own few day care centers and she work 8 hour shift 3 days a week in one of her

A. Is Shirley Caretaker disabled within the meaning of the Social Security Act in that she meets the requirements of the disabling listing for 12.04 affective disorders in 20 C.F.R. Appendix 1 to Subpart P of Part 404-Listing of impairments? With respect the answer is yes for the

Her other past history includes mastoid surgery when she was forty. She has several environmental allergies and is also allergic to Sulfa, Slow-K, Ranitidine and Zinc. She doesn't smoke.

Ms. T is an eight year old African American female that presents to Dr. Bill’s Kids today with complaints of her tonsils bothering her again. She has been to this office three times in the past three months with complaints of swollen tonsils and painful swallowing. Each time, she has

Reporting party (RP) stated that her daughter, April O'Meany-Lucas (04/08/2000) is ADHD and has learning disabilities which qualified her to be cared for at this daycare. RP stated that child attended until December 2016. RP stated that she left specific instructions for the licensee to not allow the child access to any electronic devices (cell phones, tablets, computers, etc) because RP would not be able to monitor her. RP stated that she discovered nude photos of the child which were taken during daycare hours using the licensee's tablet and posted the photos on social media. LPA Lasso-Hills asked RP how she found out about the photos and RP stated that she searched through "Instagram". LPA asked if the child has an Instagram account, and

The two casualty backing projects I inquired about were Rape Victim Advocacy Program, RVAP, and the U.S. Armed force MWR Victim Advocacy Program. The RVAP's primary mission is to give free backing to all casualties of sexual roughness and use counteractive action training to make social change. The RVAP offers a couple of diverse administrations. They have mindfulness crusades, survivor bolster and promoter preparing, and aversion training administrations through school and college instruction, youth training, and group training.

The client reports no medical problems. Her mother stated she was a healthy baby and was an early walker. During childhood, she had the chicken pox, measles, and a severe case of head lice. She was a physically active child, preferring outside sports, with boys. She denies taking any medication or any over the counter medications. No allergies of food sensitivities were reported. She states she dates, but she is still a

departments, this proved problematic as hospitals relied on vendor support for employee training, medical procedure support, patient follow-up and more. As these services were typically at no charge (or hidden in the product price), their cost was a non-issue for the hospital. To ensure vendors are unable to charge separately for these services, the GPOs now include criteria that stipulated the level of service required for a vendor bid to be retained. If the vendor refuses to acknowledge those terms, their bid is immediately rejected.

Husband is the head of the family. All the family members are health conscious. The whole family is covered under medical insurance and adheres to annual health check up. This family prefers homely food and the parents set example for that. They also enjoy the relationship with neighbors and with extended family members. There are no risk factors of smoking, alcoholism, and use of other drugs.