Symptoms And Treatment Of The Patients Essay

She came to the clinic last week for symptoms of fatigue, dry and thinning hair, constipation, feeling of being cold all the time, recurrent depressive mood, joint pain in her hands, feeling of a “lump” in her throat, and weight gain of 14 lbs. over the past year. She denies fever, cough, sore throat, and suicidal ideation. She has a history of benign hypertension, hyperlipidemia, seasonal allergies, obesity, pacemaker insertion, cesarean section, postmenopausal, and colon polyps. She has a family history of hypertension and diabetes mellitus type I. Her primary language is English. She is married, employed as a radiology technician, and is of the Baptist faith. She denies use of alcohol, tobacco, and illicit substances. She is currently taking the following medications: Hyzaar 100-12.5mg daily, Lipitor 40mg daily, Flonase 1 spray bid to each nostril, Zyrtec 10mg daily, Lutein 20mg daily, and aspirin 81mg daily. She has no known allergies to

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

Past Medical history includes : Essential Hypertension, Cardiac pacemaker, Coronary Artery Disease, Dyspnea, Sensiosenural hearing loss, Restless legs, headache, acute hypothyroidism due to radiation, Mandible Cancer, Pseudophakia of both eyes, Posterior vitreous detachment, malnutrition, Generalized weakness, Smoker of 2 packs of cigarettes per day for 30 years.

Father: Deceased at the age of 48 from pulmonary embolism. He had diabetes and peptic ulcer disease, peripheral vascular disease.

The following case scenario is based on a fictitious patient, and it would be use on this paper as a guidance to develop a patient and family teaching plan. The situation: Mrs. Marquez, a 39-year-old Caucasian female was admitted into the Emergency Department due to complains of shortness of breath and anxiety. Patient cannot take deep breaths, appears overweight and denies Allergies to medication. The background: Patient has medical history for panic attacks, atrial fibrillation, and Grand Mal seizures; however, patient is not constantly taking her seizure medication. Patient previously had a cholecystectomy, and smokes 1 pack of cigarettes per day for 12 years. The Assessment: Patient vital signs 98.8° F oral, 109 heart rate, 26 respiratory rate, 150/86 blood pressure, SaO2 97% on room air. Denies pain. Neurological; Patient is 65 inches tall, weighing 246 lbs. She is able to move all extremities with strong pushes and pulls. States her “last seizure was two months ago.” Respiratory; Respirations are even, deep, and rapid. Lungs are clear on auscultation. Cardiac; EKG reveals atrial fibrillation; patient states, “It feels like my heart is racing at times.” Pulses are palpable +3 all extremities; capillary refill is instant. GI; Abdomen soft, no distended, and no tender with bowel sounds present in all four quadrants; skin is intact and warm. Current medications: Dilantin 400mg PO BID, Lexapro 20mg PO daily, Metoprolol 25

Hypertension noted, denies bleeding disorder, hyperlipidemia, diabetes, thyroid dysfunction, stroke, transient ischemic attacks, coronary artery disease, atrial fibrillation, or thrombophlebitis

The patient was last seen in the office in February. Please see that note for complete details. She has several issues she would like to discuss today. She tells me that she has really been under a lot of stress of late. She had been caring for her sister, who has uterine cancer. In addition, her husband 's brother recently died, and there have been issues regarding a property they co-owned. She sold her house in New York and is now renting a house here in Portsmouth. She feels all that she has been doing is moving and cleaning. She feels that she is a little bit settled, however and is hoping that she can get back to her normal regimen. She has not been walking as much as typical, and she would like to lose a couple of pounds and plans to get back into that, as well as her physical therapy exercises that she has been doing for her neuropathy.

This patient is a 35 y/o young women with a new diagnosis of breast cancer. Problems are the diagnosis of breast cancer, dehydration, and depression. Her depression is affecting her nutritional intake which is causing her malnutrition and poor intake. As an RN, I would encourage her to increase her daily intake and encourage

A. 40 weeks and 2 days pregnant G1 T0 P0 A0 L0 (priority because of potential complications of pregnancy and labor, some which may be life threatening)

L.V. is a 51-year-old Hispanic female. She is 5’4 height and 150 lbs. Patient denies pain, discomfort, or chest pain during physical assessment. Patient is allergic to Aspirin she states that she gets rashes when she takes it. She was diagnosed with thyroid cancer 5 years ago and got her thyroid glands surgically removed. Patient denies the use of tobacco and drinks 2-3 beers on special occasions. Patient works for an American Restaurant as a server, she’s been serving for over ten years. Patient states that she’ll be getting her first colonoscopy next month and she just recently got her yearly mammogram done and results were normal. Immunizations are up to date and she gets the flu shot every year. Patient has four daughters and has been happily married for 20 years. Patient denies using glasses or contacts she visits her optometrist every year and has never had a problem with her vision.

In our classroom syllabus there are three important things to note which are classroom rules, and expectations, attendance and make up work, and is the way my grade will be determined in English II. Some of these things will don't be heavily affected on my grade it still plays a role during this high school year for me. These rules and expectations might not be the best, but it's what I think the most important things are. My goal in this paper is to explain in more depth about the three important things in our classroom syllabus, also to make you understand the concept of these three important things in the syllabus.

Physical Functioning, health concerns, nutrition, home safety, illness, disabilities, medication: Patient has PPS of 40. Patient is diagnosed with liver cancer prognosis in terminal. Patient also has diabetes. Patient is on a low sugar, low sodium diet. Home safety: Patient has power and water, but family is unsure if they can pay for upcoming months. Social worker will send letter to the power company for power assistance as the patient is on oxygen concentrator.

Adam Rudd is a 78-years-old retired mechanic who lives alone in a small village located 30 miles outside of town. He was married for 54 years and has been a widower for 3 years. Rudd has two sons Mathew and Douglas, who live in different states and come to visit him once a year. Rudd has a friend, Jennifer, who lives close by and visits him twice a week. Rudd has been diagnosed with hypertension 15 years ago and has been taking Tenormin, Norvasc, and aspirin daily. Rudd takes care of himself alone and lately he has been feeling very weak and tired. He was not able to refill his medication for the past month because he was feeling very weak and could not drive to the pharmacy. He does not like to depend on other`s for getting help and

A fifty-two-year-old white male visited his physician because he started experiencing shortness of breath on walking short distances at ground level. He had smoked half a packet of cigarettes daily for 40 years. Physical examination revealed a loud fourth heart sound and a blood pressure of 147/95 mmHg. Chest examination and chest X-ray were unremarkable, and ECG showed left atrial abnormality. The patient had normal serum electrolytes, blood sugar, and kidney function tests. A stress echocardiogram was ordered to exclude potential coronary artery disease (CAD). His resting echocardiography showed an ejection fraction (EF) of 60%, normal septal and posterior wall thickness, and mild diastolic dysfunction [septal early diastolic mitral annular velocity (e’) of 7 cm/s, early diastolic (E-wave) to late diastolic (A-wave) transmitral Doppler flow velocity ratio (E/A) of 1.4, E-wave deceleration time of 210 milliseconds, and E/e’ ratio of 9]. There were no resting segmental wall motion abnormalities suggestive of ischemia. The patient exercised on a treadmill using Bruce protocol for 4 minutes and 43 seconds, and achieved 6.6 metabolic equivalent of task (MET) and maximum heart rate of 148 beats/minute (88% of his maximum age predicted heart rate). At peak exercise, the patient developed severe dyspnea and his blood pressure was 213/90 mmHg. Post exercise echocardiography was acquired within 1 minute of exercise termination with Doppler recordings obtained at

Patient also, has history of hypertension, GERD, morbid obesity, anemia, and depression. She reported that the past few months, she has been feeling very weak and overall generalized deconditioning. Her ability to care for herself including her activities of daily living (ADLs), and her basic physical needs (like bathing, grooming, ambulation, meal preparation, transportation, errands, and housekeeping), had decreased, and cannot consistently carry them out.