Chapter 12 Case Study (Finklelman & Kenner, 2013, p. 394) This case study involves a 21-year-old woman with a history of systemic lupus. She presented to the hospital with symptoms of dehydration. She had a recent history of dehydration with renal impairment. After receiving IV hydration in the emergency department, the physician told her her labwork was normal, but she was not feeling any better. She told him that normally, she had to receive additional IV fluids and a steroid injection. The physician told her that a steroid injection and more IV fluids were not indicated. He finally agreed to more IV hydration and the steroid at her insistance. She told him that normally, she requires an antiemetic prior to administration of steroids because she always becomes nauseated from the steroids. The physician argued with her and ultimately walked away. The patient received the steroid, and promptly became nauseated. She followed up with her own doctor the next day and had her labs redrawn only to discover that she was severely …show more content…
The patient felt light-headed and dizzy which are signs of dehydration. She had recently been in the emergency department with the same issues, and was dehydrated at that time. Her labwork that was drawn at the hospital was normal, but the next day, it indicated severe dehydration with renal involvement. The likely cause for this was human error or system error. Either the lab tubes were mislabeled or there was an error in the lab. Given her symptoms though, they should have thought to redraw the labs. The Institute of Medicine (IOM) core competency, “apply quality improvement” directs us to recognize errors, and change policies and procedures to improve quality of care. (Finklelman & Kenner, 2013, p. 264). Perhaps in this case, an error occurred as a result of a system error. If this can be identified, perhaps it can be improved
UCLA is a prestigious and well-known hospital for misunderstandings to be happening. If Resident Vellios did not know the answered, he should had asked for help or said I cannot answer these questions, but the treating physician can. I find it very unprofessional, and immature of his part saying, things that were not even true, and writing them on a medical record. He dealt with the situation
Lupus is a chronic, autoimmune disease that affects your immune system. This means the body’s natural defense system attacks healthy tissues instead of attacking only bacteria/viruses, therefore leading to inflammation. Lupus is a lifelong disease, but with good medical care patients can lead a full life. It is estimated that 1.5 million Americans have this disease, and it strikes mostly women around the age of 15-44. However, men/teenagers can get this disease as well; the common age for getting Lupus is 15-44. This disease is not contagious! You can’t “catch,” or “give” Lupus to anyone, not even through sexual contact. Lupus is not related to cancer, HIV, or AIDS. In HIV/AIDS patients your immune system is underactive, and in Lupus your immune system is overactive. Some ways to inform others about Lupus is to know the causes, symptoms, and treatment.
Systemic Lupus Erythematosus (SLE) is an autoimmune disease. The cause of the disease is unknown is still unknown today. Some researchers would lean it being caused by genetics being, that it mostly effects Asians and African Americans and is more prevalent in women than in men. Systemic Lupus Erythematosus disease causes the body's immune system to attack the healthy tissues accidently. It can affect the joints, skin, kidneys, brain, and other organs. Although, certain drugs can cause Systemic Lupus Erythematosus. Systemic Lupus Erythematosus can unknowingly happen at any age. Studies show that it appears mostly between the ages of 15-44. In the United States the reported prevalence of SLE is 20 to 150 cases per 100,000.
Imagine you have a normal life, a simple nine to five job, relax afterwards by going out with some friends or staying in to do some tidying up. Everything is easy and nothing is holding you back. Now, imagine doing all those same things while being in pain or with a visible rash across your face. You call out more often, have a hard time focusing on simple tasks such as cleaning, and socialize less often. This has become your new normal. Unfortunately, this is the crushing reality for those who suffer from the chronic symptoms associated with lupus. In the information to follow, it will discuss what lupus is and what it’s symptoms are, how to diagnose and treat lupus, and what can be done to live as normal a life as possible.
Lupus is when your tissues and organs are attacked by your immune system without recognizing that they are doing it, and it will continuously do so.Lupus means wolf in latin and it was chosen to because of the red skin inflammation that affects you when you have this chronic disease. It was during the 19th century that this name was chosen. Lupus is a genetic disease, and people who have it genetically may get it activated by the environment. There is no clear cause, but there might be a few things that will give you Lupus symptoms. Being in sunlight may give you skin damage similar to the lupus ones. Sunlight can also give your body an internal response. Infections may start Lupus or bring it back to those who already have it. Anti-seizure medicines may also give you Lupus
Lupus also known as Lupus Erythematosus is a long standing autoimmune disease. In an autoimmune disease the body immune system attacks itself. The inflammation that has develop by these attacks causes damage to the bodies tissue and organ. The frequently affected bodies tissue and organ are the brain, joints, skin, kidney, heart, lung, and blood vessel. Nevertheless, this disease is difficult to assess due to the widespread of affected age groups, ethnics, gender geography area and socioeconomic differences researcher and scientists cannot determine its origin. There is different form of lupus and the most common is SLE or systemic Lupus Erythematosus which affect many parts of the body, Discoid lupus erythematosus that causes skin rashes that doesn’t go away, Subacute cutaneous lupus erythematosus causes skin sores on parts of the body that are exposed to sun, Drug
In 1950 O’Connor began to experience health problems, and following her diagnosis with kidney disease she returned home to Milledgeville to live with her mother. At the young age of twenty-five, the writer was diagnosed with lupus, the disease that had killed her father. Lupus changed both the course of her life and her career as a writer. With her energy plummeting, O’Connor was forced to make the decision to either dedicate her time to writing or to pursue marriage and a family. She chose the former. Lupus also forced her to move back to the small town she had tried to leave behind. As an educated and eccentric female writer, O’Connor didn’t fit into Milledgeville society (Cash 134). This realization contributed to the subsequent move to
Systemic Lupus Erythematosus, SLE, is a chronic inflammatory disease that occurs when the body’s immune system attacks its own tissue and organs. Inflammation can affect many different body systems including joints, skin, kidneys, blood cells, brain, heart, and lungs. Lupus can be difficult to diagnose because the signs and symptoms, and a physical examination lead to a diagnosis. A facial rash across both cheeks resembling wings of butterfly is the most distinctive sign of lupus that occurs in many but not all cases. There is no cure for lupus and only treatments that can help control symptoms.
Some recent studies have reported that people diagnosed with Lupus have a significantly increased risk for Cancer, particularly leukemia and lymphoma. While this may make sense, at first glance, based upon the fact that Lupus is an autoimmune disease and, therefore, the immune system is compromised, there is still some question remaining as to whether higher incidents of leukemia and lymphoma occur in Lupus patients than within the general population. Exploring this topic would involve analyzing the incidence of comorbid Lupus & Cancer compared to Cancer in the absence of Lupus and Cancer in comorbidity with other autoimmune disorders.
About 1.5 million people around the globe suffer from the (sometimes deadly) disease, Lupus. Lupus, is a chronic autoimmune disease in which the body’s immune system becomes hyperactive and attacks a perfectly normal tissue. Some side effects of lupus include: loss of hair, depression, sensitivity to the sun, rashes, and countless more. Our main focus is the rashes/skin portion of the Lupus disease. More than 42 percent of people with Lupus develop rashes among the skin. Our client, Kaitlyn, suffers from this disease Lupus. She receives severe rashes upon the face, this is called a butterfly rash when you get it on your face. It typically happens across the nose and cheeks, which makes it a butterfly rash. Some other spots
Lupus has been one of the biggest challenges of my life but also an opportunistic challenge. I didn't always want to be a physician but one thing just led to another. I was so used to being in the hospital that i wanted to give back to the community when it had given me so much. I started volunteering at the hospital. I started to love helping people and soon wanted to be able to touch them because a touch is the greatest healing tool. So I enrolled in an EMT course right here at San Antonio college. having received my EMT degree i started to work at Methodist where i learned so much about caring for patient and new skills. I had experienced the hands on patience skills but i also wanted to see how doctors came to conclusions to certain medications
Systemic Lupus Erythematousus (SLE) is a multi-systemic autoimmune connective tissue disease, affecting multiple organs. Gastrointestinal symptoms are common in SLE patients, in about 19.2%–50% patients(1), but though they may not be as common as lupus nephritis, they are clinically important as they can be life threatening if not treated promptly.(2) Acute pancreatitis is an unusual and rare manifestation of SLE. Since it was first described in 1939 by Reifenstein et al, less than 200 cases have been reported in literature. It may present as an initial presentation of SLE, or more commonly, after the diagnosis of SLE, with patients complaining of acute onset abdominal pain. Current literature suggests that sudden withdrawal of low dose steroids
When I was 14 years old I almost died. I grew sick because I had Systemic Lupus Erythematosus. Only no one knew until it was nearly too late. I was later hospitalized and diagnosed. I came out of the hospital directionless, yet anxious; I had a weight of unplaced responsibility on my shoulders.
It’s the first time that I really think in stars and constellations. I see them all the nights but today was the first day that I look for a real meaning in those bright points in the sky. For my essay I choose the constellation “Lupus” and the reason it’s very easy, i love animals and wolf is one of my favorites. This constellation is situated in the south hemisphere between two others, Centaurus and Scorpius. In addition it’s not a big constellation; it is composed by thirty not very bright stars.
Ustekinumab is a monoclonal antibody that is designed to treat immune mediated inflammation disoreders. Examples of these disorders are Psoriasis, Systemic Lupus Erythematosus, Ankylosing Spondylitis, and Crohn's Disease. All these disorders are examples of inflammatory problem due to either the over stimulation of interlukeins protein or the body sees itself as a foreign matter and it attacks itself as the result. In the case of System Lupus Erythematosus the immune system attack major organs in the body, making it life threating for patients.