The Medical Team, Inc.

Describe health care condition/problem (ie pathophysiology) as told to you by the health care professional

Recommended Issues and Related Practice Examples to Address During Admission ......................................................................9 Inform patients of their rights..........................................................................................................................................................9 Identify the patient’s preferred language for discussing health care ............................................................................................10 Identify whether the patient has a sensory or communication need ............................................................................................10 Determine whether the patient needs assistance completing admission forms ..........................................................................11 Collect patient race and ethnicity data in the medical record

Alongside these nursing aids, our organization offers health concierge services to clients in their own comforts at home. Among the services we provide to our clients include Companion Care, which is designed to meet the needs of the elderly, Respite Care for patients recovering from illness, Jet Care geared towards the traveling customers, and Home Care that is focused on home-based care delivery. I have served in Home Care of La Jolla since its creation in 2002. The interest to offer a more customized and a need-based service to special groups in the society is the main reason for concentrating in the long-term care industry.

She herself seems to be in good health physically and is able to come to appointments. Her good physical health allows her to go the appointments and services she requires.

Anna Stork is a 72-year-old white female who was diagnosed with congestive heart failure 2 years ago. She has periodic exacerbations of CHF requiring numerous hospital admissions in the last six months. She has been followed by the Medical Center of Trinity Hospital cardiologist, Dr. D. Patel since the diagnosis. Anna’s past medical history is significant for anterior MI approx. 5 years ago, stent implanted, atrial fibrillation, arthritis, IAD and pacemaker implanted, and CHF. Her surgical history includes; stent, IAD, and pacemaker implanted. She denies any allergy history.

She is currently working for Kansas Big Brothers Big Sisters on an AmeriCorps VISTA grant which pays very near poverty level income. She has had many health problems in the last 3 years leading to an eventual visit to Mayo Clinic; at this point in time she is relatively healthy other than a torn ligament in her ankle.

As mentioned, the patient’s name is Joshua John Laurane. He is an African American male of 69 years with a past medical history of diabetes (Type II), hypertension, congestive heart failure, and high cholesterol. He first presented with these underlying

SC completed monitoring phone call with Pa on 10/30/2015. Pa reported that she is doing well. PA reported that she is receiving services as outlined in the ISP. She remains satisfied with services and feels that they meet her current needs. No fall, hospitalizations, change in health status or medications reported by Pa. Pa reports that she is doing physical therapy evaluation and therapy at Nova Care at 2301 Broad St for: knee, neck, upper thigh, lower back joint pain, muscle weakness, and problems with balance and gait. Pa has follow up appointment with Rheumatologist and Optometrist for evaluation and treatment of vision problems. Pa last visit with PCP was on 10/29/2015. Pa reported that her electricity and gas company was scheduled to be discontented due

Vital signs are in the chart. Reviewed, appear stable. Alert male, no acute distress. Pleasant and cooperative. Heart: Regular rate and rhythm without

The patient is a 67-year-old male patient who presented to the emergency room after a fall. The patient denies any loss of consciousness but complained of a severe right sided chest pain worse with movement and lying down. The patient was in the dialysis. He left early because of the pain. It is also to be noted he is on Coumadin. The patient's medical history he has a past medical history end-stage renal disease, anxiety disorder, chronic hypertension, descending aortic valve replacement (for which he is on the Coumadin), AV fistula in the left arm, and coronary bypass grafting with stenting. On presentation, initial blood pressure was 108/60 with a pulse of 79, respirations of 18 and a temp of 97. The patient's hemoglobin is 9.3 I.

This is a 49-year-old male who required inpatient hospitalization due to acute CHF exacerbation. He went to the ED due to complaints of lower extremity swelling accompanied by shortness of breath and productive cough. He also stated that he was having difficulty when lying, due to fluid collection in his lungs. His past medical history is significant for hypertension, CHF, DM type 2, and status post right toe amputation. On physical examination, he exhibited 4-plus bilateral edema which was red in appearance and tender to touch. He also had a left diabetic ulcer on the left foot. His vital signs included of a blood pressure of 148/88 mmHg, a temperature of 36.1 degrees Celsius, and a pain score of 10/10. Chest x-ray showed right pleural effusion

Each carotid artery was palpated one at the time and rated 2+ equal bilaterally with smooth contour. There was no presence of JVD. Auscultation at angle of jaw, midcervical area, and base of the neck, no presence of bruits. Precordium, no heaves visible. Heart auscultated with a diaphragm of the stethoscope. Regular rhythmic S2 and S1 sound heard at aortic, pulmonic, erb’s point, and tricuspid, no presence of murmur or splitting. Apical pulse listened for one full minute at 5th intercostal space in the left midclavicular line, rated 84, loud with regular rhythmic. History of hypertension. Client denied history of coronary arteries disease. Labs Na/138, K/3.9, Cl/10.2, Calcium/8.8, CO2/27.4, Anion gap/12.5; CBC with PLT no differential, RBC/3.54, HGB/10.5, HCT 30.8, PLT/275. Currently taking metoprolol (50 mg tabs PO BID) to manage heart rate. Diltiazem 120 mg PO daily for hypertension. Lovenox 40 mg subcutaneous every 24 hours to prevent deep vein thrombosis.

You bring a very important component in treatment - teaching. There is quite a lot that this patient can bebefit to include, proper sanitatation, nutrition, exercises to reduce weight, wound care, specific medication dosage and side effects monitoring, diabetes management among others. It will be important for the nurse to prioritise what to start with and present all information to the level of patient understanding.Good post

This is a patient with a past history of hypertension, hyperlipidemia, diabetes, CAD and congestive heart failure who presented initially complaining of chest discomfort in the upper left side of her chest which was thought could be consistent with angina. The patient's initial workup showed the blood pressure was elevated at 193/77. The EKG had nonspecific changes. The chest x-ray had no acute disease. The troponin was negative.

The patient chosen for this essay is a sixty year old man. This patient was one of the palliative care patients that the team of district nurses I was allocated to work with in my community placement care for. The patient has terminal liver cancer. The patient lives with his wife whom is his main carer. The district nurses had to visit him every day of the week. The patient had a syringe driver on situ which needed to be filled with a new dose of medication every 24 hours. Also the extension set needed to be changed to the other side of the patient’s body when the side it was on became sore. The main care needs for the patient were to