Purpose: Comprehensive Geriatric assessment (CGA) provides in-depth evaluation of morbidity and mortality of geriatric patients and can be an effective tool in assessment of pre-transplant patients. A CGA requires hours to administer, additional time and personnel to obtain results, consultation with a geriatrician and multiple visits for result discussion and intervention. An electronic geriatric assessment (eGA) can offer a more complete and accurate assessment of deficits in a time efficient manner. We assess feasibility of incorporation of an electronic GA with real-time instrument scoring into cancer clinic.
Methods: We performed a pilot prospective cohort study on 100 patients with plasma cell dyscrasia during their pre-transplant
The ability to conduct an efficient and effective clinical and diagnostic interview is arguably one of the most valued therapeutic skills. It is during the interview that the therapist learns about the difficulties and challenges experienced by the couple and begins to form the foundations for a healing professional relationship. There are three basic assessment elements that should guide every interviewing session.
Patients who underwent this procedure had to remain on immunosuppressive drugs for about 6 months to prevent the recipient’s immune system from destroying the donor cell. One out of seven patients that had this procedure done had a relapse because they stopped taking their immunosuppressant drug during the critical stage of treatment. This treatment has proven successful, but there still remains the concern of tissue rejection and other complication. Nevertheless, this approach still provides encouragement for people suffering with the disease.
This essay will use a case study to explore the role and contribution that social work brings to an Aged Care Assessment Team (ACAT). The case study chosen involves Joe: a man in his 80s who has recently been diagnosed with two chronic illnesses; suffered a fall at home and has a weakened social support system. By exploring the knowledge and skills that a social worker would draw upon to help a man like Joe, it will become evident that while social workers are unique members of an ACAT they are often restricted in their work by the limited nature of the ACAT role.
When working with a service user you adopt an holistic approach to their care. This involves caring for the person as a whole and also involves you coming into contact with various other people involved in the person’s life. This can include other carers, doctors, social workers, their friends and family and it is very important to work together, as a team in partnership which has basic ground rules including agreements on: purpose/objectives, communication, roles and responsibilities, decision making, resolving conflicts and sharing information to enable you to reach a common goal and provide the best care and
Trauma one Pediatric Emergency Department! Trauma one Pediatric Emergency Department responding over! Rescue Unit 29 transporting a 12 year-old boy, named Mike, hit by a car while riding his bicycle. This is a hit and run accident, but other motorists called a rescue unit. The child was not wearing a helmet. Facial bleeding is under control, but he suffered facial and head trauma. There appeared to be no facture of the extremities. Presently he is awake and semi-alert. Vitals signs: BP 120/56, Pulse 120, Oxygen
The patient’s previous function should always be considered so as to know how far the patient has deteriorated and thus be able to consider the decline as either normal or abnormal. Nevertheless, Nathan also mentioned this, saying that older people are not afforded the same history and investigation as younger ones, thus driving basically the same point home. Older patients are discharged quickly without even being properly treated, consequently making their ailment become worse as time passes. We cannot just assume that what a patient is going through is normal and thus unimportant, rather the authors make it clear that we should give older people the same options, care, and patience that we offer to the younger
Comprehensive assessments are fundamental in high acuity nursing as it allows nurses to establish a baseline for the patient, determine oxygen supply and demand, provide individualized patient care, and make clinical decisions (House-Kokan, 2012). The components of a comprehensive assessment, including a physical assessment, corroborative diagnostic data, and the family issues will be assessed (House-Kokan, 2012).
Connecting consumers to reliable health care information or health care providers can be challenging for any institution. At the current time, there are two popular methods that allow consumers to access health care. One method to obtain reliable health-related information is through an electronic web-based resource. The other option, if a consumer prefers to see a health care provider in person, is through a walk-in clinic. Utilizing these resources allows the consumer to see a health care provider for acute and minor illnesses or obtain detailed information and potential treatment options via the internet. When looking to increase usability and awareness, institutions should understand the values and preferences of
The Wisconsin Alzheimer’s Institute has developed a program that is key in promoting early detection of dementia. The WAI-Affiliated Dementia Diagnostic Clinic Networks give individuals an opportunity for memory screening through a memory clinic setting. The process of setting up such a system is very extensive and needs an abundance of support from local health care systems. Once the support systems are on board, an interdisciplinary team needs to be established and the appropriate staffing roles are filled. The staffing team and their collaboration play a very important part in running a successful memory clinic and detecting early dementia.
Our focus was determined by The School Improvement Team (SIT) based on recommendations from the Comprehensive Needs Assessment (CNA) provided by the North Carolina Department of Public Instruction (NCDPI) and shared in part A of AAPSL. Literacy skills is the focus and the improvement of literacy skills is our instructional aim in order to improve English II EOC scores. Therefore, instruction that is relevant and rigorous will be used to improve testing.
The purpose of this paper is to complete a comprehensive evaluation on an elderly client. This comprehensive evaluation will give a brief history of the elderly client, along with a detailed evaluation of the client’s health status and maintenance. The elderly client of choice for this paper is Adejumoke Adewunmi. Ms. Adewunmi is a 63 year old, African female who lives in Baltimore, Maryland. Ms. Adewunmi was born on January 21, 1951, is a widow, and has four adult children who reside in the state of Maryland. She is employed as a Nurse at Mercy Hospital and is the main source of income in her household. Ms. Adewunmi experiences normal age related changes such as deteriorating eye sight; she however, has bowel and urinary continence, and normal hearing in both ears. Ms. Adewunmi wears glasses for day and night time vision, she drives, and remains healthy and active through proper nutrition and exercise. She has never had surgery, has no known allergies, does not smoke, and consumes wine occasionally. Ms. Adewunmi’s medical history consist of hypertension, fatigue, and anxiety. In order to maintain her health, Ms. Adewunmi takes Lotensin for hypertension, and multivitamins. Ms. Adewunmi has a Bachelor of Science degree in Nursing and has been employed as a nurse for 35 years, she states that nursing is her “passion and what keeps her striving every day to go to work despite her age is her patients and the need to supply for her family.” Ms. Adewunmi is the main source
My life expectancy age is 79 years old. I have always heard of Life Expectancy Assessment, but I never knew what it was about. It is actually good type of assessment to see what you need to do to determine how long you are going to live. For example, to see how is your family history and to see if you have in medical problem. I was surprise that education, economic status, and marital status had to do with it. I guess by people living in certain life can really effect on how their lives. It makes you want to change the way you live now, so you can live a long life.
In October 1988, the first umbilical cord blood transplant was done on a young five-year old boy named Matthew Farrow in France, who was diagnosed with severe aplastic anemia due to Fanconi anemia. The umbilical cord blood was collected at birth from Matthew’s newborn sister who, through prenatal testing, had been found to be unaffected by Fanconi anemia and was HLA-identical to Matthew. The UCB was cryopreserved and taken from Indiana to France, where it was then thawed and injected into Matthew. There was no evidence of graft-versus-host disease, and according to Ballen, Gluckman and Broxmeyer, as of 2013, Matthew is “healthy with complete long-term hematological and immunological donor reconstitution 25 years after
The Stanford group has performed a series of clinical trials using CD34+ purified cell transplants to induce tolerance to an HLA matched and mismatched living kidney donation. The first six patients were transplanted between 2000 and 2003 and had HLA-disparate donors104. Both related and unrelated patient/donor pairs ranged from a 3/6 to 0/6 HLA match. Six weeks before transplantation, the donors were treated with five doses of G-CSF for bone marrow mobilization. They then completed leukapheresis to harvest the peripheral blood mononuclear cells. The researchers selected the CD34+ mononuclear cells using a magnetic bead column resulting in >75% purity. Recipient conditioning included IV infusion of 1.5mg/kg rabbit ATG on days 1, 3, 5, 9, and 14 post-transplant and daily TLI (80cGy/dose for four
Geriatric health assessment tools are designed to evaluate an individuals functional capacity, physical well being, perception and mental well being. It is normally begun when the Doctor distinguishes a potential issue. Specific components of physical well being that are evaluated incorporate sustenance, vision, hearing, fecal and urinary self restraint, and balance. The geriatric assessment helps in the analysis of theuraputic conditions ; improvement of treatment and follow up arrangements; coordination of administration of care; and assessment of long-term care needs and ideal placement. The geriatric assessment differs from a standard medical evaluation by including nonmedical domains; by emphasizing functional capacity and quality of