M. H. states that she is generally in good overall health. No cardiac, respiratory, endocrine, vascular, musculoskeletal, urinary, hematologic, neurologic, genitourinary, or gastrointestinal problems.
10. What findings in Y.L.'s history place her at increased risk for the development of other forms of neuropathy?
Per grandmother, the client’s pregnancy, and delivery were normal. The grandmother recalls that Keisha’s developmental milestones were reached appropriately, including basic motor skills such as crawling, walking and fine motor skills such as writing. According to the client, she experienced an accident when she was nine years old. The accident affected her brain causing her to experience a coma for more than a month. It took her several months of rehabilitation to be able to return back to school. Keisha reports fatigue and/or loss of energy very often. Even after sleeping for more than twelve hours per day she feels tired every morning. She has been feeling this way for more than three years. Furthermore, the client reports that she has poor appetite, eating one or two meals per day. Due to her decrease in appetite the client reports that she lost about ten pounds since last year. Keisha mentions that her appetite has decreased since she started high school. Per client, her father abused drugs when he was younger, which included heroin and crack. She is unaware if father continues abusing drugs. Per client, her mother did not abuse any drugs while she was alive. The client reports no allergies, traumas or chronic diseases affecting her
The appendix is a tubed shaped organ attached to the lower end of the large intestine. For a long period of time, the appendix was seen as a vestigial structure in the human body. However, scientists began to perform experiments in order to discover that the appendix might actually have a true purpose in the human body. It is hypothesized today that this structure might assist in the role of storing good bacteria in the body. The two articles discussed in this paper explain two author’s differing hypotheses of how the function of the appendix actually evolved to what it is today.
A.G.’s mother states that she was born at Sunrise Hospital in Las Vegas. She was birthed through cesarean at 36 weeks. Her heart rate continued to drop so they were forced todeliver earlier than planned. There were no complications during or after birth. She weighed 7.6 pounds. A.G.’s mother denies any surgeries, hospitalizations, or mental health problems. She was diagnosed with Chicken pox at the age of 9 years old but no other major childhood illness. The Apgar score is unknown. Last eye exam was 06/2016. She wears glasses but not consistently as recommended by the Optometrists. Last dental exam was 01/2016. There were no cavities or gum disease noted. Teeth were in good condition with all 4 wisdom teeth present. Last hearing test is unknown
When asked about S.J.’s father’s physical health, it was mentioned that his health has never given him problems before but at this point in time it is unknown. Her father is bipolar and a strong history of bipolar disorder runs in his side of the family. Also S.J.’s paternal grandparents have a history of pancreatic and lung disease, dementia and hypertension. As for her maternal grandparents, there is a history of diabetes, hypertension, migraines, cancer (breast and intestinal), and bipolar disorder. S.J. has no blood-related siblings. Furthermore, S.J. has a cultural (ethnic) background that consists of Native American, German, French, Hispanic, and
When first attempting anything, there is always going to be some sort of pressure to perform well. Dr. William Nolen, in his short story, “The First Appendectomy”, clearly expresses the stress he endures while performing his first surgery to the reader by his descriptions of the surgery. When he begins the surgery, he shows his first sign of stress, saying “I was ready to begin. Suddenly my entire attitude changed. A split second earlier I had been supremely confident; now, with the knife finally in my hand, I stared down at Mr. Polansky’s abdomen and for the life of me could not decide where to make the incision” (Nolen 147). Though Nolen was confident he could handle the surgery with ease, he ends up uncertain of what he is doing. He is straining
A well-developed, well-nourished female in no distress seated comfortably in the exam room. We did review her chart. It does show a Tdap in October 2008. She did receive her seasonal flu vaccine in the past fall and she did have the Pneumovax in October 2011. I do not have records of any other vaccines including travel vaccines.
She had not built enough immunity to the HIB vaccine. At that time; refusal of Hib
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
For the Hendrich II Fall Risk Model, the resident scored a 5, I assessed her while assisting her to the restroom, and noted she made multiple attempt to stand up from her wheelchair, which was successful with minimal assistance; she confirmed having challenges with getting off the wheelchair due to pain and her vision. The assessments I performed show high risk for falls, therefore, I educated the resident to press the bell whenever she needs help. I checked the bell to ascertain it was functioning, made sure that the locks on the wheelchair and the bed were functioning, and also assessed the room for anything that could lead to a fall. I checked the lights, and confirmed that everything she needs were within reach. Her follow-up care needs
A.B. has a positive history of keeping doctor’s appointments. She was last since in January 2015 for a well child check at which time she did receive her vaccinations (dTap, IPV, MMR, VAR, and IIV). She sees a dentist twice annually for cleanings and examinations and has an appointment scheduled for April 2016. A.B. participates in bathing and teeth brushing with help from mom and dad. She sits in the back seat of the car with a booster seat during every car ride and wears a helmet when riding her bike. There are
Client last physical exam was 1 year and 22 months ago, gynecological exam normal. Client reports that she does self-breast exams, regularly, and have yearly physicals. She states her immunizations are current since beginning law school las year. Previous medical history indicates that immunizations are current. Client admits she is sexually active and practice safe sex with the usage of condoms.
Diarrhea, constipation, pain and nausea stress related stomach issues are very common. If your stress is temporary, the associated upset stomach should calm down once the stressful situation is relieved. However, if your stress is chronic or severe, your stomach issues may be more constant.
Her eating pattern is overall good, she said her main drink of choice is soda. In addition, she stated that she was a smoker, but she decided to quit a few years ago. Lastly, she did state that she is sometimes stressed due to wanting to leave the nursing facility.