Essays on Acute

Nursing care models are distinct frameworks used in care settings to deliver care services. The type of framework adopted in an organization is determined by various factors, including economic factors, leadership, recruitment and retention of staff members, and type of decision-making models used in the organization (Fairbrother, Jones & Rivas, 2010). The type of care model used determines the quality and effectiveness with which care services are delivered. There are four main types of nursing care models, which can be broadly categorized into task-oriented or patient-centered. Team-nursing and functional care models are task-oriented, while primary-care nursing and total patient care ...

Introduction. 2

Strategic Plan3 Program Description.5 Leadership Challenges..6 Ethical Implications..7

Engaging communities and building constituencies.7

Budgeting, financing, and human resources.8 Performance management & Health Informatics..9

Appendix 1 SWOT Analysis10

Appendix 2 SMART Objectives..11 Appendix 3 Budget..13 References15 Introduction In the past decade, chronic lifestyle diseases such as type 2 diabetes, heart/cardiovascular disease and stroke have increased exponentially in the state of Minnesota. Sedentary lifestyle and poor diet has led to an increase in obesity which in turn has led to an increase in heart disease and stroke. Most adults in Minnesota have poor lifestyle which has increased their risk to heart disease and stroke. As per the Minnesota department of health, ...

Executive Summary: Eliminating Discharge Delays

Executive Summary: Eliminating Discharge Delays Bed capacity has emerged as a critical issue in hospital quality management with evidence indicating that inefficient discharges contribute to slow care and patient flow while further increasing costs. Changes made to the prospective payment system by Medicare in recent years have increased pressure on hospitals to cut costs through, among other ways, reducing patient length of stay (LOS) (El-Eid et al., 2015).

‘Eliminating discharge delays’ is a quality management project that focuses on reducing patient length of stay and as such improving hospital throughput. The project entails implementation of several strategies that collectively ...

Article critique

The title of the study provides a clear and succinct indication of the issues which will be touched on in the main study. The issues which will be discussed in the study includes nurse staffing, nurse work schedule and patient mortality have been clearly captured. Such a realization provides the reader with a sneak preview of what to expect when they read the study.

Abstract

The abstract of the study provides a clear breakdown of what the reader should expect to see while reading the paper. The problem of the study has been clearly stated as the independent effects which ...

Objective Data

Physical assessment procedures on the patient can help to identify some findings that can form a vital part of the pain diagnosis and influence treatment regimens. The following are some of the key inspections features that a health practitioner can seek out when assessing the patient according to “Chapter 8. Pain Assessment”;

Posture

The patient’s posture gives an insight into the effects of the pain on the physical aspects of the patient. An upright posture may indicate comfort while a slumped posture might indicate discomfort.

Facial Expression

A smiley face with appropriate facial expressions and proper eye contact would indicate that ...

The process of nursing care aims at ensuring that the care which patients are given in a health care facility has been tested and proven to result in positive outcomes. There are, however, instances where a particular nurse may be overwhelmed by their responsibilities or certain circumstances where the knowledge of a nurse regarding a particular care protocol may be deficient (Huber, 2013). In situations such as these, the delegation of responsibilities is needed. In this regard, a nurse in charge will be required to transfer the responsibility of performing such a task to another care provider while at ...

Post-stroke dysphagia, a potentially fatal complication, affects an estimated 23-50% of all stroke survivors. It is associated with a seven fold increase in the risk for aspiration pneumonia. Aspiration pneumonia increases the catabolic demands of the body and in the settings of impaired swallowing leads to a vicious cycle of malnutrition, dehydration, and further infections (Shaker & Geenen, 2011). Dysphagia affects a significant number of patients with hemispheric stroke which is the main subtype of ischemic stroke in the general population (Kumar et al., 2011). The functions of swallowing are subserved by a vast brain network. The inferior peri-rolandic sensorimotor ...

I. Management Summary The FM General Hospital aims to develop its growth marketing strategy, and the purpose of this plan is to present a market penetration strategy to address the health care trends projected over the course of the following five years. Specifically, it is expected that outpatient care and sub-acute care (i.e., home health) will be the most important trends in health care delivery and marketing in the future. It is also expected that targeting millennials with different sources of educational health materials, including websites and print materials, will be required to improve relationships between those groups of ...

Pathophysiology of Rheumatic Fever

Introduction Rheumatic Fever (RF) is the type of inflammatory disease that can develop due to untreated or inadequately treated throat infection (scarlet fever or strep throat) caused by a type of bacteria known as streptococcus (Carapetis, McDonald & Wilson, 2005). This paper is going to cover pathophysiology of the Rheumatic Fever. It will begin with the symptoms associated with RF. A description of mechanisms or processes that take place in a person infected with RF will be described. This will be followed by a discussion of the causes of RF. There is a section dedicated to the pathophysiology of RF ...

Appendicitis is a medical condition characterized by pain that emanates from the middle of the abdomen (BMJ, 2015). The initial pain is not severed, and may come and go, but in a matter of hours, severe pain travels to the right-hand side of the abdomen. Other symptoms of appendicitis include nausea, fatigue, fever, diarrhea, and loss of appetite. The severe and constant pain emanating from the right hand side of the abdomen is the distinguishing symptom between appendicitis and other similar disorders (Ehlers et al., 2016). Men have a higher lifetime risk to appendicitis – 8.6% - compared to women – ...

Acute illnesses are those conditions which take a very short duration before a patient fully recovers from them. Such conditions may either be minor or serious. Minor acute conditions are the ones that form the bulk of healthcare problems faced by persons living in communities like skin rashes or respiratory tract infections (Jones et al., 2010). Major acute illnesses on the other hand may come in the form of an acute exacerbation of a chronic illness which an individual may be dealing with as at a particular time or if a person experiences a sudden onset of a condition ...

Capstone Project Milestone 2

Asthma is the most common cause of in-patient admissions in acute care hospitals. Poor education and training of patients with respect to self-care and symptom management has led to an increase in the number of asthmatic patients reporting to the emergency department (ED) or acute care hospitals. It is empirical to understand the cause or trigger factors that relate to acute exacerbations of asthma. Some of the common triggers that causes asthma include exercise, infections, allergens, smoking, infection, gastric problems, hear burns, and indigestion. Based on current evidence, food allergens are considered as the most common form of allergens ...

Homework Assignment 1

Question 1: Explain the key difference between irritation and allergic contact dermatitis. Contact dermatitis refers to a condition in which the skin becomes sore, red or inflamed after direct contact with a foreign substance. There are two types that include irritant and allergic contact dermatitis. Irritant dermatitis occurs after a body comes into contact with acid or alkaline material. It can also be caused by other materials such as a soap detergent, fabric softeners, solvents and any other chemical that get into contact with the body. The irritation is usually confined to the specific area that the body came ...

A total of 57 million deaths were reported worldwide in 2008, and the majority of those deaths were caused by either non-cardiovascular diseases (36 million; 63%) or cardiovascular diseases (17.3 million; 30%) according to the World Health Organization (WHO, 2011). The highest mortality rates are associated with ischemic heart diseases and cerebrovascular diseases, which account for 45% and 29% of the cardiovascular-related deaths in men and 37% and 33% of cardiovascular-related deaths in women, respectively (see Figure 1). Ischemic heart disease is considered the most common cardiovascular cause of death as it accounts for 7.6 million deaths worldwide (Institute ...

The Most Appropriate Way to Evaluate the Five Year Strategic Plan that has been in place for the Last One Year Implementing a five-year strategic plan to ensure that it is executed in the stipulated period of time requires an elaborate evaluation method. The most appropriate method of evaluating the plan is an outcome based and a process based method. The proposed methods are effective for firms, which intend to show the effectiveness of their program (Pantoja et al. 2014). The outcome measurement method will help the hospital measure the quantitative and qualitative differences between the programs (Lamont et ...

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Description of HIV

Human Immunodeficiency Virus (HIV) is a virus that weakens and destroys the immune system of the body so that the body cannot defend the infection. HIV positive person also possesses AIDS (Acquired Immunodeficiency Syndrome), and if HIV is treated at its early stage, the risk of AIDS can be averted. If an HIV-positive person is diagnosed with AIDS, it means that the complete destruction of the immune system has been accomplished by the HIV and that increase the vulnerability of the patient towards various opportunistic infections. The ...

Doctor

ABSTRACT Young people in the United States are battling depression in record numbers, reaching an all-time high of 3 million patients in 2015. Researchers are continuing to search for alternative or additional methods than therapy and medications to improve depressive symptoms in teenagers and young adults. Some studies have demonstrated that as possible option in easing depression is physical exercise. In addition to assisting mental health issues, exercise promotes social interaction, physical health, and appearance. However, research has focused primarily on adults and therefore additional studies are needed with focus on the impact of exercise on depression in young ...

INCIDENT REPORTING ON THE ACUTE CARE SETTING

Healthcare risk management is an effort that is organized in a bid to identify, evaluate and reduce risk to patients, employees and visitors alike. The biggest asset of a hospital (besides the equipment the hospital owns) is the reputation it holds. The Florida Statute for risk management (Cap 395.0197) requires that each licensed medical facility is to have an internal risk management program led by the risk manager. The risk manager’s duty is to reduce and if possible prevent risk, and to enhance the safety of the patient. The risk manager carries out evaluation and control of risks ...

Introduction

Nurses play an integral, challenging, and complex role in the healthcare system. Nurses are considered as the backbone of the complex and diverse system that comprises patients and a multidisciplinary team of experts. Nurses are educated and trained to cater to a large group of patients and often seek continuing education and upgrade their skills and knowledge. It is only through clinical exposure that nurses learn and implement new strategies and techniques. Nurses are known to transform the healthcare system by acting as mediators between the patient population and the medical team (physicians and other allied healthcare members). Through ...

Introduction

Migraine is a common type of headache disorder which is characterized by moderate to severe recurrent headache. Migraine headaches are generally severe and could last up to 3 days, wherein the pain affects half of the head but the pain is pulsating in nature. People with acute migraine headache may have suffer from sensitivity to light, vomiting, nausea, and sensitivity to smell and sound. In some cases, the pain may become severe and worsen after physical activity. In 1/3rd of patients with migraine, a short period of visual disturbance or aura occurs which is an indication that the pain ...

Amoxicillin: A Review of Two Articles

The purpose of this paper is two examine two studies on the topic of the efficacy of amoxicillin or amoxicillin clavulanate as treatments for otitis media. The paper will describe the two studies, point out the major differences, and concludes with speculation as to why one study recommends the broad-spectrum penicillin antibiotic whereas the other recommends a wait and see approach.

Design of the Studies

Both the Dutch study, Damoiseaux et al. (2000), and the Finnish study, Tahtinen et al. (2011), used a randomized, double blind, placebo-controlled design to test the efficacy of amoxicillin or amoxicillin clavulanate. The inclusionary criteria in the Damoiseaux ...

Homeopathic treatment for Insomnia (sleeplessness)

Homeopathy is considered as an alternative medicine practice compared to modern (allopathy) practice. The concept of homeopathy relates to pseudoscience wherein the treatment of an illness is not part of a scientific rationale but the normal recovery of the person. Homeopathy was first introduced by Samuel Hahnemann in 1796 and has been used since then as an alternative treatment for many acute and chronic illnesses. Some researchers suggest that homeopathic medications or agents act like placebo in terms of modern medicine, wherein the recovery or cure of the illness is not due to the medication itself but part of ...

Diagnosis

The diagnosis that can be made from the symptoms of the patient is community-acquired pneumonia (CAP). CAP is a severe disease of the lungs that occurs in people who do not have regular access to health care services. The risk factors of CAP include old age and medical comorbidities. CAP has been defined as comprising of chest pain, productive cough, fatigue, shortness of breath, fever, sweating and shaking chills (Musher, & Thorner, 2014). Bacteria such as Streptococcus pneumonia, atypical organisms such as Mycoplasma pneumonia, fungi, and viruses may cause pneumonia.

Gram Staining

The sputum taken from the lungs after a deep cough ...

Subjective

MN is a 75 y/o African-American female who presents with complaints of shortness of breath, nausea, reduced urine output, fatigue and swellings in the legs as well as the ankles. The patient states that her symptoms began three days prior to her visit to the clinic and has had a decreased urine volume. Initially, the patients attributed the symptoms, especially nausea and fatigue to the side effects of the medications that she used in managing hypertension and diabetes. However, she states that the symptoms have gradually worsened and that was the reason for visiting the clinic. Past medical history: ...

Genesis HealthCare services are one among the United States’ largest post-acute healthcare provider. Here are some of the internal elements that demonstrate the recent organizational portrait of this company. 2012-Welcome the Dr. Tami Secor as the newest member of the Genesis Physician Services group. This was in line with the entity’s objective to offer quality health care to patients. Dr. Secor will assist in managing of the short-and long-term medical needs of patients. 2013- During this year, twenty-two of Genesis HealthCare received awards for their commitment to quality care. The awards signify the organization’s adherence to high ...

Nursing: Critiquing a Quantitative/Qualitative Study

A quantitative assessment of patient and nurse outcomes of bedside nursing report implementation

Introduction

This quantitative research critique encompasses an evaluation of the research problem and purpose. An evaluation of the hypothesis and research questions will be undertaken too along with an assessment of the literature review and theoretical framework. The entire methodology will be reviewed. Quantitative research studies unlike qualitative apply statistics in explaining a phenomenon. These features of the research design will be fully explored. Study # 1: Sand-Jecklyn, K., & Sherman, J. (2014). A quantitative assessment of patient and nurse outcomes of bedside nursing report implementation. Journal of Clinical

Nursing; 23(19 - 20); 2854–2863

...

Introduction

Laurel Ridge Health Care Organization is a chain of nursing homes and medical facilities that specialize in providing quality health care for their clients. The organization is reputed as a leader in quality health care provision. The facilities that are provided by this health organization aim at maintaining perfection when it comes to health care. The facility has a large panel of qualified medical personnel, who work around the clock to provide the best medical care to their clientele. They have a high staffing rate that is the quest for a provision of quality health care. Currently, they have ...

Main Risk Factors for Cardiovascular Disease

According to the World Heart Federation (WHF, 2016), the majority of cardiovascular disease (CVD)’s etiology stems from risk factors that can easily be controlled or managed or modified although a few other risk factors cannot be controlled. For that matter, the risk factors can be grouped into two broader categories (I) modifiable factors and (II) non-modifiable factors. For the modifiable factors, they include hypertension, cholesterol, unhealthy diets, obesity and overweight, physical inactivity, and the use of tobacco (WHF, 2016). On the other hand, the non-modifiable factors include age; the risk of CVD increases with age because as a ...

Introduction

Sickle Cell Anemia or Sickle Cell Disease is an inherited blood ailment. Those suffering from Sickle Cell Disease have abnormal S/ sickle hemoglobin in the red blood cells. Hemoglobin is the protein in the blood that aids in carrying oxygen throughout the body. The ailment takes its appellation from the shape of the red blood cells of a person affected by Sickle Cell Disease, which have the shape of a sickle. They are stiff and adhesive rather than a disk like normal cells. The misshapen cells tend to get trapped in the small blood vessels hindering the movement of ...

Introduction

A recent report of the International Longevity Center-UK (ILC-UK) indicated that dementia can no longer be viewed as an isolated disorder due to a high prevalence of medical comorbidities, often undiagnosed, associated with it (Scrutton & Brancati, 2016). Patients with dementia also had received a less coordinated comorbidity treatments, resulting to the faster decline of their daily functioning, a reduction in their quality of life (QOL), and earlier mortality events than patients with these comorbidities, but in the absence of dementia. The report also noted other important findings, which exacerbated the need for better therapeutic options in dealing with dementia, ...

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Corresponding Address and email)

A case of 83 years old woman has been presented by Buck & Saver (2007). The woman had a history of hypertension, dyslipidemia, and long-term hypothyroidism. She also faced curative mastectomy for breast cancer. Findings showed that the stroke was probably caused by an artery-to-artery embolus caused by aortic arch atherosclerosis. At the time of stroke, she slumped to the right side, and her speech became nonfluent and slurred. However, language function slowly improved over the next 48 hours (Buck & Saver, 2007). The woman was already receiving a statin and two antihypertensive medications (Buck & Saver, 2007). It ...

The case is based on acute right quadrant abdominal pain of Mrs. DC who comes to the emergency department. She states that the pain occurred after dinner and has steadily increased. She complains that the pain has increased substantially which has moved towards her back. She also reports to feel bloated and gassy (Yarmish, et al. 2014). The cause of upper right quadrant pain can be due to varied reasons which is based on the general conditions, age, and sex of the patient (Mazzei, et al. 2013). The medical history and physical examination of the patient would help in ...

Gap in Care Quality during the Discharge Process for Care Coordination for Patients with Chronic Illnesses

Patients in the United States who experience long-term illnesses may change from one health care setting to another. They might move from home to a hospital, to an assisted living facility, or to other types of residential care. The coordination of care for patients with chronic illnesses is reliant on the abilities of health care providers to interact effectively in order to provide optimum outcomes (NTCC, 2010). In order to determine the best possible option for the patient, care coordinators must accurately assess the patient’s condition, reach a consensus on prognosis, evaluate possible resources, and develop and initiate ...

Introduction

Atherosclerotic cardiovascular disease (CVD) involves peripheral circulation, the brain, and the heart. The disease is a primary health issue in many countries around the world (Sawhney, et al., 2012). CVD develops through complex processes involving novel risk markers and common risk factors. Decades of research have demonstrated that a sibling’s or parent’s family history is linked to the development of atherosclerotic CVD (Gupta et al., 2013; Nelson, 2013; Imes and Lewis, 2014), which manifests as peripheral arterial disorder, stroke, and coronary heart disorder (CHD). Various Mendelian disorders have also been shown to contribute to atherosclerotic CVD. Although ...

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Corresponding Address and email)

Hypernatremia and hyponatremia Hypernatremia and hyponatremia are among the most common electrolyte disorders in older people. Hypernatremia is caused by an increase in the concentration of the sodium in extracellular serum to more than 145 mEq per L. On the other hand, hyponatremia is caused by a decrease in the concentration of sodium in body, i.e. less than 135 mEq per L. Hyponatremia can be acute or chronic (Buttaro, 2013). Both hypernatremia and hyponatremia are commonly found clinical problems in critically ill patients. They are often asymptomatic, but in some patients their symptoms appear that can ...

2017-01-02

Abstract The issue of such parasitic disease as toxoplasmosis is presented in this paper. This disease is caused by the pathogen Toxoplasma gondii. The cases of toxoplasmosis are more prevalent in African countries and countries of Latin and South America. The toxoplasmosis usually has final and intermediary owners: domestic animals (primarily cats) are the intermediary owners and they can infect human. There are different forms of the toxoplasmosis. The adult organism with the strong immune system may not even notice that he is sick. At the same time, the common symptoms of the toxoplasmosis are similar to the acute ...

There are various dynamic issues in health care system. It is worth noting that a visit to a medical facility in the community reveals tremendous changes in the health care landscape. Today, changing healthcare landscape is streamlined towards improving the quality of health care. On the same note, the main emphasis is reducing the overall costs of health care in the clinics and hospitals within the community. The marketplaces and regulatory forces play a key role in the changing health care landscape. It includes the consolidation trends, clinic profitability, changing federal reimbursement, as well as, shifting of ownership patterns. ...

EPIDEMIOLOGY OF COCCIDIOIDOMYCOSIS

EPIDEMIOLOGY OF COCCIDIOIDOMYCOSIS

Background: Clinical Description

The disease causing agent, Coccioides spp., causes a wide range of illness, but these illness are mostly determined by the hosts' defenses, inoculum size and possibly specific organism virulence. Most of the clinical infections (about 60%) show few or no respiratory symptoms. However, the rest 40% may show symptoms of illness that may either be acute or sub-acute. The illness could range from progressive pneumonia to flu-like conditions. Misdiagnosis usually occurs in self-limited community-acquired pneumonia. According to Saubolle, McKeller & Sussland (2007), only 29% of 56 people who had community-acquired pneumonia were diagnosed of coccidioidomycosis. The exact ...

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Introduction

Pain is an unpleasant sensory and an emotional experience which is associated with the potential damage of tissues (Gregory & Haigh, 2008). There are various factors that contribute to the pain psychology such as psychological and environmental. Acute pain is associated with the actual tissue damage which is associated with the surgical incidence and tissue damage. When the pain is experienced for a longer period due to unknown reasons or any underlying problem, it’s called chronic pain which illustrates the pain of Mr. John Smith due to ...

Introduction

This scholarly paper identifies the advantages of pursuing a post graduation degree in advanced practice nursing through systematic exploration of evidence – based research literature. Healthcare facilities affected with an acute shortage of nursing professionals and resultantly the existing nurses remain overburdened with additional work responsibilities. Due to the limited scope of clinical practice of the nursing workforce, the autonomous administration of healthcare interventions in complex medical emergencies proves to be a biggest challenge that leads to the deterioration of psychosocial as well as physiological conditions of the affected patients. Therefore, skills enhancement of registered nurses is the need of ...

During the second week, the CRP analysis was performed in the class. Blood testing for C-reactive protein aids in the rapid identification and verification of the progress and effectiveness of the treatment of infections, injuries and inflammation. The analysis was conducted to determine the acute infectious diseases, to monitor the effectiveness of treatment of chronic diseases (amyloidosis), monitor the effectiveness of antibiotic treatment (pneumonia, septicemia, neonatal sepsis, meningitis, etc.) (Arinzon Z. et al., 2011, p.365). In addition, it helps to define the determination of the risk of cardiovascular events in patients with atherosclerosis, diabetes but also on chronic hemodialysis ...

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Question 1: Pathophysiology of Mr. Jensen’s post-operative hypovolemia

Hypovolemia is a surgical condition that indicates the rapid fluid loss that may result in organ failures. The outcomes of the hypovolemia are mostly due to insufficient circulating volume or scarce perfusion. Often hypovolemia is secondary to hemorrhage the reason of which includes severe internal or external blood loss and GI, thoracic and abdominal bleeding maladies (Devitt, 2001). Hypovolemia involves significant fluid loss other than blood that can be further accompanied by refractory gastroenteritis and widespread burns. Hypovolemia may develop in post-surgical incidence, bone fracture, due to ...

Overview: Overview: Antigen-antibody reactions are commonly used in immunological assays. In a traditional agglutination assay, the end product is a visible antibody-antigen complex that settles as visible particulate matter in the solution. In other cases, the reaction is invisible and wants the use of a specific enzyme or isotopic probes that can amplify the signal created by the antigen-antibody reaction, so that they can be detected with the naked eye or an ELISA/RIA reader1. Hemagglutination is a visible antigen -antibody assay in which soluble antibodies react with antigen on the surface of (red blood cell) RBC to form a ...

Step1: Patient situation:

The first step in clinical reasoning is to describe the patient in the context of the clinical situation. Ms. Melody King, a 36-year-old female was presented for an emergency laparoscopic surgery for a ruptured appendix. She has a medical history of asthma and depression. Her medication list includes Ventolin, Seretide, Sertraline. Postoperatively, Melody developed peritonitis and was treated with antibiotics and analgesic. The biopsy results of Melody’s sample revealed the presence of adenocarcinoma. Melody will need to undergo a few most test, and till then continue her stay at the hospital. The diagnostic tests: CT scan of chest, ...

The Marshall Islands are a part of the group of islands called Micronesia. They are a presidential republic that has a free association with the United States. The US provides the country with access to agencies such as the FCC and USPS, defense, and subsidies. The country’s wealth is based on agriculture, fishing and primarily the service industry. Nuclear testing was conducted on the island from 1946-1958. During this time at the Pacific Proving Grounds the US conducted testing of 67 nuclear weapons (Barker). These tests include Castle Bravo which is the largest nuclear test ever conducted by ...

The case study presented here demonstrates a clear diagnosis of Benign Prostratic Hypertrophy or BPH.

Pathophysiology: The disease condition known as benign hypertrophy of the prostate usually develops initially in the transition zone of the periurethral region of prostate. This zone usually consists of separate lobules of tissues lying external to the sphincter. Majority of ducts of the transitional zone of urethra lie on the lateral part of urethral wall. It is important to note that it is the point of urethral angulation near verumontanum. Near the origin of this transition zone, there are glands of periurethral region. These are usually confined in the preprostatic opening. According to a renowned researcher, majority of the ...

Abstract

Heart failure (2.6% prevalent worldwide) is a complex clinical syndrome, resulting from a structural or functional cardiac disorder and impairing ventricular filling or ejection capability. The current case of a 59-year-old male patient admitted on August 18, 2016 due to worsening shortness of breath and bilateral left extremity edema (one week) involved an existing diabetes mellitus type 2 (DM2). Physical and clinical profiles indicate a comorbidity between heart failure (HF) and DM2. Laboratory and imaging findings were not indicated, while diagnosis was based on the NYHA Classification guidelines. A review of literature revealed three crucial weaknesses in the diagnosis. ...

Acute abdominal ache can be grouped in multiple procedures. The most regular procedure is by splitting the sources into two major categories; nonsurgical pain versus surgical, and extra abdominal versus intra-abdominal causes. A range of conditions, which vary from self-limited and benign ailment to surgical crises, might generate acute abdominal ache. An optimal tactic to detect the rationale for abdominal ache should depend on the probability of complaints, disease, and other aspects of laboratory tests, patient history, imaging studies, and findings on bodily examination (Adams, 2013). The biliary ailment is the top course for acute gastric surgery amid the ...

Patient initials: MK Age: 60 Sex: M

Care Plan Subjective MK, the patient presents with a chief complaint of decreased urinary flow but has also had troublesome nocturia for the last two weeks as well as significant terminal dysuria. History of present illness: Patients states that in the past day he has had significant difficulties especially in starting his urine flow and this has affected his ability to enrage in normal daily activities. Patient denies radiating pain. Patient history: Patient has had a history of hypertension, hypercholesterolemia, costochondritis, as well as suspected angina characterized by chest wall syndrome which was however treated.

Significant family history: There is also a probable positive family history for cardiovascular or heart diseases

Objective: Patient is a ...

Introduction

In the past few decades, community policing in the most parts of the USA have been affected by the acute shortage in police applicants as well as difficulties for the police departments to retain the existing officers. With the increase in crime in the major cities as well as the increase in external aggression, the reduction in police officers is bound to become a problem that needs to be addressed at state and national level. Over the last three decades, there have been an increase in homicides, violent crimes, and shootings not to mention the several terrorism incidences that ...

Care Plan

Subjective The patient presents at the clinic complaining of nocturia, decreased urinary flow, decreased flow as well as terminal dysuria. TG states that the symptoms have been persistent for the last two years but the last two weeks have seen a significant increase in intensity of the symptoms. TG denies any case or instance of radiated pain within the period of two weeks,

Objective:

60 year old, Hispanic male

Vital signs: BP at 140/92;

Pulse rate: 80; Temperature: 99.0 Weight = 200 pounds; height = 71”, BMI = 27.9

Patient Hx for hypercholesterolemia, hypertension, costochondritis, suspected angina, possible family history of heart disease in the family

Patient denies any use of alcohol, tobacco, or drug abuse Current medication list: Cardizem 240mg QD and Zocor 20mg ...

Appropriate clinical reasoning ensures that the patient receives the right intervention at the right time and for the correct reasons (Rossiter, 2013). In addition, the use of evidence-based practice (EBP) guarantees that the chosen intervention is right in terms of effectiveness supported by research findings. The clinical reasoning cycle (Levett-Jones, 2012) is a useful framework to guide the clinical reasoning process. The purpose of this essay is to apply this framework in the planning of nursing care to address dyspnea in Mr. Thompson, a 70-year-old gentleman admitted to the coronary ward with congestive heart failure (CHF). This essay will ...

Tele-Medicine in a Satellite Facility

Telemedicine is an old concept but new technology that enables a healthcare provider at one location to provide basic healthcare services such as diagnosis, intra-operative assistance, and medical consultation to patients, physicians or paramedical staff in a satellite or remote facility. Most researchers and scientist believe that there is no substitute for patient-doctor face to face interaction; however, telemedicine could be used to manage a few medical cases efficiently and remotely. In first prototype of telemedicine was introduced in the 1980’s in the form of slow-scan images, facsimile machine or telephone (Hsieh, & Hsu, 2012).The mode of communications ...

Delirium Case Study

Acute confusional states also known as delirium are medical emergencies associated with substantial morbidity, mortality, and healthcare burden (Bassetti, 2007). The core characteristics of delirium are acute cognitive dysfunction and inattention. Delirium can result in permanent sequelea or become chronic (Fong, Tulebaev, and Inouye, 2009). This paper will examine the case of a 64-year old lady who presents with acute confusion, disorientation, and agitation. It will identify the key information provided and other essential information that needs to be identified. It will also examine the differential diagnoses and the most probably diagnosis for the patient. It will explore the ...

Novel drug sourced from snake venom

Abstract The cardiovascular and cerebrovascular diseases have continued to be some of the leading death causes across the globe. In the recent times, the field of medicine has received substantial advancements, particularly in the areas of pharmacological treatment and the prevention of the disorders such as the plasminogen activators, platelets GPIIb/IIIa antagonists and the direct thrombin inhibitors. The development of the novel drug, the tirofiban sourced from the Echis carinatus venom been highly reported to be of great importance. Tirofiban, an anticoagulant factors isolated from Echis carinatus has a variety of immune responses that includes both acute inflammatory responses ...

Insomnia

Introduction Insomnia is the condition in which sleep disorder takes place and reduces the tendency to fall sleep. It also effects the duration that an individual is required to stay asleep in order to stay healthy. This condition occurs due to the daytime sleepiness, anxiety and depressed mood. However, scholars have also argued that the frequency of inadequate lifestyle can be a cause of the increasing rate of insomnia. It is observed that the occurrence of insomnia can range from short-term, long-term and periodic basis, and can result in life threatening situations if it is left untreated (Bonnet & Arand, ...

Multiple choice questions

Multiple Choice Questions

Increased erythropoietin production Increased heart rate Increased cardiac output Enhancement in oxygen extraction The answer for this question is b. increased heart rate. A reduction in tissue oxygenation as happens in anemia stimulates increased production of erythropoietin through a complex feedback mechanism. Increased production of erythropoietin enhances erythropoiesis in anemia. Increased extraction of oxygen in anemia is a compensatory mechanism that is mediated by an increase in 2, 3-diphosphoglycerate concentrations. Increased cardiac output is the main hemodynamic compensatory mechanism in anemia that aims to increase blood flow to the body organs. An increase in heart rate ...

Performance Measurement Of Acute Care Hospitals In Illinois, USA

Based on the Medicare hospital compare database, a total of 3 acute care hospitals were assess for performance measurement using various parameters. The three hospitals for the performance measurement analysis include: (a) Advocate Good Samaritan Hospital (b) Edward Hospital and (c) Westlake Community Hospital Based on current evidence and the data obtained from the Medicare Hospital Compare Website, two recommendations should be incorporated in Advocate Good Samaritan Hospital order to improve patient satisfaction and experience (i) Train and enhance the nursing staff to cater to the needs of all patients administered to the hospital as and when required (ii) ...

INTRODUCING EMERGENCY SEVERITY INDEX (ESI) FOR BETTER PATIENT OUTCOME

Introducing Emergency Severity Index (ESI) for Better Patient Outcome Introduction to ESI The core objective of various triage tools across the emergency department attributes to the systematic prioritization of the patients in accordance with the severity of their clinical conditions in the context of determining the period until which the patient might wait in the emergency department before his/her evaluation by the healthcare professionals (Gilboy et al., 2011). The nurse professional after executing a focused assessment of the patient determines the waiting time and accordingly provides a triage acuity level of the patient in the emergency department. The patient ...

The causes of both acute and chronic abdominal pains may be different among persons within different age-groups as a result of the age effect on predisposition to certain causative factors (Budhram & Bengiamin, 2013).

Acute abdominal pain in 20-year old versus 50-year-old males

For a 20-year old male, acute abdominal pains may be caused by various gastrointestinal conditions that are more prevalent within this age-group, mainly due to lifestyle issues. Among these factors include; gastritis and GERD (Budhram & Bengiamin, 2013). These two conditions may be caused by increased intake of acidic foods and drinks such as coffee and tea. Additionally, an acute abdominal pain for a 20-year-old male may ...