BACKGROUND: Super-utilizers are individuals with disproportionately high inpatient and emergency department (ED) use‚ and mostly have multiple chronic conditions and use multiple concurrent medications. They place a substantial burden on the U.S. healthcare system and have become the focus of policy initiatives aimed at reducing their disproportionate inpatient and ED use. Medication management is critical for these patients since nonadherence to essential chronic medications is associated with poor
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osclerosis‚ a largely preventable cardiovascular disease. CAD can lead to chest pain and heart attack. Cardiovascular disease is a sub term for a number of diseases that can affect the heart and blood vessel system. If people have diabetes mellitus‚ hypertension and hyper cholesterolemia they are more settable to this kind of disease. Congestive heart failure is where the muscles or valves in your heart become weak or fail. This means it will not function correctly. The kidney notice that it is not
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Introduction Aging is an inevitable and natural part of life. Having to deal with a multitude of different patients‚ nurses should understand that each age group will have different needs that must be fulfilled. For example‚ one would require a different mindset working with a geriatric population versus the pediatric population. It is important to know about the natural changes that come with aging‚ and how it can affect a person socially‚ physically‚ and cognitively. Developmental Tasks
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coronary blood flow; • review the causes of and possible treatments for angina; • describe the mechanisms of action of the following anti-anginal drugs: nitrates‚ beta-adrenoceptor antagonists and calcium channel blockers. Part 1 Annie is an elderly lady who lives with a one-eyed cat and a budgie. She is rather overweight and sometimes out of breath. Annie is very involved in the community‚ helps with many voluntary activities organized by
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client prune juice. d. encourage the client to drink more fluids. a. report it to the charge nurse. 6. The proper medical abbreviation for before meals is a. p.c. b. b.i.d. c. a.c. d. t.i.d. c. a.c. 7. A client diagnosed with hypertension will most likely have a history of
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desmethylimipramine‚ an active metabolite. Approximately 86% of imipramine is bound to plasma proteins. It is excreted primarily as inactive metabolites‚ up to 80% in the urine and up to 20% in the feces. Owing to the lower clearance of imipramine in plasma‚ elderly patients require lower doses of imipramine than patients in younger age groups. DRUG INTERACTIONS : phenytoinany other antidepressant‚ or medication to treat mental illness bladder or urinary medicines such as darifenacin‚ tolterodine‚ solifenacinbronchodilators
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Research Summary Hunter Jones MICT III Clinical Johnson County Community College Research Summary Heat stroke is defined by Knochel and Ouchama (2002‚ p. 1978) as “a core body temperature that rises above 40°C (105°F) and that is accompanied by hot‚ dry skin and central nervous system abnormalities such as delirium‚ convulsions‚ or coma.” Heat stroke can be the result of either exposure to a high environmental temperature or from an elevated core temperature due to strenuous exercise
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Madam C.J. walker was born December 23‚1867 in Near Delta‚ Louisiana. Madam C.J Walker’s birth name was Sarah Breedlove. She created special hair products for African American hair and was a self-made millionaire. She suffered from scalp alignment that resulted in hair loss. This inspired her to make African American hair products in 1905. According to biography.com‚ she promoted her products very well; she traveled to different places and gave lectures to people about her line of products. Her growing
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Q1: Causes of atrial fibrillation A 58-year-old woman comes to the emergency department with a-3-days history of difficulty breathing and unpleasant feeling of rapid and irregular heartbeats. Additional history taking reveals that she has a 7- week-history of unintentional weight loss‚ anxiety‚ and difficulty sleeping at night. She smokes 10 cigarettes per day for the past 15 years. Her blood pressure is 100/55 mmHg‚ temperature is 36.5 °C and her pulse is irregular at a rate of 140 to 150 beats
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diagnosis and treatment of colonic ischemia can be challenging since it is prevalent in patients who are debilitated and have multiple medical problems. Here we present an interesting case of recurrent ischemic colitis leading to colonic stricture in an elderly female with multiple medical problems. Case
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