HISTORY AND PHYSICAL EXAMINATION Patient Name: Adela Torres Patient ID: 132463 RM #: 541 Date of Admission: 06/22/---- Admitting Physician: Leon Medina MD‚ Internal Medicine Admitting Diagnosis: Stomatitis‚ possibly methotrexate related CHIEF COMPLAINT: Swelling of lip causing difficulty swallowing HISTORY OF PRESENT ILLNESS: This patient is a 57 yr. old‚ Cuban woman with a long history of rheumatoid arthritis. She has received methotrexate on a weekly basis as an outpatient
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CASE STUDY 3 HISTORY AND PHYSICAL EXAMINATION Patient Name: Putul Barua Patient ID: 135799 Room No.: CCU-4 Date of Admission: 01/07/2013 Admitting Physician: Simon Williams‚ MD Admitting Diagnoses 1. Rule out myocardial infraction 2. History of tuberculosis. 3. Hemoptysis. 4. Status post embolectomy. CHIEF COMPLAINT: Tightness in the chest‚ shortness of breath‚ fast heart rate. HISTORY OF PRESENT ILLNESS: Mr. Barua is a 42-year-old gentleman from Bangladesh
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HISTORY AND PHYSICAL EXAMINATION_______________________ Patient Name: Chapman Robert Kinsey Patient ID: 110589 Room No.: 322-B Date of Admission: 23 February ---Admitting Physician: Martha C. Eaton‚ MD‚ Geriatrics Chief Complaint: Admitted from Dr. Max Hirsch’s office due to deep ulcer on left toe. Admitting Diagnoses 1. Severe peripheral vascular disease‚ status post deep ulcer on left toe. Rule out thrombolysis. The patient was admitted to a regular floor. Condition is serious. 2. ALLERGY TO PENICILLIN
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Health Promotion of the Older Adult Candace LaRouche Cambrian College BSN 1004: Self & family health Natalie Chevalier & Frances Cavanagh TITLE OF PAPER 2 November 14‚ 2014 Title of Paper Introduction goes here. To me‚ aging is a natural biological process where your lifestyle‚ environment‚ and genetic endowment reflect on your level of wellbeing as an older adult. Successful aging can be defined as having a manageable level of health‚ possession of coping mechanisms
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Compare and contrast the range and purpose of different forms of assessment. Prior to moving into an organisation all individuals are assessed as are the care providers to ensure that placements can meet and preferences of the individuals. The organisation conducts independent assessments by a qualified key member of the team to assess the needs and preferences of the individual to ensure that the organisation have the facilities and resources to cater for them. The key areas for assessments for
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Complete Health History • Biographical Data J.S. 67 year-old‚ white-female‚ widowed‚ resides in central Florida‚ retired RN‚ adopted (parents unkown). • Source of History Client-patient. • Is this a reliable source? Yes. • Reason for Seeking Care Routine visit. • Present Health or History of Present Illness Irregular bowel movements: constipation “Constipation aside I feel healthy and happy. It’s unfortunate how uncomfortable not being able to move bowels are. Everyday it’s the same thing and
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Functional Health Pattern Assessment (FHP) Pattern of Health Perception and Health Management: How does the person describe current health? This is a 64 year old male with a history of hypertension‚ high cholesterol‚ and GERD. PC reports he is in good health and recently lost 20 pounds to help reduce is blood pressure and “get in better shape.” He walks an average of 2-3 miles‚ 5 days a week for exercise and plays gold 3 times a week. He feels he is in better health than he has been in the
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HISTORY AND PHYSICAL EXAMINATION or EMERGENCY DEPARTMENT TREATMENT RECORD Patient Name: Putul Barua Patient ID: 135799 Age: 42 Sex: M Room No.: CCU4 Date of Admission: 01/07/---- Admitting Physician: DR. Simon Williams‚ MD Chief Complaint: Tightness in the chest‚ shortness of breath‚ fast heart rate. ADMITTING DIAGNOSIS 1) Rule out myocardial infarction 2) History of TB 3) Hemoptysis 4) Status post embolectomy HISTORY OF PRESENT ILLNESS: Mr.
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The History of Public Health and the Role of the Community/Public Health Nurse Walden University NURS 4010 Section 04‚ Family‚ Community‚ and Population-Based Care 10 / 21 / 2012 The History of Public Health and the Role of the Community/Public Health Nurse Overview Public health‚ a population-centered nursing had been in existence since the late 1880s under the guise of different names. The focus of public health nursing was on sanitation‚ communicable disease
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Complete Health History Virginia G Parrott Fort Hays State University Health History Health history assessment conducted on George on the fifteen of February 2010 at approximately one o’clock. George is a fifty-four year white male married with three adult children and two grand children. He has been working as a teacher for over twenty years a local middle school. This paper will highlight George’s health care issues and will identify five nursing diagnosis for him. Methods of Health History
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