Today marked my seventh clinical day on the floor at UH Ahuja. My patient assigned to me was a female admitted for hematemesis‚ which means the presence of blood in vomit. I learned that her hematemesis was caused by a GI bleed secondary to a gastric ulcer. The vomit was described as coffee ground texture and color. I looked into it and discovered that it could be an indicator of an upper GI bleed. I talked to Stephanie about this‚ and she confirmed this. She also asked me which labs to watch out
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CTR is a 51 year old woman who is divorced and lives with her son and granddaughter. She works a full-time job as well as a part-time job to make ends meet. She struggles everyday with high blood pressure‚ type II diabetes and multiple other musculoskeletal problems‚ but one thing she does not struggle with is her faith. Upon meeting with her and performing the spiritual assessment (Balzer-Riley‚ 2008) using the tool as assigned CTR consented to an assessment of her spiritual health. It was very
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involved in this model are assess‚ link‚ synthesize‚ design‚ implement and evaluate‚ and integrate and maintain. In this case‚ we have identified problem i.e. increased incidence of UTIs. According to the model‚ we will need to assess the need to change the current practice of the clinic. The data should be collected on the clinic’s current practice‚ which
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Case Study One In this case study I will use Gibbs (1988) model of reflection to write a personal account of an abdominal examination carried out in general practice under the supervision of my mentor‚ utilising the skills taught during the module thus far. What happened During morning routine sick parade I was presented with a 21 year old male soldier experiencing severe acute‚ non specific‚ abdominal pain. Under the supervision of the medical officer (MO) I proceeded to carry out a full
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Patient Y adjusted well on the postpartum unit with the help of the nursing interventions mentioned above. Patient Y’s pain score continued to decrease throughout her stay. She started taking medication for severe pain and by the third day she was only requiring mild medication to alleviate her pain. Patient Y’s following was discontinued the following day and she remained free from any urinary infections. In regards to reducing the risk of infection for the incision‚ the healthcare team performed
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SPD and MPD were analyzed two times for better statistical power. Participants within this study continued the treatment for the following five years. Participants assigned to SPD were positioned supine horizontal‚ prone‚ left side down‚ and right side down. For those assigned to MPD the previous four positions were modified to supine 30° head
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uncontrolled diabetes and reporting the lack of education about diabetes was evidenced by high blood sugar and knowledge deficient about controlled diabetes (Ozcan & Erol‚ 2007). Teaching should have some positive outcomes to the patient and in this case‚ there are some expected outcomes. i. The patient should demonstrate how to take his blood sugar and interpret the results ii. The patient should demonstrate how to give himself insulin injections using the sliding
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initially diagnosed with low back strain. IW was deemed permanent and stationary on 09/24/13 with 7% whole person impairment rating. Future medical care includes office visits with an orthopedist‚ PT‚ acupuncture‚ medications‚ injections and diagnostic studies. Patient underwent an L5-S 1 interlaminar epidural steroid injection per the operative report dated 06/05/13. MRI of the lumbar spine dated 12/14/16 revealed early degenerative disc and facet changes‚ without significant canal or foraminal compromise
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intestines or the gastrointestinal tract. • Viral infection is the most common cause of gastroenteritis but bacteria‚ parasites‚ and food-borne illness (such as shellfish) can also cause acute gastroenteritis. • Fifty to seventy percent of cases of gastroenteritis in adults are caused by the noroviruses while rotavirus is the leading cause of infection in children. Staphylococcus aureus can form a toxin that cause food poisoning while the resident Escherichia coli can also cause significant
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Your post provided some insightful information. I recognized the trauma that was inflicted on Laura by her mother during the early stages of her life‚ but I had not taken into consideration that the excessive amounts of time spent in the hospital only added to the fragile mother /daughter disconnection. Virginia was an adequate “care provider” for her daughter‚ but she lacked the necessary maternal skills needed for Laura to sustain healthy growth. Since there are still emotional scars in the relationship
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