Ms. Hollar’s neck was examined and the records state that the examination was negative for injury or acute deformity. The neurological examination was negative for altered mental state and loss of consciousness. A CAT scan and x-rays were negative. After the accident the plaintiff was seen by Dr. DaRoach and the doctor noted, “ She has no pain going to lower extremities, no weakness in the upper extremities and denies any headaches/blurred vision/weakness in legs.”…
B) was brought into the emergency room for pain to left leg and left hip. The injury occurred when the patient had a fall due to him losing his balance after tripping over his dog. The hospital is a 60 bed rural hospital located in Mr. B’s hometown. Mr. B was brought in by his son and neighbor. Upon triage Mr. B was complaining of pain 10/10 on the numerical pain scale and his vitals were found to be stable. Mr. B has a history of impaired glucose tolerance, prostate cancer, and chronic pain which he is on oxycodone. The Patient states he had no known allergies or previous falls. Upon the nursing assessment Nurse J. has noticed that the patient has limited range in motion, his left leg has swelling and appears shortened in comparison to the right. Nurse J. has informed the ED physician which he came to his bedside for…
However, there is a test called prothrombin time that would measure the patient’s coagulation level. The normal level for coagulation is an 11. Mrs. Jackson doctor did not want her level normal, instead, he wanted it to do more so of preventing the blood clots that came from her circulatory system causing the Coumadin to be one and one-half to at least two times of the proposed normal reading of 11. So, for Mrs. Jackson’s prothrombin time level, it was 35. That was over what Dr. Gurevich projected. It was necessary for Mrs. Jackson to be closely monitored, unless, she would bleed to death. Due to Jackie not having the expenses to bring her grandmother to an earlier doctor’s appointment, it got worse. Mrs. Jackson had to spend a week in the hospital to manage the Coumadin poisoning which also caused the government several thousands of dollars to cover her hospital stay. In addition, Mrs. Jackson doctor, Dr. Gurevich was not informed of her lab results or received them and did not have a nurse give Mrs. Jackson a prothrombin time test. This can also show that Dr. Gurevich did not have the patient’s best interest at…
In the beginning of chapter 12 of Huckleberry Finn, Huck describes and explains the changes that he and Jim made to the raft during the night. In this project, I was told to recreate the raft and build the modifications Jim added. As I constructed my model raft, I analyzed the changes they made. I realized that although the changes brought about by Jim did provide some comfort, the modifications that were made were not for luxury at all. They were made so that the two of them had shelter, heat, and protection. These changes were defiantly not extra. They were a necessity for their survival.…
Directions: Please carefully read the following case study and answer the following questions in typed format. The resources that you will need to complete this case study include your textbook and drug book. Please include in text citations. This independent assignment is worth 25 points.…
Hollman’s vision was not better than 20/200 in either eye, and could not be improved by glasses. Wearing the lenses improved his vision to 20/60 and 20/70 in the right and left eyes, respectively. He could not wear the lenses every day as they caused corneal ulcers, infection, and purulent material to accumulate in the lenses. A qualified ophthalmologist examined Hollman and testified that his eyes met the statute’s conditions. The court believed that the only way they could reject the ophthalmologist’s testimony was if Hollman’s vision could be corrected beyond the minimum statutory requirements by a special type of lens.…
MEDICAL HISTORY: Includes osteoarthritis, frequent urinary tract infections, hysterectomy 20 years ago, and some TMJ (The temporomandibular joint) problems. There is no history of TBI (traumatic brain injury) or LOC (Level of consciousness) but the patient reported that she had hit her head on the right side creating her TMJ problems. She denies ETOH (Ethanol) intake or smoking. Current medicines include: ibuprofen and Detrol. On admission to the MDC (Memory Diagnostic Center) the patients score on the MMSE was 3-D over 3-D and she was able to recall all three words. Clinical dementia rating was 1. Score on the geriatric depression scale was 12. For further information please refer to patients medical records. Ms. Copeland has a high school education with some college course work. She has worked for about 30-years as an editor. Currently she resides in her own home with her granddaughter with is sixteen. The patient’s granddaughter Jance, moved in about 3-years-ago and has had academic problems and reduced moderation. Ms. Copeland has tried counseling and the Date Counting Learning Center without much success secondary to Jance’s reduced communication and tendencies to sabotage own successes . Ms. Copeland is under considerable stress and does not know for sure if her problems with her memory have worsened. Ms. Copeland indicated that she has noticed memory problems…
P: Timothy will reduce the overall frequency, intensity, and duration of anxiety so that daily functioning is not impaired as evidenced by increased participation in daily social activities.…
Short term goal for risk of falls would be that patient has a clear walkway to ambulate in her home. Also that she has the proper equipment such as a walker and her eyeglasses are the correct prescription. A long term goal would be that the patient is no longer at risk for falling and has someone to assist her at all times when walking so she does not fall.…
Jim is a donkey. He has this urge to create new levels of madness “on the daily”. Jim sits his lazy bum in his La-Z-Boy and pretends he has a job by staring at a computer all day. And the breathing. Oh my heavens the man breaths like Big Foot having an asthma attack. The car rides with Jim are the worst. He always brings an apple, but then doesn't eat it until you're in the car and can't escape the chewing sounds. You'd think a grown man in his fifties would have learned to chew with his mouth closed. Between the unholy chewing of the apples and the human ventilator, the side of the road starts looking real friendly.…
[7] Beers, M. H. & Berkow, R. (Eds.) (2000). The merck manual of geriatrics. (3rd Ed.). Whitehouse Station, NJ: Used by permission.…
a. I recently had the misfortune of having to put my grandparents into a nursing home, or assisted living facility and have already had an issue with the facility. My grandmother was recently rushed to the hospital from the nursing home. They said it could have possibly been a “ med error” meaning they gave her the wrong medication causing her sugar to drop severely resulting in her collapsing in a type of seizure.…
Like many, I could use this opportunity to brag about my academic or extracurricular achievements, but in doing so I would be omitting a defining factor of my life thus far-anxiety. While not completely aware of it, I have spent a majority of my highschool career in a state of constant anxiety. Similar to others who suffer from generalized anxiety disorder, I am prone to feeling overwhelmed when making decisions or presenting myself in communal settings. As a result, I found myself overwhelmed and struggling with the start of secondary school. My disquieted tendencies made me wary of expanding my comfort zone, in turn stunting my own personal growth over the past few years. Subsequently, I have spent a long time attempting to beat my anxiety.…
In today’s world, people have found different ways of dealing with their problem. For example, one of the ways they have dealt with problems is by turning to both alcohol and drugs. Some people even look out suicide as a way out. The main reasons why people turn to a substance like drugs and alcohol is because they feel lonely, depressed, and they try to escape reality. When a person feels depressed, the only way he or she can cure that empty gap is by filling it with drugs and alcohol. Instead of turning to a loved one, they rather be alone and deal with their pain by using drugs and alcohol. There are times when a person reacts in mixed emotions such as happiness, sadness, and even aggressiveness. These are some symptoms a person has when…
Full verbal consent of the patient was obtained before using any information to comply with the guidelines set by the Department of Health (2009). Throughout this case study, refer the patient will herby be referred to as “Mrs J”. Mrs J is an 84-year-old British catholic widow, retired clerk who lives along with her son in a flat. She was diagnosed with osteoporosis 8 years ago. Mrs J is underweight with a BMI of just 18. Mrs J is also hypertensive for the last 20 years and is on regular beta-blockers. She is a non-smoker and non-alcoholic and quite independent with her Activities of Daily Living (ADLS).…