Immediate clinical success: It was defined from the first available clinical follow-up subsequent to the procedure. Success is determined by an increase of at least one clinical category of chronic limb ischemia from baseline. Those patients who had actual tissue loss must have advanced at least two clinical categories and reach the level of claudication to be considered improved.…
Several patients with breast cancer receive chemo- therapy after surgery to substantially decrease the threat of relapse, and generally are accompanied by prescriptions of doxorubicin and cyclophosphamide. According to the article, chemotherapy-induced nausea and vomiting continues to be substantial and disturbing side effects…
For the duration of my surgical follow through experience, I had the pleasure of following RF. RF is a 49 year old male with an admitting diagnosis of cervicalgia cervical herniation, and a scheduled surgery for an anterior cervical discectomy and fusion at C4-C5 and C6-C7. According to Sharon Lewis in “Medical Surgical Nursing”, the cause of a cervicalgia cervical herniation is “the result of natural degeneration with age or repeated stress and trauma to the spine.” (Lewis, 2011) The follow through process was observed from when the patient arrived in the pre-op holding area until the patient arrived at the PACU. The expected outcome of the surgery for the patient is for the patient to be pain free within 6-12 weeks of the surgery. The radiating left arm pain should subside and the patient should be able to return to work. Immediately from the OR, the patient is expected to leave the room with immobilization of his neck as proper immobilization maintains the neck in a neutral position so there is no damage done to the spinal column during healing. (Lewis, 2011)…
Patients given EREM in clinical trials after hip replacement had significant less supplemental opioid requirement after surgery than placebo39. Furthermore, the needs for rescue medications were minimal with less instances of hypotension. Other potential advantages of EREM include no epidural catheter or pump related issues which can create gaps in analgesia postoperatively. The absence of epidural and patient controlled analgesia pump technology theoretically reduces opportunities for medication errors and pump programming errors as well. The side effects of EREM are similar to other opioids including nausea, vomiting, constipation, and respiratory depressions. Ideally, the use of EREM in a multimodal analgesic approach and with appropriate patient selection may result in analgesia without the need for any tethering pump…
The writer is a registered nurse in the operating room (OR) who had the profound pleasure of providing care to a patient who was scheduled for elective surgery. Mrs. K.M. is a pleasant fifty- five year old, married white female who was scheduled to have an infusa port inserted for chemotherapy post operatively. Mrs. K. M. was diagnosed on February 22nd 2006 of having invasive right breast cancer.…
Chapter 5 of the Surgeon General report discusses the topic of recovery. Recovery has a variety of meanings which depend on a handful of components. Based on the person, their circumstances, beliefs, and values will determine how recovery is defined. To had better understand recovery, it is separated into categories of individual experiences and recovery beliefs and values. When it comes to experience, the road to recovery is different from person to person. There are communities that believe the help and support of friend and family is necessary to reach recovery. In some cultures, religion and spirituality are key parts in achieving recovery. Individuals who identify their abuse as mild or moderate often define recovery for themselves when…
Date July-Sept 2014 Title Multimodal Treatment of aggressive forms of Breast Cancer Publication July 1, 2014 Write a 100- to 150-word response to each of the following questions Is the source reliable How do you know Yes this source is reliable because of the accuracy of all my information given to be from my sources. The Author is an MD inside of a surgery clinic at Coltea Hospital. She gives her email address and her personal phone number. She has a link to take you to her organization. I believe this source is credible because the topic is covered more…
There are many different diseases that terrorize the human race every day. Of all of these sicknesses, one of the most devastating is breast cancer. Breast cancer touches all types of people all over the world each day. It is actually the second most common cancer amongst women in the United States. One in every eight women in the United States has some form of breast cancer and currently, the death rates are higher than any other cancer with the exception of lung cancer. Cancer is defined by the Merriam-Webster Online dictionary as “a malignant tumor of potentially unlimited growth that expands locally by invasion and systemically by metastasis.” Therefore, breast cancer is a disease of life-threatening tumors that continue to grow and invade the body, destroying all in its path. Although this is an accurate explanation of what breast cancer actually is, there really is so much more to it. Understanding Breast cancer at the cellular level gives us greater opportunities for treatment development as well as a better insight to what is actually happening in the body when afflicted with breast cancer.…
For the past decades, politicians and insurance companies could carelessly proclaim that the United States had the best healthcare system in the world, but as its major deficiencies have become more apparent many people have found it harder to accept this claim. It is reported that around 59 million Americans are without health insurance and are aware that our health care system does not work for everyone. This has caused a growing recognition that the major problems of rising costs and lack of access constitute a real crisis. However, the search solutions have not been easy or clear cut. The problems of our health care system have been responded to with various makeshift solutions rather than analyzing the system itself as a whole to take…
References: Stevens, Jr. M.D.FACR, Kenneth R., Emotional and Psychological Effects of Physician-Assisted Suicide and Euthanasia on Participating Physicians, Volume 21 Issues in Law & Med. 187 (2006).…
Dehghan, R., Ramakrishnan, J., Ahmed, N., & Harding, R. (2010). The use of morphine to control pain in advanced cancer: an investigation of clinical usage in Bangladesh. Palliative Medecine.…
Pre-operative assessment (POA) and planning, carried out prior to treatment, ensures that the patient is fully informed about the procedure and the post operative recovery, is in optimum health and has made arrangements for admission, discharge and post operative care at home.…
The acute pain treatment is essential to facilitate recovery from surgery or trauma by enabling early recruitment and avoiding complications, including the bed-bound risks of venous thromboembolism, pulmonary embolus, pressure sores and pneumonia because severe untreated acute pain may also leads to the development of chronic pain. In treating acute pain opioids are very effective and are used in combination with paracetamol, non-steroidal anti-inflammatory drugs and local anaesthetics where suitable as superlative part of a multimodal analgesic manner. However, the initiating opioids require a prescriber to ensure that the opioids are not continued beyond the expected period of tissue healing in the acute…
Many young women typically desire to have the most aggressive treatment available to fight the diagnoses of breast cancer. Chemotherapy and radiation are often sought to prolong the lives of these younger women. However, older women typically want to keep their remaining time more meaningful, avoiding the side-effects from potentially quality-of-life-destructive treatments. Conversely, there are some older women who do desire the strongest therapies accessible. Whatever the choice, if the woman is elderly and lives alone, sufficient support systems need to be in place to enhance the quality of life for the patient.…
Breast cancer is the most common cancer and the second leading cause of death among women in the United States. More than 211, 000 U.S. women were diagnosed with breast cancer in 2005, and at least 40, 400 women died as a result of the disease (MacDonald, Sarna, Uman, Grant, & Weitzel, 2006). Breast cancer crosses all demographic lines, affecting women of all ages, races, ethnic groups, socioeconomic strata and geographic locales. Breast cancer…