Havon (HV), is a 63 year old Columbian male. The client is married to a 68 year old Columbian female and has two daughters ages 36 and 30. Client lives in an apartment with his wife who is suffering from early onset Alzheimer’s and depression. Client takes care of his wife while struggling with depression. Client suffers from other chronic medical conditions such as high blood pressure, high cholesterol, diabetes, and short term memory.…
REPORTER: The reporter/RN (Robin) called with concerns for the victim, Dorlyly. Dorlyly had her leg amputated; it is unknown if she can perform her daily ADL’s. Dorlyly lives with her son (had a bilateral amputation and stroke). According to the reporter, Dorlyly is neglecting her self. The victim is not taking her medication that the doctor ordered, and her blood pressure is high. The reporter believes that the victim is very depressed, and she cries a lot. The victim has wounds on her legs, and Home Health is supposed to come out to the home, but she doesn’t answer the phone or keep her appointments. The reporter last saw the victim yesterday and she agreed for the reporter to come back this morning to recheck her. When the reporter came…
This is 34 year old Oriantal male. Patient is here for his medication refill and labs. Patient was seen at UAB ED 2 weeks ago related a fall secandary to posible siezer activity. No abnormaity reported form UAB. Patientis also flowed bya pschyatric departement the visit aws one week ago. no medication changes at that time. patient is a cureent smoker with 25 year pack history. Patient denies depressive moods, thoughts of homicide or suicide. Patient reports some issues at his current residency at Jimmie Hale. Patient denies chest pain, SOB, N/V/D, or…
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…
Therefore, he requested an examination of patient’s cognitive abilities to see whether they are within a normal range. Background information Tim is married and has two daughters. He has a high level of education. In terms of career, he owns a sports equipment business. One day while driving to work, he got in a car accident because he was blindsided by an oncoming car.…
Alice Palmer has been admitted into the acute stroke unit eighteen hours after experiencing an ischaemic stroke. She has undergone a vital signs assessment including heart rate and blood pressure as well as a Glasgow Coma Scale test as part of a neurological assessment. This essay will discuss the key elements of the data recorded, the physical and focused assessments to be completed by the nurse receiving Mrs. Palmer and it will include the normal and abnormal parameters for this case study.…
Client stated that this caused her to flee to the United States because she was in fear for her life. Client also stated half of her body being numb, she said the doctor said it was caused by stress. Other than that client reports no other mental health problems. Client reports she doesn’t take medication. Client does not report any of the children having mental health problems. Client submitted immunization for all of her children from Honduras. Ms. Suazo is the only household member with health insurance at the present…
SOCIAL HISTORY: The patient is married and has two children. His wife does not work outside the home. (No mention of tobacco or alcohol use).…
On 11/10/2015 SO EMT Perez was MG-T16 regaurding a sudden onset of altered mental status. SO EMT Perez knocked and announced his presence at the door and was greeted by the residents son who stated that Herbert Margolis had a sudden onset of altered mental status and wanted him to be evaluated. Herbert Margolis aparently started to slur his words and acting erratic later in the night which promptly corrected itself. Herbert Margolis then walked to the fridge to get a glass of water and walked back to his bedside reportedly with no issue. SO EMT Perez completed and assesment on Herbert Margolis which revealed the following; Blood Pressure 180/100, Pulse 65, Herbert Margolis was able to state his name but was not able to remember the year and…
Physical Appearance – Patient is a healthy 33 year old African American Male with dark brown eyes. Ht: 5’10Wt: 196 poundsColor: Even Skin Tone, Pt. lips are pink in color so dehydration is not present.pain level 0/10 on pain scale. No over the counter medications have been taken.Orientation: A&O x3 (time, place, and person), client denies any depression or anxiety; answers all questions appropriately when asked. Dress and Grooming: Patient was well groomed, and had appropriate footwear. Hair is short and neatly groomed. (Pt. stated no dryness and breakage).Mobility: Patient had normal mobility denied any pain or joint weakness in x4 extremities; posture is normal with no deviations or…
-Evidence shows that many Hispanic patients report significantly higher rates of pain, numbness, cognition difficulties, vomiting, and severe sadness than non-Hispanics. Knowing this information I would make sure to discuss and allow my patient to verbalize her feelings regarding her diagnoses, pain control, and other physical ailments that may be bothering her.…
First let’s look the physician. Mrs. Smith presented the clear signs and symptoms of TIA (Transient Ischemic Attack) which is called mini-stroke. First of all, the doctor failed to send the patient to emergency room to get CT scan, MRI and tPA (tissue Plasminogen Activator) if there is no contraindication. The doctor also failed to follow up Mrs. Smith result. The doctor…
According the text “[It is especially difficult to ensure that patients are fully informed concerning their medical options when the patients and their caregivers speak different languages. Nearly 25 million adults in the United States do not speak English proficiently (“Demographics,” 2002). Non-English speakers are less satisfied with medical care than are Caucasians or members of ethnic and racial minorities (Weech-Maldonado et al., 2003).At one inner-city hospital, more than one-fourth of Latino parents said language barriers discourage them from using medical facilities (Flores, Abreu, Olivar, & Kastner, 1998). These parents felt that the scarcity of Spanish-speaking physicians led to their children being misdiagnosed or given the wrong medicine. (Box 6.3 describes the experiences of a Spanish-speaking woman in a U.S. hospital.)]”Cultural different impact the communication barrier because of language difference has lead to so many misunderstandings between patient and physician; this can lead to serious problems if the correct diagnoses I not found for the patient. It can lead to non needed medication or treatment causing more harm than treating the health issue at…
I feel stress when I receive report, and find out my patient does not speak English. Most of these patients are Hispanic, and speak Spanish. I do feel relief when I hear the individual has family that speaks English with them, but this is not always the case. Nurses are taught not to utilize family members for translation purposes, but translators are not always immediately available. The lack of interpreters is a huge problem in America, and is an obstacle for the Hispanic population to overcome when seeking healthcare (Edward & Hines-Martin, 2015). When there is a communication barrier I fear there may be a delay in care, and I will not be able to provide adequate care for this individual because I will not know what they are saying. I could also be violating the patient’s privacy by having a family member translate information for me (Harkness & DeMarco, 2012). I will not know if they need pain medicine or have a new pain that needs assessing. Prior to the Affordable Health Care Act, I automatically assumed this population had no insurance. This caused me to believe that they were receiving free health care, which I ended up paying for with taxes. I was young back then, and believed negative biases of others as my…
Blood poisoning - Brain tumour – Faintness - Seizure - Bells Palsy - Migraine - Falls without losing consciousness…