the sclera of her eyes have a yellow tint to them. She is brought into the mobile center and examined by the nurse practitioner. Data obtained from the nursing assessment include the following: · The patient complains of abdominal pain‚ nausea. · The patient is tender to palpation of liver. · Lung sounds clear · Chest x-ray clear · Vital signs: temperature‚ 100.2°F; pulse‚ 88; respirations‚ 20; blood pressure‚ 130/80 The patient’s current medications include: isoniazid‚ 300 mg q day; rifampin‚
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Summary of History and Physical on admission: Patient has a history of hepatitis C‚ alcohol abuse‚ cirrhosis‚ GI bleed‚ pancreatitis. Patient was lethargic‚ with mental status changes. Patients appearance is jaundice‚ stomach distended and tender to palpation. 6. History of Surgical Procedures with dates: Not Known Section III-Progress Report of Patient: Patient was brought to Mercy Hospital ER by her husband who found patient lying naked on the doorway. She has multiple home medications including
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estrogen exposure‚ often develops in the setting of endometrial hyperplasia‚ and presents most often with vaginal bleeding. Endometrial carcinoma is the third most common cause of gynecologic cancer death (behind ovarian and cervical cancer). A total abdominal hysterectomy (surgical removal of the uterus) with bilateral salpingo-oophorectomy is the most common therapeutic approach. Endometrial cancer may sometimes be referred to as uterine cancer. However‚ different cancers may develop not only from the
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Health Assessment Study Notes Therapeutic Nurse-Client Relationship: Components of the Nurse-Client Relationship – Trust Respect Professional Intimacy Empathy Power Four Standard Statements – Therapeutic communication Client-centered care Maintaining boundaries Protecting client from abuse Caring Care: C – Center: prepare for intentional caritas process) A – Assess: the immediate picture – scan the client‚ take a read on the situation – CABD‚ behaviour appropriate‚ pain‚ red
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Definitions affect : The external expression of emotion attached to thoughts‚ mood‚ and ideas anosmia : Absence of the sense of smell conjunctiva: The delicate membrane that lines the eyelids and covers the exposed surface of the sclera (plural: conjunctivae); bulbar: the portion of the conjunctiva covering the cornea and front part of the sclera‚ appearing white because of the sclera behind it; palpebral: the portion of the conjunctiva lining the eyelids‚ appearing red because of its vascularity
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GI Terminologies Visceral pain; dull poorly localized pain Somatic pain; sharp pain‚ well localized Referred pain; pain experience at a distance from disease process Fetor hepaticus; sweet fecal odor caused by hepatic failure Feculent breath; foul fecal odor caused by severe bowel obstruction Severe halitosis; foul breath odor can be caused by poor dental hygience or neoplasms or esophagus and stomach Jaundice; yellowish discoloration of skin caused by high bilirubin level associated with
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This is a reflective report based on my experiences whilst on my first antenatal placement in a local hospital. I am going to use Gibbs Model for Reflection (1988) for this reflective writing‚ which is a effective way to help me to record my feelings and thoughts on antenatal care visits I attended‚ the varying patients I examined‚ the outcomes of these examinations and any problems or achievements I felt important in my time there. Description To be honest‚ I did assume a variety of situations that
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General / Mental Status General appearance. Mr. Silchenstedt presented himself in the examination room appearing well-groomed with clean clothes that is appropriate to the situation. His clothes do not appear soiled and he does not present with foul body odor. Moreover‚ the patient maintains appropriate eye contact and presents with an erect posture with no involuntary movements‚ unilateral weakness‚ or tics. Mood and affect. Mr. Silchenstedt is pleasant and cooperative. His facial expression
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Perkins is 48 year old woman who presents to the ED with 10- 15 loose‚ liquid stools daily for the past 2 days. She completed a course of oral Amoxicillin seven days ago for a dental infection. In addition to loose stools‚ she complains of lower abdominal pain that began 2 days ago as well. She has not noted any blood in the stool. She denies vomiting‚ fever‚ or chills. She is on Prednisone for Crohn’s disease as well as Pantoprazole (Protonix) for severe GERD. Past Medical History: Crohn’s
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complaining of continues sever pain prescribed as pressure on the rectum side which was not relieved by analgesia. Lochia was minimal‚ episiotomy site is clear. Glycerin Suppository inserted Patient called she started bleeding per vagina. Upon fundal palpation; Atony in left lateral position Speculum used to examine vagina‚ bleeding increase. Clots noted Tachycardiac‚ BP maintained. Syntocine
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