Congested Heart Failure (adapted from McGraw Hill Case Studies) Chief Complaint: 74-year-old woman with shortness of breath and swelling. History: Martha Wilmington‚ a 74-year-old woman with a history of rheumatic fever while in her twenties‚ presented to her physician with complaints of increasing shortness of breath ("dyspnea") upon exertion. She also noted that the typical swelling she’s had in her ankles for years has started to get worse over the past two months‚ making it especially
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to evaluate Holistic care approaches used in healthcare within the acute care setting specifically relating to the role of Assistant Practitioners. Holistic care takes into consideration an individual’s psychological‚ sociological and mental health needs. Using a holistic approach to care enhances the experience for my patients and families (Erickson 2007). The Nursing and Midwifery Council (2010) defines holistic medicine as a system of comprehensive or total patient care that considers the physical
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The Approach to Care of Cancer Kia Nordenskiold September 30‚ 2012 The Approach to Care of Cancer Cancer refers to a group of diseases that involve uncontrolled cell growth (Corner & Bailey‚ 2008). The unregulated cell division and growth leads to the formation of malignant tumors that invade bordering body parts. Cancer may also spread to distant areas of the body through the bloodstream or lymphatic system. Determining the causes
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Care Programme Approach (CPA) Background The Care Programme Approach (CPA) has been called the cornerstone of the Government’s mental health policy. It was introduced in 1991 and is intended to be the basis for the care of people with mental health needs outside hospital. It applies to all people with serious mental health problems who are accepted as clients of specialist mental health services. In many cases‚ the CPA comes into play while someone is a psychiatric hospital in-patient (not
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Heart failure is caused by the decrease cardiac output and decrease perfusion to the vital tissues of the body. Cardiac output is depended on the stroke volume and heart rate. There are three factors that influence stroke volume‚ which are contractility‚ preload and afterload. Contractility is reduced due to Ms. Boehmer’s history of acute myocardial infarction. Acute myocardial infarction causes myocyte function disruptions. Ms. Boehmer’s history of hypertension‚ smoking‚ and coronary artery disease
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Assessment: Heart Failure: Mr. Jones with past medical history of MI‚ and be came to clinic today complaining of DOE that began 6 months ago. Currently he developed edema on his low extremities‚ and he gained 13 lbs recently. His LVEF is less than 20%. His SOB is worsening in last 4 days‚ which he has a difficulty to breathe after 30 feet of walking. According to the ACC/AHA guidelines‚ his hemodynamic subset is class II‚ which he has a warm and wet due to his sign and symptoms of edema‚ ascites
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Approach to Cancer care Nursing 410v Grand Canyon University October 5‚ 2011 Staging is the process of finding out how much cancer there is in the body and where it is located. It is how the doctor learns the stage of a person’s cancer. Doctors use this information to plan treatment and to help predict a person’s outlook (prognosis). Cancers with the same stage tend to have similar outlooks and are often treated the same way. The cancer stage is also a way for doctors to describe the extent
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Approach to Care of Cancer Cancer is considered the second leading cause of death in the United States resulting in about 25% of deaths (Copstead‚ & Banasik‚ 2010). The term cancer encompasses a cluster of more than one hundred diseases. Though there are various kinds of cancer‚ all cancers start due to abnormal cells growth. The typical characteristic of a cancerous cell is that they grow out of control and invade other tissue through the bloodstream or lymph vessels. If untreated‚ cancers can
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The Patient with Heart Failuure 74-year-old woman is admitted to the hospital with heart failure. She had been growing progressively weaker and had ankle edema‚ dyspnea on exertion‚ and three-pillow orthopnea. On admission‚ she is severely dyspneic and can answer questions only with one-word phrases. She is diaphoretic‚ with a heart rate of 132 beats/min‚ and blood pressure 98/70 mm Hg. She is extremely anxious. 1. Because this patient cannot breathe or talk easily‚ prioritize the immediate nursing
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Beta Blockers In Case of Heart Failure Noor M. Al-Tarouti Beta Blockers in Case of Heart Failure Introduction : Beta-blockers‚ also known as beta antagonists‚ beta-adrenergic blocking agents‚ or beta-adrenergic antagonists‚ are drugs that are prescribed to treat several different types of conditions‚ including hypertension (high blood pressure)‚ angina‚ some abnormal heart rhythms‚ heart attack (myocardial infarction)‚ anxiety‚ migraine‚ glaucoma‚ and overactive thyroid symptoms. Beta-blockers
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