NURSING CARE PLAN: Teaching Pt history: Pt is a 76 year old female with a history of two CVA’s (most current CVA in the L middle cerebral artery)‚ Atrial fibrillation with mitral valve replacement‚ total knee replacement‚ hip replacement‚ cholecystectomy‚ hysterectomy‚ appendectomy‚ hemorrhoids‚ arthritis‚ gout NURSING DIAGNOSIS: Ineffective Self Health management r/t lack of knowledge of chronic pain management aeb. patient relates consistent pain at a 5-9 on a scale of 0-10 ten being worst‚ statement
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267-269‚ 277-280 * Direct calorimetry uses the measurement of heat production as an indication of metabolic rate. * Indirect calorimetry estimates metabolic rate via the measurement of oxygen consumption. * Energy expenditure can be expressed in L•min-1‚ kcal•min-1‚ ml•kg-1•min-1‚ METs‚ and kcal•kg-1•hr-1. * To convert L•min-1 to kcal•min-1‚ multiply by 5.0 kcal•L-1. * To convert L•min-1 to ml•kg-1•min-1‚ multiply by 1000 and divide by body weight in kilograms. * To convert
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Development Plan for: Registration No: YHE5241 Dem201 Dementia awareness 1.1.1 explain what is meant by the term ‘dementia’ Dementia is the progressive decline in cognitive function due to damage or disease in the body beyond what might be expected from normal aging. Unlike Alzheimer’s disease‚ which is a specific change in the brain‚ dementia is more of a generic term that can include many conditions and various causes. 1.1.2 describe the key functions of the
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Abstract: Echocardiogram (ECHO) is an essential tool for diagnosis‚ evaluation‚ and management of valvular heart disease (VHD). There is an increasing population with valvular heart disease with the advent of advanced medical therapies. The burden of problem is still secondary to rheumatic and degenerative heart disease. In year 2014‚ the American Heart Association released new guidelines for the management of VHD. They recommend classifying VHD to stages of progression similar to Heart Failure (Table
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The interviewer explained that the purpose of this meeting was to discuss information regarding the extended family for the purpose of constructing a genogram and ecomap. The interviewer explained to the interviewee that a genogram‚ “provides rich data about relationships over time and may also include small amounts of data about health‚ occupation‚ religion‚ ethnicity‚ and migrations (Wright & Leahey‚ 2013‚ pp. 77). The purpose of the ecomap was explained as‚ “to depict the family members’ contact
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Hypertropic Cardiomyopathy In 409 B.C. Pheidippides‚ a Greek soldier and a conditioned runner ran from Marathon to Athens‚ a distance of 26 miles‚ to announce military victory over Persia. After delivering his message he collapsed and died. Pheidippides is the earliest athlete documented to die from sudden cardiac death. Today heart diseases such as‚ hypertrophic cardiomyopathy ‚ idiopathic left ventricular hypertrophy and congenital coronary artery anomalies‚ are the most common diseases that
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Abstract With the advances in technology over the past 10 years‚ medical monitoring has advanced from wired monitors‚ such as with diabetes patients‚ who must manually input their glucose levels into an insulin pump attached to the belt to the wireless NUVANT Mobile Cardiac Telemetry System for patients with cardiac arrhythmia. This device allows the patient to record his heart rhythms and upload them to a wireless transmitter‚ which then send the data to the doctor. Other advances in medical monitoring
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edge‚ a third degree systolic murmur above the lower sternum‚ and a blood pressure of 80/60 mmHg. The electrocardiogram showed signs of right ventricular overload. The patient was known with arterial hypertension form 2009‚ had an episode of atrial fibrillation and deep vein thrombosis of the right calf in 2005 and had a hip replacement
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Cardiac - E 1 BAPTIST HEALTH School of Nursing NSG 4017: Critical Care Nursing Nursing Management of Patients with Altered Cardiovascular Function Georgia Seward I. Anatomy and physiology review A. Layers B. Chambers C. Heart valves D. Flow of blood E. Blood supply of myocardium 1. RCA 2. L Main 3. LAD 4. Circumflex F. Cardiac cycle 1. Systole 2. Diastole G. Cardiac output and cardiac index - SV x HR. CI = CO /body surface area. 1. Preload 2. Afterload H. Cardiac pressures p. 1557 of Black
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Obstructive sleep apnea (OSA) is a sleep disorder that if left untreated can result in death. According to a recent journal article‚ “up to 93% of women and 82% of men may have undiagnosed moderate to severe OSA” (Park MD‚ Ramar MD‚ Olson MD‚ 2011‚ p. 549). OSA is characterized by pauses in breathing or shallow breathing during sleep. These are called apneas and hypopneas. A recent journal article published by the Mayo Clinic defined OSA as “a disorder in which a person frequently stops breathing
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