CLINICAL PASTORAL EDUCATION A CASE STUDY OF “AMBER BILL” A PATIENT AT ST. PAUL’S HOSPITAL IN SASKATOON BY PATRICK AMPANI CASE STUDY ROAD MAP A. INTRODUCTION AND THEOLOGY OF MINISTRY B. PATIENT’S BACKGROUND INFORMATION C. FIRST ENCOUNTER (VERBATIM) D. PRELIMINARY REFLECTION a. my initial reaction b. main issues c. my plan of action d. psychological theory at work e. spiritual assessment f. theological reflection E. SECOND ENCOUNTER (followed by preliminary
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described. DIAGNOSIS: - Pain in left foot 12/16/15 Progress Report documented that the patient has left foot pain‚ which is described as stabbing‚ aching pain‚ which shoots up the leg with excessive walking and standing. The patient benefited greatly from a sympathetic nerve block. She was able walk and sensitivity of the foot was restored. The pain is rated 3/10-scale level with medications. There are no side effects‚ no aberrant behavior to the meds. The med provide good pain relief. She is currently
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Abdominal Aortic Aneurysms (AAA) are usually asymptomatic and found incidentally on ultrasound‚ CT‚ or on physical exam as a pulsating abdominal mass. If becoming symptomatic‚ most commonly it presents as mid-abdominal pain that radiates to the lower back. Pain could be constant or intermittent‚ or be worse with pressure applied to the area. Severe pain and a tearing sensation felt in the back is associated with dissection and should be treated as an emergency. AAA are more often found in older males
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Improvement in Patient Satisfaction with Discharges Resulting from Clinical Nurse Involvement in Evaluation of the Professional Practice Model Background/Problem: Baylor Scott and White Medical Center – Hillcrest (BSWMC-H) utilizes the professional practice model (PPM) to evaluate the quality of care provided to ensure existing processes maintain safe passage for patients‚ through the continuum of care. Frequently‚ clinical nurses evaluate the PPM during daily huddles on the units. This evaluation
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creating an aneurysm (Figure 1); this usually occurs in a weak part of the artery. Aneurysm is derived from the Greek term "aneurysma"‚ which means dilation. An abdominal aortic aneurysm (AAA) is a widening in one part of the abdominal aorta. This paper will cover how an aneurysm is developed and diagnosed‚ different types of aneurysms‚ clinical values‚ stages of aneurysms‚ what the risk factors are‚ who is at risk‚ treatment options‚ cost‚ and what will happen if an aneurysm erupts. A normal aorta
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Diagnosis: Abdominal Aortic Aneurysm Definition: An abdominal aortic aneurysm is an enlarged area in the lower part of the aorta‚ the major blood vessel that supplies blood to the body. The aorta‚ about the thickness of a garden hose‚ runs from your heart through the center of your chest and abdomen. Because the aorta is the body’s main supplier of blood‚ a ruptured abdominal aortic aneurysm can cause life-threatening bleeding. Subjective Data: Describes feelings of abdominal and back
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choronic post surgical pain: Preoperative risk factors associated with high incidence of chronic post surgical pain: • Preoperative pain‚ not localized to previous nonsurgical site‚ is strongly related to chronic post surgical pain (Gerbershagen‚ 2010). • Intensity and duration of preoperative pain (Katz‚ 2009). • Younger female is more prone to having postsurgical pain (Richardson‚ 2007). • Excessive fear of surgery has identified as a predictor for postsurgical pain (Peters‚ 2007). • Chronic
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Family Nursing Diagnoses Marsha Ruckle Healthy Communities: Theory and Practice/405 November 19‚ 12 Helen Woolf Family Nursing Diagnoses Conducting a family assessment is a challenging and important step in the care of the client. It is essential to identify problems and situations inhibiting a family from practicing healthy behaviors and developing healthy habits
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Pain is defined as “whatever the experiencing person says it is‚ existing whenever he or she says it does” (173). With the information provided in the scenario of Mr. Clark and Mrs. Wong‚ this writer believes Mr. Clark is experiencing the greatest amount of post-operative pain. The numerical pain rating scale provides supporting data due to Mr. Clark rating his pain as 8/10 and Mrs. Wong as 3/10. In addition to the numerical pain scale‚ a focused interview should be conducted. A focused interview
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DIAGNOSIS: Low back pain and chronic pain syndrome 12/07/15 Progress Report indicated that the patient is upset as he has not been getting his pain medications for a long time. Apparently‚ his insurance has not been paying for his prescriptions. The patient complains of back pain. The pain is 4/10-scale level with the medications and 7/10-scale level without medications. Without the medications his ADL and physical function has been worse. His mood is bad and he is not sleeping well due to pain. He denies
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