Chapter 17 End of life care includes: palliative care- comprehensive care for patients whose disease is not responsive to cure; care also extends to patients’ families; management of psychological‚ social‚ and spiritual problems as well as control of pain and other physical symptoms; to improve pt and family’s quality of life hospice- care provided to terminally ill patient’s and their families; death has been accepted‚ bereavement for family; generally associated with palliative care that is
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loneliness are scientifically identified through a qualitative research study. My client had COPD‚ which was largely affecting his independence and ability to perform activities of daily living. O.D.’s dyspnea prevented
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The prescribing pyramid (National Prescribing Centre‚ 1999) is a stepwise approach that has involves seven stages (1-7)‚ and each stage should be considered carefully before climbing to the next: Consider the patient. Which strategy should be used? Consider a choice of product Negotiate a contract Review the patient Record keeping Reflection With regard the oral thrush infection‚ the patient had a full history taken and clinical examination. A holistic viewpoint that took into account the
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potential acid; when dissolved in water‚ it becomes carbonic acid. Lungs under the control of medulla control the CO2‚ and thus the carbonic content of ECF. They do so by adjusting ventilation in response to the amount of CO2 in the blood. A rise in PaCO2 is powerful response to stimulant. Respiratory Compensation * is a mechanism by which plasma pH can be altered by varying the respiratory rate. * breathing is altered to modify the amount of CO2 in circulation. Kidneys regulate bicarbonate
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Oxygen is of life-saving importance in the treatment of COPD. Lung function impairment is poorly reversible; therefore‚ treatment strategies must be aimed at stabilizing the disease progression (Simmons & Simmons‚ 2004). In advanced COPD‚ like the patient at Fairview Southdale‚ hypoxemic and/or hypercapnic respiratory failure may develop and may be treated with long-term oxygen therapy (Simmons
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Key Terms & Concepts Anatomy and Physiology 1H06‚ W2012 You should be able to describe and/or demonstrate an understanding of the following: *this is not an exhaustive list… Cardiovascular Anatomy • Heart: Location (Mediastinum)‚ Base vs Apex‚ Major Landmarks (SVC‚ IVC‚ Pulm. Trunk‚ Aorta) • Relational Anatomy: Structures Above‚ Below‚ Anterior & Posterior to Heart • Surface Features: Anterior & Posterior (Atria‚ Ventricles‚ Great Vessels‚ Sulci) • Sulci:
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exorbitant $28 billion annually (Rasmusson & Renlund‚ 2006). Chronic obstructive pulmonary disease (COPD) is presently the fourth leading cause of death world wide (Kara‚ 2005). As nurses it is imperative that we educate patients and their family members on risk reduction‚ identifying early signs and symptoms and latest treatment advances made towards controlling chronic conditions such as HF and COPD. Scenario Mr. Jones 68 y/o male arrives at the Emergency Department (ED) with complaints of increased
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Krystle Henley Respiratory Care Practicum I 18 August 2011 Soap Notes for Soap 1 Subjective - Upon physical examination‚ patient presents as a morbidly obese senior woman who appears older than her age. Patient presents with sudden onset vomiting and nausea. Patient is has recently undergone surgery on her lower back and is complaining of pain in and around the incision area. Patient has a home O2 requirement of 4 L/min at resting and 5 L/min during physical activity. Patient’s current respiratory
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Edwards S. A nurse’s survival guide to the ward. Edinburgh: Churchill Livingstone; 2003. Richardson M. Physiology for practice: the mechanisms controlling respiration. Nurs Times 2003;99(41):48— 50. Schlichtig R‚ Grogono AW‚ Severinghaus JW. Human PaCO2 and standard base excess compensation for acid-base imbalance. Crit Care Med 1998;26:1173—9. Taylor DL. Respiratory alkalosis: pathophysiology‚ signs and symptoms. Nursing 1990a;20(8):60—1. Taylor DL. Respiratory alkalosis: pathophysiology‚ signs and
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Melinda ENC 1101 4/September/2011 Freedom from smoking Smoking cigarettes was one of the worst if not the worst habit I ever had I am finally free from smoking. I started smoking cigarettes at the very young age of fifteen. I did it because everybody else was doing it. I thought it was the cool thing to do. I was a kid who just wanted to fit in. I remember how that first cigarette tasted. It was a menthol cigarette and it was
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