DISCHARGE SUMMARY Patient Name: Benjamin Engelhart Patient ID: 112592 DOB: 10/5/---- Age: 46 Sex: M Date of Admission: 11/14/ Date of Discharge: 11/17/ Admitting Physician: Bernard Kester‚ MD Discharge Diagnosis: acute superative appendicitis perforated Surgical Procedures: Laparoscopic appendectomy with placement of RLQ drain on 14 November. Complications: none. DIAGNOSTIC LAB/IMAGING: Lab results at time of admission showed a WBC count of 13. CT scan done in the ED revealed
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Patient Educational Plan Nur/427 Monday‚ March 29‚ 2010 Sara Gerrie‚ MSN Introduction Prolonged and chronic ethanol (ETOH) use has devastating effects on the gastrointestinal (GI) tract. ETOH is easily absorbed from the intestine and diffuses quickly throughout the body. The bulk of the ETOH is metabolized in the liver. ETOH abuse produces functional and structural changes in the GI tract‚ such as in the stomach‚ small intestine‚ liver‚ and pancreas (Geokas‚ Lieber‚ French‚ & Halsted 1981)
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priority order) PATIENT-CENTERED GOALS NURSING INTERVENTION RATIONALE EVALUATION Risk for hypovolemia related to excessive fluid loss secondary to caesarean section as evidenced by: Subjective Data: Patient states: “I feel lightheaded and weak.” Objective Data: Elevated pulse (97)‚ blood loss from C-section of 704 mL‚ low hemoglobin (8.1) and hematocrit levels (24.7). (Before C-section‚ her hemoglobin levels were 13.1‚ her hematocrit levels 36). Short Term Goal Patient will exhibit no
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DISCHARGE SUMMARY____________________________________ Patient Name: Brenda C. Seggerman Patient ID: 903321 Date of Admission: 03/27/---Date of Discharge: 03/30/---Admitting Diagnosis: Ectopic pregnancy. Surgical Procedures 1. Exploratory laparotomy. 2. Partial salpingectomy. 3. Evacuation of hemoperitoneum. 4. Lysis of adhesions. Complications: Blood loss requiring transfusion x2. HISTORY: This 35-year-old white female‚ gravida 3‚ para 1-0-2-1‚ had her last menstrual period in early January. Prior
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Teaching Plan: Tracheostomy Care for Patients and Family upon Home Discharge Patients who undergo a tracheostomy and their family must demonstrate understanding and performance of the following objectives: 1. The anatomical changes related to the procedure. 2. Management of a tracheostomy. 3. The importance of humidification and suctioning in maintaining airway patency. 4. Awareness of possible problems/complications in tracheostomy management. A normal breathing pattern draws air
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EXAMINATION Admitting/ Attending Physician: Alex McClure M.D. Patient name: Benjamin Engel Hart Patient ID: 112592 DOB: 10/5 Age: 46 Sex: Male Date of admission: 11/14/---- Emergency room physician: Alex McClure M.D. Admitting diagnosis: Acute appendicitis. History of present illness: This 46 year old gentlemen with past medical history significant only for the generative disease of bi-lateral hips‚ secondary arthritis presents to the emergency room after having
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Kimberley Ayala Discharge Planning Checklist Discharging a patient from a hospital setting should be very easy‚ according to all of the patients that are in the hospital and don’t care about anything at the moment except getting home. While the patient is inpatient there are many things that could go wrong‚ however in house the patient is being controlled and managed. When a patient goes home there are no monitors or hourly blood draws to ensure their safety and survival. Discharge planning is not
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The purpose of this paper is to analyze my own experience and the research I found regarding discharge planning. Discharge planning consists of an array of assessments and teachings as the patient moves from one facility (hospital) to another (home‚ nursing home‚ etc.). Essentially‚ this is significant in preventing a patient from re-hospitalization. In regards to my patient‚ she received an assessment and teachings concerning her mental status‚ mobility‚ previous surgery‚ current medications‚ and
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Right to Discharge Discharge from the hospital is the point at which a patient leaves the hospital and returns home or is transferred to a rehabilitation facility or a nursing home. The discharge process typically centers on the specific medical instructions which will encourage the healing process necessary for a full recovery by the patient. The planning process or discharge planning is also a service which fully integrates the recovering patient’s needs just after the hospital stay. In many
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Human Resource Management Google total compensation plan November 04‚ 2009 Introduction Google is a monopoly‚ and it has a different and special structure. Employees are linked between themselves‚ and after in a moment they become autonomous. In this paper we are going to talk about the total Compensation plan‚ and we are going to explain its importance in this company. First of all we are going to indentify Google’s pay philosophy. We will explain the terms of lead‚ match and lag
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