ulceration on the plantar forefoot‚ right foot‚ with sanguinopurulent discharge‚ and fever. Temperature in the office that day was 100.5 degrees. The patient was sent to the ER at Hillcrest Medical Center for subsequent incision and drainage‚ intravenous antibiotics‚ care of the diabetes mellitus‚ and further work up. PHYSICAL EXAMINATION: See Dr. Baker’s dictated note for complete H&P‚ but please note the following. The patient has moderate to severe Charcot’s deformity of the right foot
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Section 1- observations: The color of his eyes and skin. Consider that the patient is an 85-year-old male. He is more susceptible to high blood pressure‚ tachycardia‚ and injury. Observe skin to see if there are any pressure sores‚ bruises‚ cuts‚ etc. from falling or other trauma. The patient’s current energy levels. Does the patient appear to be tired or distressed‚ with fainting being an issue? Is the patient experiencing nausea/vomiting? Section 2- Questions to ask: When did you start feeling
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This assignment will reflect on and critically analyse my personal and professional development in the domain of care management over the last three years. It will additionally outline how I plan to continue to develop in this domain once I have qualified as a registered nurse. My development so far will be analysed from the perspective of the skills‚ knowledge and values required of a registered nurse. Through this reflection I hope to confirm that my practice meets the standards for entry onto
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C: CIRCULATION PLAN * Prevention of fluid and electrolyte imbalance‚ dehydration and sepsis (IV fluids) *Jean is vomiting* (check vomitus for blood) * Fluid balance chart * The insertion of IV cannula * Remains Nil by Mouth-insertion of NG tube * Central Pulse - rate‚ volume & regularity * Pulse rate on admission – 98 beats/min * Peripheral pulses * Blood pressure * *Respiratory rate* * Capillary refill (teach importance of removal of nail polish/make up –
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AIDS virus itself. HIV and AIDS are rapidly growing throughout not only the nation‚ but the entire world. The most common way to get infected with HIV is through sexual contact with an infected person. Other ways of getting infected are through intravenous needles‚ blood transfusions‚ unsterile tattoos or piercings can also transmit the disease. Also‚ sometimes a pregnant mother can pass on the infection to her fetus before it is born. Most people do not have any distinct symptoms early on. Two
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Fluid Balance Explain in detail the fluid compartments of the body‚ including distribution of fluid and electrolytes within each compartment and the movement between compartments. In the average person water constitutes 60% to the total body weight.: 42L in a 70kg individual. 40% is intracellelular fluid‚ while remaining 20% is extracellular. The extracellular fluid can be divided into plasma (from intravascular compartment) and interstitial fluid intracellular fluid (28 L‚ about 35% of lean
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This paper is about the neurological problems that could arise following the use of recreational drugs and substances from a neurological perceptive. In this paper I cover general categories of recreational drugs verses specific drug by drug classifications. I present this information with minimal consideration of the added complications of the interactions between recreational drugs‚ alcohol‚ pharmacological products‚ and predisposing or current mental and physical health. Keep in mind that I am
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Prostitution in Europe The world’s largest trade‚ prostitution‚ has always found ways to overcome the legal attempts to suppress it. Prostitution has become one of the most common trades throughout the world. Many poor countries have turned to prostitution as an outlet from their economic difficulties. It is the easiest from of labor for those who do not have a proper education or the economic background to join the legal labor force. Many men and women have found this line of work
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Buprenorphine Matthew Frei (2010) author of the qualitative piece of literature‚ Opioid Dependence Management in General Practice‚ reviewed by the third researcher‚ (RW). Frei presents a quality overview‚ albeit based in Australia‚ of the process and complications of General Practitioners (GP’s) in dealing with opioid addiction within their patient base. The article describes the complexities‚ socially as well as clinically‚ of the use of Buprenorphine as a substitute opioid agonist for the purpose
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nurse needs to check the IV site to make sure the catheter remains in the vein and is delivering a continuous solution. The nurse also needs to flush the catheter routinely to prevent it from clotting. Heparin sodium is used as an anticoagulant in intravenous catheters in order to prevent clotting and minimize the incidence of phlebitis. Heparin infusion prolongs the duration of peripherally inserted central venous catheter usability‚ which permits a higher percentage of therapy completion without increasing
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