Case Study One In this case study I will use Gibbs (1988) model of reflection to write a personal account of an abdominal examination carried out in general practice under the supervision of my mentor‚ utilising the skills taught during the module thus far. What happened During morning routine sick parade I was presented with a 21 year old male soldier experiencing severe acute‚ non specific‚ abdominal pain. Under the supervision of the medical officer (MO) I proceeded to carry out a full
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Patient Y adjusted well on the postpartum unit with the help of the nursing interventions mentioned above. Patient Y’s pain score continued to decrease throughout her stay. She started taking medication for severe pain and by the third day she was only requiring mild medication to alleviate her pain. Patient Y’s following was discontinued the following day and she remained free from any urinary infections. In regards to reducing the risk of infection for the incision‚ the healthcare team performed
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SPD and MPD were analyzed two times for better statistical power. Participants within this study continued the treatment for the following five years. Participants assigned to SPD were positioned supine horizontal‚ prone‚ left side down‚ and right side down. For those assigned to MPD the previous four positions were modified to supine 30° head
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uncontrolled diabetes and reporting the lack of education about diabetes was evidenced by high blood sugar and knowledge deficient about controlled diabetes (Ozcan & Erol‚ 2007). Teaching should have some positive outcomes to the patient and in this case‚ there are some expected outcomes. i. The patient should demonstrate how to take his blood sugar and interpret the results ii. The patient should demonstrate how to give himself insulin injections using the sliding
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initially diagnosed with low back strain. IW was deemed permanent and stationary on 09/24/13 with 7% whole person impairment rating. Future medical care includes office visits with an orthopedist‚ PT‚ acupuncture‚ medications‚ injections and diagnostic studies. Patient underwent an L5-S 1 interlaminar epidural steroid injection per the operative report dated 06/05/13. MRI of the lumbar spine dated 12/14/16 revealed early degenerative disc and facet changes‚ without significant canal or foraminal compromise
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COPD include renal damage‚ malnutrition‚ muscle wasting‚ osteoporosis‚ and anemia. (McCance & Huether‚ 2014‚ p. 1267). Signs and Symptoms Patients suffering from COPD commonly experience symptoms of dyspnea on exertion that may eventually progress to marked dyspnea at rest. This represents a key feature of emphysema. Also‚ patients report experiencing episodes of acute cough with limited sputum production and the patient often appears thin. Moreover‚ tachypnea with prolonged expiration is observed
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intestines or the gastrointestinal tract. • Viral infection is the most common cause of gastroenteritis but bacteria‚ parasites‚ and food-borne illness (such as shellfish) can also cause acute gastroenteritis. • Fifty to seventy percent of cases of gastroenteritis in adults are caused by the noroviruses while rotavirus is the leading cause of infection in children. Staphylococcus aureus can form a toxin that cause food poisoning while the resident Escherichia coli can also cause significant
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corticosteroids in COPD In this study published in JAMA‚ the authors looked at eleven studies on the use of inhaled corticosteroids in patients with COPD defined as a smoking- related lung disease characterized by recurrent episodes of cough‚ sputum production and breathlessness (Drummond‚ 2407). The authors of this study did no research of their own‚ but instead looked at other double blind‚ randomized‚ placebo controlled studies from around the world‚ with a restriction that the study was published
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Your post provided some insightful information. I recognized the trauma that was inflicted on Laura by her mother during the early stages of her life‚ but I had not taken into consideration that the excessive amounts of time spent in the hospital only added to the fragile mother /daughter disconnection. Virginia was an adequate “care provider” for her daughter‚ but she lacked the necessary maternal skills needed for Laura to sustain healthy growth. Since there are still emotional scars in the relationship
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There exists an article regarding the legal protest rules of nurses‚ within the medical field. According to the Carolan‚ (2000) academic journal‚ Nurses that are bonded with unions have the legal ability to “walk off the job” when unfair work conditions are noted. The rule only applies if the nurses negotiation agreements‚ does not contain a clause that prohibits striking (Carolan‚ 2000). The workplace policy does not apply to the nurses that are not unionized. The Carolan (2000) academic journal
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