A REFLECTIVE PIECE ON A PATIENT WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. In this reflective piece of writing I will be explaining how chronic obstructive pulmonary disease (COPD) affects the patient physically‚ psychologically ‚and socially ‚I will also explain how the disease affects his daily routine and how it impacts on his family life. I will give an overview of the clinical signs and symptoms‚ how the disease alters the pathphysiology of the lungs‚ and what these changes cause within
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Today marked my seventh clinical day on the floor at UH Ahuja. My patient assigned to me was a female admitted for hematemesis‚ which means the presence of blood in vomit. I learned that her hematemesis was caused by a GI bleed secondary to a gastric ulcer. The vomit was described as coffee ground texture and color. I looked into it and discovered that it could be an indicator of an upper GI bleed. I talked to Stephanie about this‚ and she confirmed this. She also asked me which labs to watch out
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CTR is a 51 year old woman who is divorced and lives with her son and granddaughter. She works a full-time job as well as a part-time job to make ends meet. She struggles everyday with high blood pressure‚ type II diabetes and multiple other musculoskeletal problems‚ but one thing she does not struggle with is her faith. Upon meeting with her and performing the spiritual assessment (Balzer-Riley‚ 2008) using the tool as assigned CTR consented to an assessment of her spiritual health. It was very
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Clinical Case Study Nursing is a complex and ever expanding profession. Nursing care mainly focuses on the patient’s physical care‚ which allows nurses to be with their patients for much longer than many other health professionals. Systematic patient assessment is an integral part of a nurse’s job as it permits patient care to be prioritized according to severity of condition‚ and also molds the basis of care plans (Anderson‚ 1998). Through early detection of a deteriorating patient‚ appropriate
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Legal Issues Case Study for Nursing Case 2 Nursing Situation: Cindy Black (fictitious name)‚ a four-year-old child with wheezing‚ was brought into the emergency room by her mother for treatment at XYZ (fictitious name) hospital at 9:12 p.m. on Friday‚ May 13. Initial triage assessment revealed that Cindy was suffering from a sore throat‚ wheezing bilaterally throughout all lung fields‚ seal-like cough‚ shortness of breath (SOB)‚ bilateral ear pain. Vital signs on admission were pulse
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Million Hearts Campaign The goals of health promotion and disease prevention are central to the nursing practice. These goals are helping people to be and stay healthy‚ managing health of those suffering from chronic diseases and disability‚ and creating environments that promote health (Pender‚ Murdaugh‚ & Parsons‚ 2015). The federal government has also supported these goals by implementing initiatives that cover the wide range of topics from chronic diseases such as cancer‚ diabetes‚ dementia
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involved in this model are assess‚ link‚ synthesize‚ design‚ implement and evaluate‚ and integrate and maintain. In this case‚ we have identified problem i.e. increased incidence of UTIs. According to the model‚ we will need to assess the need to change the current practice of the clinic. The data should be collected on the clinic’s current practice‚ which
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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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Congestive Heart Failure in Pets and Companion Animals Pets can suffer from both acute and chronic heart disease just like their human companions can. Heart disease can lead to congestive heart failure‚ a weakening of the heart that makes it impossible for it pump enough blood into the rest of the body. A surplus of fluid will then back up into a pet’s lungs and ultimately cause death. Congestive heart failure in dogs and cats has many causes and many symptoms. It can come on quickly in some cases or appear
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1. Think about a real world: Diagnosis Congestive heart failure (CHF)‚ non compliance with daily weight or diet/situation. Address using an independent or related samples t test. 2. Identify the independent (grouping) and dependant (response) variables important to study 3. Explain whether an independent sample or related sample t test is appropriate and why 4. Generate a hypothesis‚ including null and alternative hypothesis 5. Describe what information the effect size will tell you and what
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