Secondary to Uremic Encephalopathy‚ Hypertensive Nephrosclerosis vs. Gouty Neuropathy Attending Physician: Dr. Valdez‚ Dr. Manzon‚ Dr. Ocampo‚ Dr. Concepcion I. CHIEF COMPLAINT - General body weakness - Drowsiness - Pain on knees II. NURSING HISTORY The patient‚ MNM‚ has hypertension for 21 years‚ he’s not taking any medications until year 2008 when he was prescribed Nifedipine and Carvedilol. He also has gouty attacks for 14 years now and he is taking Allopurinol. Four days PTC
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Patient who underwent Total Hip Replacement (THR) 05/05/2012 GNT1 Task2 Abstract This paper focuses on the discharge plan for patient who underwent the Total Hip Replacement (THR). The nurse‚ as a case manager‚ works with the multidisciplinary team to determine the appropriate discharge plan for the patient. The roles and responsibilities of each member are elaborated. The healthcare issues‚ the safety assessment are discussed. In this case study the patient lives alone during
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sustained a left hip injury due to repetitive motion at work. Per OMNI‚ the patient was diagnosed with left hip strain and sciatica. Based on the initial orthopedic evaluation report dated 01/15/2016‚ the patient complained of frequent left hip pain rated as 7/10. He reports radiation of his pain from the hip through the buttock down the left leg. He experiences occasional weakness of the hip and limps favoring his left leg when he is tired. He reports easy fatigability with the left hip and leg. He
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arthroplasty on the left hip at 17:00. Her past medical history reveals that the diagnoses such as
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the risk of falling to Susan and resulting in hip dislocation due to flexing hip. Susan must not lean forward and downward over 90 degrees and avoid high risk position. Rationale: According to “the 90-degree rule”‚ patient who complete hip replacement should not bend the legs for over 90 degrees to the hip‚ which bending action can facilitate hip dislocation. For example‚ crossing legs and squatting down[4] are the high risk position to result in hip dislocation. Proper position
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1. Admit the patient using critical thinking skills to assess and prioritise nursing interventions related to Audrey’s. • Comfort and Safety. Audrey who is diagnosed with fractured left NOF (neck of femur) must be evaluated using pain assessment to obtain the optimal pain management intervention. Analgesics and non-pharmacologic approaches will be helpful to ease her pain and anxiety(Fink‚ 2000). As for her safety‚ the bed must be lowered down‚ side rails up if necessary and all her needs must
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At the end of my clinicals‚ there was a meeting about not over recommending a skilled nursing facility (SNF) for people who do not truly need a SNF according to the hospital. One of the criteria for not needing a SNF was if the person was functioning at the same baseline they were functioning at before surgery. This became a dilemma for one patient who had a total knee replacement because the patient could barely stand upright and walked with a severe genu valgum. According to the patient‚ she was
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data in the natural state of the nursing home. If they had intervened more than they had‚ they would run the risk of missing valuable information. 2. Who was responsible for the condition of the patient? Why? There were multiple people responsible for the condition of this patient. Although the nurses are ultimately responsible for the care of the patients they are assigned‚ the other staff at the nursing home must also be held responsible. The fact that the nursing home was severely understaffed
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improvements to be made. The first area of improvement that has got to be mentioned it the nursing shortage. In many health care systems there is a nursing shortage. Nurses often become overworked and underappreciated. When someone in any profession is overworked‚ accidents can happen‚ but within the nursing profession these overworked accidents can have detrimental consequences. With many shifts short-staffed‚ nursing managers face the dilemma of either overworking staff or having not enough nurses during
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Case Presentation William is a single‚ seventy- year-old Caucasian male‚ who resides in a nursing home. He has no children and his only close living family member is his sister. William was admitted to the nursing home three months ago‚ after having suffered a stroke and subsequent left side weakness in his leg and arm. Currently‚ William is undergoing physical therapy at the nursing home to improve his left side mobility. William was referred to the Nursing Facility Transition program
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