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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Principle Eight: Due Process In simplest terms‚ when a school terminates an employee‚ he or she should know the charges against them. In reality‚ the laws and guidelines surrounding the termination process is more complex. The process involves documentation‚ timelines‚ and hearings. Additionally‚ not all employees even qualify for due process. Idaho statute calls for three categories of certified teachers. • Category I employees are certified employees with one year contracts. No further notification
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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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APPROACHES TO FAMILY NURSING All individuals are affected by their family (Kaakinen‚ Coehlo‚ Steele‚ Tabacco‚ & Hanson‚ 2015). Today nurses realize the importance of the family unit on the overall wellbeing of the individual and by including the family into the patients care‚ it increases the positive outcomes for both (Svavarsdottir et al.‚ 2015). We will review a patient I had many years ago and discuss the child and his health needs in regards to how it affects him‚ his family‚ the family functioning
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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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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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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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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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Case studies have been great tool for me to learn evidence based nursing that will be put into nursing practice. Retrieving information‚ recognizing deviations from “normal”‚ interpreting and prioritizing data to plan patient specific interventions are all skills that I have developed from case study analyses. Different from SIM where we have to think on our feet and rely on the skills that we have learned‚ theory case studies are written‚ allowing us to track a nursing issue through all the stages
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Patients who present to the ER with abdominal pain are often complicated cases with the abdomen housing so many organs. Trying to figure out what is going on with your patient is made more difficult because of referred pain. When trying to figure out where to start remembering your ABC’s will assist in determining if your patient is stable or unstable. Remembering which organs are located within each abdominal region will assist you in narrowing down the potential diagnosis. With the ER patient
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