Chapter One *A Brief Overview of a Venous Leg Ulcer *and the Assessment Process The nurse must have the skills and knowledge to identify a venous leg ulcer. Dowsett (2005) believes that it is important that nurses and other health care professionals look for the underlying cause of an ulcer. Whereas‚ the Royal College of Nursing (1998) has different views‚ and argues that‚ professionals who are fully trained in leg ulcer management should only be able to identify an underlying cause as it is
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A peptic ulcer is a mucosal contusion in the stomach or duodenum. Peptic Ulcer disease results from when the mucosal defenses get incapacitated and no longer shield the epithelium from the result of acid and pepsin. There are three types of ulcers that may occur gastric‚ duodenal‚ and stress ulcers. Most ulcers are caused by H.Pylori infection‚ which is carried through the fecal-oral route and thought to be received in childhood. It also can be received through contaminated endoscopic equipment.
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Case scenario Encik A‚ seventy six years old Malay man was admitted with the diagnosis of Pulmonary Tuberculosis (PTB)‚ Acute on Chronic Renal Failure‚ Liver Impairment and Perforated Gastric Ulcer. Encik A’s condition was deteriorating and he had to be transferred to the Intensive Care Unit (ICU). Dangerously Ill List (DIL) was issued and he was critically ill and soon required invasive ventilation. He had total of five doctors’ attending to him and all of them are from diverse cultural background
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PRESSURE ULCER PREVENTION: USE OF SACRAL MEPILEX IN PREVENTING PRESSURE ULCERS IN THE ICU PATIENT: An Evidence-Based Project Elizabeth Bard‚ Melissa Carder‚ and Maria Medina Submitted in Partial Fulfillment of the Requirements for the Degree Master of Science in Nursing Nebraska Methodist College Department of Nursing Omaha‚ Nebraska Under the Supervision of Dr. Linda Foley May 2012 Abstract During the past few years‚ the interest
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Venous Ulcers Homework 1. True/false: The medium and large veins in the leg have bicuspid valves to prevent retrograde venous blood flow‚ but the perforating veins do not have valves. False 2. What causes the ulcers to form in patients with venous insufficiency? [The question is what causes ulcers to form‚ not what causes venous insufficiency (people can have venous insufficiency and varicose veins for years without ulceration)] Ulceration is caused by hypoxia‚ which is a decrease in the amount
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This is a case of a 40-year-old man who is a binge drinker. These are not just the people who indulge in huge quantities on a weekend. Binge drinking is defined as drinking twice the recommended limit in any one sitting. He developed severe abdominal pain which radiated through to the back. The pain had started suddenly‚ 15 hours before admission to the hospital. He had no previous history of gastrointestinal disease. On examination‚ the patient was mildly shocked and his abdomen was tender in the
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connective tissue. 2.the pressure sites of the body are Heels / Hips / Inner knees / Lower back / Buttocks / elbows / Shoulders and the Back of the head and ears . 3.the risk factors that might put a service user at risk of skin breakdown and pressure sours are Limited mobility / Impaired sensation / Old age / Excess sweating or incontinence / Dehydration and Smoking . 4.incorrect handling and moving techniques can cause skin tears the skin is ripped open pressure damage where they can squash
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well. Denies urinary frequency‚ urgency‚ and hematuria. Patient also denies arthralgias. REVIEW OF SYSTEMS: Otherwise essentially negative. PHYSICAL EXAMINATION: Vital signs temperature 97 degrees‚ pulse 53‚ respirations 22‚ blood pressure 108/60. GENERAL: Physical exam reveals a well-developed‚ well-nourished 35 year-old white female in a HISTORY AND PHYSICAL EXAMINATION (H&P) Patient Name: Brenda Seggerman Patient ID: 903321 Date of Admission:
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Teaching Strategies Plan for Decubitus Ulcer For Nursing Assistant/UAP Winward Ganu NU 2530 July 23‚ 2014 Learning Needs/ Topics Diagnosis Risk Factors Available Resources Learning Objectives Teaching Strategies Implementation/Rationale Evaluation 1. Impaired skin integrity: stage I or II pressure ulcer. Related to: physical immobility‚ mechanical factor (e.g.. friction‚ pressure‚) altered circulation‚ medication‚ moisture 2. Impaired
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1- Introduction Developed and commercialized by Merck‚ Pepcid is a prescription drug for treatment of heartburn. Different from regular antacids that just neutralize acids in the stomach‚ Pepcid belongs to a class of drugs known as H2 receptor antagonists‚ which reduce stomach acid secretion by blocking the histamine H2-receptor on the cells producing gastric acid. Third in the H2’s class to enter the prescription drugs market‚ Pepcid was never able to reverse course and take market leadership from
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