1. What are her risk factors for developing a VTE? (Identify all factors.) Her risk factors for VTE are her 72 years of age‚ diagnose of cholangiocarcinoma‚ her recent post proximal bile duct open laparotomy‚ extended right hepatectomy with portal vein resection and reconstruction‚ radical bile duct resection‚ hepaticojejunostomy and cholecystectomy surgery‚ gemcitabine therapy‚ pain and leg swelling x 2 weeks‚ 15-pound weight gain‚ difficulty with breathing‚ feeling weak‚ debilitated and multiple
Premium Hypertension Myocardial infarction Blood
Tara is a 32yo‚ G3 P2002‚ who is currently 22 weeks 2 days. She follows in the High Risk Obstetrical Clinic secondary to a history of chronic HTN. She also has a history of preeclampsia in both her prior pregnancies. She reports that her high BP developed in her 1st pregnancy. Around 2 years later she had a stroke that she reportedly thinks was related to uncontrolled HTN. There has been some question in her history about a thrombophilia specifically factor V Leiden‚ although we do have a negative
Premium Patient Blood Myocardial infarction
Mary and Jason‚ As you both know I’m working at RLC tonight and I just had a question/suggestion on charting‚ like we do on the floor. I like to believe that if the CNA’s could chart on CPSI (ADL) things wouldn’t get overlooked like Incontinency. Like resident in room 216-2 is incontinent during the night but not on days‚ the other aids and some nurses had no idea that this was a thing. It would help reduce fall risks by having the aid chart safety every time they go in a room. To assure that
Premium Patient Nursing Health care
Patient X’s doctor has been trying to convince him to practice better lifestyle habits to for several years to help combat his hypertension (on antihypertensive medication for 3 years)‚ diabetes (6 years) and growing waistline. A recent routine check-up revealed a deterioration of his lipid profile (TC 260‚ TG 310‚ HDL 29‚ LDL 170) and fasting glucose of 172. Patient X is 55 years old‚ weighs 245 lbs and he is 5’10 . 1) Hypertension: Weight control to lower the risks associated with hypertension
Premium Nutrition Obesity Blood pressure
Do assessment on Susan’s living environment and avoid any physical barriers‚ especially on the floor. Rationale: It is necessary to keep the living environment safe and tidy to Susan away from walking obstacles such as furnitures and household utensils‚ which will increase 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
Premium Health care Health care provider Patient
Asthma effects over 2 million Americans and presents in various forms depending on the individual’s number of events (Woo & Wynne‚ 2011). Classification of the frequency of one’s symptoms and use of medications indicate the level of control one has of their asthma. S.E.’s documented history of “mild persistent” asthma and presentation of symptoms requiring the use an albuterol inhaler daily‚ in addition to hospitalization twice in a year and frequent emergency department visits (ED) identify asthma
Premium Pregnancy Childbirth Obstetrics
As a future adult/gerontology nurse practitioner (AGNP)‚ my role will be focusing on helping patients to manage chronic illnesses‚ illness prevention‚ and health promotion. In addition‚ The AGNP collaborate with other health care providers such as physicians and specialist to better manage and treat patient illness. The problem am really interested in researching is catheter-associated urinary tract infections (CAUTIs) in older adults. Working as a registered nurse in a medical/surgical unit I have
Premium Nursing Patient Health care
Intervention Plan The most important goal for Emilia is for her to continue her sobriety. It is important for her not use drugs for her biological‚ psychological‚ social‚ and spiritual aspects of her life. The first goal Emilia and I would agree upon is going to ninety twelve step meetings like AA or NA consecutively for at least ninety days. This is an excellent way to tackle the behaviors and compulsion influencing her addiction. This social resource also gives Emilia an opportunity to establish
Premium Addiction A Great Way to Care Parenting
26 year old Native American female admitted with the diagnosis of Cellulitis. Her chief complaint of fever and vomiting that started at 1600 on 11/2/2016 with pain‚ swelling and redness in the right and left forearm. Patient reported shooting up Opana and using cocaine in the last 12 hours. Patient cleans her needles with Clorox and believes she may have injected Clorox into her right forearm. She also reports pain in the left forearm as well. The patient has no known drug allergy‚ no past medical
Premium Drug Heroin Health care provider
The ethical dilemma This case presents an ethical dilemma‚ a situation which arises when one must choose between mutually exclusive alternatives (Beauchamp& Walters‚ 2003). Decisions may have results that are desirable in some respects and undesirable in others. In Juana ’s case‚ her decision to refuse the blood transfusion had the desired outcome of allowing her to remain true to her religious beliefs. However‚ her choice also resulted in her death. If she had followed the recommendation of
Premium Ethics Morality Philosophy of life