Background: Mr. A is a 65-year-old male admitted on 3/7 for pacemaker revision and video-assisted thoracic surgery (VATS) epicardial lead placement. He is currently post op day 6. Mr. A has a history of viral cardiomyopathy which was diagnosed 3/2016. His ejection fraction is estimated to be 30%. Following the removal of a cardiac resynchronization therapy (CRT) device in 11/2017‚ Mr. A was required to wear a LifeVest. In the past‚ Mr. A has undergone three implantable cardioverter defibrillator
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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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causes various kinds of metabolic problems. The response to low levels of cortisol is increased production of corticotropin (ACTH). Lack of mineralocorticoids‚ primarily aldosterone (steroid hormone)‚ causes sodium and water imbalance which‚ in some cases‚ can be fatal. The various forms of CAH represent defects in the different stages of corticosteroid synthesis‚ usually hydroxylation reactions at certain positions on the original CAH is a family of inherited disorders affecting the adrenal glands
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DOI: 2/2/2016. Patient is a 59-year-old female certified nursing assistant who sustained injury to her low back and right knee while transferring a patient. Per OMNI entry‚ she was initially diagnosed with right knee contusion/strain and lumbar sprain. She is status post right knee arthroscopic medial meniscectomy‚ medial condyle abrasion arthroplasty major synovectomy/3 compartments and lateral release on 07/31/16. Per the PT note dated 10/17/16‚ patient is doing well with the exercises. However
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culturally congruent care‚ which is the primary goal of transcultural nursing practice. Culturally congruent care is possible when the following occurs within the nurse-client relationship (Leininger‚ 1981): Together the nurse and the client creatively design a new or different care lifestyle for the health or well-being of the client. This mode requires the use of both generic and professional knowledge and ways to fit such diverse ideas into nursing care actions and goals. Care knowledge and skill
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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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passed in 2010. The nursing profession is one of the largest divisions in the healthcare workforce and requires large transformations in order to meet the goals that the United States has set forth. The Institute of Medicine (IOM) conducted a report in 2010 which laid out recommendations for health care professions in order to make the goals attainable. Transforming education‚ transforming practice‚ and transforming leadership are three areas that greatly impact the nursing profession (IOM‚ 2010)
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“Nursing encompasses autonomous and collaborative care of individuals of all ages‚ families‚ groups and communities‚ sick or well and in all settings. The role of a nurse includes the promotion of health‚ prevention of illness‚ policy and education.” (Lankshear‚ S.‚ Personal Communication. 2015.) But a nurses’ most important job is to provide compassionate‚ and ethically- sound care to every client that comes into their wake while keeping a calming demeanor. This demeanor is known as mindfulness
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