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- Mr. Jones, 22 yr old AA male, comes into the Emergency Room with an exacerbation of Sickle Cell crisis. States his pain is a 20 out of 10.Give examples of a non-pharmacologic pain relief.Give examples of pharmacological pain relief.Which would be appropriate for the physician to prescribe at this point.What statement by the client with plantar fasciitis indicates a need for further teaching? “I will rest and stretch my feet.” “I will wear supportive shoes.” 3 .” I will use warm packs on my feet.” 4 “I will use nonsteroidal anti-inflammatory drugs (NSAIDs) for comfort.”Patient is a 73 year old male with gradual memory loss for the 5 years with difficulty learning and remembering new information, deterioration in personal hygiene and appearance, loss of eye contact with a fearful look in his face. When daughter ask about time and place he is not able to responds correctly. In the last 2 years has been experiencing changes in mood and personality as well as problems with words in speaking and writing.
- Patient is a 36 year old female with a chief complain of tingling and numbness in her first 3 fingers and thumb of both wrists, mild burning sensations heading proximally in her right arm, trouble grasping objects, and having issues making a fist. The patient has been working as a secretary for the last 10 years. Past medical history Herniated disc between C6-C7. Family history: Moher died of bladder cancer and father has coronary artery disease. Social History Social alcohol usage (a glass of wine every one-two weeks) with friends and family. No Tabaco or recreational drug history. Allergies None Medications Ibuprofen 400 mg when needed. Birth control pill Key Labs, images, or procedures performed in relation to current diagnosis. Nerve conduction study: Median nerve impulse were slower than normal Tinel’s test: Positive. Phalen’s test: Positive Key Physical Examination findings: Tenderness when the wrist was overextended. 1. Provide the diagnosis * 2.…Clinical case: Mrs. P, patient with neurological signs suggesting meningitis Your 45 year old patient (who has recently moved from Great Britain where sey were born and raised) presents with severe headaches, stiffness in the neck, confusion and drowsiness. . You suspect meningitis, a life threatening infection of the tissue surrounding the brain and spinal cord. • You take a cerebrospinal fluid (CSF) sample from the patient and send it to the micro lab for examination and culturing. • Later that day the micro lab reports that no bacteria nor fungi were observed on a direct smear of the CSF. In 3 days, the lab reports that no bacteria nor fungi grew in cultures. • The lab also ran PCR for the most common viruses causing meningitis and all were negative. ELISA's checking for helminth and protozoal infections were also negative. Blood work suggests there is no immune response to the pathogen causing the patients clinical signs and symptoms.Aphakia Breakdown in the following order and be sure to label (e.g. Suffix) each word part 1. S) Suffix and its meaning: 2. (P) Prefix and its meaning: 3. (C)Combining form(s) and its meaning: 4. (MD) Medical Definition:
- History of present illness: Patient is a 36 year old female with a chief complain of tingling and numbness in her first 3 fingers and thumb of both wrists, mild burning sensations heading proximally in her right arm, trouble grasping objects, and having issues making a fist. The patient has been working as a secretary for the last 10 years. Past medical history Herniated disc between C6-C7. Family history: Moher died of bladder cancer and father has coronary artery disease. Social History Social alcohol usage (a glass of wine every one-two weeks) with friends and family. No Tabaco or recreational drug history. Allergies None Medications Ibuprofen 400 mg when needed. Birth control pill Key Labs, images, or procedures performed in relation to current diagnosis. Nerve conduction study: Median nerve impulse were slower than normal Tinel’s test: Positive. Phalen’s test: Positive Key Physical Examination findings: Tenderness when the wrist was overextended. 5. Provide…Match the numbered column on the left to the corresponding letter column on the right. Place answers below. 1. DDH 2. seizures 3. SCFE 4. hydrocephaly 5. meningitis 6. Young children incomplete fx 7. Muscular dystrophy 8. Spina bifida 9. Scoliosis 10. Cerebral palsy 11. Baclofen pump A. Bracing, core exercises B. Greenstick C. Juvenile avascular necrosis of femoral head D. decreased sensation below level of defect E. Frequent casting F. Treat spasticity G. Overweight adolescent H. Warm bath in a.m. I. Pavlik harness J. Turn, cough, deep breathe, assess skin K. Protect from injury 12. LCPD L. VP shunt 13. immobility 14. Clubfoot 15. Infant ↑ ICP M. Hib, Prevnar can help prevent N. High-pitched cry O. Not meeting developmental milestones P. Pseudohypertrophy 16. JIAPt who was at home treating her right foot infection with VNA support. VNA recommended she return to the hospital because she was not caring for herself. The pt has not been able to get up and walk around including going to the bath. She complains of discomfort with swallowing and so she is not consistently taking her medication. She denies chest pain and shortness of breath. She is dysphagia, stage 2 plantar heel ulcer and at her butt. Has bruises on both hands, both legs is discolor and peeling. High fall risk and wear diapers. Pain is 7 on a scale of 0-10 at her coccyx wound. Normal bowl sounds and lungs sounds and heart sound. Cellulitis of right lower extremities. Cardiac diet and hypertension. Base on this information please do the concept map in the image
- 7. Discuss complications related to SCI and what nursing actions would you do to prevent or mitigate these complications. Complication Description Intervention Reflexes Spasticity Skin Care Autonomic hyperreflexia (Autonomic Dysreflexia)Pt who was at home treating her right foot infection with VNA support. VNA recommended she return to the hospital because she was not caring for herself. The pt has not been able to get up and walk around including going to the bath. She complains of discomfort with swallowing and so she is not consistently taking her medication. She denies chest pain and shortness of breath. She is dysphagia, stage 2 plantar heel ulcer and at her butt. Has bruises on both hands, both legs is discolor and peeling. High fall risk and wear diapers. Pain is 7 on a scale of 0-10 at her coccyx wound. Normal bowl sounds and lungs sounds and heart sound. Cellulitis of right lower extremities. Cardiac diet and hypertension. Vitals at 800: Vitals at 11:20Am: Pulse: 99 HR: 72 SPO2: 99. BP: 144/97 BP: 135/82. R: 17 Temp: 95:4 HR:70 R: 16 Base on the information above can you please do a intervention for each body system. Neurological, Musculoskeletal, cardiovascular, respiratory, integumentary, GI, GU Patient…The person with dementia may experience loss and grief. Briefly discuss 3 losses that they may experience and suggest how the losses may affect them. Briefly comment on losses that may be experienced by the family and friends of the person with dementia and the effect it may have. How would you feel if your mother began to disrobe in public? How would you deal with the situation? "It is so embarrassing when dad starts to swear in front of our friends. I can't take him out anymore." This is an example of s--------i---- What makes someone a valued member of society? (at least 5 characteristics). List 5 challenging behaviours that may lead to devaluation of a person. Briefly explore what it might feel like to be devalued as a human being. Identify 2 financial strains that may be placed on families of a person with dementia. 12. What are some of the impacts that social devaluation can have on a) A client b) Family members