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Nursing Assessment
PATIENT NAME: Catherine Williams DATE OF BIRTH:3/26/1947DATE OF ADMISSION:1/19/2015 PROGRESS NOTE HISTORY: C ...
Nursing Assessment
PATIENT NAME: Catherine Williams DATE OF BIRTH:3/26/1947DATE OF ADMISSION:1/19/2015 PROGRESS NOTE HISTORY: Catherine Williams is a 67-year-old Caucasian female who was brought to the hospital via an ambulance and subsequently admitted to the hospital on 1/19/2015 for dysphasia, dysphagia, and right hemiparesis. Ms. Williams has history of HTN, and high cholesterol. Husband states that patient is taking medication daily. No problems have been noted prior to 1 ½ hours ago when she began to show signs of right facial drooping and complained of cephalgia. Husband states the patient was unable to drink her coffee without the liquid spilling down her face.Per the husband, the patient was reaching in the cupboard for a dish, when her right arm started to fall. After sitting at the breakfast table, the patient began to rise, when she fell to the floor, and was unable to stand up without help. She showed a steady decline within minutes developing ataxia, dysphagia, and dysarthria. OBJECTIVE FINDINGS: Physical examination shows the patient was alert, and oriented x 2. Mild confusion noted to place. Gait was not assessed at this time due to hemiparesis. Grips were unequal. Right pupil was sluggish to respond to light. Right lower extremity was flaccid. Blood pressure was 180/92 mm Hg. Pulse, 78. Respirations, 18. Temperature 98.7.Chest radiograph, Urinalysis, CBC, PTT, Basic Chemistry Panel and ABGs were obtained. ABGs showed low 02 saturation. CT scan showed negative for an intracerebral hemorrhage. A neurology consultation was obtained. Neurologist confirmed the diagnosis of an ischemic stroke after an MRI of the brain demonstrated an ischemic area of the left cerebral cortex caused by a cerebral embolism. IMPRESSION: Hemiparesis, HTN, Ischemic Stroke TREATMENT SUMMARY: The patient was given Alteplase 0.9 mg/kg IV infused over 1 hour for first bolus. Continued with 0.81 mg/kg as continuous infusion over 60 minutes. Mannitol was started IV post Alteplase infusion. Patient transferred to ICU.Neuro checks ordered q 2 hrs.On the second hospital day, the patient developed hypotension, N & V. Reglan given IV and normal saline was increased to 150 drops per minute for 2 hours, then titrated down to 75. After 5 hours, patient BP was within normal limits, N & V subsided.Aggrenox started one capsule bid. Third day inpatient stay was unremarkable. Patient was transferred to medical floor.PT/OT, speech therapy ordered. Neuro checks reduced to every 4 hours. No further decline noted. Fourth inpatient stay, patient responding to PT/OT well. Use of walker with one assist. Gait and grip improving. No further neurological deficits noted. Discharge planning started. Rehabilitation facility recommended for continued PT/OT and speech therapy. Family educated on treatment plan, patient transferred to extended care facility for rehabilitation. Continue antiplatelet therapy. Informed patient and family to follow-up with neurologist one week after discharge from rehab. PART 1: Using the information provided in Progress Note above, please complete the following information. In this Assignment 2, imagine you are a medical professional working at XYZ Medical Center. Your patient is Mrs. Williams. Her son, Sam Williams, has just arrived from Montana. He is concerned about his mother’s wellbeing. You will be meeting with the patient’s son to update him on what has occurred during her hospital stay, the subsequent transfer to the rehabilitation facility and a discharge plan. Use the information from the Progress Note to update Sam Williams on his mother’s condition. You will be translating the medical information from the report into layman’s terms in order for the patient and patient’s daughter to understand. Please be sure use complete sentences, proper grammar, and spelling. You can use medical terms, however, you must also use layman’s terminology. Remember, it is your job to explain to the patient’s son what has occurred. You must use outside sources, including your textbook. Your explanation to Sam Williams should be 500 words or more. Cite your reference/referencesin APA format at the end of your explanation. Written Assignment requirements: Written work should be free of spelling, grammar, and APA errors. Points deducted from the grade for each writing, spelling, or grammar error are at your instructor’s discretion. Please be sure to view “Writing Center Resources” to assist you with meeting APA expectations. You may also access the link from Course Resources/AcademicSupport Center.
MSN 507 Unit 2 Topic 2
Discussion Topic 2: VHA Innovative Model AnalysisAnalyze the Veteran's Health Administration's patient centered medical ho ...
MSN 507 Unit 2 Topic 2
Discussion Topic 2: VHA Innovative Model AnalysisAnalyze the Veteran's Health Administration's patient centered medical homes (PCMHs) and patient-aligned care teams (PACTs). See case study number two, p.184 of Health Policy and Politics, A Nurses Guide, by Milstead. What design, implementation, evaluation, and program techniques would you use to ensure the success of this model? What flaws do you see in the implementation of this program?please include 2-3 references
6 pages
File Executive Brief
Implementing the Affordable Care Act(ACA) at Health Corporation of America(HCA) Implementing the Affordable Care Act(ACA) ...
File Executive Brief
Implementing the Affordable Care Act(ACA) at Health Corporation of America(HCA) Implementing the Affordable Care Act(ACA) at Health Corporation of ...
Concept Map
Fill in the concept map linked below with the information you have on your most recent patient. Then look at opportunities ...
Concept Map
Fill in the concept map linked below with the information you have on your most recent patient. Then look at opportunities, real or imagined, for collaborative and/or interdisciplinary care. What could you do to make everything and everyone work together for the good of the patient?Evaluation may be real or imagined as well. Think "outside" the realm of the clinical picture you're presented. If you believe the suggested improvements to care will benefit the patient, say so! If you are not convinced that the prescribed collaboration will be effective, say that as well.
Grand Canyon University Quantitative Research Studies Critique Essay
Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the "Research Critiqu ...
Grand Canyon University Quantitative Research Studies Critique Essay
Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the "Research Critique Guidelines – Part II" document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.
Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment.
4 pages
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Lymphedema, as its name suggests is a disease associated with the lymphatic system. Lymphedema refers to the swelling of t ...
Lymphedema
Lymphedema, as its name suggests is a disease associated with the lymphatic system. Lymphedema refers to the swelling of the arms and legs caused by ...
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Most Popular Content
Nursing Assessment
PATIENT NAME: Catherine Williams DATE OF BIRTH:3/26/1947DATE OF ADMISSION:1/19/2015 PROGRESS NOTE HISTORY: C ...
Nursing Assessment
PATIENT NAME: Catherine Williams DATE OF BIRTH:3/26/1947DATE OF ADMISSION:1/19/2015 PROGRESS NOTE HISTORY: Catherine Williams is a 67-year-old Caucasian female who was brought to the hospital via an ambulance and subsequently admitted to the hospital on 1/19/2015 for dysphasia, dysphagia, and right hemiparesis. Ms. Williams has history of HTN, and high cholesterol. Husband states that patient is taking medication daily. No problems have been noted prior to 1 ½ hours ago when she began to show signs of right facial drooping and complained of cephalgia. Husband states the patient was unable to drink her coffee without the liquid spilling down her face.Per the husband, the patient was reaching in the cupboard for a dish, when her right arm started to fall. After sitting at the breakfast table, the patient began to rise, when she fell to the floor, and was unable to stand up without help. She showed a steady decline within minutes developing ataxia, dysphagia, and dysarthria. OBJECTIVE FINDINGS: Physical examination shows the patient was alert, and oriented x 2. Mild confusion noted to place. Gait was not assessed at this time due to hemiparesis. Grips were unequal. Right pupil was sluggish to respond to light. Right lower extremity was flaccid. Blood pressure was 180/92 mm Hg. Pulse, 78. Respirations, 18. Temperature 98.7.Chest radiograph, Urinalysis, CBC, PTT, Basic Chemistry Panel and ABGs were obtained. ABGs showed low 02 saturation. CT scan showed negative for an intracerebral hemorrhage. A neurology consultation was obtained. Neurologist confirmed the diagnosis of an ischemic stroke after an MRI of the brain demonstrated an ischemic area of the left cerebral cortex caused by a cerebral embolism. IMPRESSION: Hemiparesis, HTN, Ischemic Stroke TREATMENT SUMMARY: The patient was given Alteplase 0.9 mg/kg IV infused over 1 hour for first bolus. Continued with 0.81 mg/kg as continuous infusion over 60 minutes. Mannitol was started IV post Alteplase infusion. Patient transferred to ICU.Neuro checks ordered q 2 hrs.On the second hospital day, the patient developed hypotension, N & V. Reglan given IV and normal saline was increased to 150 drops per minute for 2 hours, then titrated down to 75. After 5 hours, patient BP was within normal limits, N & V subsided.Aggrenox started one capsule bid. Third day inpatient stay was unremarkable. Patient was transferred to medical floor.PT/OT, speech therapy ordered. Neuro checks reduced to every 4 hours. No further decline noted. Fourth inpatient stay, patient responding to PT/OT well. Use of walker with one assist. Gait and grip improving. No further neurological deficits noted. Discharge planning started. Rehabilitation facility recommended for continued PT/OT and speech therapy. Family educated on treatment plan, patient transferred to extended care facility for rehabilitation. Continue antiplatelet therapy. Informed patient and family to follow-up with neurologist one week after discharge from rehab. PART 1: Using the information provided in Progress Note above, please complete the following information. In this Assignment 2, imagine you are a medical professional working at XYZ Medical Center. Your patient is Mrs. Williams. Her son, Sam Williams, has just arrived from Montana. He is concerned about his mother’s wellbeing. You will be meeting with the patient’s son to update him on what has occurred during her hospital stay, the subsequent transfer to the rehabilitation facility and a discharge plan. Use the information from the Progress Note to update Sam Williams on his mother’s condition. You will be translating the medical information from the report into layman’s terms in order for the patient and patient’s daughter to understand. Please be sure use complete sentences, proper grammar, and spelling. You can use medical terms, however, you must also use layman’s terminology. Remember, it is your job to explain to the patient’s son what has occurred. You must use outside sources, including your textbook. Your explanation to Sam Williams should be 500 words or more. Cite your reference/referencesin APA format at the end of your explanation. Written Assignment requirements: Written work should be free of spelling, grammar, and APA errors. Points deducted from the grade for each writing, spelling, or grammar error are at your instructor’s discretion. Please be sure to view “Writing Center Resources” to assist you with meeting APA expectations. You may also access the link from Course Resources/AcademicSupport Center.
MSN 507 Unit 2 Topic 2
Discussion Topic 2: VHA Innovative Model AnalysisAnalyze the Veteran's Health Administration's patient centered medical ho ...
MSN 507 Unit 2 Topic 2
Discussion Topic 2: VHA Innovative Model AnalysisAnalyze the Veteran's Health Administration's patient centered medical homes (PCMHs) and patient-aligned care teams (PACTs). See case study number two, p.184 of Health Policy and Politics, A Nurses Guide, by Milstead. What design, implementation, evaluation, and program techniques would you use to ensure the success of this model? What flaws do you see in the implementation of this program?please include 2-3 references
6 pages
File Executive Brief
Implementing the Affordable Care Act(ACA) at Health Corporation of America(HCA) Implementing the Affordable Care Act(ACA) ...
File Executive Brief
Implementing the Affordable Care Act(ACA) at Health Corporation of America(HCA) Implementing the Affordable Care Act(ACA) at Health Corporation of ...
Concept Map
Fill in the concept map linked below with the information you have on your most recent patient. Then look at opportunities ...
Concept Map
Fill in the concept map linked below with the information you have on your most recent patient. Then look at opportunities, real or imagined, for collaborative and/or interdisciplinary care. What could you do to make everything and everyone work together for the good of the patient?Evaluation may be real or imagined as well. Think "outside" the realm of the clinical picture you're presented. If you believe the suggested improvements to care will benefit the patient, say so! If you are not convinced that the prescribed collaboration will be effective, say that as well.
Grand Canyon University Quantitative Research Studies Critique Essay
Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the "Research Critiqu ...
Grand Canyon University Quantitative Research Studies Critique Essay
Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the "Research Critique Guidelines – Part II" document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.
Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment.
4 pages
Lymphedema
Lymphedema, as its name suggests is a disease associated with the lymphatic system. Lymphedema refers to the swelling of t ...
Lymphedema
Lymphedema, as its name suggests is a disease associated with the lymphatic system. Lymphedema refers to the swelling of the arms and legs caused by ...
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