...Complete Assessment of Mr. Smith Jackie McManus University of Missouri Saint Louis Biographical Data Thomas Smith is a 95-year-old Caucasian male who resides in Saint Charles Missouri. He was born in Saint Louis on June 29, 1917. He is currently married to his wife of 71 years. He is retired from appliance sales and general maintenance. He has lived in Saint Charles, Missouri his entire life except for four years when he served in the United States Army during World War II. While he was in the Army he served in Germany, this was the only time Mr. Smith has been outside the United States. Source and Reliability Mr. Smith and his daughter Lynn are my source of information to complete my assessment. Lynn has been a nurse for 40 years and is his durable power of attorney, making any medical decisions. She cares for her parents daily by planning their evening meals and setting out their daily meds. Reason for Seeking Health Care Mr. Smith is seeking healthcare for follow up due to recent falls at home and increased weakness. He complained of weakness in his legs and states that his legs “give out”. He states that his weakness started a couple days prior to going to the hospital and gradually got worse. He was admitted for observation and test where run to determine a mild stroke. History Mr. Smith is in generally good health. He is 6 feet 1 inch and weighs 175 pounds. He is getting stronger and is feeling better after his stroke. He states that he has an allergy to...
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...In psychology there are many different approaches. An approach is a perspective that involves certain beliefs about human behaviour. Such as the way they function, which features of them are worthy of study and what research methods are suitable for undertaking the study. Within an approach, there will be several different theories which share common assumptions. Each perspective has its strengths and weaknesses and has something different to our understanding of human behaviour. There are six perspectives in psychology, which are: Behaviourism Social learning Psychodynamic Humanistic Cognitive Biological The biological approach The biological approach examines thoughts, feelings, and behaviours from a biological and physical point of view. Arnold Gesell (18808-1961) believed that development occurred to a sequences of maturational processes. For example, development in the womb follows a fixed set of stages: the heart begins to form first, along with a rudimentary nervous system. Bones and muscles develop next and over time the organism developed into a fully functioning human being, ready to be born. Through Gesell’s observations and research, Gesell concluded that children go through predictable stages of growth. Gesell’s theory form the basis for just about every other developmental theory. Gesell believed that child development occurs according to a predetermined, naturally unfolding plan of growth. Gesell created a spiral-like pattern...
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...Running head: Alzheimer’s Disease Alzheimer’s Disease Brenda Silva Waubonsee Community College PSY 205 Research Paper Mr. Scott Hollenback October 27, 2011 Alzheimer Disease As Kevin Arnold quotes, “Memory is a way of holding on to things you love, the things you are, and the things you never want to lose.” Memories are the things we uphold. Whether it’s bad or good, those memories are engraved in us and can’t be stolen from us. But what if as time goes by, those memories are losing? Worst, you’re even losing your language skills, ability to recognize familiar things and you feel sense of depression. This means, as a person grows old he/she experiences deterioration in one’s self. Now, we are currently living in the age of technology. Our advancements in the past few decades overshadow everything learned in the last 2000 years. This increase has bought with it a large increase in disease afflicting the elderly community. AD once thought to be a natural part of aging, is a severely debilitating form of mental dementia. Although some other types of dementia are curable or effectively treatable, there is currently no cure for Alzheimer. A general overview of AD including the clinical description, diagnosis, and progression of symptoms, helps one to further understand the treatment and care of patients. Alzheimer’s is a type of dementia that causes problems with memory, thinking, and behavior. Alzheimer’s is the most common form of dementia, a general term for memory...
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...ACTH that will stimulates the adrenal cortex to increase release of cortisol. Cortisol stimulates gluconeogenesis, lipolysis, reduce inflammation. Catabolism of proteins into amino acid. Hgh- lipolysis, glyconenolysis, breaking down of glycogen into glucose! More atp for energy! TSH- increase the use of for glucose for atp production, Over all 2nd stages help the body to fight longer! 3rd stage is the exhaustion- No energy left. Everything is spent! Long exposure to high levels of cortisol and other hormones involved in the resistance reason can cause Pathological changes because stress continue to occur and our body is so depleted that we cannot sustain the resistance stage anymore. * If you know the normal role of a hormone, you should know what at pathologic change that leads to lack of control (hyper or hyposecretion) Hypersecretion—inadequate release of hormones Hypersecretion- excessive release of hormones Examples: * Endemic goiter- cause iodine deficiency (Hyposecretion of thyroid hormone) * Congenital Hypothyroidism or Cretinism - Hyposecretion of thyroid hormones that is present at birth. *...
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...uses permitted by copyright law. TABLE OF CONTENTS Introduction Chapter 1 Metabolism and how it Works Chapter 2 Nutrition Tips for Pre and Post Workout Chapter 3 Sprinting and Its Effectiveness Chapter 4 Exercise to Accompany Sprints Chapter 5 The Calories Burning Process and the Amount Chapter 6 The Low Intensity Workout Misconception Conclusion Introduction Summer is just around the corner and you are feeling like you have gained some extra pounds through the winter. If you are looking for that bikini body and you want it fast in time to enjoy your summer with friends and family, this eBook is will take you through some problems that most people face when trying to lose weight and then give you solutions in details. We will be mainly focusing on how you can use the metabolism rate of your body so that you are able to lose weight even when you are out of the gym or the track you use for working out. The eBook will be covering all the necessary things that can lead up to fast weight loss, this will include the exercises that you should do, the type of nutritious foods that...
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...encounter in a USMLE CS examination is between a non-physician medical educator (SP: Standardized Patient) and an examinee, who may be a medical student or a physician. SPs are defined as "a simulated or real patient who has been taught to present a problem so accurately that the simulation cannot be detected by a skilled clinician.” (1) These SPs will seem like real patients to you and should be treated as such during the USMLE examination. With this in mind, it is important to remember that good communication and interpersonal skills are a top concern for every patient. If you have a pleasing personality, patiently hear all of their dilemmas and concerns, and have good communication skills, it will surely create and maintain long lasting and conducive relationships with your patients. Before we talk about strategies to delineate an ideal and perfect encounter with a SP, we should know a few facts about the examination. First, what is the purpose of the examination? It is very interesting that this examination is structured to test your clinical skill proficiency and not the diagnosis that you arrive at. Three components of the report score: One must pass all three components in a single test administration. These three components are as follows: ICE (Integrated Clinical Encounter): assess data gathering and data sharing ability. This includes basic clinical skills (history taking and physical examination) along with its documentation as patient note...
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...is not to confuse depression, a normal emotion with biological depression, an illness. Further along this line of irrational thought is the belief that they are not treatable and the person affected is in some way, shape or form disconnected from civilization as we know it. In this research paper, we will attempt to destroy these unfair stereotypes on this subject, attempt to rationalize the behaviors, and shed light on treatments for the various disorders. The research gathered will attempt to understand and answer these questions: 1. What are mood disorders and their symptoms? 2. What are the causes? 3. How can the stigma of mood disorders be removed? 4. What forms of treatment are the most successful? What Are Mood Disorders And Their Symptoms? In order to get a good idea of what causes mood disorders, we first must attempt to categorize what various classes of disorders there are. Our text, Psychology: A Journey (2008 p. 500), defined mood disorders as major disturbances in mood or emotion, such as depression or mania. The two major classes are: depressive and bipolar. Depressive disorders bring about extended bouts of depression, apathy, complete loss of hope, sleep deprivation, and extreme eating patterns, among symptoms. The other category of mood...
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...The Harvard system of referencing Contents 1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Plagiarism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Citation styles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Collecting and organising references . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. 3. 4. Citations in the text . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Web resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Reference List/Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 3 4 4 4 5 6 6 7 7 7 7 8 8 9 9 9 9 9 9 10 4.1 References – books (including electronic books) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.2 References – other sources . . . . . . . . . . . . . . . . . . . . . . . . ...
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...Surgical Patient Case One: Activity One: With reference to anatomy explain how a gall stone can migrate into the pancreas, causing pancreatitis. The pancreas is in the upper abdomen and lies behind the stomach and intestines. It makes a fluid that contains enzymes that are needed to digest food. The enzymes are made in the pancreatic cells and are passed into tiny tubes. These tubes join together to form the main pancreatic duct. This drains the enzyme-rich fluid into the duodenum. The enzymes are in an inactive form in the pancreas, they are 'activated' in the duodenum to digest food. Groups of special cells called 'Islets of Langerhans' are scattered throughout the pancreas. These cells make the hormones insulin and glucagon. The hormones are secreted directly into the bloodstream to control the blood sugar level. The bile duct carries bile from the liver and gallbladder. This joins the pancreatic duct just before it opens into the duodenum. Bile also passes into the duodenum and helps to digest food. Pancreatitis occurs when the pancreas becomes inflamed. When pancreatitis occurs, it's largely due to digestive enzymes attacking and digesting the pancreas, which produced them in the first place. There are two types of pancreatitis: Acute pancreatitis - when the inflammation develops quickly, over a few days or so. It often goes away completely and leaves no permanent damage. Sometimes it is serious. Chronic pancreatitis - when the inflammation is persistent...
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...A kid with Hepatitis A can return to school 1 week within the onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley...
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...Running head: COMPRHRENSIVE PHYSICAL ASSESSMENT Linda McGoff Indiana Wesleyan University NUR 334: Comprehensive Physical Assessment of the Well Adult Facilitator: Tracy Kastenhuber October 31, 2011 Plagiarism Policy Interview for Health History Guidelines Student: Linda McGoff Core Group: RNBO142 Date: 10/15/2011 Initials of Client: MEV Sex: Female Age: 79 CONFIDENTIALITY OF IDENTIFICATION OF CLIENT Present Health Status: Fair Current medications and/or herbs: Synthroid 125mcg qd Cytomel 25mg BID Neurotin 300mg TID Plavix 75mg qd Voltaren 75mg BID Nexium 40mg qd Naproxen 500mg BID Xanax 0.25mg BID Botox 2000 U given in different areas in the neck Current treatments: Treatment for hypothyroidism, hyperlipidemia, GERD, osteoarthritis, anxiety and cervical dystonia Allergies: Allergic to Morphine Sulfate - vomiting History of Present Illness (if applicable): Left knee pain which is causing difficulty with ambulation & Cervical dystonia aka spasmodic torticollis causing head tilting, neck pain, and neck muscle spasms Location – Left knee and neck Character or quality – Left knee pain is described as sharp, grinding sensation with ambulation, reported considerable swelling prior to starting Voltaren medication. Neck has sensation of spasms and involuntary head tilting or movements Severity-Yes, debilitating Aggravating or relieving factors: Ambulation causes increase in pain...
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...reabsorption; bone destroying cells | *So, if one is immobilized then the osteoclastic activity is greater than the osteoblastic activity in bone marrow decreases. This is why we have debone mineralization during immobilization. Maintenance of bone integrity | This occurs through remodeling and it is a 3 phase process where existing bone is resorbed and new bone is laid down [repairs bone, does not heal bones] | Phase 1 | Activation phaseThis is where a stimulus occurs, such as a weight baring exercise, causing the formation of osteoclasts | Phase 2 | Resorption This is where osteoclasts form a cutting zone and resorb or remove bone | Phase 3 | Formation phaseThis is where there is a laying down of new bone by osteoblast | *PAGE 962 Know how bone fractures heal/callous formation (Musculoskeletal System) * Bone Fractures * A broken bone can cause damage to the surrounding tissue, the periosteum, and the blood vessels in the cortex and marrow * Hematoma formation * Bone tissue destruction triggers...
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...CONFIDENTIALITY 12) CONFIDENTIALITY AUDIT 13) EUTHANASIA 14) ABORTION 15) BIOTECHNOLOGY 16) SUGGESTED READING ONE – INTRODUCTION (Registrar) The importance of Ethical thinking in General Practice is becoming more and more apparent. It should not be thought that Ethics merely relates to the “Life and Death” issues in our Professional life – Abortion, Contraception, Euthanasia and the like. Ethical issues affect some part of almost every consultation, even if the ethical issue is something more mundane like obtaining adequate consent for an examination or respecting a patient’s dignity. Indeed, it could be argued that the Consultation skills that we foster so assiduously are actually Ethical skills – and that we need to know the patient’s “Ideas, Concerns and Expectations” in order to respect his Autonomy as well as in order to improve the outcome of the Consultation. In the 1998/99 academic year, I was appointed the deanery’s Medical Ethics fellow with a bursary from the MDU. I developed an approach to the teaching of GP ethics based on two half day sessions, which I presented in each VTS scheme in the deanery. The first session involved a consideration of Ethical theory. However, the more useful session was the second one where each Registrar presented an “Ethical case history” to the Registrar Group. The Case History summarised an Ethical problem that had concerned the Registrar, and in each case was followed by discussion. As...
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...00_078973706x_fm.qxd 1/14/08 2:42 PM Page i NCLEX-PN ® SECOND EDITION Wilda Rinehart Diann Sloan Clara Hurd 00_078973706x_fm.qxd 1/14/08 2:42 PM Page ii NCLEX-PN® Exam Cram, Second Edition Copyright © 2008 by Pearson Education All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or transmitted by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately...
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...Congress 92-1539 CIP Published by: Hesperian 1919 Addison St., #304 Berkeley, California 94704 • USA hesperian@hesperian.org • www.hesperian.org Copyright © 1977, 1992, 2010 by the Hesperian Foundation First English edition: October 1977 Revised English edition: May 1992 Eleventh printing: July 2010 ISBN: 978-0-942364-15-6 The original English version of this book was produced in 1977 as a revised translation of the Spanish edition, Donde no hay doctor. Hesperian encourages others to copy, reproduce, or adapt to meet local needs, any or all parts of this book, including the illustrations, provided the parts reproduced are distributed free or at cost—not for profit. Any organization or person who wishes to copy, reproduce, or adapt any or all parts of this book for commercial purposes, must first obtain permission to do so from Hesperian. Please contact Hesperian before beginning any translation or adaptation to avoid duplication of efforts, and for suggestions about adapting the information in this book. The Foundation would appreciate receiving a copy of any materials in which text or illustrations from this book have been used. This book has been printed in the USA on 100% recycled paper by Worldcolor. THIS REVISED EDITION CAN BE IMPROVED WITH YOUR...
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