...The greatest thing that I would hope to obtain from being matched with a service dog would be regaining a sense of independence and confindence in performing every day activities. After reading an article in The AT Messenger, about Canine Partners for Life, I began to wonder if a service dog might be a possibility for me to help manage my disability. I immediately went onto your website to learn a little more information and then after reading stories about matches that your organization has made I was intrigued by the possiblity of hope/help. As I was at work at the time, I sent my husband a text message to see what he thought and he responded that it sounded like it could be a great possibility for me and let's find out some more information! As I realize there is no guarantee that a particular dog would be able to “alert” me in advance of potential syncopal events, I feel that there are many ways that I could benefit from such a companion.When I due have symptoms prior to a syncopal event sometimes I have a difficult time getting to the ground or a seated position quickly enough. I have had occassions when attempting to get off my feet in time I have hit my head on counters or other objects or lost my balance completely due to the accompanying dizziness. A service dog could possibly be beneficial in these situations in helping to stabilize me and get safely to the ground. The accompanying symptoms and fatigue that go along with my autonomic dysfunction sometimes cause...
Words: 672 - Pages: 3
...First aid it is the duty of the employer to make sure that the appropriate people are first aid trained within the building, this is very important in a care home and all carers should have knowledge of first aid as elderly people in Woodside care home are at high risk of accidents, these accidents can include falls, fainting, dizziness, sprains, minor cuts and scrapes, collapsing and breathing difficulties the staff should be aware of what to do if any of these were to occur. Staff should follow The Health and Safety (First Aid) Regulations of 1981 also have knowledge of Approved Code of Practice (ACOP), If an accident happened that required first aid on my placement I would have some knowledge on what to do because as part of the NC social care course we are taught first aid although more training would be required. If an accident was to happen and first aid was needed I would first assess the situation to make sure there are no hazards or things that could harm myself or make the situation worse, I would remove obstacles such as units or chairs that would prevent me from doing first aid, I would stay calm and not panic no reassure the service user and make them feel comfortable , if the casualty was conscious, able to talk I would ask them if they were ok and if they are hurt and ask them what happened I would make sure the casualty is ok before moving or helping them up, if first aid is needed for minor accidents such as cuts or headaches I would call for the...
Words: 428 - Pages: 2
...Jessica Glenn Period: 06 Narrative Essay The Broken Shall Get the Last Laugh She sat on the ground, shuddering against the cold and squirming as she felt her bones ache, pressed against the concrete. She didn’t know which felt worse, the harsh December cold whipping against her already raw and beaten face, or her soul, battered and repressed to the point that it-and the girl herself-no longer wanted to exist. She wondered why she was here, how she had gotten to be so unhappy but she knew exactly why. And it was all her fault. Red. Everything she saw was red. The shirt he wore the day they met, on a day when he was the warmest thing on the rainy Sunday streets. The valentines bear he gave her a month later. Her skin when he started hitting her. Her wrist after long strenuous arguments. The nail polish he bought to say sorry. The knees pressed against the floor after hours of begging to not walk out the door. “No” he yelled at her, losing control of his temper like she had lost herself months ago. He told her she couldn’t leave. She had to be thrown out. Of course was all she thought. He has to have power. Things began to change for the worse. Black was her solace. Black was what she saw when she passed out from the pain. Black was the color of the ice pack she snuck in the middle of the night when he was asleep. Blue. The last days were blue. His shoe laces when he kicked her to the ground. The dress she wore when they went to a Halloween party, and were voted best couple...
Words: 778 - Pages: 4
...Introduction The integumentary system consists of skin, hair, nails and other glands. This assignment is about Mrs. Loiselle health condition. Mrs. Loiselle is a registered nurse who suffered from heat syncope because of dehydration and least amount of energy in her body. She worked whole evening i.e. she does not eat food and she felt weak. But, in the morning, she went for running without drinking or eating that made her unconscious and she fall on the ground. In the following question answers, I am going to discuss the lay terms and medical terms. Further, about the role of the integumentary system in contributing Mrs. Loiselle condition. Moreover, negative feedback helps her to return...
Words: 1757 - Pages: 8
...9883616 HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use GARDASIL safely and effectively. See full prescribing information for GARDASIL. GARDASIL [Human Papillomavirus Quadrivalent (Types 6, 11, 16, and 18) Vaccine, Recombinant] Suspension for intramuscular injection Initial U.S. Approval: 2006 --------------------------- RECENT MAJOR CHANGES --------------------------Indications and Usage (1) Girls and Women (1.1) 12/2010 Boys and Men (1.2) 12/2010 Limitations of GARDASIL Use and Effectiveness (1.3) 04/2011 ----------------------------INDICATIONS AND USAGE ---------------------------GARDASIL is a vaccine indicated in girls and women 9 through 26 years of age for the prevention of the following diseases caused by Human Papillomavirus (HPV) types included in the vaccine: • Cervical, vulvar, vaginal, and anal cancer caused by HPV types 16 and 18 • Genital warts (condyloma acuminata) caused by HPV types 6 and 11 And the following precancerous or dysplastic lesions caused by HPV types 6, 11, 16, and 18: • Cervical intraepithelial neoplasia (CIN) grade 2/3 and Cervical adenocarcinoma in situ (AIS) • Cervical intraepithelial neoplasia (CIN) grade 1 • Vulvar intraepithelial neoplasia (VIN) grade 2 and grade 3 • Vaginal intraepithelial neoplasia (VaIN) grade 2 and grade 3 • Anal intraepithelial neoplasia (AIN) grades 1, 2, and 3 GARDASIL is indicated in boys and men 9 through 26 years of age for the prevention of the following diseases...
Words: 4011 - Pages: 17
...troublesome. Avoid driving or operating hazardous machinery until you know how the medications affect you, and use caution when getting up from a sitting or lying position. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. MONITOR: The hypotensive effects of levodopa and antihypertensive agents may be additive. Postural hypotension may occur. MANAGEMENT: Hemodynamic responses should be monitored during coadministration, especially during the first few weeks of therapy. Dose adjustments of the antihypertensive agent may be required. Patients should be advised to notify their physician if they experience dizziness or syncope. LEVODOPA + ACETAZOLAMIDE Levodopa and Acetazolamide have additive effects in lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. These side effects are most likely to be seen at the beginning of treatment, following a dose increase, or when treatment is restarted after an interruption. Let your doctor know if...
Words: 1620 - Pages: 7
...L-When I initially got my placement for this semester, I was not pleased with the setting because I thought I would not learn a lot; this has definitely changed. Learning and practicing intravenous (IV) access was a skill that I wanted to have before my graduation, and I believed that I needed to be in a hospital setting for this to occur. I am not currently doing intravenous initiation with the intension of hanging fluids or medications, but I have been practicing venipuncture. Looking back, I realize that student nurses need to be open minded to their placement areas and have a good attitude because they may pass on an opportunity to form new relationships and gain new skills. E- Doing venipuncture is significant to me because I have not done venous access before, and I realize that it has serious implications for the patients. Venipuncture, an introduction of a needle into a vein to obtain a blood sample for hematological, biochemical or bacteriological analysis, is one of the most invasive procedures in nursing (Lavery & Ingram, 2005). The fact that a sharp instrument is being introduced into a vein also means that there are serious implication for the health and safety of the nurse and the patient. Recently I had a patient who explained that she was “scared of needles”, so drawing blood from her was challenging in some way. She came in for her annual physical, and already was emotionally drained after speaking with myself and the doctor about the recent death of her father...
Words: 1754 - Pages: 8
...Guide to Rhythm Strip Interpretation using six-step method How to use this guide: when you see an unfamiliar rhythm, analyze each part separately, according to the six step method. Put your answers in writing, and then compare. Don’t leap to conclusion about the name of the rhythm until you have completed all the steps. If the strip is composed of two distinct rhythms, analyze each one separately. For more info send email to: Joeniemczura@gmail.com rhythm | Rate | P wave | PR interval | QRS width | Clinical significance | treatment | Sinus rhythm | 60- 100 | Upright in lead II | 0.12 -0.20 | .06 - .10 | None. Patient will live three minutes. | None. treat failure and assess Sa o2 | Sinus bradycardia | Below 60 | Precede each QRS, normal shape | normal | normal | Normal in young athletic individuals; common in early post-inferior M.I.; may precipitate CCF | Oxygen. check for hemodynamic impairment; if present, atropine first then pacemaker using bradycardia protocol, possibly dopamine drip | Sinus tachycardia | 100- 160 | Precedes each QRS, normal configuration | normal | normal | Increased sympathetic outflow; hypoxia; hemorrhage | Oxygen. Treat underlying cause, do not correct the rate if a definitive cause is left untreated | Pemature Atrial Contraction (PAC) | A single beat faster than base rate | Different from normal, may be buried in preceding QRS | May be slightly long or normal | Could be normal slightly aberrant | Occasional ones insignificant; may be precursor...
Words: 1030 - Pages: 5
...Christopher Gambs Professor Sharon Ross English 102 8 August 2015 O’Keefe, James H. et al. “Potential Adverse Cardiovascular Effects from Excessive Endurance Exercise.” Mayo Clinic Proceedings 87.6 (2012): 587–595. PMC. Web. 8 Aug. 2015. I found this article by searching Google Scholar, and using a string search of “Hypertrophic Cardiomyopathy” + endurance athlete. This type of search returned a moderate amount of results in which to start my research. This article was written as a peer review for the Mayo Clinic website. The article contains a significant amount of information describing different scientific studies performed in regards to high intensity exercise performed by endurance athletes vs. people who lead a sedentary lifestyle, with little or no exercise at all. It also touches on describing exercise as a pharmacological agent, as in performing exercise in moderation (a “recommended dose”), or exercising to the extreme, which could be considered an excessive dose. The article also points out how exercise can be used in the prevention of certain disease processes, such as diabetes, hypertension and coronary artery disease. I think this peer review is somewhat biased towards exercise in moderation, because a lot of the studies reviewed tend to point out the negative effects of endurance sports and the training that goes along with them. Although this article is somewhat biased towards minimalist types of exercise, I believe it will be beneficial to my research...
Words: 1294 - Pages: 6
...Chapter 8 Case Study Scenario: An elderly woman showed symptoms of near syncope and was admitted via ambulance to a small community hospital. She experienced an inability to move on her own and almost lost consciousness while watching her grandson play basketball. Her symptoms occurred during a visit to her daughter’s home, which is approximately 150 miles from Liza’s home. When Liza was admitted to the hospital, her daughter explained the numerous types and dosages of medications her mother was taking. She also mentioned that Liza had not been taking her Coumadin as directed by her physician for the past week or so. Liza was admitted to the intensive care unit for evaluation. Over the course of hospitalization, Liza’s condition worsened. Approximately 18 hours after her admission, the nursing staff began performing nervous system checks on Liza and contacted the physician-on-call to obtain an order for a CT scan. The scan showed evidence of a cerebral infarction. Appropriate treatment for the infarction then was provided. 1) How might the student monitor the processes she has experienced? What types of data would be useful? Describe variations and possible causes of variations in the care processes? The student should monitor her living conditions and her ability to remember to take her medications on time. Her case history and number of pills dispensed and taken to see if she is compliant or not. This patient should be living in a monitored area like a nursing home or she...
Words: 697 - Pages: 3
...Athletes and the cardiovascular system The act of exercise has played significant responsibilities in the aid of prevention of the primary and secondary cardiovascular diseases by lowering the effects that the risk factors such as arterial hypertension, diabetes mellitus, dyslipidemia and obesity. It was noted none the less that athletes who performed at an advanced level in sports area are more endangered of exercise-induced sudden cardiac death. Angela Cozma states that “the term athlete refers to persons who train for more than six months, more than six hours a week” (Carre, 2012) (p 336). The athletes heart differ by far from that of the general population and this is due to the unvarying, vigorous training of such athlete that stimulates the different changes in the function and responsibilities of the cardiovascular system known to many as “athlete’s heart”. It was highlighted by the author that the increased of parietal thickness and biventricular cavity dimension, the increased of left atrial cavity size (and volume), associated with normal and supranormal systolic, and diastolic ventricular function are some of the cardiovascular changes brought about by the athletes heart. One of the main causes of death in athletes is Sudden cardiac deaths (SCD) and this transpire approximately an hour from the initiation of the set of symptoms characterize by that specific medical condition. The most frequent causes of sudden death in young athletes in USA are: hypertrophic...
Words: 670 - Pages: 3
...The ECG may reflect changes associated with primary or secondary myocardial processes (e.g., those associated with coronary artery disease, hypertension, cardiomyopathy, or infiltrative disorders), metabolic and electrolyte abnormalities, and therapeutic or toxic effects of drugs or devices. Aetna considers Cardionet MCOT medically necessary for evaluation of recurrent unexplained episodes of pre-syncope, syncope, palpitations, or dizziness when there is a cardiac arrhythmia is suspected; and when members have a non-diagnostic Holter monitor. In this case, the patient’s blood pressure is well controlled with his BP medication. A cardiologist has not seen the patient. The patient has no cardiac conditions like arrhythmia or heart failure. A reported Cardiorespiratory Diagnostic Testing on 03/19/15 did not reveal any cardiac or respiratory conditions. The latest progress notes indicated that the following diagnoses have been deferred to the appropriate specialists for further evaluation and comment: shortness of breath, dysphagia, cephalgia, and orthopedic complaints, palpitations. However, there were no cardiorespiratory symptoms or problems...
Words: 776 - Pages: 4
...induces left atrial dilation, which may lead to atrial arrhythmias. Furthermore, hindered filling restricts LV preload at rest and with exercise, hence, limiting SV, “which compounds diminished cardiac output attributable to the obstruction itself”.4 Severe AS can also cause elongation of LV ejection time (LVET). Again, as there is outflow obstruction, the LVET is extended so that the LV can more fully empty and generate forward stroke volume.4 Classic symptoms of AS include angina, syncope, and dyspnea. In AS, the hypertrophied myocardium has an increased oxygen demand. However, the immense pressure in the LV causes its thickness to increase; this decreases oxygen delivery due to compression of the coronary vessels causes angina. Moreover, as there is an increase in ventricular end-diastolic pressure and impeded relaxation in AS, diminished diastolic coronary filling ensues, resulting in reduced coronary supply to the myocardium. This mismatch between oxygen supply and demand causes angina. Syncope is caused by reduced cerebral perfusion due to transient ventricular fibrillation, reduced CO from atrial fibrillation impeding LV filling, or malfunction of the baroreceptor mechanisms and a vasodepressor response. Dyspnea can be caused by pulmonary vascular congestion resulting from a rise in LV diastolic dysfunction and end pressure, or the incapacity to increase CO when there is fixed obstruction. Moreover, gastrointestinal bleeding and infective endocarditis are symptoms. References:...
Words: 795 - Pages: 4
...Running Head: THE CRUCFIXION OF JESUS CHRIST The Crucifixion of Jesus Jesus is Crucified Crucifixion was a very common form of punishment. The Egyptians, Romans, and Persians, to name a few used it, and of course the Jews. In all probability the Jews borrowed it from the Romans, although there may have been a few isolated instances of it before. It was unanimously considered the most horrible form of death, worse even then burning, since the “cross” precedes “burning” in the law-books. The scarlet robe, crown of thorns, and other insults to which Jesus was subjected, were not only illegal, they arose from the spontaneous petulance of the brutal soldiery. The punishment properly commenced with scourging, after the criminal had been stripped. It was inflicted, not with the comparatively mild virgae, but the more terrible Roman flagellum. Into these scourges the soldiers often stuck nails, pieces of bone, etc., to heighten the pain. In our Lord’s case, however, this infliction seems neither to have been the legal scourging after the sentence nor yet do the examination by torture but rather a scourging before the sentence, to excite pity and procure immunity from further punishment. The criminal carried his own cross, or, at any rate, a part of it hence the term crucifer, cross-bearer (Isaiah 9:6), “the government shall be upon his shoulder”. They were sometimes scourged and goaded on the way. The place of execution was outside the city often in some public...
Words: 2221 - Pages: 9
...NUR 427 Health and Chronic Disease Management This paper will be discussing the personal impact and journey of 46-year-old Mrs. Linda being diagnosed with what is referred to as orthostatic intolerance. “Orthostasis means 'standing up'. Thus, orthostatic intolerance (OI) is defined by the inability to remain upright. It is often erroneously designated 'orthostasis'. More specifically, OI can be defined by the inability to remain upright relieved by recumbence” (Stewart, 2012). The patient spent more than 20 years with torture and life threatening symptom no doctor could identify. The patient was born in southern Minnesota. When she turn to puberty, her body change in ways she never expected. She was felling weak, fatigue, dizzy, and lightheaded. She tried to manage her symptom during adolescence with different over the counter medication. After celebrating her 18th birthday, she decide to leave Minnesota and went to Buffalo Los Angeles. As soon as she touches California a new symptom emerge. She was feeling a migraine symptom and affects her to focus. When the migraine increase she did appointment with neurologist. The doctor order CT scan to see if there is any unusual thing in her brain. The result came normal. She went to seek treatment with various doctors who were not able to explain to her the cause of her migraine. Then she left her work and return to Minnesota. This disease has had a huge impact on her everyday quality of life as well as her family and friends...
Words: 1276 - Pages: 6
