...Health History and Screening of an Adolescent or Young Adult Client Student Name:ANKUR SHALI Date: February 02, 2013 Biographical Data Patient/Client Initials: A.S. Phone No: 7089546543 Address: 3249 Polly lane, Berwyn, Illinois. Birth Date:01/16/1988 Age:25 Sex:Female Birthplace: Illinois Marital Status: Married Race/Ethnic Origin: Hindu Indian Occupation: Nursing Employer: Rush University Medical Center, Chicago, Illinois. Financial Status: Patient has a great lifestyle. Patient has Blue Cross HMO from Employer and she is financially self-sufficient. Source and Reliability of Informant: The Informant is the patient. She has had no history of dementia or forgetfulness. She is alert and oriented to person, place and time. Past Use of Health Care System and Health Seeking Behaviors: Patient was previously admitted in 2005 for nausea/ vomiting due to food poisoning. Apart from that hospitalization, patient says she only visits the hospital for checkups. Present Health or History of Present Illness: Patient said she has been vomiting for 3 days and that she cannot keep anything down. She said she is in her early weeks of pregnancy. Past Health History General Health: “I feel terrible and tired because of this vomiting” Allergies: (include food and medication allergies) No known drug allergies, no known food allergies Reaction: Not applicable Current Medications: Takes...
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...Nursing Health History 1. Biographic Data A. Patient/Client Initials * K.E. B. Phone Number * 281-835-4377 C. Address * Missouri City, Texas D. Birthdate * October 26,1935 E. Age * 74 y/o F. Sex * Female G. Birthplace * India H. Marital Status * Widowed I. Race/Ethnic Origin * Asian Indian J. Occupation * House Wife K. Employer * N/A L. Financial Status * Her income comes from Social Security. Currently has Medicare as her health insurance. She lives with her son, allowing her to be able to support her lifestyle and health concerns. M. Source and Reliability of information * Client herself, who seems reliable. II. Reason for Seeking Care * The client came to the hospital because o to consistent back pain which is interfering with ADLs. The pain has been present for the past two weeks. Back pain is located in the lower lumbar area. It is a throbbing like pain that occurs through out the day. The severity of pain on a scale of 1-10, client rated 8. The pain causes her to sit down or lay down until pain improves. Pain lasts for about 15 minutes. Not standing up usually relieves the pain. 1. When did symptoms appear? - Pain began two weeks ago when she was cleaning. 2. How often? - Pain has reoccurred everyday. 3. Type of activity when patient’s symptoms occurred. - The problem happened when the patient was cleaning. III. Past Health History * Client...
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...Health History and Screening of Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client. Student Name | Date: April 20, 2013 | Biographical Data | Patient/Client Initials: MT | Phone No: | Address: | Birth Date: 10/19/1994 | Age:18 | Sex Female | Birthplace: Richmond, VA | Marital Status: Single | Race/Ethnic Origin: African American | Occupation: Cashier | Employer:VCU Health System | Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?)Patient works part-time as a cashier and requires assistant to supplement her income. She receives monthly food stamps and funds from her maternal grandmother to help with living expenses. Medical, dental and vision insurance coverage is available through the patient’s mother. She has no disability limiting her from working or engaging in other activities | Source and Reliability of Informant:Information obtained from patient who is a good historian and is well informed about her health history | Past Use of Health Care System and Health Seeking Behaviors:She uses the health care system for episodic illnesses and recently sought medical care for UTI. Patient understand the importance of obtaining health care when necessary as demonstrated her recent visit to the doctor to for UTI | Present...
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...com/essays/nursing/case-study-of-a-functional-health-pattern-assessment-nursing-essay.php Case Study Of A Functional Health Pattern Assessment Nursing Essay The following Functional Health Pattern assessment is based on a 65 year old Scottish woman who lives independently with her husband in their home at Happy Valley. The purpose of the interview was explained in addition to an outline of the types of questions which would be asked during the interview. A copy of the interview questions were provided prior to the interview (Appendix 1) so the questions would be familiar, and to minimise any embarrassment. The importance of maintaining her privacy and the necessity of choosing a pseudonym was discussed which she perceived as great fun. She chose ‘Patricia’ as she thought it was rather a ‘posh’ sounding name and one which she had always liked. At the beginning of the interview the confidentiality aspects were reiterated to which Patricia indicated verbal permission for her information to be disclosed as applicable and appropriate with due regard to her ethical and legal rights (ANMC 2008, p.4). Patricia was advised any questions which she did not feel happy answering could be skipped in order for her to feel comfortable within the interview environment. That said however, Patricia stated she was happy to discuss anything and was keen to progress the interview. Health perception/health management pattern An outline of the client’s perceived pattern of health and wellbeing and how health is managed (Gordon...
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...Chapter 6: Cancer Care *The following is a sample care plan meant for adaptation. Always revise to meet your facility’s protocols and the latest research and nursing diagnoses. |PLAN OF NURSING CARE | |The Patient With Cancer | |nursing diagnosis: Risk for infection related to inadequate defenses related to myelosuppression secondary to radiation or antineoplastic | |agents | |goal: Prevention of infection | |Nursing Interventions |Rationale |Expected Outcomes | |1. Assess patient for evidence of infection: |1. Signs and symptoms of infection may be |● Demonstrates normal temperature and vital | |a. Check vital signs every 4 hours. |diminished in the immunocompromised host. |signs. | |b. Monitor white blood cell (WBC) count and |Prompt recognition of infection and subsequent |● Exhibits absence of signs of inflammation: | |differential...
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...Heritage Assessment Latasha Rice, WCC- RN Grand Canyon University: NRS 429v Date: 8/31/2012 What is a heritage assessment? A heritage assessment is a subpart to the overall nursing assessment. Assessing a patient’s heritage allows the nurse to obtain more information about a patient’s culture, including beliefs about health and values, this is important to providing cultural health care. One’s heritage includes information about their cultural beliefs and practices of the family and ethno religious community (Jarvis, C., 2012). Through a heritage assessment the nurse can obtain a vast amount of information about the patient/ family, including but not limited to, where ancestors were born, how many siblings they have, if the family originated in another country, how often time is spent with family, religion, if the patient prefers the company of people with the same values and religion or ethnic background, what type of foods the patient prepares, and the patient’s native language. This paper will discuss what the author learned from completing a heritage assessment tool, the usefulness of a heritage assessment tool when assessing a patient/ family/ community as a whole. This paper will also compare the health traditions of three different families (and cultures) to include, health maintenance, health protection, and health restoration, while identifying common traditions based on the author’s heritage. What the families ascribe their traditions to will also be discussed...
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...make above average grades and like English and Music classes the best. However, about a year ago, my weight dropped to 72 pounds. I lay in a hospital bed with unkempt hair, fragile limbs and a sunken face. I was seriously ill. The villainous disease was not cancer or AIDS. I had anorexia, a condition which afflicts many teens and young adults, especially young women.” - Me Still to this day I am not sure how I had gotten to that point. The point where I was so focused on being skinny, on being part of the in-crowd. I can blame it on many things like, how I was new to the private school life, or that I was in my first “serious” relationship that in itself was super unhealthy for me in the sense that he lowered my confidence. What it all boils down to though was, I had simply hit my low-point in my life. Somehow though it got so bad that I just couldn’t deal with it anymore, mentally or physically, my body just gave up on me; and I ended up in the hospital. Anorexia is a type of eating disorder who has an intense fear of gaining weight. They severely limit the amount of food they eat and can become dangerously thin. Anorexia affects both the mind and body and can even become deadly. Anorexia usually starts in the teen years and can go into adult hood. Untreated anorexia can lead to starvation and serious health problems, such as osteoporosis, kidney damage, and heart problems. Some people die from these problems. The cause of anorexia is not fully understood. It is thought to...
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...|Day |Breakfast |Lunch |Dinner |Snacks |Calorific Intake | |Monday |Fried bacon sandwich |Burger and chips |Lasagne |Bag of crisps |1645 | | |Orange juice |Bottle of full fat coke | |Squares bar | | | | |Bag of crisps | | | | |Tuesday |Omelette |Burger and chips |Mushroom Pie |Apple |2274 | | |With cheese |Bottle of full fat coke |Portion of chips |Flapjack | | | | |Bag of crisps | | | | |Wednesday |Bacon Sandwich |Cheese on toast (4 slices) |Tomato and bacon pasta |Squares bar |1894 | | |Pint of Milk |Chocolate Bar |Garlic bread with cheese |Chocolate pancake | ...
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...NM1704: Applying a model of nursing roper, logan and tierney model This essay explores the preoperative care provided to one patient in a London hospital during one shift. This care was influenced by the holistic perspective to health. Arsing from the Greek for ‘whole’ this acknowledges physiological, psychological and social factors impacting the patient’s condition. (McFerran & Martin, 2008) It seeks to offer treatment inclusive of these factors rather than treating physical symptoms of a diagnosed disease in isolation. This essay will examine this within a Model of Nursing used in my clinical placement area - the Roper, Logan and Tierney model. The identities of both hospital and patient have been altered to maintain confidentiality and comply with the NMC Code of Conduct. (Council, 2008) During my placement I worked on a coronary care unit where I cared for a patient herein called Peter, a 60 year old White British male. Peter was single, lived alone and unemployed. He had a history of low mood and was admitted to a neighbouring hospital suffering symptoms of acute alcohol withdrawal syndrome (acute confusion, delusions and tremors). This arises when an individual reduces or stops alcohol consumption after prolonged periods of excessive alcohol intake. This can lead to tolerance, physical dependence and physical disturbances upon withdrawal due to the central nervous system reacting in a hyper-excitable state. (About.com, 2010) He was transferred to my area...
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...POLK STATE COLLEGE DEPARTMENT OF NURSING NURSING HISTORY AND ASSESSMENT Nursing III Please asterisk any abnormal data. This abnormal data will need to be reflected in appropriate areas of your DMR. Personal Information |Initials: ___JW____ |Age: ___40___ |Gender: _F___ | |Date of Admission: _10/15/09__ |Date of Assessment: _10/16/09_ |Marital Status: _Married | |Ethnic/Cultural Background: _Caucasian American_______ |Religious Preference: _Methodist | |Occupation: _____Cashier_________________ |Education: ______9th Grade_______________ | |Language Spoken: __English_____ |Any Communication Deficits? No______________________________________ | |(If other than English, is an interpreter available? __________) | | |Source and Reliability of Information: __Patient_______________________ | Admission Data |Temp _98.6__ |Pulse __105_____ |Resp. __21_______ ...
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...or uses insulin. Insulin, a hormone that is necessary for glucose to move from the blood to the inside of the cells. The body cannot use the insulin for energy if it cannot get into the cells. Diabetes occurs when the body has too much blood glucose due to either the pancreas does not produce enough insulin or the body cannot effectively use the insulin produced. In type 2 diabetes (formerly called non-insulin-dependent diabetes or adult-onset diabetes), the pancreas continues to produce insulin, sometimes even at higher-than-normal levels. However, the body develops resistance to the effects of insulin, so there is not enough insulin to meet the body's needs. Diabetes Mellitus is a chronic health disorder; it means that the condition lasts for many years. Diabetes can cause serious health problems. It is an endocrine disorder causing various metabolic changes in the body leading to severe complications such as damage to the eyes, kidneys, nerves, heart and blood vessels. The causes of diabetes mellitus are unclear. Both heredity and environment may be involved. Studies have shown that certain genetic factors may be responsible for diabetes. Genes are chemical units found in all cells, which tell cells what functions they should perform. Genes are passed down from parents to children. If parents carry a gene for diabetes, they may pass that gene onto their children. It not treated properly; type 2 diabetes can cause kidney damage, poor circulation, and numbness in the feet. The...
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...UNIVERSITY OF CAPE COAST SCHOOL OF NURSING MSC. ADVANCED NURSING PRACTICE COURSE: ADVANCED CLINICAL PRACTICUM I AND II IN SPECIALTY AREA COURSE CODE: NUR 822S and NUR 829S PATIENT / FAMILY CASE STUDY (A NURSING PROCESS APPROACH) ON A CLIENT WITH GESTATIONAL TROPHOBLASTIC NEOPLASM BY: CHARLOTTE LAMPTEY SN/ADN/15/0030 AUGUST, 2016 CONTENTS * PREFACE * ACKNOWLEDGEMENT * INTRODUCTION CHAPTER ONE: OVERVIEW OF CLIENT SITUATION I. Literature review of gestational trophoblastic neoplasm CHAPTER TWO: COMPREHENSIVE HOLISTIC ASSESSMENT OF PATIENT/FAMILY I. Patient’s medical and personal history including review of the systems II.Physical examination III.Diagnostic evaluation IV.Nutritional assessment V. Psychosocial history VI. Patient developmental assessment VII.Spiritual assessment VIII.Quality of life assessment IX.Admission of patient CHAPTER THREE: ANALYSIS OF DATA CHAPTER FOUR: COLLABORATIVE PLAN OF CARE I. Presumptive medical diagnosis II.Nursing diagnosis III.Evidence-based interventions IV.Additional diagnostic procedures warranted but not done Medication to be ordered CHAPTER FIVE: DISCHARGE PLAN I. Community service and resource needed II.Client education plan III.Plans for follow-up of care CHAPTER SIX: EVALUATION PLAN Termination of care * SUMMARY * CONCLUSION * REFERENCE PREFACE The patient / family care study is an essential and relevant...
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...10 1.5.8 Hypoglycaemia 10 1.5.9 Digestive 10 1.5.10 Thyroid 11 1.6 Clinical Management 11 1.7 Understanding the Role of Essential Fatty Acids 12 1.7.1 What are Essential Fatty Acids? 12 Figure 2. Major Food Sources of Essential Fatty Acids 12 Figure 3. Omega-3 and Omega-6 metabolic pathways 13 1.7.2 Essential Fatty Acids and Brain Function 13 1.7.3 Physical Signs of Fatty Acid Deficiency 14 2.0 Literature Review 15 2.1 DHA Supplementation 15 2.2 Combined DHA, EPA, GLA Supplementation 18 2.3 Combined EPA, DHA, ALA Supplementation 19 2.4 ALA Supplementation 22 2.5 Summary of studies reviewed 23 Figure 4. Summary of Studies Reviewed 23 3.0 Discussion 24 3.1 Future Research 27 4.0 Conclusion 28 5.0 Nutritional Strategy 29 5.1 Benchmarking 29 5.2 Dietary Strategy 29 5.3 Lifestyle Strategy 29 5.4 General Supplement programme 30 6.0 Acknowledgements 31 7.0 References and Bibliography 32 7.1 Primary References 32 7.2 Secondary References 34 7.3 Bibliography 35 8.0 Appendix 36 8.1 Glossary 36 Abstract Attention-Deficit Hyperactivity Disorder (ADHD) is a diagnostic label used to describe individuals, who display a wide range of behavioural symptoms broadly defined as inattention, hyperactivity...
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...The human brain is the most complex, most sophisticated body organ which makes us superior among other living creatures. It is the vessel of the greatest power ever invented. Since it is a treasure not any pleasure could ever equal it is encapsulated on a hard mass of bone to keep its treasure. The human brain can be divided into four major divisions: The cerebrum, the diencephalon, the cerebellum and the midbrain. The first division is further subdivided into four parts. The frontal lobe, the parietal lobe and the occipital lobe. In the frontal lobe, the precentral gyrus (motor cortex) controls voluntary motor activity. The Broca’s area coordinates the complex muscular activity of the mouth, tongue, and larynx and makes expressive motor speech possible. The frontal area also controls attention and concentration, motivation, ability to formulate goals, the ability to plan, the ability to initiate and maintain action, ability to self monitor and the ability to use feedback (executive functions). These areas contribute to reasoning, problem solving and emotional stability. The parietal lobes interpret temperature, touch and pleasure. Concept formation and abstraction happens and are formulated in this area. The parietal lobes form two sides; the left parietal lobe and the right parietal lobe. The left parietal lobe assists with right and left orientation and mathematics, while the right parietal lobe is used for awareness, as to shape (steriognosis) and size...
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...b. Did not discriminate c. Establishment of the American Red Cross * Harriet Tubman – helped slaves escape to freedom on the underground railroad * Walt Whitman – a poet * Louisa May Alcott – an author * Dorothea Dix – union’s superintendent of female nurses during the Civil War B. Nurses fighting diseases * Florence Nightingale d. Epidemiology – the study of the distribution and origins of disease e. Air, light, nutrition, and adequate ventilation and space assist the patient to recuperate * Lillian Wald & Mary Brewster f. Founded the Henry Street Settlement in NY to improve the health and social conditions of poor immigrants g. Improve health and prevent illness by promoting safe drinking water, adequate sewage facilities, and proper sanitation Florence Nightingale (1820-1910) * “Lady of the Lamp” * Walked through the camp at night providing care to the sick and wounded during the Crimean War * Major contributions: * Establishment of nursing as a distinct profession * Introduction of a broad-based liberal education for nurses * Major reform in the delivery of care in hospitals * Introduction of standards to control the spread of...
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