Free Essay

Progress Note

In: Other Topics

Submitted By JDS88
Words 943
Pages 4
Progress Note
Good morning Ms. Ella Smith, I see that you are here about the diagnosis of your father’s condition. I am prepared to explain the condition of your father. Mr. Drake was admitted to the hospital by ambulance he was suffering from fever and confusion. Mr. Drake had a physical examination done and he is suffering (encephalitis) inflammation of the brain tissue. Mr. Drake was given fluids through the IV to treat the infection around the brain tissue. Mr. Drake was placed on medication through the IV. Because of the severeness of his illness, Mr. Drake went into a light comatose state which only allowed tactile and verbal stimuli (response), but was unconscious. So a tube was placed through the nostril for feeding purposes. After 14 days of fluid injection through the IV Mr. Drake was slowly back to normal.

1. Meningitis is swelling of the membranes around the brain and spinal cord. There are different types of meningitis, but most are caused by viruses or bacteria. Viral meningitis can make you very sick but it often doesn’t have lingering effects. Bacterial meningitis is more serious. It progresses rapidly and can cause permanent damage or even become life-threatening. CT scans of the head may reveal swelling or inflammation. These tests can also help your doctor look for infection in other areas of the body that may be associated with meningitis. Spinal tap (lumbar puncture). The definitive diagnosis of meningitis requires an analysis of your cerebrospinal fluid (CSF), which is collected during a procedure known as a spinal tap. In people with meningitis, the CSF fluid often shows a low sugar (glucose) level along with an increased white blood cell count and increased protein. CSF analysis may also help your doctor identify the exact bacterium that causing meningitis.
2. Memory: repeating statements and questions over and over, not realizing that they’ve asked the question before. Forget conversations, appointments or events, and not remember them later. Routinely misplace possessions, often putting them in illogical locations. Eventually forget the names of family members and everyday objects.
Disorientation: People with Alzheimer’s may lose their sense of what day it is, the season, where they are or even their current life circumstances. Alzheimer’s may also disrupt your brain’s ability to interpret what you see, making it difficult to understand your surroundings. Eventually, these problems may lead to getting lost in familiar places.
Speaking and writing: Those with Alzheimer’s may have trouble finding the right words to identify objects, express thoughts or take part in conversations. Over time, the ability to read and write also declines.
Change in personality and behavior: Brain changes that occur in Alzheimer’s disease can affect the way you act and how you feel. People with Alzheimer’s may experience:*Depression *Anxiety *Social withdrawal *Mood swings *Distrust in others* Irritability and aggressiveness. Many important skills are not lost until very late in the disease. These include the ability to read, dance, and sing, enjoy old music, engage in crafts, and hobbies, tell stories, and reminisce.
3. The effects of stroke (brain attack) vary from person to person based on the type, severity, location, and number of strokes. The brain is extremely complex and each area of the brain is responsible for a special function or ability. When an area of the brain is damaged, which typically occurs with a stroke, an impairment may result. The brain is divided into 3 main areas: * Cerebrum (consisting of the right and left sides or hemispheres) * Cerebellum *Brain stem. Depending on which of these regions of the brain the stroke occurs, the effects may be very different. No two people experience aphasia the same way, with varying symptoms and severity: Aphasia may make it difficult to: Speak, Understand spoken language, Read, Write, Use numbers and do calculations, Use non-verbal gesturing. There are four main types of aphasia: Nonfluent: describes a person who has a difficult time speaking, writing, or finding specific words. Fluent: The rate of speech may be normal but the person may not make sense. He or she has difficulty reading or comprehending what others say. Global: is the most severe type. Patients produce few recognizable words and understand little or no spoken language. Anomic aphasia: is the persistent inability to supply the words for the very image things patients want to talk about particularly the significant nouns and verbs.
4. A single-photon emission computerized tomography (SPECT) scan lets your doctor analyze the function of some of your internal organs, A SPECT scan is a type nuclear imaging test, which means it uses radioactive substance and a special camera to create 3D pictures. SPECT scan produces images that show how your organs work. For instance, a SPECT scan can show how blood flows to your heart or what areas of your brain are more active or less active. SPECT can be helpful in determining which parts of the brain are being affected by Epilepsy. A position emission tomography (PET) scan is an imaging test that helps reveal how your tissues and organs are functioning. A PET scan uses a radioactive drug (tracer) to show this activity. The tracer may be injected, swallowed or inhaled, depending on which organ or tissue is being studied by the PET scan. The tracer collects in areas of your body that have higher levels of chemical activity, which often correspond to areas of disease. On a PET scan, these areas show up as bright spots. A PET scan is useful in revealing or evaluating several conditions, including some cancers, heart disease and brain disorders.

Riggin EA. Decision Support System. Mayo Clinic, Rochester, Minn. Nov. 20, 2013.

Similar Documents

Free Essay

Nursing Progress Note

...Patient Progress Notes Include subjective complaints, objective observations and assessment, plan for action, justification for change of treatment and for referrals to consultant. Describe the behavior observed, reaction to treatment, improvement or worsening of mental and or physical condition. Patient’s Name: Hospital No.: |Date |Time |Prob. # |A Note is Due at Least Weekly for the First Two Months and Once a Month Thereafter | |01/12 |10:00pm |1 |Nursing Department Shift Note: Patient requested for help via shower alarm. She was | | | | |Incontinent with stool stating “ When I stood up It stills was coming out.” This writer | | | | |requested the jumpsuit that she has been wearing since admission and placed it in the | | | | |washing machine. After assisting her with shower and laundry this writer gave her a new | | | | |Set of pajamas and underwear. She became very loud stating “I’m not wearing that, I can’t | | | | |let them hurt my body.” “I don’t wear other people clothing, my......

Words: 368 - Pages: 2

Premium Essay

Something Borrowed Malcolm Gladwell Analysis

...Those notes can only be sequenced so many times before they are repeated by a new musician and called “original”. Intellectual property has been protected in the courts systems, but has favored personal interest over creativity and borrowing. In the case of Weber vs. Repp for example, Repp was claiming to be the owner of the copied Catholic folk music stolen to create music by Weber. With help from a lawyer, it is proven that Weber wrote a song previous to the music and songs by Repp. It was demonstrated that Weber wrote a song, Repp wrote another song sounding similar, and then Weber wrote the song in question. This showing that Weber borrowed from himself and Repp borrowed from him. The musical notes played in the same sequence were copied by both composers and therefore the courts dismissed the case, musical notes are not owned by any one composer. It does not matter what you copy but how much you choose to take. The idea behind Gladwell’s argument is that borrowing some to be creative is and needs to be acceptable in the eyes of “plagiarism...

Words: 1296 - Pages: 6

Free Essay


...found myself struggling throughout the years I’ve been in school to pass an English or composition class. I did, however, find one subject that I could connect with those subjects that helped me understand and progress as a reader and a writer ¾ Music class. As a kid in elementary school, we had basic music classes, and my first memory in a music class was learning to play the recorder. Our teacher taught the class how to hold, and position each finger over the holes of the recorder to make different sounds. At this age, is was hard to harmonize, considering it was our first year learning an instrument. There was no reading or writing when it came to playing the instruments, but with music, a story can be made. For example, half the class would play our recorders in sync with one another, and other students in the class would play percussion. With the rhythm of the music combined, the feel and sound of the music gives the audience a feel of a different environment, such as feeling as though you are taking a journey through an Indian village, or celebrating the first fourth of July in America. As I progressed through the year, music classes turned into singing as well. In order to know the words that we were singing, we had paperback music, which had music lines, notes, and words for us to...

Words: 1172 - Pages: 5

Free Essay


...through the paper. Halfway through the paper, I saw my friend John suspiciously looking at the class. My instincts told me that something was wrong. As a result, I began to keep an eye on John. Suddenly, I saw John taking notes out from his pencil case! My mouth hung wide open and I gasped in shock. How could John do that! I thought should I report him? The devil in my mind said that I should not care about this thing after all, he is still my best friend while the angel said that I should be honest and report him. After thinking for a while, I decided to report him. I raised my hand and told the teacher “ Mr Tan, John is cheating by using notes from his pencil case.” The teacher nodded his head and walked towards John’s table. Mr Tan said “John! Why are you cheating?” John shook his head to deny that he did not cheat. Mr Tan confiscated his pencil case and dumped the contents out. Out came pencils, erasers and pens. But there was no notes inside! John let out a smirk from his mouth. I was shocked! I thought that there was a note? Just when I thought all hope was lost, Mr Tan found another zip at the pencil case and he opened it. Suddenly, John’s smirk began to vanish. Waves of panic overwhelmed him. The hidden note was found there! Mr Tan looked at John sternly. He brought John to the principal’s office to explain what had happened. On the next day, the fiery-tempered Discipline Master caned John during assembly period. After this......

Words: 333 - Pages: 2

Premium Essay

Note Taking

...Improving Your Note Taking ▪ Effective note taking is one of the keys to succeeding in school. Students should devote a considerable amount of time reviewing information discussed during classroom lectures. It is very difficult remembering specific details from classroom lectures without good notes. These note taking strategies will help you to take better notes: ▪ Make clear and accurate notes Make sure to take legible and accurate notes since it is not uncommon to forget key details discussed in class after it has ended. Frequently, students comprehend the teacher's lecture, so they'll neglect to jot down specific details only to forget them later. Students who keep accurate notes can review them later to fully grasp key concepts during personal study time. Additionally, since during classroom lectures teachers frequently cover many topics, effective notes enable students to concentrate on specific topics. ▪ Come to class prepared Students properly prepared for class usually take better notes. Proper preparation includes completing assigned reading prior to class and reviewing notes from previous lectures. Students who do this can ask questions about confusing concepts and be prepared for new topics. ▪ Compare your notes To ensure your notes are as accurate and detailed as possible, compare them with the notes of other students after class is over. This is useful because your colleagues will frequently write down lecture details that......

Words: 602 - Pages: 3

Free Essay

Michael Meets Mozart

...Side Notes: • I came up with a killer Mozart-style arrangement involving several songs by modern artists. But I ran into a roadblock with getting permissions. So I decided to do variations on a theme by making my arrangement an original tune. Helpful Hints: • Learn the hardest parts first with the correct fingering. Instead of using a slower tempo to practice longer sections, try using the actual tempo to practice overlapping shorts sections (as small as 2 notes...hands alone if needed). • For those who have heard the recording or seen the video on • When I practice, it helps me to realize that it takes up to 300 YouTube, Steven Sharp Nelson laid down over 100 tracks, including (perfect) reps before muscle memory kicks-in. cello textures never before known possible. Every single sound on the video was made using only the instruments shown: piano, cello, • I like to imagine totally soft and relaxed hand muscles as I play... think "soft hand" when approaching hard sections. mouth percussion and kick drum. Of course we put in additional cool effects. For example the U2-style delay on Steve's pizz at the • For a two-minute-edit version, start at measure 109 beginning. (two-minute-edit minus track available at • A recording of the orchestration only (minus piano) is available at This is very fun for live performances with a monitor speaker next to you on stage so you can hear the parts well. Michael meets Mozart = 91 chills......

Words: 622 - Pages: 3

Free Essay

Note Taking Assignment

...Dean Helton Note-Taking Assignment 1. Why did you choose Cornell, Outline, or Visual Map? I chose the visual map way of taking my notes this morning at church. I have actuallynever taken my notes that way before, but I really enjoyed it. I am a kinesthetic learner and seeing maps and graphs help me understand things a lot better than just simple notes. I was nervous at first to take my notes this way but I very quickly got the hang of it. After the sermon it was much easier for me to look over my notes and understand what the message and sub nots were pointing out. I will now take all of my sermon notes this way. 2. What did you like about the style of note taking you chose? I enjoyed using this style for many reasons. One of the main reasons was because it gave me the opportunity to listen more to the sermon wrather than focusing on writing down the notes that we were given. It also was a huge help to me after when I was looking over the notes. It gave me a clearer picture of what the sermon was about. 3. What did you dislike about the style of note taking you chose? I think the only thing I disliked about it is that it is almost like an outline,a nd if you are not careful you could miss an important long point that need sto be recorded just for the sake of making your picture graph look good. I added a few take away points at the bottom of my notes that I felt like I needed to add so that I could better understand the over all message. 4. How do you......

Words: 380 - Pages: 2

Free Essay


...Symbols Facebook Symbols for Status Everyone fancy a cool status update decorated with facebook symbols. People always wonder how their friends got symbols for status when they add hearts, music notes , stars and other signs into their status. Actually its not difficult. Follow my steps and you will learn how to add facebook symbols for status. Before you start decoration your status updates with symbols, take a look at complete list of all facebook symbols. These are Unicode text characters that you can put into your status. Just use your imagination and creativity and you will come up with nice ideas. Take these symbols and combine them to create status decoration where you can add your ‘text update’. Most common facebook symbols people use for decoration are heart symbol, star symbol, math signs and music notes. Here we have got the most comprehensive list of facebook status symbols. Just copy and paste them in your status. ๑۩۞۩๑ Type your status message!! ๑۩۞۩๑ ๑۩๑ Type your status message!! ๑۩๑ ▂ ▃ ▅ ▆ █ Type your status message █ ▆ ▅ ▃ ▂ ★·.·´¯`·.·★ facebook symbols for status ★·.·´¯`·.·★ ..♩.¸¸♬´¯`♬.¸¸¤ Type your status message here o ¤¸¸.♬´¯`♬¸¸.♩.. ¤♥¤Oº°‘¨☜♥☞¤ symbols for facebook status ¤☜♥☞¨‘°ºO¤♥¤ ♬ •♩ ·.·´¯`·.·♭•♪ This is musical notes ♪ •♭·.·´¯`·.·♩ •♬ »——(¯` Type your status message here ´¯)——» ¸.·’★¸.·’★*·~-.¸-(★ facebook symbols ★)-,.-~*¸.·’★¸.·’★ •(♥).•*´¨`*•♥•(★) Type your status message here......

Words: 579 - Pages: 3

Free Essay


...discussions.  No warning will be given to you and the invigilator will make a note of your name and update the Program Manager. You are not allowed to leave the examination hall till you finish your examination. You are required to switch off your mobiles always. |Course |Date |Time |Duration |Type of Exam |Comments | |Principles of Management |Wednesday |10.30 am - 12.30 pm |2 hours |Closed Book/Closed notes |Multiple choice ( 50 min) | | |4th Feb, | | |Laptops not allowed |Descriptive(1 hr 10 min) | | |2009 | | |Internet not allowed |Write with pen no scribbling | | | | | | |Mobile phones are not allowed in the class | |Organisational Behaviour |Wednesday |2.30 - 4.00 pm |90 min |Open Book/Open Notes | ......

Words: 284 - Pages: 2

Free Essay

Cfa Test Experience

...CFA2 、 3 级考生请绕道。 二、作者背景 1. 学历:低于北京 TP 二校的理工科本科 2. 复习时间: 2 个月左右的脱产复习 3. 复习方式:在南京某知名高校内与两名 candidate 一起复习 4. 复习遍数:大概 notes2.5 遍。习题 3 遍 5. 考试成绩:除 alternative investment B ,其余 A 6. 考试用时:上午 1 小时 20 分钟,下午 1 小时 30 分钟 三、正文 3.1 复习资料、习题 a) Schweser Notes 5 本(课本部分) 5 星推荐必看 b) Schweser Notes 5 本(习题部分) 5 星推荐必做 c) 某机构中文翻译(广告位招租) 5 星推荐必购 d) 官方 Reading (课本部分) 负 5 星推荐(学术型人才推荐) e) 官方 Reading (习题部分) 6 星推荐必做 f) 近两年官方 mock (俗称模拟题) 5 星推荐必做 g) 近两年官方 sample (俗称样题) 6 星推荐必做 h) 某机构百题预测(广告位招租) 4 星推荐选作 i) N otes 练习(也就是 6 、 7 两本) 1 星推荐蛋疼者做之 j) 官方 道德手册 3 星推荐选看 k) 辅导班视频(广告位招租) 3 星推荐选看 l) 老婆一只 自己看着办吧 m) 辅导班(广告位招租) 本 3.5 没上 n) 其他 本 3.5 没看 3.1.1 阅读资料 说到考试资料,那官方的 Reading 就是纯 TM 扯淡,如果在今年能够收到电子版的情况下,还去花着 N 百刀买那自己用着都心疼的铜版纸教材,绝对是烧包的表现,一来不 支 持低碳生活,二来过于支持 CFA 的宗旨 —— 骗钱第一,考试第二。 在官网注册完,直奔万能的 Taobao ,在搜索栏 baidu 一下 “ CFA Notes ” 你就能看到 一 个真正的完全竞争市场。具体书的颜色每年不一样,但要用的是哪本,哥们你懂的。 同时某些机构的中文翻译教材,绝对是上佳之选,不要和我 zhuangbility 说兄弟你的 英文能力多么销魂,就是再 TM 销魂,你告诉我什么是 qualified 和 unqualified ,如果告诉 我是 “ 合格 ” 和 “ 不合格 ” 的,本 3.5 告诉你, S+B 离你已经不是太远了。 此外有许多朋友会推荐官方的道德手册(网购 notes 的时候一般会送你),这个问题 下 一章节会提及。 作为补充,辅导班的 “ 免费 ” 视频同样是可以用来借鉴的, 3000 多块钱白给,不要 白 不要。 另外某机构的百题预测也是可以用来把玩的,相当于在最后,对知识点做一个大致 的 温习,不过里面有些题目的答案并不完全正确,当然已经通读 notes 的你肯定能够判断出 的。 3.1.2 习题 大家经常会烦恼要做哪些题,要么说 notes 题少而简单,要么问书后的问答题到底要 不要做。本 3.5 郑重的告诉你,官方 Reading 后面的习题是一定要做的,无论选择还是问 答,因为其中有些干脆就会在考试中重现,比如在看定量分析( quantitative )的时候,你 会发现,为什么书中大篇幅出现的 T-value 和 F-value 的题目数量和只有一句话提及的 P- value 一样多的时候,作者已经内牛满面的在告诉你要考什么了。有人问 Reading 这么厚, 自习时候拿着多烦躁, 3.5 偷偷地告诉你,......

Words: 1170 - Pages: 5

Free Essay

Note Taking

...TAKING LECTURE NOTES I. There are many reasons for taking lecture notes. A. Making yourself take notes forces you to listen carefully and test your understanding of the material. B. When you are reviewing, notes provide a gauge to what is important in the text. C. Personal notes are usually easier to remember than the text. D. The writing down of important points helps you to remember then even before you have studied the material formally. II. Instructors usually give clues to what is important to take down. Some of the more common clues are: A. Material written on the blackboard. B. Repetition C. Emphasis 1. Emphasis can be judged by tone of voice and gesture. 2. Emphasis can be judged by the amount of time the instructor spends on points and the number of examples he or she uses. D. Word signals (e.g. "There are two points of view on . . . " "The third reason is . . . " " In conclusion . . . ") E. Summaries given at the end of class. F. Reviews given at the beginning of class. III. Each student should develop his or her own method of taking notes, but most students find the following suggestions helpful: A. Make your notes brief. 1. Never use a sentence where you can use a phrase. Never use a phrase where you can use a word. 2. Use abbreviations and symbols, but be consistent. B. Put most notes in your own words. However, the following should be noted exactly: 1. Formulas 2. Definitions 3. Specific facts C. Use outline form and/or...

Words: 1031 - Pages: 5

Free Essay

Three Strategies That I Will Apply in My Personal and Academic Life, the Impact, and the Effectiveness

...remember when the email was sent or who sent it. Since reading this chapter, I have started to save specific email information as word documents grouped under different folders. This has proven to be effective for linking related topics in the respective folders which makes locating the information quicker. In my academic life, I will first note the topic to be studied and pay greater attention to the learning objectives. This would then make it easier to skim through the chapter and specifically note the more important material and review that first as well as to research any related topics by using other resources. The chapter also noted the importance of paying attention to any information in bold type and any illustrations. This strategy would greatly increase my knowledge of the topic and improve note-taking. It would also assist in remembering the useful information. Therefore, this would be effective for review and preparation for exams as well as being in an overall position to utilize and apply the new information whenever possible. 2. The ‘Write it down’ strategy The chapter noted that writing a note helps you to...

Words: 728 - Pages: 3

Free Essay

Tvm with Bonds

...Michael Sherman Ph1 IP TVM with Bonds FINC390-1240B-07 Colorado Technical University Online Professor Angela Garrett 26 November 2012 Calculator Results for Redemption Date 11/2012 Total Price | Total Value | Total Interest | YTD Interest | $16,665.00 | $117,957.76 | $101,292.76 | $998.92 | Bonds: 1-16 of 16 Serial # | Series | Denom | Issue Date | Next Accrual | Final Maturity | Issue Price | Interest | Interest Rate | Value | Note | NA | EE | $50 | 11/1990 | 05/2013 | 11/2020 | $25.00 | $50.52 | 4.00% | $75.52 | | NA | EE | $100 | 11/1990 | 05/2013 | 11/2020 | $50.00 | $101.04 | 4.00% | $151.04 | | NA | EE | $500 | 11/1990 | 05/2013 | 11/2020 | $250.00 | $505.20 | 4.00% | $755.20 | | NA | EE | $5,000 | 11/1990 | 05/2013 | 11/2020 | $2,500.00 | $5,052.00 | 4.00% | $7,552.00 | | NA | SN | $25 | 11/1967 | | 11/1997 | $20.25 | $135.27 | | $155.52 | MA | NA | SN | $50 | 11/1967 | | 11/1997 | $40.50 | $270.54 | | $311.04 | MA | NA | SN | $75 | 11/1967 | | 11/1997 | $60.75 | $405.81 | | $466.56 | MA | NA | SN | $100 | 11/1967 | | 11/1997 | $81.00 | $541.08 | | $622.08 | MA | NA | E | $50 | 11/1963 | | 11/2003 | $37.50 | $408.84 | | $446.34 | MA | NA | E | $100 | 11/1963 | | 11/2003 | $75.00 | $817.68 | | $892.68 | MA | NA | E | $500 | 11/1963 | | 11/2003 | $375.00 | $4,088.40 | | $4,463.40 | MA | NA | E | $10,000 | 11/1963 | | 11/2003 | $7,500.00 | $81,768.00 | | $89,268.00 | MA | NA | I | $50 | 11/1998 | 12/2012 |......

Words: 555 - Pages: 3

Free Essay

Acct 505

...Materials Works in Progress Finished Goods Notes Conversion cost = Manufacturing overhead + direct labor Known: Manufacturing overhead= 65% of conversion Direct labor= Direct = 35% of Conversion costs 220,000= 35% of Conversion 220,000/.35= Conversion cost Conversion cost = Manufacturing overhead + direct labor Direct labor= Manufacturing overhead = Prime Cost = direct materials cost + direct labor costs. 545,000 = direct materials cost + 220,000 Direct materials cost = 325,000 $325,000 $220,000 $1,350,000 30% $1,020,000 $545,000 65% of Conversion $325,000 $41,000 $56,000 $35,000 $220,000 35% $628,571 $220,000 $408,571 Answers Raw Materials Cost (purchased) Work in Progress Finished Goods Inventory $325,000 $24,471 $75,000 Calculations Calculating Gross Margin Sales Cost of Goods Sold: Beginning Finished Goods Inventory Add: Cost of Goods Manufactured Cost of Goods Available for Sale Deduct: Ending Finished Goods Inventory *Gross Margin *Gross Margin= 30%($1,350,000) Cost of Goods Sold Beginning balance finished goods Add: Cost of goods manufactured Goods available for sale Less: Ending balance, finished goods Cost of goods sold Total manufacturing cost Direct materials Direct labor Manufacturing overhead Total manufacturing cost $ 35,000 985,000 1,020,000 75,000 $ 1,350,000 945,000 405,000 $ 35,000 985,000 1,020,000 945,000 $ 75,000 $ $ 325,000 220,000 408,471 953,471 Cost of Goods Manufactured Beginning balance works in progress......

Words: 376 - Pages: 2

Free Essay

Csc272 Requirments

...calendar year in which you are enrolled. Please contact the FST Student Success Centre for program planning assistance. | | | |Course Level Legend |Course Progress Legend | |JUNIOR / JR - 200 numbered course |TR - Transfer Credit Awarded | |SENIOR / SR - 300 or 400 numbered course |C - Completed AU Course | |PREPARATORY - 100 numbered course |IP - In Progress AU Course | | | | | | | | |LEVEL |TOTAL |COURSE |REQUIREMENT |COURSE |COMMENTS | | |CREDITS | | |PROGRESS | | |Junior |6 |COMP200 |Required Core | |Science | |Junior |9 |COMP268 |Required Core | |Science | |Junior |12 ...

Words: 372 - Pages: 2