...A CASE STUDY ON EXPLORATORY LAPAROTOMY WITH ADHESOLIYSIS, RIGHT HEMICOLECTOMY WITH PRIMARY END-TO-END ANASTOMOSIS ________________________________ In Partial Fulfillment of the Course Requirement In Surgical Nursing ________________________________ Presented to: The Faculty of Cebu Doctors’ University College of Nursing _____________________________ Submitted by: xxxxxxxxxxxxxxxxxxxxxxx Phi 2nd generation Class 2009 30 September 2008 TABLE OF CONTENTS I. Introduction ……………………………………………………………………. 3 II. Objectives ……………………………………………………………………... 5 III. Nursing Assessment……………………………………………………………. 8 A. Personal History Patient’s Profile Family and Individual Information Level of Growth and Development Normal Development at Particular Stage The Ill Person at Particular Stage of Patient B. Diagnostic Results…………………………………………………... 16 C. Present Profile of Functional Health Patterns ……………………. 17 Health Perception / Health Management Pattern Nutritional – Metabolic Pattern Elimination Pattern Activity / Exercise Pattern Cognitive / Perceptual Pattern Rest / Sleep Pattern Self – perception Pattern Role Relationship Pattern Sexuality – Reproductive Pattern Coping – Stress Tolerance Pattern Value –...
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...PARTNERS IN ASTHMA CARE NIH P UBLICATION N O . 95-3308 OCTOBER 1995 N ATIONAL I NSTITUTES OF H EALTH National Heart, Lung, and Blood Institute i T ABLE OF C ONTENTS PREFACE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NURSES’ ASTHMA EDUCATION WORKING GROUP . . . . . . 1. PATHOPHYSIOLOGY OF ASTHMA . . . . . . . . . . . . . . . . . 2. PRACTICAL GUIDE TO ASTHMA MANAGEMENT . . . . . . GOALS OF ASTHMA MANAGEMENT . . . . . . . . . . . . . . . GENERAL PRINCIPLES OF ASTHMA MANAGEMENT . . . FOUR COMPONENTS OF ASTHMA MANAGEMENT . . . . Asthma Management Component 1: Objective Measures of Lung Function . . . . . . . . . . . . Spirometry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Peak Flow Monitoring . . . . . . . . . . . . . . . . . . . . . . Actions/Implications for Nurses: Objective Measures . . . . . . . . . . . . . . . . . . . . . . . . . Asthma Management Component 2: Environmental Control Measures. . . . . . . . . . . . . . . . Allergens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Irritants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Actions/Implications for Nurses: Environmental Control . . . . . . . . . . . . . . . . . . . . . . Asthma Management Component 3: Pharmacologic Therapy . . . . . . . . . . . . . . . . . . . . . . . Two Major Groups of Asthma Medications: Anti-inflammatory and Bronchodilator . . . . . . . . Step-Care for Chronic Asthma and Acute...
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...Epidemiology of Asthma: Asthma is a chronic inflammatory disease of the airways which causes episodic wheezing, shortness of breath ,chest tightness, and coughing. Asthma effects people of all ages, backgrounds , religion and gender. According to one article no one risk factor is responsible for asthma morbidity; rather asthma risk factors include living in poverty, in the inner city being uninsured or Medicaid enrolled and being African American. (Kimberly P Toole, 2013) Asthma is a significant health problem in the United States and Massachusetts. Asthma is one of the most common chronic childhood illnesses in the United States where prevalence nearly tripled from 3.6% in 1980 to 9.1% in 2007. Asthma impacts both society and the individual causing millions of lost school days. (Woodin, Tin, Moy, Palella, & Brugge, 2010) Nationally the total cost of asthma in 2007 was 19.7 billion dollars, in Massachusetts the total charges for acute care hospital utilization for asthma was over 136 million dollars in 2006. (Zotter & huisingh, 2009). According to the CDC 1:11 children have asthma in the U.S., that amounts to seven million children in 2010 and the prevalence of asthma is increasing in the United States and in Massachusetts. Studies done by the CDC indicate that in children more boys than girls have asthma. The surveys also indicated that socioeconomic status plays apart in asthma prevalence. Families with an annual household income of 75,000 dollars or...
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...the impact of chronic medical conditions on adolescents and identify ways of promoting resilience or positive development. Chronic medical conditions can have significant consequences in various aspects among adolescents. According to the World Health Organisation (WHO), chronic conditions are diseases that progress over a slow period of time and remain for a long duration of an individual’s life. Adolescence, as defined by WHO, is the period of life from 10-19 years of age. Major developments occur during this stage including cognitive growth, which involves emotional and psychosocial developments. These factors further influence the adolescent’s motivational and behavioral response to everyday life. Adolescents with a chronic condition may perceive these normal experiences as a major challenge compared to healthy adolescents, as their needs to cope with their chronic condition conflicts with typical teenage developments. Resilience is defined as a young person’s capacity to negotiate and successfully adapt to the everyday demands of their illness (Olsson et al., 2002). Identifying aspects that negatively impact on adolescents is vital in order to promote resilience. Health organizations have recognized this concern and have developed programs in an aim for adolescents to gain positive development to cope with chronic conditions. Emotional developments may become undesirable as a result of a chronic condition amongst adolescents. Santrock (2001) defines emotional development...
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...Health People 2020 Objectives Health People 2020 Objectives In today’s society it has never been more pressing for society to take serious its health and health practices and make changes to better themselves. Using Health People 2020 as a foundation this paper will serve to identify objectives and identify how biological risk (including age-related risk), environmental risk (including economic risk), and behavioral risk contribute to family health risks for those objectives noted by Health People 2020. The two objectives that will be discussed include smoking, to include health related problems that result in this behavior, and respiratory illnesses, including Asthma, Chronic Obstructive Pulmonary Disease (COPD). Within the paper, prevention of exacerbation will also be noted as it relates to each illness. Tobacco Use Scientific knowledge about the health effects of tobacco use has increased greatly since the first Surgeon General’s report on tobacco was released in 1964. The most successful interventions of many clinical trials incorporated elements of social or organizational change to modify individual behavioral risk factors, such as alcohol and tobacco consumption, diet, and physical activity. Most behaviors are not randomly distributed in the population, but rather are socially patterned and often cluster with one another. Thus, many people who drink also smoke cigarettes, and those who follow health-promoting...
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...Asthma HCS 245 Rajdeep Grewal September 22, 2014 Asthma is a chronic long-term lung disease that inflames and suppresses the airways. Asthma causes recurring periods of wheezing, chest tightness, shortness of breath and coughing. It can affect people of all ages but usually starts during childhood. In children it is known to often refer to eczema in which a child might suffer from skin inflammation. People suffering from asthma will have attacks that will make it difficult to exhale then inhale which can cause over inflammation of the chest and with impaired lung infections. Most asthma attacks can be treated by drugs, inhalers and injections. Primary prevention in asthma can be reduced or avoided by personal exposure to primary risk factors to be started during pregnancy and childhood. It is beyond the scope of work and ability of any health care system to achieve changes in environmental standards, which are very important in reducing the population's exposure to disease determinants and pollution risks. Also, the community needs to be involved actively in prevention. A healthy lifestyle, such as eating healthier, doing exercise regularly and by avoiding tobacco and allergens. Secondary prevention in asthma can be done by early detection of occupational asthma which is vital to prevent further progression. According to COPD, they have suggested many programs for early detection of COPD would be cost effective. Even though asthma cannot be cured it can be treated...
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...The impact of health and health behaviours on educational outcomes in high-income countries: a review of the evidence Marc Suhrcke, School of Medicine, Health Policy and Practice, University of East Anglia, United Kingdom Carmen de Paz Nieves, Fundación Ideas, Madrid, Spain ISBN 978 92 890 0220 2 Keywords HEALTH BEHAVIOR - HEALTH STATUS - EDUCATIONAL STATUS - RISK FACTORS - SOCIOECONOMIC FACTORS - REVIEW LITERATURE Suggested citation Suhrcke M, de Paz Nieves C (2011). The impact of health and health behaviours on educational outcomes in highincome countries: a review of the evidence. Copenhagen, WHO Regional Office for Europe. Address requests about publications of the WHO Regional Office for Europe to: Publications WHO Regional Office for Europe Scherfigsvej 8 DK-2100 Copenhagen Ø, Denmark Alternatively, complete an online request form for documentation, health information, or for permission to quote or translate, on the Regional Office web site (http://www.euro.who.int/pubrequest). © World Health Organization 2011 All rights reserved. The Regional Office for Europe of the World Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning...
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...reality and - and brutal savagery - of their situation sets in” (Goodreads.com 1). Lord of the Flies, by William Golding is a novel about a group of kids stranded on an island, and having to survive. This goal; like any other, has obstacles. Children, along with even adults are known to be very judgmental, and the result of that is bullying, which happens to a little boy crudely nicknamed Piggy more than anyone else. Waiting until they are rescued, lady luck really doesn't seem to be on their side. This book should be recommended because it connects to a real medical problem - asthma - and has the theme, there is always some kind of darkness in man’s heart, often causing extreme harm to other people....
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...Chronic illness has a large effect on everyone, no matter what the age. In adolescents, they are still dependent on their parents as their caregivers, and are old enough to understand and make decisions for themselves. Chronic illness has been defined as “an illness that is prolonged in duration, does not often resolve spontaneously, and is rarely cured completely.” (Australian Government Department of Health and Ageing). Adolescence is “a period of rapid physical, psychological, emotional and social development during which young people develop a sense of an independent identity, focus on peer acceptance, and plan for the future and then develop romantic and intimate relationships.” (Erickson 1963, Suris et al 2004 Christie & Viner 2005). Young people with chronic illness have the same developmental issues as those who are perfectly healthy. Hundreds of studies have been undertaken in regards to how chronic illness impact the lives of adolescents and the people around them. One example is the Methodological quality was assessed using criteria described by Cesario et al (Journal of Obstetrics, Gynaecology& Neonatal Nursing 31 2002 31) and the conclusion was that 20 studies identified involving young people with wide variety of chronic illnesses. Seven common themes were found between identified studies; developing and maintaining friendships, importance of family, attitude to treatment, experiences of school, being normal/getting on with life, relationship with healthcare...
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...makes straight A’s. She is a very smart young girl. We will start off by comparing Mycah’s physical development to that of Berger’s in the text. As documented in the text “Unlike infants or adolescents, school-age children’s growth is slow and steady. Self-care is easy –from brushing their new adult teeth to dressing themselves, from making their own lunch to walking to school. In these middle years, children depend less on their families and do not yet need to cope with the body changes and impulses of adolescence. Muscles become steadily stronger.” From my observation I gathered that Mycah is a very independent individual. She is the middle child, and the only girl so she has a nurturing side to her and wants to take care of both of her brothers. She is able to dress herself, clean, and cook simple meals. Berger goes on to discuss health problems in middle childhood. Asthma was one of the topics covered in the text and coincidently, Mycah has suffered from asthma. Simply put, asthma can be defined as a chronic inflammatory disorder of the airways that makes breathing difficult. Of course she uses an inhaler as needed to cope with her asthma, but according to her parents she also had to get steroid injections at one point because her asthma attacks would become more frequent. Now that her asthma is under control she was able to stop getting steroid injections and she now runs track for the speeding tigers! Next we will go on to discuss cognitive development. As with the discussion...
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...Discuss the impact of chronic medical conditions on adolescents (12-18yo) and identify ways of promoting resilience or positive development (1300 min-1500 max words). A chronic or long-term illness results in major physical and psychological changes to the individual. The illness requires them to adjust to the burdens of the therapy implicated to treat the condition. There are multiple emotional, cognitive, motivational and behavioral factors that are stressed during the ongoing illness that hinders the individuals ability to develop and function healthily within Sigmund Freuds psychodynamic structure. Additional theories according to B.F Skinner, Mccrae & Costa and Carl Rogers compliment the idea that chronic illness will impact the individual’s ability to keep a positive self-esteem and develop socially and autonomously through adolescents. We will look into the specific factors that are impacted by chronic illness’, how exactly they relate to the responses of adolescent individual, how it affects their relationships with families and medical staff, and identify ways in which we can promote positive development despite the burden of a wide range of chronic illness’. For Adolescents and young adults, gaining autonomy is essential which is imposed while enduring management of a chronic illness. Obviously with illness’ such as cancer, Sickle cell disease, Cystic Fibrosis and asthma; the vulnerability involved with daily activities directly affect ones confidence in behaving...
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...SUBJECT CODE : MPU 3323 SUBJECT TITLE : PERSONAL HEALTH MANAGEMENT PROGRAMME : BAAF CURRENT YEAR : YEAR 2 SEM 1 INTAKE : SEPT 2014 NAME/SEGI ID/UOG ID : SHAMITA A/P KASINATHAN (SCSJ-0019803/000862417) LECTURER’S NAME : MISS BALWINDER KAUR LEARNING CENTRE : SEGI COLLEGE SUBANG JAYA SUBMISSION DATE : 26 OCTOBER 2015 INTRODUCTION TO HEREDITARY DISEASES Heredity can be characterized as the investigation of what reasons likenesses and contrasts between living beings. Another meaning of is that the procedure by which mental and physical attributes are gone by folks to their kids; these qualities in a specific individual. Various extreme sicknesses happen through out the world however for the most part few are influenced by every one, as they arte essentially connected to certain families in particular regions. Some such maladies, be that as it may, are spread overall and influence numerous. Manifestations can be available during childbirth or get to be show sometime down the road and they might likewise differ extensively among individuals with the same analysis. Under typical circumstances, for example, hurtful allele would have been killed from a populace as the influenced people would kick the bucket before repeating. On the other hand, through the illness is uncommon in many parts of the world, it is tranquil basic in West Africa where jungle fever is pervasive. This...
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...history of depression, poor peer relationship, negative thinking, and deficit in coping skills. Treatment criteria of children and adults are the same, with the exception that children may display irritability rather than depressed or sad mood, and loss of weight may be seen as a failure gain appropriate weight milestones. Diagnosis and treatment should take into account developmental stage, suicidality, severity of depression, and social and environmental factors. The recommended therapies for mild depression include interpersonal therapy and cognitive behavior therapy and serve as appropriate adjuvant to medical treatments for those with moderate and severe depression. This paper explore depression among children, outlines different types of diagnosis, as well as the parameters for rare situations in which practitioners can try antidepressants when psychotherapeutic options fail and the depression is in severe stage. Introduction About 2.8 percent of children younger than 13 years suffer from depression at any given point in time (Clark, Jansen, & Cloy, 2012). The incidence of depression among children is a major concern because of the damaging and acute consequences associated with the disorder. Research shows that 60 percent of adolescents with depression experience recurrences throughout adulthood (Clark, Jansen, & Cloy, 2012). Moreover, adults with history of depression have high chances of committing suicide compared to those without history of the disorder (Clark,...
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...the amount of calories consumed. Perhaps the most important contributing factors are lack of exercise and unhealthy diet and eating habits causing this caloric imbalance. It is also mediated by genetic, behavioral, and environmental factors. According to the National Center for Chronic Disease Prevention and Health Promotion, Childhood obesity has more than tripled in the past 30 years. The prevalence of obesity among children in America aged 6 to 11 years increased from 6.5% in 1980 to 19.6% in 2008. The prevalence of obesity among adolescents aged 12 to 19 years increased from 5.0% to 18.1% (Centres for Disease Control and Prevention). The physical effects that obesity has on children can lead to serious health issues, both in childhood and continuing on through their adult years. Many studies have shown that children who are overweight before the age of 8, are at a much higher risk of severe health complications related to obesity in their adult years. Overweight children, as compared to children with a healthy weight, are more likely to...
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...Science Cognitive Discuss the impact of chronic medical conditions on adolescents (12-18yo) and identify ways of promoting resilience or positive development (1300 min-1500 max words). A chronic or long-term illness results in major physical and psychological changes to the individual. The illness requires them to adjust to the burdens of the therapy implicated to treat the condition. There are multiple emotional, cognitive, motivational and behavioral factors that are stressed during the ongoing illness that hinders the individuals ability to develop and function healthily within Sigmund Freuds psychodynamic structure. Additional theories according to B.F Skinner, Mccrae & Costa and Carl Rogers compliment the idea that chronic illness will impact the individual’s ability to keep a positive self-esteem and develop socially and autonomously through adolescents. We will look into the specific factors that are impacted by chronic illness’, how exactly they relate to the responses of adolescent individual, how it affects their relationships with families and medical staff, and identify ways in which we can promote positive development despite the burden of a wide range of chronic illness’. For Adolescents and young adults, gaining autonomy is essential which is imposed while enduring management of a chronic illness. Obviously with illness’ such as cancer, Sickle cell disease, Cystic Fibrosis and asthma; the vulnerability involved with daily activities directly affect ones...
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