...diseases," 2013). The purpose of this paper is to examine and evaluate the prescribed medications of a patient with a cardiovascular disorder who was recently admitted to the hospital with a history of pain in her left shoulder radiating up to her neck. Explanation of new medications and contraindications Mrs. K was admitted to the hospital due to having a 3 day history of pain in her left shoulder radiating up to her neck. She was admitted to the telemetry unit. EKG and enzymes ruled her in for a myocardial infarction and she successfully completed a catheterization and angioplasty. Her past medical history was significant only for hypertension for 10 years which was managed with HCTZ 25 mg daily. She is slightly overweight, and reports that she does not have time to exercise regularly, as she commutes over 1 hour each way to her secretarial job daily. Her meals are irregular, and often consist of convenience foods. Prior to her discharge home, her physician informed her she is now a type II diabetic and has coronary artery disease which he has added three medications to her medication regime including Metformin 250mg two times per day, atorvastatin (Lipitor) 10mg daily, enalopril (Vasotec) 10mg daily. The addition of Metformin 250mg two times per day was added due to her newly diagnosed type II diabetes. Metformin is an oral diabetic medication that is used for type II diabetes and can be used with or without the use of insulin to aide in...
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...February 2015 A Word About Diabetes Diabetes Mellitus: Type 1 What Is It? Diabetes is a common disorder. It’s marked by high blood sugar. Insulin controls how much sugar stays in your blood. The pancreas makes the hormone insulin. People who have type 1 diabetes can no longer make this hormone. There are two main types of diabetes: type 1 and type 2. Most people with diabetes have type 2. Type 1 diabetes often starts in childhood. But, it can start in adulthood. Type 2 diabetes often starts after age 40. In type 2, the cells of the body do not use insulin well. Obese people are at risk for type 2. Now we will talk about type 1. Diabetes Symptoms The following symptoms are typical of diabetes. However, people with diabetes type 2 maybe so mild they may go undetected. Common symptoms of diabetes: Urinating often Feeling very thirsty Feeling very hungry – even though you are eating Extreme fatigue Blurry vision Cuts/bruises that are slow to heal Weigh loss- even though you are eating more Tingling, pain in the hands/feet Early detection and treatment of diabetes can decrease the risk of developing complications of diabetes. What Your Doctor Looks For Your doctor may test your blood sugar if you have any symptoms of diabetes. Other blood tests include: A1C. This tests average blood sugar over the past two to three months. Cholesterol and triglycerides. The results can help your doctor assess your heart disease risk. Are You At Risk ...
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...Nancy Drew Grand Canyon University: NRS-430V | Nursing History, Theories, and Conceptual Model August 11, 2013 One may ask themselves a couple of questions when determining if one really needs to go back to school to obtain a higher level of nursing education. What’s the big deal having a baccalaureate-degree (BSN) in nursing versus having an Associate-degree (ADN) in nursing? Why go to school for four years and sit for the same National Council Licensure Examination (NCLEX) that an ADN must pass for his/her licensure that a BSN must to take as well? Taking the NCLEX-RN is a capstone experience to your studies. Passing demonstrates your competence so you can launch your nursing career (NCLEX, n.d.). Today, nurses asks these same questions. In October 2010 there was a report issued titled, “The Future of Nursing.” ((AACN), n.d.) This report had gathered evidenced-based information and recommendations for the need of BSN’s to increase by 80%. This expert committee has done their research. The report also states “to respond to the demands of an evolving health care system and meet the challenging needs of patients, nurses must achieve higher levels of education.” Registered Nurses (RN’s) should change their educational status from ASN to BSN to remain in the competitive healthcare requirements. Our generations are growing older. Patients are being admitted to hospitals with increased co-morbities. Patients are coming to see their Primary care provider with...
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...consequences for individuals and also nation’s economy. According to a 2014 report from Centers for Disease Control and Prevention (CDC) conducted in 2012 that diabetes affects more than 29.1 million Americans and of them 8.1 million are undiagnosed (CDC,2014). The estimated cost of Diabetes in the United States in 2012 was 245 billion dollar that includes medical cost, disability, and premature death (CDC, 2014). According to Healthy People 2020, diabetes is the seventh leading cause of mortality, lowers life expectancy by up to 15 years, increase the risk of heart disease, kidney failures, blindness, and so forth (U.S Department of Health and Human Services, 2014). Type I diabetes is one of the most common endocrine diseases of childhood which is why it is also called juvenile onset diabetes. It is an autoimmune disease where the beta cells of the pancreas are destroyed resulting in the inability of insulin production. People with type I diabetes need to take insulin daily to regulate their blood sugars (Lamb, 2015). Background and Importance of Research Diabetes is a severe and chronic disease that causes chronic disabilities. The inability of the pancreas to produce insulin results in abnormally high blood sugar levels. Over years, high blood sugar levels can damage eyes, heart, nerves, kidneys and blood vessels. Complications are significantly reduced or prevented as blood glucose levels are well maintained. The purpose of this teaching plan...
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...Type II Diabetes in Pennsylvania 4/29/2015 Introduction Diabetes is a lifelong disease that occurs when a person’s pancreas stops or isn’t producing enough insulin and/or the body cannot use it. Insulin is needed to use the energy from food. The body makes glucose from food that is eaten and then the glucose goes into the bloodstream and circulates around the body. Insulin helps glucose enter the cells where it is used for energy, growth and repair. When people have diabetes, glucose cannot enter the cells. It builds up in the bloodstream until it reaches high levels, which is damaging to the body. High blood glucose levels can be returned to normal with such treatments as meal planning, medication, and regular physical activity. It sounds too good to be true on reversing Type II diabetes through exercise and healthy eating is true. While certain lifestyle changes are key to managing diabetes, whether you can actually turn back time so that it's like you never had diabetes is a different matter. That depends on how long you've had the condition, how severe it is, and your genes. "The term 'reversal' is used when people can go off medication but still must engage in a lifestyle program in order to stay off," (Ann Albright, 2015). Type 2 is the most common form of diabetes and can be diagnosed at any age. It is most commonly seen in adults. Type 2 diabetes accounts for about 90 to 95 percent of all diagnosed cases of diabetes, more than 29.1 million people or 9.3% of the U...
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...becoming one of my biggest concerns. Diabetes in general is on the rise throughout the whole nation. The American Diabetes Association in 2011 reported that there are about 25.8 million people in the United States are diabetics. The report went on to say that some of the people suffering from the disease do not even have any idea about their condition. It is bad enough that the some of the people with diabetes are not doing much about their condition but to walk around without even having an idea about you condition is scarier. The American Diabetes Association defines diabetes as “a problem in your body that causes blood glucose to rise higher than normal” (American Diabetes Association, 2015). Diabetes is a dangerous disease especially if it is not being treated. The disease is caused by the rise of the sugar level, also known as glucose level, in the blood. The rising level of sugar in the blood causes the pancreas in the body not to able to make or produce enough insulin. The purpose insulin in the body is to keep your sugar level from being too high or too low (Collazo-Clavell, 2009). The body works in a way that after food is consumed, which makes the sugar level, rise the pancreas is activated which then releases insulin into the blood to aid in directing the cells to absorb the...
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...BLOOD SUGAR LEVEL ` 1. OVERVIEW Glucose – sugar in the blood, Dextrose – sugar produced from corn, Fructose – sugar produced from fruit, Sucrose – table sugar which is 50% glucose and 50% fructose, HFCS – High Fructose Corn Syrup – produced by corn syrup. I have learned in past years attending leadership conferences about the Hippocampus: a part on the Brain that seems to be important is establishing new memories, from strong emotions. In order for a memory to move through the hippocampus and into our long term memory two things need to transpire. 1. Emotion or Passion 2. Purpose, we respond to our present situation from our past experiences or pain. (Sounds like a another report) I did not know about the types of transporters of Glucose, (more on that in another report). Or about the statistics on the number of people in 2010 that were or were not diagnosed with Glucose levels that make them Diabetics. About the hormone called Leptin a helical peptide hormone produced by the adipose tissue. Leptin acts of cells in the hypothalamus in response to increases in body fat storage to suppress appetite and increase energy expenditure, it also contributes to the onset of puberty and to the secretion of insulin by the pancreas, 2. HISTORY OF GLUCOSE A German chemist named Andreas Sigismund Marggraf; he was born March 3, 1709 in Berlin Germany and died August 7, 1782 in Berlin, Germany. He is known first of all for his discovery of sugar in beets and developing the process it remove...
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...population has diabetes. This paper focuses on the health promotion in primary, secondary, and tertiary levels of patients diagnosed with diabetes. Health promotion can affect many factors of a patient’s life from progression of a disease to loss of school or work days therefore loss of education and income to increase in healthcare. O’Donnell (2009) defines health promotion as: “the art and science of helping people discover the synergies between their core passions and optimal health, enhancing their motivation to strive for optimal health, and supporting them in changing their lifestyle to move toward a state of optimal health. Optimal health is a dynamic balance of physical, emotional, social, spiritual, and intellectual health. Lifestyle change can be facilitated through a combination of learning experiences that enhance awareness, increase motivation, and build skills and, most important, through the creation of opportunities that open access to environments that make positive health practices the easiest choice.” Patient’s active participation is a main part of health promotion. Patients have to take an active role because education provided to patients is to empower them to make better decisions in their...
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...90% of diabetes patients suffering from type 2 diabetes. In every year lots of patients going to die due to type 2 diabetes complication. In previous studies review is presenting about due to type 2 diabetes so many complications are occurring in different part of the body and some study is presenting about due to health education we can reduce the problem in community. By doing heath education, continues health check up and doing some personal health counseling about diet and personal lifestyles.in school health education also effect on child on diet personal life styles. How to control complication of type 2 Diabetes Chapter 1: Introduction Diabetes is a leading cause of adult-onset blindness, kidney failure, and non traumatic limb amputations; significantly higher risk for coronary heart disease, peripheral vascular disease, and stroke, and they have a hypertension, dyslipidemia, and obesity; Diabetes is a the seventh leading cause of death in the United States (1). USA is expending $245 billion annually for health care expenditures and productivity losses and is a leading driver of growing Medicare expenditures for controlling glucose levels, blood pressure (BP), and lipid levels and avoiding tobacco, singularly or in combination, reduce the incidence of costly and disabling micro- and macrovascular diseases(2). To advance responsibility among health care provider and patients and support better control of these elements, there has been research, health care and benchmarking...
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...Tremaine M. Trotter Professor Stephen Ulrich ENGL101 6 May 2015 Type 2 Diabetes We are surrounded by bad health choices every day; sugar, fried foods, fast food, and carbohydrates in addition to overeating and sedentary lifestyles. As consumers we need to be more aware of the harm the foods we eat and the lifestyles we lead do to our bodies and health of our families. These choices can lead to a number of health complications, one of which being diabetes, one of the ten leading causes of death in America ("Leading Causes of Death."). Unfortunately the risk of diabetes is estimated to continue to rise, as of 2014 it was estimated that, at least, one out of three people will develop Type 2 diabetes in their lifetime ("2014 National Diabetes...
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...rapidly becoming a national epidemic. An estimated eighteen million Americans have diabetes and the number is growing, especially among children. The Centers for Disease Control and Prevention (CDC) reports that between 1990 and 1998, the incidence of diabetes rose by 70% in the population aged 30-39, by 40% among those 40-49, and by 31% in the 50-59 age group. Even more frightening is the fact that it is estimated that as many as 33% of the population with Type I diabetes and up to 55% with Type II go undiagnosed. Many patients have been hyperglycemic for at least six years before diagnosis. Diabetes is a disease that effects millions all around the world. Many researches going into the aid of the diabetics is constantly growing each year. Advancements in technology, especially with insulin and glucose monitoring, is helping diabetic people live more normal lives. These examples of advancements are only a couple of the much advancement which have or being done. Much research is always needed when figuring out if a device will work well for diabetics. Despite enormous achievements, and estimated 4 million years of life were still lost to patients with type one diabetes in 2000. This disease is caused by defective carbohydrate metabolism. It causes large amounts of sugar in the blood and urine. It can damage the kidneys, heart, eyes, limbs, and endanger pregnancy. About five percent of the United States population has it and about half are undiagnosed. A diabetic that is treated ...
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... Drug Generic Name: Levothroxine Classification: Thyroid hormone Action: Controls protein synthesis; increases metabolic rate, cardiac output, renal blood flow, O2 consumption, body temp, blood volume, froth, development at cellular level via action on thyroid hormone receptors. Adult Dose: PO 1.7 mcg/kg/day Side Effect: Life Threatening: Thyroid storm, cardiac arrest. Common: Anxiety, insomnia, tremors, headache, excitability, tachycardia, palpitations, angina, dysrhythmias, hypertension, nausea, diarrhea, increased or decreased appetite, cramps, menstrual irregularities, weight loss, sweating, heat intolerance, fever, alopecia, decreased bone mineral density. Contraindication: Adrenal insufficiency, recent MI, thyrotoxicosis, hypersensitivity to beef, alcohol intolerance (injonly) Nursing Implications (lab value, V/S, ect.): • Determine if the patient is taking anticoagulants, antidiabetic agents; document on chart, • Take B/P, pulse before each dose; monitor I&O ratio and weight every day in same clothing, using same scale, at same time of day. Nursing diagnoses: • Knowledge, deficient (teaching) • Noncompliance (teaching) Patient Education: • Teaching patient that product is not a cure but controls symptoms and that treatment is long term. • Instruct patient to report excitability, irritability, anxiety, sweating, heat intolerance, chest pain, palpitations, which indicate overdose. Drug Brand Name: Metformin (Rx) Drug Generic...
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...Emilie M. Reid (GR, C156, WTT2-0615) Master of Science-Nursing-Leadership & Management Western Governors University Create a written proposal for a new information management system Project: Electronic Medical Record System Upgrade Prepared for: Western Governors University Hospital Prepared by: Emilie Reid, RN Western Governors University Hospital is in need of implementing an electronic medical record (eMAR) system. Currently they are using a paper documentation system. The two systems currently being considered are Meditech and Epic. This proposal will compare both systems to explore which will be selected and the most practical for Western Governors University Hospital to adopt. The current hospital record management system is paper based requiring several paper forms containing various information from different interdisciplinary teams incorporated from a patients history of hospital stays. Often, forms are not updated to reflect current patient information, lost between departments or vital information is not correctly incorporated. It is also common practice that multiple copies of the same information exist within the hospital setting posing a risk for inconsistencies of data sources. Within a hospital setting it is imperative that procurement, management and recovery of large volumes of information be easily accessible to anyone with direct medical contact with a patient. Such information would include; patient medical and personal information...
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...BSN Norma Gill Grand Canyon University: NRS-430V November 10, 2013 There was a time when a being Registered Nurse (RN) was sufficient and society did not express concerns on how an education was obtained. The baccalaureate nursing program is considered to be the beginning level of professional nursing. The nursing profession is often confusing mainly because of the various entry levels into the nursing field (Creasia & Reid, 2011 p 25). The ways it can be received are from a hospital diploma program, community college or four-year university. Nursing is a wonderful and humbling profession and it is often a self-disciplined one. No longer is it mainly focused on direct patient care and clinical skills, but one of more complexity that requires advanced skills, assessments, critical thinking, leadership, clinical decision making, case management, health promotion, and collaboration with other discipline of healthcare (Rosseter 2012). There are two types of RN’s, an Associate Degree Registered Nurse (ADN) and a Baccalaureate of Science Degree Nurse (BSN). Both of these types of graduates sit for the same examination to become licensed which is called the NCLEX-RN. However, there are differences in competencies between the two. In relation to nursing, competencies are defined by education and skills for each nursing titles (Hardy, 2013). The ADN is usually comprised of being a two or three year program and is found in community colleges or junior colleges. The programs...
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...Final Project Assignment 5 HCA 331: Introduction to Health Education Instructor: Monica Vargas Erika Hernandez Date: 12/16/12 In this assignment mentions the overall of a Health Promotions and the Education. We have learned in this five week course from the word meaning of health to actually becoming a health educator and the roles that they play in any kind of work setting. As you get into reading this assignment you will also understand and relate to these professional people play a huge role in our day to day lives. The word health itself has a “dynamic state or condition of the human organism that is multidimensional (i.e. physical, emotional, social, intellectual, spiritual, and occupational) in nature, a resource for living, and results from a person’s interactions with and adaptations to his or her environment” (McKenzie, Pinger, & Kotecki, 2012, p.5) (Chapter 1). A health education as mentioned in our text is “ any combination of planned learning experiences based on sound of theories that provide individuals, groups, and communities the opportunity to acquire information and the skills needed to make the quality health decisions” (Joint Committee, 2001, p.99) (Chapter 1). There were many historical events that have happened in our past that shaped up in the health education. I have found three major events that I found were an interesting and would like to share with you. The first historical major event was in the 1900 to 1950s; Charles Winslow...
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