...Derek is admitted to the emergency department critically unwell. Consider the presenting symptoms as outlined in the social history, video clips and medical records and address the following; a) Provide and interpretation of Derek’s ABGs. Derek’s blood gases are as follows PaO2 80mm/Hg PaCO2 52mm/Hg PH 7.25 HCO3 30 The results show that Derek has respiratory acidosis. According to Porth and Matfin, (2009) respiratory acidosis is a condition was an acid imbalance occurs in the body. During gas exchange, the exchange of gas is impaired and results in excess carbon dioxide (CO2) being absorbed into the blood stream, initiating the formation of an acid, making the blood more acidic (Porth & Matfin, 2009). The PH drops as there is little ventilation of the alveolar, and compensation results in the production of hydro carbon dioxide (HCO2) (Farrell & Dempsey 2005). Respiratory acidosis may be caused by injury to the respiratory centres, diseases of the lungs, blockage of the airway and respiratory disorders (Porth & Matfin, 2009). b.) Provide two possible reasons for the ABG’s based on Derek’s history and presentation. The cause for Respiratory acidosis in Derek could have been caused by a respiratory disorder such as COPD which he has been diagnosed with since 1997, and was asked to cease smoking but up to date he has continued to smoke 20-30 cigarettes per day. Porth and Matfin, (2009) explain that conditions of the respiratory system may cause...
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...troves of data. Report says that the data from the U.S. healthcare system alone has reached,150 exabytes in the year 2011. Kaiser Permanente, the California-based health care network which has more than 9 million members is believed to have between 26 and 44 petabytes of potentially rich data from electronic health records, including images and annotations. By definition, big data in healthcare refers to electronic health data sets are so large and complex that they neither possible to manage with traditional software and/or hardware nor can they be easily managed with traditional or common data management tools and methods. Now, most of the patient data is compiled electronically because it is easier for doctors to retrieve patient details. The clinical data includes physician written notes, medical imaging, patient data in electronic patient records (EPRs), machine generated/sensor data, laboratory, pharmacy, insurance and other administrative data. The new technological developments in the U.S health care system is pushing hospitals towards value based payments and the doctors...
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...Executive Summary In the United States, it is a common knowledge that "the delivery of health care is primarily driven by the medical model, which emphasizes illness rather than wellness” (Shi & Singh, 2015, p. 73). Faced with issues like chronic illnesses, fragmentation, and population of baby boomers that affect the challenges of cost, access, and quality of care; it can be argued that the use of health information devices has positive impact on the delivery of healthcare. Since “the future of healthcare technology is now” (Glandon, Smaltz, & Slovensky, 2014, p. 27), developments in the production of healthcare information devices have been on the increase, popular, and widely used by patients and providers. Some of these devices, which include smart phones, computers, smart glasses like Google glasses, activities trackers, and wearable devices, have impacted and transformed the delivery of healthcare in ways that include cost of healthcare, access to healthcare, and quality of the care delivered. Introduction It is a common knowledge that developments in technology is continually changing, is responsible for globalization, helps with effective evaluation of business and decision-making, and enables the growth of information technology. Similarly, the areas of information technology and healthcare delivery are also presently active, developing, and constantly changing. As a result, the management of health information technology is currently enabling...
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...method is dictated by the problem statement and goal of the research. Because research goals and problem vary, research methods also vary. Research design can be thought of as the structure of research, the “glue” that holds together all of the elements in a research project. One of the biggest challenges of a nurse researcher is to decide which research design and method to use. * Research Design is the researchers overall plan of how the study will be conducted. The plans contains such details as the type of data to be collected, the techniques or the means to be used to obtain these data, the basis for the choice of the subjects, the manner of determining sample size, the instruments to be used and their validation, and the data analysis scheme which includes the application of the statistical tools for treatment of data. Criteria for choice of Research Design * Logically sound * Comprehensive enough to solve the problem * Reasonably clear & precise * Clearly spelled out * Free from weaknesses Elements to consider in the choice of Research Design * The total population from which to select the study samples * The method of selecting the samples or study respondents * The alternative versions of independent variable under study * The criterion measures evaluating the effects of the independent variables * The statistical treatment of data, using various tools. There are at least five (5) Kinds of Research Designs 1...
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...History and Physical Assessment: a. Biographical Data: A.G. is a 56 year old Hispanic male who is married with three children. All three children are young adults and living at home. He completed the sophomore year of high school, and works in the fields. Patient can communicate efficiently in English, but more articulate in Spanish. He is insured by Blue Cross. The patient’s primary diagnosis is ascending colon polyp. The operative procedure is DaVinci assisted Laparoscopic right colon resection possible ostomy. Patient was able to answer most of the questions. His wife translated whatever needed more explanation. Client’s Current Health Status b. Chief Complaint: Patient stated his chief complaint was that the doctor advised surgical removal of a polyp. “I went to the doctor because of my age {56} for a colonoscopy and the doctor said I had 3 polyps. The doctor got the other two polyps but said he must cut out the polyp or it will rupture in the colon” c. Presenting Symptoms: No apparent evidence of pain. The onset of his diagnosis began when A.G. was having a diagnostic test done. A.G. went to the doctor on January 23 for a routine colonoscopy and found out during the test that the third polyp was too big, but benign. A.G. states “The location of the polyp was in the right side. It is localized in a small area, a couple of inches of the bowel” A.G. states he feels no pain. Due to the location of the bowel, there are no signs or symptoms that A...
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...2006 National Institute of Standards and Technology Technology Administration • Department of Commerce Baldrige National Quality Program Arroyo Fresco Community Health Center Case Study 2006 National Institute of Standards and Technology Technology Administration • Department of Commerce Baldrige National Quality Program Arroyo Fresco Community Health Center Case Study The Arroyo Fresco Community Health Center Case Study was prepared for use in the 2006 Malcolm Baldrige National Quality Award Examiner Preparation Course. The Arroyo Fresco Community Health Center Case Study describes a fictitious nonprofit organization in the health care sector. There is no connection between the fictitious Arroyo Fresco Community Health Center and any other organization, either named Arroyo Fresco Community Health Center or otherwise. Other organizations cited in the case study also are fictitious, except for several national and government organizations. Because the case study is developed to train Baldrige Examiners and others and to provide an example of the possible content of a Baldrige application, there are areas in the case study where Criteria requirements are not addressed. CONTENTS 2006 Eligibility Certification Form ………………………………………………………………… Organization Chart ………………………………………………………………………………… 2006 Application Form …………………………………………………………………………… Glossary of Terms and Abbreviations ……………………………………………………………… Preface: Organizational Profile P.1 P.2 Organizational Description...
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...Jobs Channel24 Fin24 Food24 GoTravel24 Health24 Kalahari.com Mobile News24 Nuus24 Parent24 Property24 Sport24 Weather24 Wheels24 Women24 Ask the Sexologist Too shy to ask a question? Check out what others have asked. Fatty foods soothe feelings New research suggests that fatty foods do more than satisfy our stomachs. Top of Form Bottom of Form - R100k appliances - Biogen Hampers - A month’s healthy food Health News Latest News Special Reports Columnists Events Experts Profmed Press Office: Selfmed Press Office: Momentum Health Press Office: Medihelp Conditions A-Z Acne ADHD Allergies Alzheimer's Anxiety Arthritis Asthma Backache Breast Health Cancer Cervical Cancer Cholesterol COPD Cough Depression Diabetes Digestive Health Epilepsy Erectile Dysfunction Eye Health Feet Flu & Colds Headache & Migraine Hearing Problems Heart Health Heartburn HIV/Aids Hypertension Leg health Menopause Menstruation Oral health Osteoporosis Pain PMS Prostate Sinusitis Sleep Problems STI Stress Stroke See all Conditions Your Body Hair loss for men Hair loss for women Anaemia Anaemia and diet Athlete's foot Bedwetting Burns Cellulite Cold sores Colic Constipation Cough Cuts & Wounds Cystitis Dandruff Dehydration Diarrhoea Dry skin Dysmenorrhoea Earache Endometriosis Eczema Fatigue Female infertility Female organ prolapse...
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...Lung cancer From Wikipedia, the free encyclopedia This article is about lung carcinomas. For other lung tumors, see Lung tumor. Lung cancer Classification and external resources LungCACXR.PNG A chest X-ray showing a tumor in the lung (marked by arrow) ICD-10 C33-C34 ICD-9 162 DiseasesDB 7616 MedlinePlus 007194 eMedicine med/1333 med/1336 emerg/335 radio/807 radio/405 radio/406 MeSH D002283 Lung cancer (also known as carcinoma of the lung) is a malignant lung tumor characterized by uncontrolled cell growth in tissues of the lung. If left untreated, this growth can spread beyond the lung by process of metastasis into nearby tissue or other parts of the body. Most cancers that start in the lung, known as primary lung cancers, are carcinomas that derive from epithelial cells. The main primary types are small-cell lung cancer (SCLC), also called oat cell cancer, and non-small-cell lung cancer (NSCLC). The most common symptoms are coughing (including coughing up blood), weight loss, shortness of breath, and chest pains.[1] The most common cause is long-term exposure to tobacco smoke,[2] which causes 80–90% of lung cancers.[1] Nonsmokers account for 10–15% of lung cancer cases,[3] and these cases are often attributed to a combination of genetic factors,[4] and exposure to; radon gas,[4] asbestos,[5] and air pollution[4] including second-hand smoke.[6][7] Lung cancer may be seen on chest radiographs and computed tomography (CT) scans. The diagnosis is confirmed by biopsy[8]...
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................................................................................................. 3 Scope .................................................................................................................................................................... 3 How are teams being organised?.......................................................................................................... 7 Substituting grades and roles ............................................................................................................................... 7 Reducing staff or team size .................................................................................................................................. 8 Empowering patients............................................................................................................................................. 9 Changing the place of care ................................................................................................................................. 10 Working across organisations ............................................................................................................................. 10 Working across regional areas ........................................................................................................................... 11 How is technology being adopted? ..............................................................................................
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...Symptoms of menopause can occur earlier in age and last longer than previously contended by traditional medicine. General awareness of this information is undervalued as is the fact that menopause may be expedited by unhealthy lifestyle choices. Understanding healthy life style choices and its relationship to these symptoms are paramount to decreasing health risk factors and potential chronic disease associated with the perimenopausal to menopausal woman. Additional health problems can complicate the hormone therapy treatment of menopausal symptoms and should be evaluated and followed carefully by the woman’s healthcare provider before initiating. Educational materials, information, and awareness need to be brought to attention of both the patient and the physicians for the consideration of the underrepresented stages and symptoms of menopause. Overall Program Goal It is the goal of this coalition to increase awareness of signs and symptoms of menopause to the general public thereby working to increase effective interventions. By helping women to understand what their body is going through it is possible to help influence healthier lifestyle choices that can contribute to a better overall wellbeing. Not only would healthier lifestyle choices bring about some alleviation of menopausal symptoms, but also decrease the risk of chronic health diseases. Menopause is a normal process that a woman’s body goes through. It can be confused with various other diagnoses and...
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...Essentials Ruth E. McCall, BS, MT (ASCP) Retired Program Director and Instructor Central New Mexico Community College Albuquerque, New Mexico President, NuHealth Educators, LLC Faculty, Emeritus Phoenix College Phoenix, Arizona Fifth Edition Cathee M. Tankersley, BS, MT (ASCP) Acquisitions Editor: Peter Sabatini Product Manager: Meredith L. Brittain Marketing Manager: Shauna Kelley Designer: Holly McLaughlin Production Services: Aptara, Inc. Fifth Edition Copyright © 2012, 2008 by Lippincott Williams & Wilkins, a Wolters Kluwer business. Two Commerce Square 2001 Market Street Philadelphia, PA 19103 351 West Camden Street Baltimore, MD 21201 Printed in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at permissions@lww.com, or via website at lww.com (products and services). 9 8 7 6 5 4 3 2 1 Library of Congress...
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...Office of the National Coordinator for Health Information Technology (ONC) Federal Health Information Technology Strategic Plan 2011 – 2015 Table of Contents Introduction Federal Health IT Vision and Mission Federal Health IT Principles Goal I: Achieve Adoption and Information Exchange through Meaningful Use of Health IT Goal II: Improve Care, Improve Population Health, and Reduce Health Care Costs through the Use of Health IT Goal III: Inspire Confidence and Trust in Health IT Goal IV: Empower Individuals with Health IT to Improve their Health and the Health Care System Appendix A: Performance Measures Appendix B: Programs, Initiatives, and Federal Engagement Appendix C: HIT Standards and HIT Policy Committees Information Flow Appendix E: Statutes and Regulations Appendix F: Goals, Objectives, and Strategies Appendix G: Acronyms ONC Acknowledgements Notes 3 6 7 8 21 28 36 49 51 65 67 70 74 77 77 78 Goal V: Achieve Rapid Learning and Technological Advancement 43 Federal Health IT Strategic Plan 3 Introduction he technologies collectively known as health information technology (health IT) share a common attribute: they enable the secure collection and exchange of vast amounts of health data about individuals. The collection and movement of this data will power the health care of the future. Health IT has the potential to empower individuals and increase transparency; enhance the ability to study care delivery and payment systems; and ultimately achieve...
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...the communities in which we live and work, and you, our shareholders. Most important, we will never lose sight of who we are. ON tHE COVER Matt Cox, who has type 1 diabetes and uses the waterproof ANIMAS® VIBE™ insulin pump, swam an English Channel relay to raise money for the Juvenile Diabetes Research Foundation. Matt wants to show his son, Jack, who also has type 1 diabetes, that the condition need not hold him back in life. Read Matt’s story on page 16. CHAIRMAN’S LETTER To Our Shareholders hroughout our annual report this year, you’ll read the severe economic decline; the tightening of consumer about how Johnson & Johnson is bringing meaningful spending and health care budgets; over-the-counter (OTC) innovation to our patients and customers, and making product quality issues at McNeil Consumer Healthcare and a difference in their lives in a personal way—from the recall of the DePuy ASR™ Hip System. Brunhilde Wecker, who made a full recovery from her stroke Our company was severely tested. thanks to our new blood clot retrieval and removal device, In managing through this stretch, we relied heavily on the resolve to our own Bill Hait, an oncologist whose vision and insights of our people and on our time-tested business model: our broad helped accelerate the approval of a wholly new treatment for base in health care, our decentralized management structure, prostate cancer. managing for the long term and the values set forth in Our Credo. These stories remind us...
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...INSTRUCTOR GUIDE Human Anatomy & Physiology Laboratory Manual MAIN VERSION, Eighth Edition Update CAT VERSION, Ninth Edition Update FETAL PIG VERSION, Ninth Edition Update ELAINE N. MARIEB, R.N., Ph.D Holyoke Community College SUSAN T. BAXLEY, M.A. Troy University, Montgomery Campus NANCY G. KINCAID, Ph.D Troy University, Montgomery Campus PhysioEx™ Exercises authored by Peter Z. Zao, North Idaho College Timothy Stabler, Indiana University Northwest Lori Smith, American River College Greta Peterson, Middlesex Community College Andrew Lokuta, University of Wisconsin—Madison San Francisco • Boston • New York Cape Town • Hong Kong • London • Madrid • Mexico City Montreal • Munich • Paris • Singapore • Sydney • Tokyo • Toronto Editor-in-Chief: Serina Beauparlant Project Editor: Sabrina Larson PhysioEx Project Editor: Erik Fortier Editorial Assistant: Nicole Graziano Managing Editor: Wendy Earl Production Editor: Leslie Austin Composition: Cecelia G. Morales Cover Design: Riezebos Holzbaur Design Group Senior Manufacturing Buyer: Stacey Weinberger Marketing Manager: Gordon Lee Copyright © 2009 Pearson Education, Inc., publishing as Pearson Benjamin Cummings, 1301 Sansome St., San Francisco, CA 94111. All rights reserved. Manufactured in the United States of America. This publication is protected by Copyright and permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system, or transmission in any form or by any means...
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...00_078973706x_fm.qxd 1/14/08 2:42 PM Page i NCLEX-PN ® SECOND EDITION Wilda Rinehart Diann Sloan Clara Hurd 00_078973706x_fm.qxd 1/14/08 2:42 PM Page ii NCLEX-PN® Exam Cram, Second Edition Copyright © 2008 by Pearson Education All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or transmitted by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately...
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