...Technological Advancements in Pain Management Dishon Abbs 10/18/2010 Gabi Vosteen BIO 181 Lab Technological Advancements in Healthcare Throughout the world, many people live with pain every day. Some have never sought medical treatment, and others have received low quality and ineffective treatment. The approach to treating pain and illness depends on the culture and geographical location of the professional appointed to treat pain. In Western Tradition, physicians are considered to be experts on treating illness and pain by utilizing chiropractic manipulation, acupuncture, physical therapy and synthetic medicines. In Navajo tradition, medicine men are the experts on curing illness and pain with religious ceremonies and the use of natural herbs and remedies. Today, the most advanced practice in the health industry is pain management because of the combination of herbal medicines created by Navajos, and synthetic medicines created by Western Scientists. The study of medicine all began in the 1700s when Christopher Columbus came in contact with Indian people in the 1700s. The Indians and Europeans traded food, weapons, shelter and worked together, in a sense, to discover land and natural resources. Shortly after, Small pox, measles, and tuberculosis broke out and killed many people. This encouraged Western Scientists and Navajo People to try and discover cures for infectious diseases. Western Scientists engineered micro-organisms that would search and destroy harmful...
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...woken up through out the night drenched in sweat and the inability to catch her breath. This is what brought her to the emergency department where she presented with difficulty breathing (dyspnea), and shortness of breath. Based upon how the patient presented and the results of the diagnostic tests that were conducted the patient was admitted to the progressive care unit of Banner Thunderbird. Diagnostic tests that were conducted was a chest X-ray, magnetic resonance imaging (MRI), and ultra sound to determine if there is a build up or either fluid and/or air in the pleural spaces of the lungs or a tumor that is causing the patient to have difficulty breathing. Non-imaging tests that are conducted would be a blood studies and arterial blood gas test. The blood studies would be able to dictate if the patient has a bacterial or viral infection, pneumonia, rheumatic fever, a pulmonary embolus, or lupus, and the arterial blood gas test will be able to show how well the lungs are taking in oxygen by measuring oxygen and carbon dioxide within the arterial blood that is drawn (Pagana & Pagana, 2010). After collecting the patients medical history, and the results of all the diagnostic tests that were conducted it was determined that the patient had air and fluid accumulation in the pleural spaces in the lungs and needed to have a ultrasound guided thorocentesis to collect a sample of...
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...Chronic Obstructive Pulmonary Disease | INTRODUCTION We are doing a case study on medical, nursing, pharmacological management of COPD (Chronic Obstructive Pulmonary Disease). We took a COPD patient and assessed the patient for clinical manifestation, the medical, nursing, pharmacological care given to the patient. In our case study we will include the care Hawwa is receiving now and the care we can add to daily routine to help her recover faster. Hawwa Ismail is admitted to Medical ward with diagnosis of COPD. She is 145cm tall, slim, with dark complexion. She is 79 years old. She said that she has difficulty in breathing, she cannot sleep in night time ,she do not feel like eating food and she was having cough. Physical assessment revealed BP 138/47mmHg right arm in lying position, pulse 84 regular and strong, and breathing pattern was irregular labored, tachypnic at 40 breathes per minute,SpO2 99% in room air and temperature 360C (96.80F).Her facial color and lips are ruddy, but nails are clean ,pale and clubbed. She has a little barrel chest, uses accessory muscle to breathe. She has prolonged expiration. While auscultating lungs, diminished breath sound in most of the lower lobes and a small wheezing sound in right lower lobe was noted. PERSONAL DETAILS PATIENT NAME: Hawwa Ismail ADDRESS:Iruvaige/R.Inguraidhoo GUARDIAN: NAME: Abdul HameedHussain CONTACT NO: 7772099 AGE: 79yrs SEX: female NATIONALITY: Maldivian LANGUAGE: Dhivehi RACE: Asian ...
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...Dementia Supporting people with dementia and their carers in health and social care Issued: November 2006 NICE clinical guideline 42 guidance.nice.org.uk/cg42 NICE has accredited the process used by the Centre for Clinical Practice at NICE to produce guidelines. Accreditation is valid for 5 years from September 2009 and applies to guidelines produced since April 2007 using the processes described in NICE's 'The guidelines manual' (2007, updated 2009). More information on accreditation can be viewed at www.nice.org.uk/accreditation © NICE 2006 Dementia NICE clinical guideline 42 Contents Introduction................................................................................................................................... 4 Person-centred care ..................................................................................................................... 6 Key priorities for implementation .................................................................................................. 8 1 Guidance ................................................................................................................................... 11 1.1 Principles of care for people with dementia ...................................................................................... 11 1.2 Integrated health and social care ..................................................................................................... 17 1.3 Risk factors, prevention and early identification...
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...Abstract The specific aim of this paper is to identify the effect of swaddled infants in the management of symptoms during painful procedures. A broad research for five scholarly articles began with an on-line search of State College of Florida’s library, where links to Cochrane, Ebsco, Google Scholar and PubMed were accessed. A Boolean search began with infants, swaddling and pain, with filters that included full-text, in English, free articles, and articles less than five years. Key words included swaddling, infant pain, heel sticks, painful procedures, neonates, facilitated tucking and infant care during painful procedures. Many of the articles required a fee to access the article. Continual searches on Google Scholar finally obtained five scholarly articles. The ancestral search proved the most fruitful in obtaining five strong sources of research, each rated at an evidence level of one. Overall, the studies used in this paper supported the theory and PICO question that swaddling infants during painful procedures manages symptoms and even decreases infants’ pain. Even more favorable is that swaddling (for infants less than three months of age) is recommended for clinical practice as a cost-effective, non-pharmacological, non-invasive, evidence-based method that is easy to teach and implement and offers comfort to tiny infants! Introduction Swaddling, also known as infant-wrapping, binding, bundling or facilitated tucking, is a customary newborn technique that is utilized...
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...Treating Diabetes Mellitus Type II Treating Diabetes Mellitus Type II Type II diabetes (T2D) is a metabolic disorder characterized by chronically elevated blood glucose levels. It characteristically results from a surplus caloric intake, as compared to energy consumption, combined with inadequate insulin secretion, due to dysfunction of the insulin-secreting pancreatic beta cells (Pfeiffer & Klein, 2014). Type II diabetes has reached pandemic levels, despite efforts to slow its progression. In a society where healthcare is ever-changing, primary care physicians, along with advanced practitioners are now treating this disease more readily, as compared to specialist and endocrinologist in the past. As with many disease processes, there are several options when choosing a treatment plan for type II diabetes. Combining knowledge and evidence-based research, the practitioner will be able to establish an individualized treatment plan for treating type II diabetes mellitus. Pathophysiology Type II diabetes is a very complex, non-communicable disease that effects more than 370 million people throughout the world. The symptoms of this disease can vary from patient to patient. Without intense and concentrated efforts to address the pathogenesis and treatment of this syndrome, the destructive macrovascular and microvascular outcomes of type II diabetes will remain a major problem for years to come (Kahn, Cooper, & Del Prato, 2014). In T2D plasma insulin levels may be low,...
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...NURSING PROCESS PAPER Student Name: Date of Care: 10/14/09 Date of Admission: 10/10/09 I. HEALTH STATUS | Admitting Dx: COPD Exac/Chest Pain | Pt. Init.D.R | Rm No.353 | Age60 | SexM | RaceCaucasion | ReligionCatholic | OccupationDisabled | Surgery: Medical Treatment: Back Surgery/ Coronary Artery Bypass Grafting COPD Exac/Chest Pain | Chief Complaint/Reason for Hospitalization & Hx. of Present Illness (with 1-8 critical characteristics, Jarvis pg. 85) Chest Pain | | 1.Location: Midsternal chest pain radiating to left arm. 2. Quality/characteristics: Squeezing, tightening, felt like chest was going to explode. 3. Quantity: 8 on a scale from 1-10 4. Setting: at rest 5. Associative factors: SOB and nausea 6. Aggravating/relieving factors: Aggravated by activity, unable to relieve in any position 7. Timing (Onset, duration, frequency): Sudden and constant pain 8. Patient perception: Thought he was having a heart attack. | Other illness or conditions & year of onset. | | AllergiesNKA | COPD- 2004 Deep Vein Thrombosis -2002Anxiety-2000Depression-1998Lumbar/Cervical Spondylosis-1982HTN- 19XX-Patient cannot recall exact year | | Immediate Teaching Needs | | Hospital safety- Reminded patient to call for assistance, call light within reach, non skid footwear for reduction of falls. Talked with patient regarding fall safety. Teach non-pharmachological...
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...computer to assess movement time is another test for Parkinson's disease. To examine the electrophysiological characteristics of tremor and preclinical nigral dysfunction characteristic of Parkinson's EMG (electromyography recordings) can be used. Finally, a symptomatic screening is often utilized and consists of nine symptom related questions, as well as disease specific and drug specific questions. This provides an indirect functional measure of the nigrostriatal dopamine system. Increasing age strongly increases the risk of Parkinson's disease. Male gender and possibly Caucasian ancestry are associated with more modest increases in risk. The reported prevalence of Parkinson's disease varies widely in international community-based studies; ranging from 31 to 328 per 100,000 people. Whether these differences represent actual differences in the...
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...Research Proposal Running head: RESEARCH PROPOSAL 1 Research Proposal Kathryn Keiper Duke University School of Nursing Research Methods N307-01 Dr. Carla Gene Rapp Apr 20, 2005 Research Proposal Table of Contents 2 Introduction……………………………………………………………………………….3 Review of the Literature…………………………………………………………………..4 Purpose……………………………………………………………………………………8 Methods……………………………………………………………………………………9 Design and research questions…………………………………………………….9 Sample……………………………………………………………………………..9 Survey instrument……………………………………………………..…………10 Research procedures……………………………………………………………..10 Informed consent and IRB approval……………………………………………..11 Strengths and Weaknesses……………………………………………………………….11 Timeline and Cost Considerations……………………………………………………….12 Conclusion……………………………………………………………………………….13 Concept Model………………………………………………………………..Appendix A Sample Questions……………………………………………………………..Appendix B References……………………………………………………………………………….18 Research Proposal Research Proposal Introduction Intensive care units (ICUs) were designed to provide highly skilled, lifesaving nursing care to viable patients with acute illnesses or injuries. Patients with chronic and/or terminal illness were not expected to be admitted to these units, with the possible exception of acute exacerbations of reversible complications. Patients whose care needs changed from curative to palliative were intended to be transferred out of critical care to patient care environments more suited to end-of-life care. However...
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...Disorder Paper - Anxiety Jonathan Dimitroff University of Phoenix Psych 575 March 23, 2015 Leah Mancuso PhD Disorder Paper - Anxiety The purpose of this paper is to discuss a neurological, psychological, or neurodevelopmental disorder. It is to compare and contrast three therapeutic interventions used to treat the chosen disorder; comparing measures of effectiveness, such as validity, efficacy, symptom and behavior management, and recidivism. One therapy should be cognitive in nature, one pharmacological in nature, and the third should be an alternative therapeutic treatment. This paper will identify common symptoms associated with the disorder, and rates of symptom reduction or management as reported with the three treatments. It will discuss what approach this author would use to treat this disorder based on the research used to develop this paper; and why. It will also analyze the neurophysiological underpinnings of disorders and diseases, as well as examine contemporary attitudes towards the three treatments selected. For the purposes of this paper, anxiety will be the chosen disorder. It is a psychological disorder with a variety of symptoms and specific types of anxiety. To list a few of the different types of anxiety, there is Panic disorder, Obsessive-Compulsive disorder, Post-Traumatic Stress Disorder, Social Anxiety disorder, then there are the phobias which fall under the anxiety label, as well as Generalized...
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...Case Study Pulmonary Tuberculosis Nursing Management 1 PULMONARY TUBERCULOSIS CATEGORY I, PLEURAL EFFUSION RIGHT ON TREATMENT, STATUS POST CHEST TUBE THORACOTOMY INSERTION Nursing Management of a Pulmonary Ward Patient Having Pulmonary Tuberculosis Category I, Pleural Effusion Right on Treatment, Status Post Chest Thoracotomy Tube Insertion S, J, S. Our Lady of Fatima University, Quezon City Nursing Management 2 Nursing Management of a Pulmonary Ward Patient Having Pulmonary Tuberculosis Category I, Pleural Effusion Right on Treatment, Status Post Chest Thoracotomy Tube Insertion Private P, A.B., a 25 year old male, single. He finished second year college (Bachelor of Science in Education). He lives in Barangay Monbon Irosin, Sorsogon City. Five months Prior to Admission, patient began to experience dry cough, general body malaise, back pain, low grade fever in the afternoon, hoarseness of voice and restlessness. At first, patient took solmux and amoxicillin three times a day for three days. The signs and symptoms still persisted. He sought consult to the Commission Army Station Hospital, Lucena City and underwent another chest x-ray and had nebulization to liquefy secretions. He then was advised to go home. His immediate superior (official) advised him to go to the Armed Forces of the Philippines Medical Center due to unavailability of a pulmonologist in the area. He then was transported via ambulance and was seen in Emergency Room and chest x-ray was...
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...Running Head: Postoperative Pediatric Pain Management Postoperative Pediatric Pain Management: A Multidisciplinary Concept Analysis Postoperative Pediatric Pain Management: A Multidisciplinary Concept Analysis Acute pain following a surgical procedure is one of the most common stimuli experiences by pediatric patients. Pediatric postoperative pain management has long been overlooked and treated differently than adult pain management. There tend to many misconceptions when it comes to pediatric pain management stemming from the belief that children do not experience pain the same way as adults. Since the pediatric population is not legally allowed to make medical decisions, guardians must make these decisions for them. Postoperative pain in the pediatric patient may be hard to assess and therefore healthcare professionals have begun to involve family members and caregivers in the pain management process. Pain can stem from many sources and thus must be holistic, involve multiple disciplines, provide education and apply to each individual patient. In practice, advocacy for these young children is important in helping them and their families understand about the situation and make education decisions on how to proceed with care. The concept of postoperative pediatric pain management must be analyzed to help resolve these misconceptions and not ignore the population who at times cannot speak for themselves. Review of Literature After a surgical procedure, the pediatric...
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...Ramdurg Author information ► Article notes ► Copyright and License information ► This article has been cited by other articles in PMC. Go to: ------------------------------------------------- Abstract Kleine–Levin syndrome (KLS) is a rare sleep disorder mainly affecting teenage boys in which the main features are intermittent hypersomnolence, behavioral and cognitive disturbances, hyperphagia, and in some cases hypersexuality. Each episode is of brief duration varying from a week to 1–2 months and affected people are entirely asymptomatic between episodes. No definite cause has been identified, and no effective treatments are available even though illness is having well-defined clinical features. Multiple relapses occur every few weeks or months, and the condition may last for a decade or more before spontaneous resolution. In this study, PubMed was searched and appropriate articles were reviewed to highlight etiology, clinical features, and management of KLS. On the basis of this knowledge, practical information is offered to help clinicians about how to investigate a case of KLS, and what are the possible treatment modalities available currently for the treatment during an episode and interepisodic period for prophylaxis. Comprehensive research into the etiology, pathophysiology, investigation, and treatments are required to aid the development of disease-specific targeted therapies. Keywords: Hypersomnia, hypersexuality, Kleine–Levin syndrome, megaphagia, periodic Go to: ...
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...1) The report provides a good picture about the symbolic meaning of Wal-Mart to the consumer and serves as a good measuring stick to certify that the Company’s core brand associations (low prices, rural America, patriotism, etc.) are still in place. Additionally, it does a good job in understanding the relationship between Wal-Mart and the three customer segments: from depicting the psychological profile of the customers (dreams, aspirations, concerns, shopping patterns, etc.) to explaining what role Wal-Mart plays in their lives. Despite providing a thorough analysis on the consumer segments and their interaction with Wal-Mart, it fails to provide a solid case on how should Wal-Mart address the challenges it faces in trying to address new customers and new categories in a congruent manner. In terms of methodology, the research is not exhaustive enough. 24 In-home Friends and Family Groups, 80 Workbooks and 20 In-home 1:1 Interviews and Store visits are not conclusive enough for a Company that has 138 million weekly customers. Having to resort to the same quote from a Price Sensitive Affluent for different purposes on pages 17 and 26 – “We all went to college and struggled […]” is very poor. Furthermore, the markets in which the research was conducted are not representative enough of the rural America that Wal-Mart serves. The absence of quantitative analysis (or even quotes) in the research to backup conclusions undermines the credibility of some statements, such as...
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...Sepsis An Overview Health And Social Care Essay ukessays.com /essays/health-and-social-care/sepsis-an-overview-health-and-social-careessay.php Sepsis is an infection of the bloodstream. The infection tends to spread quickly and often is difficult to recognize. One of our roles as a nurse is that of patient advocate, and as such we are closest to the patient, placing us in a key position to identify any subtle changes at their earliest onset and prevent the spread of severe infection. Knowledge of the signs and symptoms of SIRS, sepsis, and septic shock is key to early recognition. Early recognition allows for appropriate treatment to begin sooner, decreasing the likelihood of septic shock and life-threatening organ failure. Once sepsis is diagnosed, early and aggressive treatment can begin, which greatly reduces mortality rates associated with sepsis. sep•sis (ˈsep-səs) n. Sometimes called blood poisoning, sepsis is the body's often deadly response to infection or injury (Merriam-Webster, 2011) Sepsis is a potentially life-threatening condition caused by the immune system's reaction to an infection; it is the leading cause of death in intensive care units (Mayo Clinic Staff, Mayo Clinic 2010). It is defined by the presence of 2 or more SIRS (systemic inflammatory response syndrome) criteria in the setting of a documented or presumed infection (Rivers, McIntyre, Morro, Rivers, 2005 pg 1054). Chemicals that are released into the blood to fight infection trigger widespread inflammation...
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