...Chronic Disease Risk Assessment Jerrod H. Hasenbank Sci 162 March 23, 2014 Debra Santi Chronic Disease Risk Assessment The Chronic Disease Risk Assessment I took was for prostate cancer. Prostate cancer is a disease that affects only men usually above 50 years of age. About one in five men in the United States will be diagnosed with prostate cancer, making it the second most commonly diagnosed cancer in men. The prostate is a gland that is part of the male reproductive system. The gland is roughly the size of a walnut. It is positioned just below the bladder and surrounds the urethra. The primary purpose of the prostate gland is to produce fluid that is part of semen. The National Cancer Institute defines prostate cancer as “Cancer that forms in tissues of the prostate gland.” (National Cancer Institute, 2013). Some of the known un-modifiable risk factors for developing prostate cancer are age, family history, and race. Other modifiable risk factors include being overweight, smoking, not eating a healthy diet and not getting enough physical exercise. As a man ages, the risk of developing prostate cancer increases. Prostate cancer diagnosis is unusual in men under the age of 50. Male family medical history plays a role in raising the chances of a man being diagnosed with prostate cancer. African American men have been shown to have an increased risk of prostate cancer than in white men. Men can reduce their chances of developing prostate cancer greatly by incorporating...
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...Chronic Risk Disease Assessment 5/24/2014 SCI/162 Kalind Parkhurst Kelly Kollman I. What is Type II Diabetes? A. Type II diabetes, also referred to as non-insulin-dependent or adult-onset diabetes, is caused by the body becoming incapable of using insulin properly. 1. When an individual has type 2 diabetes, the body does not produce enough insulin or the cells ignore the insulin. 2. The insulin is used by the body for energy. When an individual eats, the food is broken down into glucose and the process of creating glucose is stopped or interfered with. 3. When glucose builds up in the blood instead of going into cells this causes many risks to the health of the individual. II. What are the causes and risk factors? A. Individuals who are at the highest risk of contracting diabetes are inactive individuals, people with high fat diets, people with high sugar consumption, and low dietary fiber contents. 1. Diabetes often sets in as individual’s age and continues living for a long period with high risk factors such as obesity. 2. Type II diabetes is a severe risk factor for heart attacks and strokes. 3. It is the second-leading cause of blindness and kidney failure and the number one reason that individuals must undergo amputation of legs. III. How is it diagnosed? A. There are two standard tests for diabetes which are called the FPG test and the OGTT test. 1. FPG test is the preferred test for diagnosing diabetes because of its convenience and low...
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...night sweats • Frequent or unusual infections • Weakness and fatigue • Headaches • Bruising of the skin and bleeding from the gums or rectum • Bone pain • Joint pain • Swelling of the belly or pain on the left side of the belly or in the left shoulder from a swollen spleen. • Swollen lymph nodes in the armpit, neck or groin • Decreased appetite and weight loss because you feel full and do not want to eat. Leukemia can be acute or chronic. Acute leukemia develops very quickly and can make you feel sick right away. Chronic leukemia gets worse slowly, and there is usually no symptoms for years. The four main types of leukemia are: Acute lymphoblastic leukemia (ALL), Acute myelogenous leukemia (AML), Chronic lymphocytic leukemia (CLL), and Chronic myelogenous leukemia (CML). There have been 48,610 estimated new cases, and 23,720 deaths from leukemia in the United States in 2013. According to experts, the cause of leukemia is unknown. Most types of leukemia is not run in families, but in some cases chronic lymphocytic leukemia (CLL) is hereditary. With certain genetic conditions, such as Down syndrome, acute myelogenous leukemia (AML) is...
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...Chronic Disease Risk Assessment Essay I have recently taken the chronic disease risk assessment on our school website on diabetes. After completing the assessment and reading the assessment I was given some pretty good pointers about the situation we put our body in from bad eating habits. Diabetes being a high risk factors for anyone who is overweight or anyone who may have this terrible disease that has plagued people over the last few years. And I do mean plagued, it seems as obesity rises in percentages that so does diabetes. There are two different types of diabetes that the world population deals and suffers with. These types are named after those numbers. Type one, and type two, are how they are classified. In type one diabetes the pancreas is an internal organ in which creates something called insulin. Insulin is a necessity for the body to have in order to change the sugar that you take into energy. Without insulin the sugar will remain unconverted and overload in the body causing extreme health issues and even death. This type of diabetes comes from the simple inability for your pancreas to do the job it was created to do, which is to create this hormone that is desperately needed in our everyday bodily functions. This type of diabetes can be treated by insulin being injected into our systems on a daily basis which does the same function as the not working pancreas. Type two diabetes, is a condition which is more common in the world today and is also known...
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...tallness and weight, I don't have the foggiest idea about my family history with respect to sicknesses. I just realize that my grandma, my mother’s mother, has type 2 diabetes and my father had hepatitis C, however it was cured a while back. I'm not exactly positive if diabetes runs in my family since I don't know any other person that has it. My father had hepatitis C because of drug use I accept it was, so I don't imagine that runs in the gang. I was tried for hepatitis C various times when I was a teenager and all times my test was negative. I additionally don't have the foggiest idea about my pulse, cholesterol level and whatever else might be available with respect to my general wellbeing. So, the danger appraisal couldn't find which disease(s) I am at danger of creating. At this minute, since my family history in regards to constant maladies, my circulatory strain, cholesterol level and all other wellbeing data with respect to myself, is obscure and I am fundamentally at danger of all sicknesses, likewise, in light of the way that I am not in extraordinary general wellbeing, I'm inclined to numerous interminable ailments. Danger components for these malady are: • Genetics and family history • Obesity or being overweight • Ethnic foundation • Sedentary lifestyle • Age, and additionally nature's turf I have as of now started rolling out improvements to my lifestyle. I have started practicing and consuming healthier. I have set a period administration plan for myself...
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...Summary of My Chronic Disease Risk Assessment Chronic illness: An illness that persists for a long period of time. The term "chronic" comes from the Greek chronos, time and means lasting a long time. A chronic illness is one lasting 3 months or more, by the definition of the U.S. National Center for Health Statistics. In ancient Greece, the "father of medicine" Hippocrates distinguished diseases that were acute (abrupt, sharp and brief) from those that were chronic. This is still a very useful distinction subacute has been coined to designate the mid-ground between acute and chronic. “What is Lung Cancer?” Lung cancer is the uncontrolled growth of abnormal cells in the lung. Normal lung tissue is made up of cells that are programmed by nature to create lungs of a certain shape and function. Sometimes the instructions to a cell go haywire and that cell and its offspring reproduce wildly, without regard for the shape and function of a lung. That wild reproduction can form tumors that clog up the lung and make it stop functioning as it should. Because of the large size of the lungs, cancer may grow for many years, undetected, without causing suspicion. In fact, lung cancer can spread outside the lungs without causing any symptoms. Adding to the confusion, the most common symptom of lung cancer, a persistent cough, can often be mistaken for a cold or bronchitis. What is cancer? Cancer is not one disease, but a group of diseases that have in common the uncontrolled...
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...of the kidneys, ureters, urinary blabber and urethra. The kidneys produce the urine and account for the other functions attributed to the urinary system. The ureters convey the urine away from the kidneys to the urinary bladder, which is a temporary reservoir for the urine. The urethra is a tubular structure that carries the urine from the urinary bladder to outside of the body. WHAT DO NORMAL KIDNEYS DO? * Remove extra water. * Remove waste products. * Balance chemicals in the body. * Help control blood pressure. * Help make red blood cell. * Help build strong bones. When the kidneys no longer able to perform normal functions and starts to deteriorate, renal failure will occur, this condition may be acute or chronic. Then the following problems will occur: * Retention of waste and toxic products and excess water. * Nausea * Vomiting * Loss of appetite * Tiredness * Swelling...
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...Patients with Chronic Kidney Disease HCS 490 July 1, 2013 Patients with Chronic Kidney Disease There are so many people across the nation who do not know about Chronic Kidney Disease (CKD) or yet alone, what chronic means. According to Vorvick (2013), “Chronic refers to something that continues over a long period of time.” This means that a person who is diagnosed with CKD has probably had kidney damage that occurred over a period of time and they do not know about it until the disease surfaces more than before. Chronic Kidney Disease is a serious health condition that is life or death. Having the knowledge of the demographics is for this illness will allow a person to know what population is targeted, if changes in the demographics of the population will affect health care, and if the population within the demographics could address the challenges of decreasing patients with CKD. Demographics There is not a specific location that a person is more susceptible to being diagnosed with CKD, but there are specific groups of people who are at higher risk of possibly being diagnosed with CKD. The population that is known for losing function in their kidneys are mostly those people who are elderly, but CKD can be found in people of all ages as well. According to The National Kidney Foundation (2013), people who “have diabetes, high blood pressure, a family history of chronic kidney disease, are older, and belong to a population that has a high rate of diabetes or...
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...costs. In the memorandum, I will explain the pros and cons of retaining the dialysis unit, an assessment of the results of the CVP analysis, and offer you recommendations. Renal Dialysis Unit Mission The mission of the Renal Dialysis Division is to provide hemodialysis treatment for the increasing number of patients with chronic kidney disease. Because Medicare’s policy has recently changed, the number of patients in the renal dialysis unit has dropped to fifty percent; as a result, the unit has been only providing 3120 treatments to patients with end-stage renal disease. In dialysis, part of the patient’s blood is cleaned as it circulates in an artificial kidney machine. Advantages And Disadvantages of Retaining The Dialysis Unit Based on the analysis, if the dialysis unit continues to operate as it is currently or even consolidates patients to a single shift, the unit will continue treating its patients with chronic kidney disease. If Lakeside Hospital retains the unit, this is advantageous because the patients with end-stage renal disease are in dire need of this dialysis treatment. Without a unit that is responsible for treating them, the patients’ kidneys will more than likely completely fail. However, if you retain the dialysis unit, your unit will have a major net loss in income each year and it would not be worth the investment in the long run. CVP Analyses And Assessment Dr. Peter...
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...Rankin et al., 2005). Many health professionals concern that the internet resources can be potentially negative by spreading misinformation (as cited in Rankin et al., 2005). However, only scant research supports this concern, and other research shows that the overall accuracy of the health information on internet is good (as cited in Rankin et al., 2005). This paper is to analyze MedlinePlus, one of the patient education websites, using Fry Readability Formula, SAM (Suitability Assessment of Materials), and the guidelines that Rankin, Stallings and London (2005) suggest. MedlinePlus contains countless pages of health information including diseases, interactive health tutorials, games, medical dictionary, and videos. Therefore, analyzing one of the vast amounts of pages will have limitation to generalize the whole website. This analysis can be considered as an example. Because I work in the renal unit, and most of my patients experience chronic kidney failure, I chose the page of the chronic kidney disease. The URL is as following; http://www.nlm.nih.gov/medlineplus/ency/article/000471.htm It will be discussed in the three criteria; qualitative criteria, quantitative criteria, and technical and design characteristics. Discussion Qualitative Criteria On the internet, there are vast amount the...
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...Hematology - CKD M’Lyn Spinks Combating anemia in chronic kidney disease (CKD) with erythropoietin-stimulating agents (ESAs) has been shown to improve both mental and physical factors (Iranian, 2013). Erythropoietin (EPO) is a protein hormone produced by the kidney that binds with receptors in the bone marrow and stimulates erythrocyte production (Munk, 2013). Perceptions of quality of life, cognition, sexual function, symptoms of depression and socialization are all scored higher in patients with Hb levels in near-normal range (Iranian, 2013). While the most common physical symptoms of anemia in CKD improve with ESA treatment, it is also been shown to positively effect the more severe consequences (Iranian, 2013). Improvement in cardiac function has been noted in patients diagnosed with left ventricular hypertrophy and congestive heart failure (Iran, 2013) as well as stabilized renal function in non-dialysis patients (Iranian, 2013). Treatment of anemia in CKD patients is also attributed to reducing lengths of hospital stays and decreasing mortality rates (Iranian, 2013). While the benefits of ESA’s in combating the symptoms and consequences of anemia in CKD are indisputable, there is a wide range of treatment regimens, inconsistent parameters for treatment, and increased risk of stroke and morbidity in the pediatric population (Bamgbola, 2011). Regimens have been reported that are up to 30% different in dose and results show wide variations in patient response (Bamgbola...
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...or other obligations that the health record must meet ▪ Content of documentation needs to be: - relevant - appropriate - accurate - requirements will vary according to pt acuity - content may be guided by framework (assessment, intervention, response) ▪ Documentation framework: - assessment: conclusions reached utilising subjective and objective data - intervention: reflects the action taken - response: reflects the pt’s response to the intervention ▪ Example of using framework to case: Mrs Pat Martin, a 28y/o lady has been admitted overnight via Casualty accompanied by husband. She is 16 wks pregnant and has been diagnosed with appendicitis by Dr Chan. At the moment she is only experiencing mild pain and has a low grade fever of 37.7. IMI Pethidine 50mgs was given at 2am, and may be repeated PRN. Shes been added to the theatre list at 9.30am. She remains NMB and has IV normal saline running over 10hrs. IV Keflin QID commenced, is next due 12md. Her husband remains at bedside. It is now 630am and Mrs Martin is resting, however she has not had much sleep overnight. Her 6am vital signs are: BP: 120/80 Respirations: 16, Ward urinalysis shows no abnormalities Temp: 37.7. Pulse: 80 (reg). ASSESSMENT: - Mrs Martin aged 28 - new admission via casualty overnight under Dr Chan - accompanied by husband - provisional diagnosis is...
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...Critical Pathway: Case Study of Chronic Renal Failure Advanced Pathophysiology NURS 5104 October 4, 2013 Critical Pathway: Case Study of Chronic Renal Failure I. Introduction Mr. P. J., a 38-year-old African American male, presented to the Emergency Department by the rescue squad team, with a six day old complaint of increased swelling of the bilateral lower extremities, unusual weight gain, and a feeling of ‘I can not breathe’ per patient. Patient was sent as a direct admit to the Intensive Care Unit (ICU) and placed on 2 liters NC with hydration and adult special care monitoring. Vital signs were taken by the paramedic enroute revealing the following: Ambulance Vitals: * BP 202/112 * Pulse 101 * Respirations 20 * O2 86% before O2 * Temp. 98.4 * Height 5’10 Patient stating * Weight 222 lbs. Patient stating (weighed the day before) The paramedic started a 20 gauge IV into Mr. J’s right antecubital and started him on 2 liters nasal cannula; due to the “presence of crackles no Procardia was administered” (J. Madden, personal communication, August 14, 2013). The paramedic monitored the vitals and reported to medical control the situation and estimated time of their arrival in five minutes. Mr. P. J. has been married to K for twenty years and they have one child, a twelve-year-old daughter. Mr. P. J. has worked in construction for twenty years; Mr. J stated working on his feet all day he noticed the swelling six days ago...
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...Pathophysiology Chronic Kidney Disease: Chronic kidney disease (CKD) is an irreversible condition that progresses causing kidney dysfunction and then to kidney failure. It is classified by a GFR of <60mL/min for longer than 3 months. There are five stages of CKD: Stage 1 has kidney damage but has a GFR ≥ 90. Stage 2 has mild damage and a GFR of 60-89. Stage 3 has moderate damage and a GFR of 30-59. Stage 4 has severe damage and a GFR of 15-29. Stage 5 is also known as end stage renal disease (ESRD), this is kidney failure with a GFR of ≤ 15 and theses patients are typically on dialysis or in need of an immediate transplant. The leading cause of CKD is diabetes. Hypertension is also a major cause. Since most DM patients have HTN, this is why most cases involve DM. The lack of tissue perfusion leads the kidneys to fail in properly filtering out waste and excreting. In ESRD most patients become anuric. The clinical manifestations of CKD affect the entire body system, called uremia. This is caused by the build up and retention of waste products such as; urea, creatinine, phenol, hormones, electrolytes, and water. This can cause hypervolemia, peripheral edema, hyperphosphatemia, hyperkalemia, hypocalcemia, metabolic acidosis, anemia, and peripheral neuropathy. As the BUN increases, nausea, vomiting, lethargy, fatigue, headaches, and impaired thought process result. This toxic build up causes many complication system wide. This patient presents with slow motor and thought...
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...Goodpasture’s Syndrome Goodpasture’s syndrome is a rare disease caused by an autoimmune disorder. The history and disease process will be reviewed during the education process. Following the review, this education plan will direct methods of learning, challenges, impact of quality of life for a 44-year-old male patient, named Jim. Shah, M, and Hugghins, S (2002) describe case results of a study completed about Goodpasture’s syndrome. Based on their study, the median age of a patient presenting with Goodpasture’s syndrome was 44 and the patients were predominantly male. This gentleman is the manager of a shoe store and has a history of good health. This Caucasian gentleman also has a wife of Spanish descent, and a teenage daughter. Shah, M., & Hugghins, S (2002) found the first reported case of Goodpasture's syndrome was found in an 18-year-old male patient coughing blood and presenting with renal failure. During this presentation of symptoms the pandemic of 1919 was also taking place, 2002. Stanton and Tange, 1958) used the term "Goodpasture's syndrome" to identify patients with pulmonary hemorrhage and damage to the filtrating system of the kidneys called, glomerulonephritis. In 1967 the autoimmune quality of Goodpasture's syndrome was discovered after finding antiglomerular basement membrane antibodies. Presentation of Symptoms Like most patients, Jim, presented with hemoptysis, a cough, shortness of breath on exertion, and fatigue. Other symptoms include signs and symptoms...
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