...during the early stage of pregnancy can cause their babies to have low birth weights and even their deaths (Office on Women’s Health, 2012). In Broward, there are several community outreaches and state's clinics in place to provide prenatal care to pregnant women. These outreaches and clinics provides services that are sometimes free. The services that they provide are described as follows: Tobacco smoking cessation Tobacco smoking can cause some serious harm to an unborn child. Smoking can The news of being pregnant is one of the best news a woman could hear. In order to give birth a healthy baby, women needs to take care of themselves during pregnancy; they need prenatal care. The health care that women gets during their pregnancy is what we call prenatal care. Health issues are usually spotted early during the pregnancy by the health care providers allowing them to treat these issues early. It has been shown that women who do not take care of them during the early stage of pregnancy can cause their babies to have low birth weights and even their deaths (Office on Women’s Health, 2012). In Broward, there are several community outreaches and state's clinics in place to provide prenatal care to pregnant women. These outreaches and clinics provides services that are sometimes free. The services that they provide are described as follows: Tobacco...
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...seizures in pregnant women. The criteria for preeclampsia are the following: blood pressure greater than or equal to 140/90 on two occasions at least four hours apart after 20 weeks gestation in a woman with previously normal blood pressure, proteinuria greater than or equal to 300mg per 24-hour urine collection, protein/creatinine ratio greater than or equal to 0.3, thrombocytopenia with a platelet count less than 100,000 microliters, renal insufficiency, impaired liver function, pulmonary edema, and cerebral or visual symptoms. California Maternal Quality Care Collaborative (CMQCC) discussed the acronym HELLP,...
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...Salby American Sentinel University Care Plan Elements of Hypertension Worldwide, hypertension is the most common contributor to death of any medical risk factor. HTN contributes to the development of heart disease, heart failure, chronic renal failure requiring dialysis, stroke, peripheral vascular disease and cognitive decline. The risk of cardiovascular events doubles for every 20/10mmHg rise in blood pressure above 115/70mmHg. Untreated HTN causes progressive renal and vascular damage, eventually leading to a treatment resistant state. Hypertension is usually diagnosed and treated in the community. As this is largely an asymptomatic disease, particularly in its initial stages, compliance with treatment regimens can be problematic. Successful treatment of HTN relies on the patient establishing an ongoing therapeutic relationship with a trusted and knowledgeable health professional (Casey, 2011). Tools to manage care, such as clinical pathways, practice guidelines, and best practices have increased as the health care insurance industry has put more pressure on health care providers to improve care and provide more cost-effective care. These tools offer health care providers the opportunity to determine the best approaches to clinical problems based on current research and expertise (Finkleman, 2011). Best Practices Best practices are those treatments, procedures, tests, therapies and interventions that have consistently shown, through research and evaluation...
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...the entire body, and it goes unnoticed. Description of case Chronic renal failure, or chronic kidney failure is described as the gradual loss of the kidney’s function to filter wastes and excess fluids from the blood. Without this function, wastes and fluid continues to build up in your body causing complications. During the beginning of the disease, only a few signs and symptoms are present, but the disease doesn’t become...
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...are comprised of: body temperature, heart rate, blood pressure, sugar levels, oxygen levels, and respiratory rates. Vital signs can be taken using mobile technology today, and this gives patients and health care providers more flexibility. In the past, patients were required to travel to the doctor’s office or a hospital and have their vital signs tested. Typically, a nurses and clinicians would oversee and be responsible for the taking and recording of the vitals manually documenting them with a mobile computer or the results were written on paper and the clinician left the patients room to manually document into the electronic chart using computers. At times, this documentation happened hours later when time permitted. The vitals were hard to take in some cases and errors were not uncommon. These stats are a tool used to communicate patient deterioration to healthcare providers and sadly it also was not uncommon for clinical decisions regarding a patients care to be made using outdated vitals. With today’s technology, patient care can be a lot more effective. The use of smart phones and broadband-enabled devises has allowed patients to do their own monitoring of vital signs and body functions and upload them to their medical provider’s clinical servers. They even have the ability to do videoconferencing via their phones for remote consultations with their doctors. Using technology to take advantage of remote monitoring systems is allowing patients to take a very active...
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...enough fruit or vegetables a family history of high blood pressure consumingA normal heart pumps blood around the body easily, at a low pressure. High blood pressure means that your heart must pump harder and the arteries have to carry blood that’s flowing under greater preThis puts a strain on your arteries and your heart, which in turn increases your risk of a heart attack, a stroke or of suffering from Heart attack If you have high blood pressure you’re also more at risk of having a heart attack or developing heart disease in the future. Because of the increased strain on your heart and blood vessels, untreated high blood pressure can cause, angina (chest pain and breathlessness caused when the blood supply to the muscles of the heart is restricted) and may eventually lead to a heart attack. The symptoms of a heart attack vary from one person to another. You may feel tightness or pain in your chest. This may spread to your arms, neck, jaw, back or stomach. For some people, the pain or tightness is severe, while others may feel nothing more than a mild discomfort. As well as having chest pain or discomfort you may feel light-headed or dizzy and short of breath. You may also feel nauseous or vomit. The sooner you get emergency treatment, the greater your chances of survival and the more of your heart muscle can be saved. kidney disease.ssure. too much saltOther effects of high blood pressureHigh blood pressure can also cause kidney damage and damage to the retina...
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...Defines telemedicine as equipment used for medical diagnosis by physicians when they are unable to see a patient face-to-face, or when a generalist is communicating with a specialist. Telemedicine usually includes audio and two-way video equipment. Patients in rural areas or hospitals can be interviewed and assessed by a physician without the physician being on site. The Department of Health (DH) defines telehealth as “Electronic sensors or equipment that monitors vital signs remotely for example, in your home. These readings are automatically transmitted to an appropriately trained person who can monitor the health vital signs and make decisions about potential interventions in real time, without the patient needing to attend a clinic” (Dewsburys & Ballard, 2012). With the advances in technology, the home is where more health care is being provided. Telehealth monitors used in the home can transmit blood glucose levels, blood pressures, weight, oxygen level in the blood, temperature, lung capacity, heart rate, and prothrombin time. Monitors can also be programmed to...
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...with AF. Key Terms As a nurse one must become a scientist of sorts and must be familiar with technical nursing terminology. Atrial fibrillation, or AF, is a cardiac dysrhythmia in which “multiple rapid impulses from many atrial foci depolarize the atria in a totally disorganized manner at a rate of 350 to 600 times per minute” [ (Ignatavicius & Workman, 2010) ]. A dysrhythmia is a disorder of the heartbeat involving a disturbance in cardiac rhythm and an irregular heartbeat; whereas an arrhythmia is basically a fast or irregular heartbeat caused by a disorder in the heart's electrical system. Tachydysrhythmia is an abnormal heart rhythm with a rate greater than 100 beats per minute. Cardiac output refers to the volume of blood ejected from the heart in each minute. The normal adult range is 4 to 7 liters per minute [ (Ignatavicius & Workman, 2010) ]. Cardioversion is a procedure used on AF patients, which basically is the synchronized counter-shocking of the heart. It is a procedure used to restore...
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...Summary of Findings The Professor felt ill and decided to go home but during the drive he experienced discomfort and in the succeeding hours experienced severe diarrhea and persistent nausea and vomiting. Eventually the nausea ceased but his stomach was still upset. The following day he called Dr. Martin, his primary health care physician. Betty, the doctor’s nurse assisted him over the phone and after the professor explained his condition she told him that Dr. Martin cannot see to him because of his packed schedule. The professor asked for a referral to go to the HealthCheck Clinic but the nurse declined claiming that Dr. Martin is not willing to send him there and was instead prescribed with medicine for the diarrhea. The prescription was placed in the pharmacy for the professor to pick up. Unsatisfied, the professor called up Candy, the director of the Employee Benefits Office, but Wendy picked up and relayed everything to Candy who then expressed her surprise and distress over the situation. She too did not understand that the request for a referral was denied as the professor asked for it. The professor picked up the medicine from the pharmacy, drove home, took a pill, and went to bed. The following day the diarrhea was under control but the gastric discomfort was still a problem. He decided to go to work but in the afternoon he gave up and went home. He called Dr. Martin’s office and once again Betty answered the phone. She informed him that the doctor is out all...
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...Heart Failure Christy Harding Western Governors University C155- Pathopharmacological Foundations for Advance Nursing Practice Heart failure affects nearly 6 million Americans. It is the leading cause of hospitalization in people older than 65. Roughly 550,000 people are diagnosed with heart failure each year (Emory Healthcare, 2014). Heart failure is a pathologic state where the heart cannot pump enough blood to meet the demand of the body’s metabolic needs or when the ventricle’s ability to fill is impaired. It is not a disease, but rather a complex clinical syndrome. The symptoms of heart failure come from pulmonary vascular congestion and inadequate perfusion of the systemic circulation. Individuals experience orthopnea, fatigue, dyspnea, cough with frothy sputum, peripheral edema, and decreased urinary output. Heart failure is caused by many conditions that damage the heart’s muscle. Any form of heart disease can lead to heart failure. A1. Pathophysiology Heart failure arises as a consequence of an abnormality in cardiac structure, conduction, rhythm, or function (Figueroa & Peters, 2006). Heart failure always begins with an index event. This event could be silent, as with the expression of a genetic mutation, or obvious, such as a myocardial infarction (Francis & Tang, 2003). Heart failure can be categorized into systolic ventricular dysfunction also known as systolic heart failure or diastolic ventricular dysfunction also known as diastolic heart failure...
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...Mobile Computing and Social Networking’s Influence on the Medical Services Beverley Stephens Dr. Robert E. Culver CIS 500- information Systems for Decision Making August 14, 2012 Introduction There have been a lot of changes in the health industry due to technological advancement in the areas of wireless networks. This advancement has allowed care givers to use devices such as personal cellular devices, pervasive sensing technologies, and social networks, to deliver health care from providers to clients. There are certain effects of using mobile technology blood pressure monitoring, checking glucose level, oxygen level and heart rate, etc. Monitoring Patient Vital Signs via Mobile Computing Versus In-Patient Visits Vital signs are key indicators of a patient overall health status. We are at a point in time where temperature, heart rate, blood pressure, glucose levels, oxygen levels, and respiratory rates can now be taken via mobile technology. There was a time when patients had to travel to the doctor’s office or other health care facilities in order to have these vital tests done. It was also the norm to have a health care provider doing these tests in person and writing down the results. These results were input into a chart or a computer system by the provider who took them. Sometimes it was documented right away or hours later when time allow. Mistakes were also a factor because the health care provider input the wrong information and this sometimes impacted...
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...heart is like an engine, pumping blood throughout the body. Over time, when this pump cannot distribute enough blood throughout the body to meet its needs, it develops into a condition known as congestive heart failure. When the right side of the heart fails, the lungs cannot pick up oxygen due to the heart’s inability to pump enough blood to them. In contrast, left sided heart failure is related to the heart’s inability to pump an adequate amount of oxygen-rich blood throughout the body. Only one side of the heart may be affected, although it is possible for both sides of the heart to be involved at the same time. Description of the Condition According to the National Heart, Lung, and Blood institute (NHLBI), 5.7 million...
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...Telenursing: Is It in my Future? Devry University Telenursing: Is it in My Future I remember the first time I heard of telenursing. It was about 4 years ago and I was still new to home health nursing. My director informed the office that we would be having an in-service on a new telehealth monitoring device we would be using for our high risk patients. We were shown how to operate the monitors and was demonstrated all of its capabilities. The telephone based devices had an interactive voice response system that could remotely monitor a patient’s blood pressure, heart rate, O2 saturation, weight and blood sugar via a telephone connection. The devices were recommended for all cardiac and respiratory patients who were at high risk for re-hospitalization since the devices would be able to recognize early symptoms and help the nurses to make quick decisions about the patients’ plan of care. So what is telenursing and telehealth? Hebda & Czar (2013), states that “telenursing is the use of telecommunications and information technology (IT) for the delivery of nursing care”. Telehealth is “the use of telecommunications technologies and electronic information to exchange healthcare information and to provide and support services such as long-distance clinical healthcare to clients”. Although, telenursing is still a fairly new concept to me, there is documentation of telenursing in the 1970’s. The first published telenursing article was written by Mary Quinn, RN in 1974...
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...treatment and the risks of not properly following their treatment regimen. They need to be motivated to comply because treatment usually produces an improved state. Chronic care management helps patients systematically monitor their progress and coordinate with their health care team to identify and solve any problems they encounter in their treatment. Nurses are helping to address the emotional challenges patient face to improve patient outcomes and make a significant difference in the lives of individuals who face multiple challenges. A nephrology nurse role is to have an open communication not only with the patient but with the family as well. Educating them about the disease process and exploring options of treatment modalities such as home dialysis or peritoneal dialysis. Patient and family may have tons of questions especially if they are just starting with their treatment. Anxiety is most of the time a factor for them to feel like giving up, but if the nurse shows them a person-centered approach to helping patients meet their fullest potential socially, vocationally, emotionally, and physically.Patient needs support from health care providers to attain the goal of self management. One of the most important contributions a nurse can do for her dialysis patient is recognizing the contribution of involvement of family member is critical for those on dialysis. Family member are integral part in the coping process of every patient especially for those who've been diagnosed with...
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...Healthy kidneys clean the blood by removing excess fluid, minerals, and wastes. They also make hormones that keep the bones strong and the blood healthy. After removing the water and waste from the bloodstream, it excretes them through urine (McDonnell & Mallon, 2005). Various conditions can damage your kidneys, including both chronic kidney disease and other conditions that affect the kidneys. If kidney damage becomes too severe, your kidneys lose their ability to function normally. This is called kidney failure or end-stage renal failure. According to the National Kidney Foundation (2005), more than 378,000 Americans suffer from chronic kidney failure and need dialysis or kidney transplantation to stay alive. End-stage renal disease is the name for kidney failure so advanced that it cannot be reversed. Renal is another word for kidney. The “renal” name is appropriate due to the fact that the kidneys in end- stage renal disease functions so poorly that they can no longer keep you alive (McDonnell & Mallon, 2005). End-stage renal disease cannot be treated with conventional medical treatments such as drugs. In chronic kidney disease only two treatments allow you to continue living when your kidneys stop functioning: dialysis and kidney transplantation, but only one offers a longer chance of survival. Dialysis is the term for several different methods of artificially filtering the blood (McDonnell & Mallon, 2005). Dialysis is a procedure that replaces some of the...
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