...Chronic Pain What are the risk factors for low back injury? Physical and family risk factors • Being middle-aged or older • Being male • Having a family history of back pain • Having had a back injury before • Being pregnant. A woman's back is significantly stressed by carrying a baby. • Having had compression fractures of the spine • Having had back surgery before • Having spine problems since birth Risk factors you can change with lifestyle changes • Not getting regular exercise • Doing a job or other activity that requires long periods of sitting, heavy lifting, bending or twisting, repetitive motions, or constant vibration, such as using a jackhammer or driving certain types of heavy equipment • Smoking. People who smoke are more likely than people who don't smoke to have low back pain. • Being overweight. Excess body weight, especially around the waist, may put strain on your back, although this has not been proved. But being overweight often also means being in poor physical condition, with weaker muscles and less flexibility. These can lead to low back pain. • Having poor posture. Slumping or slouching on its own may not cause low back pain. But after the back has been strained or injured, bad posture can make pain worse. "Good posture" generally means your ears, shoulders, and hips are in a straight line. If this posture causes pain, you may have another condition such as a problem with a disc or bones in your back. • Being under stress. Stress and other...
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...factors for low back injury? The risk factors for low back injury are: occupations that require heavy lifting, elderly, sports, poor posture, osteoporosis, arthritis, disk disease, obesity and poor physical strength. 2. Describe differences between acute pain management and chronic pain management. The differences between acute pain management and chronic pain management are: acute pain can be treated right away and the patient’s pain might be relieved. The patient with chronic pain will have to be treated long term. 3. Identify common concerns related to long-term use of opiod medications. The common concerns with opioid medications are: the risk of drug tolerance, drug abuse, respiratory depression, and accidents related to the use of opioids. 4. What are the top three nursing diagnosis priorities for a patient with an acute exacerbation of chronic pain? The top three nursing diagnosis priorities for a patient with an acute exacerbation of chronic pain are: 1. Acute or chronic lower back pain. 2. Risk for injury due to lower back pain. 3. Risk for social isolation. 5. Identify and explain at least two adjuncts, other than medications, that are used for chronic pain management. Two other treatments that can be used to treat chronic pain are the rotation of hot and cold packs to reduce inflammation, and sooth the pain. The second adjunct treatment is relaxation by giving the muscles a break. 6. Describe the possible impact of chronic pain on the psychosocial...
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...Abstract While attending clinical at DMH I used one of my patients to develop a case study. My case study will require me to use the skills I have been practicing to make a connection between medical and nursing problems. Some of these skills include assessment, rationales, critical thinking, and problem solving. In this paper I will go over my patient’s health history, lab tests, pathophysiology, diagnosis, and her medications. I will also provide a detailed nursing assessment, a detailed nursing process and explain reasons and rationales about my decisions involving her care. I. Health History Client Health and History: On April 9, 2014, at Decatur Memorial Hospital, my client was a 76 old Caucasian female with the initials DK. She was born in the small town of Olney, Illinois. Her husband explained that it is about a two and a half hour drive to Decatur Memorial Hospital from their hometown and this was not their first trip here. DK and her husband have been married for 56 years and have three children: two daughters and a son. She worked for McDonalds for 12 years and then retired to be a stay at home mom. My patient was admitted to the hospital based on an abnormal finding from a CAT scan. They CAT scan showed a mass in her right kidney. The patient described that she had no idea of the mass. She went in for a CAT scan because of blood in her urine and experience of her previous diagnosis of kidney cancer, and was informed of the findings. In June of 2013, she had...
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...Chronic Pain 1. What are the risk factors for low back injury? 2. Describe differences between acute pain management and chronic pain management. 3. Identify common concerns related to long-term use of opiod medications. 4. What are the top three nursing diagnosis priorities for a patient with an acute exacerbation of chronic pain? 5. Identify and explain at least two adjuncts, other than medications, that are used for chronic pain management. 6. Describe the possible impact of chronic pain on the psychosocial, spiritual, cultural, and developmental levels of a patient. Asthma 1. What are the risk factors for asthma? 2. Describe routine nursing care that would be appropriate for a homecare patient. 3. Describe education a patient requires to self-administer nebulizer treatments. 4. What are the top three nursing diagnosis priorities for the patient having an asthma attack in the home. 5. Identify three common complications for untreated asthma. Explain the nursing care designed to prevent each of these complications from occurring. 6. Describe the effects of common asthma medications. 7. Prepare for teaching a patient with limited English proficiency how to manage asthma at home. Tuberculosis 1. What are the risk factors for tuberculosis? 2. Describe three different types of tuberculosis and the common treatment recommendations for each. 3. Identify common concerns related to long-term administration of tuberculosis...
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...Watson's Theory of Human Caring The nursing profession has undergone a multitude of changes throughout its long and storied history; the profession has transformed from a job typically taken by women to care for sick members of their families into the science and art that it is today. Nursing practice and education has used numerous theories over the years some written by nurses, some by other professionals, and they differ in what the nature of nursing is or should be. In this paper I will demonstrate how one such theory is taking the art and science of nursing back to its roots of caring for people and not just treating diseases and disorders. By employing Dr. Watson’s human caring theory I will show why it is important to treat patients as people and not just a diagnosis or label. Dr. Jean Watson was born in West Virginia and earned her diploma in nursing at the Lewis-Gale School of Nursing, Roanoke, Virginia, and was later educated at the University of Colorado earning her bachelors of science of nursing in 1964, masters of science in psychiatric mental-health nursing in 1966, and PhD in Educational Psychology and Counseling in 1973. Dr. Watson is best known for developing her theory titled The Theory of Human Caring: Retrospective and Prospective that has been adopted my numerous colleges, universities, and hospitals throughout the world. Included in Dr. Watson’s theory are 10 carative factors essential to her theory of human caring. The factors include; an altruistic...
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...directly impacts productivity, and work becomes less rewarding. J. Segal, R. Segal, Horwitz, Jaffe-Gi[ http://www.termpaperwarehouse.com/essay-on/Managing-Stress-In-The-Workplace/54320 In this article, work-related problems among a sample of nurses in the Philippines are described. Cross-sectional data were collected through a self-administered survey during the Philippine Nurses Association 2007 convention by De Castro, A.B, et al. during the Philippine Nurses Association 2007 convention. Measures included four categories: work-related demographics, occupational injury/illness, reporting behavior, and safety concerns. Approximately 40% of nurses had experienced at least one injury or illness in the past year, and 80% had experienced back pain. Most who had an injury did not report it. The top ranking concerns were stress and overwork. Filipino nurses encounter considerable health and safety concerns that are similar to those encountered by nurses in other countries. Future research should examine the work organization factors that contribute to these concerns and strengthen policies to promote...
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...Makati Medical Center - College of Nursing SY 2011 – 2012 A Case Study Presentation on the Care of a Mother with Preeclampsia Superimposed on Chronic Hypertension In Partial Fulfillment of the Course Requirement of NCM102 – Related Learning Experience Submitted To: Submitted By: Leader: Knight, Catherine P. Members: Iglesias, Pauleen Itliong, Juliane B. Javier, Reniccia Janel Joaquin, Gian Denise M. Kwek, Michael Angelo L. La Sangre, Anne Gabrielle B. Lacerna, Iruel Victor III Leynes, Sofia Antonniette M. Lindawan, Ma. Kristine S. BSN II – B Group 2 December 17, 2011 Table of Contents Chapter I - Introduction A. Description of the Case………................................................................. 4 B. Purpose and Objectives........................................................................... 5 C. Significance and Justification....................
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...Health History and Screening of an Adolescent or Young Adult Client Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client. Student Name: Shannon landrum | Date:04/08/16 | Biographical Data | Patient/Client Initials:VPL | Phone No:270-543-8411 | Address:1645 Fairview road Bremen key | Birth Date:02/16/06 | Age:16 | Sex:female | Birthplace: Greenville, KY | Marital Status: single | Race/Ethnic Origin: Caucasian | Occupation: student | Employer: none | Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability?)Does not work, father provides insurance | Source and Reliability of Informant:parents | Past Use of Health Care System and Health Seeking Behaviors:Frequent checkups at primary physician | Present Health or History of Present Illness:tonsillitis | Past Health History | General Health: (Patient’s own words)Over all good health with frequent sore throats | Allergies: (include food and medication allergies) NKDA | Reaction: | Current Medications:Oral birth controlAmoxicillin BID x 7 days r/t tonsillitis | Last Exam Date:03/21/16 | Immunizations:Up to date, had at 15 | Childhood Illnesses: tonsillitis | Serious or Chronic Illnesses:Had RSV at age 13 months, reoccurring tonsillitis...
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...to permit early motion of joints, early mobilization, and independence. 9 Cylinder Cast: Can be used for upper or lower extremity e.g. fracture or dislocation of knee or elbow dislocation. Complications of Casts * Pressure of cast may cause necrosis, pressure sores, and nerve palsies. * Compartment syndrome * Cast syndrome associated especially of body cast, resulting to nausea, vomiting, and abdominal distention; superior mesenteric artery syndrome, resulting in diminished blood flow to the bowel and intestinal obstruction; Acute anxiety reaction symptoms associated with confinement in a space. * Thrombophlebitis * Psychological reaction (e.g., depression) associated with immobility, dependence, and loss of control. Nursing...
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...Nursing Management 1 Running head: OVARIAN CANCER Nursing Management of a Patient with Ovarian Cancer Jane A. Student Pasadena City College Nursing Management 2 Nursing Management of Patient with Ovarian Cancer H.S., a 57 year old female with a medical history of hypertension and chronic kidney disease, was diagnosed with a Stage IIIB clear cell carcinoma of the ovary and had surgery in April of 2007. When the patient began to have physical discomfort, an exploratory lapartomy was performed. A pelvic mass had developed post peritoneal chemotherapy. The patient had surgery to remove the intraperitoneal port, pelvic mass fluid drainage and pelvic biopsy. Often patients with cancer develop cachexia and should be assessed for adequate nutritional intake. Martin (2006) states that one of the greatest challenges for a woman with ovarian cancer is malnutrition: she may have little appetite as a result of treatment of advancing disease, causing her to lose weight. Pathophysiology The symptoms of ovarian cancer are vague and the causes may be related to several factors. As Bohnenkamp (2007) has explained, one or more risk factors may increase the likelihood of developing ovarian cancer, but their presence does not guarantee the cancer will occur. Martin (2006) claimed that the most significant risk is a positive family history of the disease; it is present in about 10% of women with the disease. Although it is not known if H.S. had a history of ovarian cancer in her family, Ignatavicius...
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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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...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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...symptoms (Edelman, 2011). In this stage, screening is one of the best tools for the nurse to utilize. Health education is important in this stage to limit the disability by delaying the consequences of the disease (Edelman, 2011). Tertiary level is when a patient already has a disease and is presenting with symptoms. In this stage, the primary goal is to focus on rehabilitation to prevent complications and deterioration to minimize the effects of the disease (Edelman, 2011). A recent, peer-reviewed article relevant to each level of the health promotion model will be researched and selected. A comparison of the three articles will take place and address the definition of health promotion, the purpose of health promotion in nursing practice, evolving nursing roles and responsibilities, and implementation methods used in each stage....
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...Health History/Review of Systems(Complete and systematic review of systems) | Neurological System:Client testifies that she has suffered migraines since puberty. Denies any head injuries, dizziness or convulsions. Visualized a small essential tremor in bilateral hands. States has some weakness, tingling, and numbness in both lower extremities due to bilateral knee replacements. Denies signs or symptoms of difficulty speaking, or swallowing. States takes Narcotic pain medications for pain management. | Head and Neck:States intermittent migraines. Denies any neck pain. Denies any abnormal lumps or swelling in her neck or head area. Sinus surgery in 1991, without complications. | Eyes:Denies eye pain, excessive tearing or blurred vision of the eyes. Last eye exam was March, 2014 which included glaucoma testing, vision testing. No visible redness of eyes. Client states she is currently wearing progressive lens glasses. States when eyes are occasionally dry she uses artificial tears. | Ears:Denies earache or other ear pain. History of childhood chronic ear infections. No lengthy exposure to loud environmental noises. Denies any vertigo or ear medications. | Nose, Mouth, and Throat: States has had cold sores of the mouth in the past. Denies any nosebleeds. States has had gingivitis in the past and was treated by dentist. Allergies to multiple medications and bee stings. Last dental check-up, states was 1 year ago. States has had many root canals and tooth implants. Rinses with...
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...Congestive Heart Failure FC IV Valvular Heart Disease Secondary to Rheumatic Heart Disease A case Presentation A Presented to: The Faculty College of Nursing Adventist University of the Philippines In Partial fulfillment Of the Course N303 Curative and Rehabilitative Nursing Care 1st Semester By: Tha Hnem Section F Presentation Date: September, 4, 2007 I. Introduction Heart failure, also called congestive heart failure (CHF), is a life-threatening condition in which the heart can no longer pump enough blood to the rest of the body. Heart failure is almost always a chronic, long-term condition, although it can sometimes develop suddenly. Rheumatic fever and Valvular Heart Disease also contributed to Heart Failure. This condition may affect the right side, the left side, or both sides of the heart. Rheumatic heart disease refers to the cardiac manifestations of rheumatic fever, including pancarditis (myocarditis, pericarditis, and endocarditis) during the early acute phase and chronic valvular disease later. Long-term antibiotic therapy can minimize recurrence of rheumatic fever, reducing the risk of permanent cardiac damage and eventual valvular deformity. In valvular heart disease, three types of mechanical disruption can occur; stenosis, or narrowing, of the valve opening: incomplete closure of the valve; or prolepses of the valve. They can result from such disorders as endocarditis (most common), congenital defects, and inflammation, and they...
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