...As an intern at Peak Physical Therapy, I shadow all of the PT’s, however, being a Psychological Sciences major with a concentration in neuroscience, I can’t help but interest myself in the patients that Courtney works with that are diagnosed with Multiple Sclerosis. For those of you who do not know about MS, it is a neurodegenerative disorder that destroys the myelin (fatty tissue) around the nerves, which then causes motor impairments, numbness in the limbs/extremities, Lhermitte’s symptom (an electric shock-like sensation down the spine and into the limbs) as well as other cognitive deficits. As this month’s theme is wellness, I decided to touch on how nutrition plays a role in MS patients as there is a serious lack of information and research...
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...ms. Kim Bonita Earl was a well-dressed 48-year-old African-American female who was present for the interview and testing in a timely manner. She presented herself and forthright manner with no observable indication of misrepresenting her history of psychological complaints. Ms. oral was oriented and alert. Her speech was clear logical and goal directed. There was no indication of significant anxiety, depression or other psychological symptoms. Her mood was bright with congruent affect. Ms. Earl seem to have good awareness and motivation to make positive changes in her life her weight management. Personal history Bonita Earl is the youngest child of two children born to her biological parents. Her father died when she was four years of age and she was primarily raised by her biological mother and maternal grandparents. She was raised in the suburban area at the middle income level in Chicago, Il. In school she generally received excellent grades...
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...Multiple sclerosis has different types of MS and patients manage symptoms by dieting, consuming medications, and performing rehabilitation. About 400,000 Americans and 2.5 million people worldwide have Multiple Sclerosis. Multiple Sclerosis is a disease that affects the central nervous system which causes the brain to receive messages harder than a to the rest of your body. The development for treatments for Multiple Sclerosis and its causes are starting to produce into logics and facts. I have seen what Multiple Sclerosis can do to someone, it ruins their body, their mind, and outlook on life. My grandma has had Multiple Sclerosis since she was thirty seven. There are four kinds of ms and she has secondary progressive ms. So that means once something...
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...in the brain and spinal cord, causing problems with muscle movement,balance and vision. Every nrve fibre in the brain and spinal cord is surrounded by a layer of protein called myelin which protects the nerve and helps electrical signals from the brain travel to the rest of the body. In MS, the myelin becomes damaged. This disrupts the transfer the transfer of these nerve signals,causing a wide range of potential symptoms such as: * numbness and tingling * blurring of vision * problems with mobility and balance * muscle weakness and tightness * MS can damage nerve fibres in your brain and spinal cord, which can cause muscles to contract tightly and painfully (spasm). Your muscles may also become stiff and resistant to movement, which is known as spasticity. * Neuropathic pain – caused by damage to the nerve fibres in the brain and spinal cord. It can be a stabbing pain, extreme skin sensitivity, or a burning sensation. * difficulty emptying the bladder completely * having to urinate more frequently * having a sudden, urgent need to urinate which can lead to unintentionally passing urine (urge incontinence) Treatment There’s no cure for MS but there are different ways to manage...
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...What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations. Clinical manifestations of Ms. G are as follows; • Fever • Chills • Pain and tenderness • Swelling of affected area • Skin sore or open skin • Redness or sign of inflammation • Muscle pain Firstly, I would recommend to control the blood glucose level to promote circulation. Secondly, patient should take an IV antibiotics based on the culture result, need to take high protein diet to promote the healing of tissues and replace the serum. Finally, Wound dressing should be done daily with aseptic technique so that infection can be minimized (Herchline, 2015). Identify the muscle groups likely to be affected by Ms. G's condition by referring to "ARC: Anatomy Resource Center." ➢ Muscle groups affected ➢ Flexor digitorum lungus ➢ Tibialis anterior ➢ Flexor halluces longus ➢ Tibia posterior ➢ Plantaris What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer....
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...B. Mundala, RN 9. Jean Mae Anobling 10. Arnold Bautista 11. Vanessa Ann N. Sobiono 12. Cherry Mae Cameros Auxillary Nurses: 1. Erica Adrienne G. Persigo, RN 2. Jaydee Marie D. Ronolo, RN 3. Genneth T. Apolinario, RN Call to Order and Determination of Quorum There were sixteen out of seventeen (16/17) staffs, nursing attendants and auxiliary nurses who were extant thereby the said meeting. Held at Medicine Extension and was in quorum at exactly 8:25pm, aided by Ms. Nanette Suico, RN the unit head. It started with a prayer headed by Ms. Cherry Mae Cameros, followed by the reading of previous minutes of meeting by Ms. Mary Grace Lape, RN. On the motion made by Mr. Arvin Paul Ganoy, RN it was agreed and seconded by Ms. Cherry Mae Cameros. There were few matters arising been discoursed and laid importance on the previous meeting, cases like; ISSUES | DISCUSSIONS | RESOLUTIONS | 1. SPMS(Strategic Performance Management System) | Ms. Nanette Suico, RN discoursed about the old form of SPMS formerly called PES (Performance Evaluation System) in which all staffs graded themselves or their colleagues.Then must be complied twice a year or every 6 months. Earlier, employees had trouble conforming PES. Because...
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...Health Bio 111 Lonnie Burt, MS, RO, CD-N Shannon Oliver March 3, 2012 Draft for Research Paper When it comes to health the first person who is expected to guide nutritional diets should be a healthcare professional. However, over time in lieu of that healthcare professional the television box and magazines have been the guideline to a healthier lifestyle. Not only has these media outlets been a guideline, it has also been an illustration of how the ideal body shape should be. The media has also acted as the source of distraction, distress, and illusions, therefore being counterproductive to the same purpose which it served in the nutritional aspect. The distraction is shown in the obesity rates in children ages 12 and under who are unable to detach themselves from the TV screen, therefore refusing to be active. Distress is shown between the young adults between 12 and 20 battling with anorexia nervosa and/or bulimia. The illusions are counted by the number of diets being falsely advertised to manipulate people into thinking there is a way to lose 30 pounds in 3 weeks. The mass media has an overwhelming effect on our everyday lives because of the power and ubiquity that has been gained over time. The direct correlation between media and nutrition along with body image are shown to effect people through eating disorders, poor nutritional health, and obesity. The Impact of Media on Nutrition, Body Image, and Public Health Bio 111 Lonnie Burt, MS, RO, CD-N Shannon Oliver ...
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...Ms. A. is a young healthy 26-year-old white female that was taken to the ER by her golfing partner because she had a near syncope episode while playing golf. Subjective Data -Ms. A. felt light-headed during playing golf Intensified SOB decreased level of vitality and excitement. -Ms. A complains of heavy menstrual cycles since she started her period at age 10-12 -Takes 1,000 mg of aspirin every 3 to 4 hours for 6 days throughout her periods especially in the summer, -States that she takes aspirin to prevent “stiffness in my joints.” Objective Data: -Fever of 98 F, an increased HR and RR, and low blood pressure, which are signs of low oxygen saturation in the circulating cells. Laboratory blood results show the following abnormal values: hemoglobin = 8 g/dl when standard values in females are 12-17g/dl, erythrocyte = 3.1 x 10/mm normal value is 3,5-5.5x10/mm, hematocrit = 32% normal when is between 36%-46%, reticulocyte count = 1.5% normal values are between 0.5-1.5%, and RBC smear abnormal. Given laboratory results for hemoglobin, reticulocyte hematocrit and erythrocyte count are bellow the normal value in a healthy individual and are the general presentation of anemic state. A client with anemia has tissue hypoxia because of the decreased oxygen-carrying volume of the blood. In contrast, a patient with polycythemia has increased blood viscosity and volume attributable to the increase in the number of RBCs (Banasik 269) Ms. A case explanation shows that...
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...personal protective equipment, and work practice and engineering controls in needle stick precautions. 4. Lipoproteins commonly tested for are LDL, HDL, and VLDL. LDL and HDL are the most important when discussing with a patient. 5. It is best to measure her total cholesterol and HDL. LDL can shoot up significantly after a meal. 6. Yes, her age, smoking, high blood pressure, and close relative put her as a candidate for CHD. 7. She has 4 countable NCEP factors: age, relative, smoking, and hypertension 8. Her 10 year risk score is 8%. 9. Her BMI is on the high side and she is overweight being close to obese. 10. I would suggest for lifestyle modifications first and foremost. Advise her to quit smoking and begin developing a diet and exercise. I would also tell her to keep consistent on her office visits with the...
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...Thesis Statement A patient prescribed a Dysphagia Mechanically Advanced Diet can have certain oral medications crushed and mixed with food at a consistency appropriate for the patient. Pathophysiology On October 6, 2015, in clinical, I cared for an 82 year-old female named Ms. M. She had presented to the hospital Emergency Room with altered mental status and shortness of breath. Ms. M had a past medical history including Parkinsonism resulting in dysphagia. The abnormal lab results that supported the eventual primary diagnosis of a urinary tract infection and possible sepsis include an elevated Absolute Neutrophils Count (ANC) 72%-normal ANC 55%-70% and decreased Absolute Lymphocyte Count (ALC) 16%-normal ALC 22%-44%. (Pagana & Pagana, 2013)...
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...blood vessel damage with eventual blindness, kidney damage, limb amputations, and cardiovascular complications leading to stroke and heart attack (2012). Medical nutrition therapy (MNT) can assist people to combat obesity, the major catalyst of this disease, in order to prevent diabetes, manage existing diabetes, and slow the onset of diabetes-related complications (Morris & Wylie, 2010). Since a major component of MNT is dietary management, extensive research has been conducted on what dietary guidelines assist in preventing the onset of DM 2 and in controlling existing DM 1 and 2. Before the discovery of insulin in 1922, low-carbohydrate diets were used as a sole means of controlling DM (Spritzler, 2012). Today, this method of control is still implemented; however, combining the advantages of a low-carbohydrate diet, Mediterranean diet, and moderate exercise has shown significant improvements in the management of DM (Benson, Periera, & Boucher, 2011). For optimal DM management, emphasis is placed on keeping the ABC’s in line: A1C (<7%), blood pressure (<130/80), and cholesterol (LDL <100 mg/dl, or <70 for those diagnosed with...
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...Due to the increase in popularity, by the 1940s there were 12 naturopathic schools in the United States, however with his death the popularity severely decreased and by 1956 there was only one school left (National College of Natural Medicine). There could be a couple different reasons for this: increase in biomedical technology, direct opposition from conventional practitioners and repeal of naturopathic licensure laws. The resurgence in popularity has been because of the patient’s demand for safe, personalized, cost effective, natural, and potentially drugless health care and the inability of biomedical science to effectively address chronic disease. Recently doctors have increasingly recognized the role of lifestyle, diet, and exercise in maintaining health and the prevention of disease, but naturopathic physicians have been utilizing this approach to clinical care for over 100...
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...On this date worker visited Mrs. Brenda Barton and Ms. Geraldine Kellem, sister-in-law of Mr. Barton, at Ms. Brasher’s residence in Cullman Al, for the purpose of assessing Mr. Barton’s environment when released from the hospital. The home was clutter free and without odor. They recently had a wheelchair ramp built onto the front porch. According to Ms. Barton, Mr. Barton will be placed in the living room and the only thing they are waiting on his a hospital bed from hospice. This is how things were arranged at their home in Jasper. Ms. Barton will be Mr. Barton’s primary caregiver but her sister, Ms. Kellem agreed to assist. According to Ms. Brasher, Mr. and Mrs. Barton have lived with her in the past and she was the primary caregiver for...
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...It was touch and go flying back to Fort Worth, but I made it without incident. I made an appointment with my neurologist as I assumed this was an MS symptom. I continued to have trouble while waiting for the appointment. My thinking that it was MS related caused me to believe my life was over. I met with Dr. Connor and much to my surprise, he said it was Meniere's Disease and to see an Ear, Nose, and Throat (ENT). I made an appointment with Dr. Vories in Fort Worth. Ménière’s disease is a disorder of the inner ear that can affect hearing and balance. It is characterized by episodes of vertigo, tinnitus, and hearing loss. The hearing loss comes and goes for some time, alternating between ears, and then becomes permanent. Ménière’s has the following four symptoms: * Attacks of rotational vertigo that can be severe, incapacitating, unpredictable, and last anywhere from minutes to hours, but no longer than 24 hours. * Fluctuating, progressive hearing loss, usually in lower frequencies. Sounds...
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...Stress reduction to help patient live a quality life. Avoid or consume alcohol in moderation so as to avoid exacerbation of obesity, neuropathy or worsening of the condition. Limit dietary cholesterol foods. No smoking. Accucheck (self monitor blood glucose). Low sodium diet, also, avoid can or processed foods. Pharmacological intervention Ms. S. exhibits symptoms of early stage type-2 diabetes and thus medication consideration will include first line treatment. According to Brunetti and Kalabalik (2012), Metformin is the initial treatment with a good risk-to-benefit ration. Its benefits include; reduction of HbA1c, fewer macrovascular complications and is associated with weight loss. Moreover, metformin monotherpay has very low risk of hypoglycemia and it is cost effective. Prescription ( Glycemic treatment) Rx: Metformin 500 mg tablet Sig: 500 mg (1 tablet) PO twice a day Disp: 120 (one hundred) tablets RF: 0 (zero) Education: Take medications as ordered. Wear an identification tag indicating that you have...
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