...|[pic] |History and Physical | |Name |Larry Garcia |Date | |Gender |M | |Allergies | |DOB |12/21/1965 |Age |45 | | | |Chief Compaint (CC) | | | |“I feel fine, but they tell me my blood pressure is too high.” | | | |History of Present illness (HPI) | |Newly diagnosed with hypertension during a physical exam he recently took due to a change in his company’s health...
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...* * Fundamentals of Nursing (NSG 1355) Care Plan * * * ------------------------------------------------- Admission History * ------------------------------------------------- * ------------------------------------------------- Patient Information: Age: 60 Gender: Male Weight and Height: 390 lbs, 76” BMI: 47.47 (Morbidly Obese) * ------------------------------------------------- * ------------------------------------------------- Primary Language: English Religion: Latter-Day Saint Culture: Caucasian * ------------------------------------------------- * ------------------------------------------------- Resusiciation Status: Full Code * ------------------------------------------------- * ------------------------------------------------- ...
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...JOURNAL ENTRY OPTION: INTERVIEW WITH JI 1 Journal Entry option: Interview with JI By: Oluwaseun Obajolu PGCC, Child Development Dr. Dawn Wadud 2 INTRODUCTION It was a rare encounter, a friendship that developed through a chat room over the internet. Even though Felicia and I had been in the same nursing class for about 6 months, let’s just say we never noticed each other or maybe selectively ignored each other, as the other person was insignificant at that point, in comparison with the herculean task of passing the class. We both struck a cord in each other, our personalities were so much alike and a friendship blossomed. Our lives started to gradually intertwine; I thought I was totally swept away till I met Junior and Halima: Her Kids. I first met the kids in the car and right away, their personalities shone through. Halima was extremely and delightfully talkative while Junior was a little withdrawn and would only say Hi because his Mom asked him to. I thought he was just a shy kid till I observed that in the entire 20 minute ride, he hardly said two words which I thought was pretty unusual for a child of that age group. My curiosity was eventually...
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...Running head: CASE STUDY LS Mental Health Case Study LS Nicole Castro College of Southern Nevada Division of Nursing Mental Health Nursing Clinical NURS 243C-S10 Micki Lin Mongogna-Alarcon, MA, BSN, RN October 18, 2010 Mental Health Case Study DM Demographic Data: LS is a 44 year-old female of African and Hispanic decent. She was born in California but moved to Las Vegas as a teenager. She stated that she attended Clark High School and went to a “stewardess college” in California. She worked as a stewardess for 4 years and quit in 1986. Her father was African-American and her mother is Hispanic. She has 4 brothers and 2 sisters. She is married and lives with her husband and his son in their private home. She has two children, fathered by her ex-husband, who are now in custody of LS’s mother. Her children were taken away from her, by the court, due to her abuse of drugs and alcohol. LS stated that her father abused alcohol and that all of her brothers and sisters abused drugs and were diagnosed with bipolar disorder. LS stated that she started noticing symptoms of what she thought was depression 6 years ago but was diagnosed with bipolar disorder in 2005. Her chart stated that she has had an 11 year history of bipolar disorder. Presenting Problem: LS stated that she had not been taking her medications for four days because her husband forgot to pick up her medications from the pharmacy. However, her chart stated that she was off of her medications...
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...Geriatric History and Physical with Problem List and Plan Health Assessment Lab General Patient Information Client: 81-year-old Caucasian/Italian female Source: Client, seems reliable Marital status: Widower Religion: Catholic Occupation: House wife Formal education: High school Primary language: English, written and spoken Secondary: None Reason for Seeking Care: Shortness of breath and productive cough. History of Present Illness: Recurrent episodes of shortness of breathe and productive cough since 2008. First episode occurred when she was in her early 80’s. She was awakened in the middle of the night with a very painful right-sided chest pain and cough. There was no warning of a problem. She reports the pain was “tight and pounding”. The pain was a 10 on a numeric scale 0-10 lasting about 25 minutes. Patient states her cough worsens when walking long distances, especially without using her walker and her breathing becomes labored. She states her cough usually lasts about three days but has noticed it becoming more persistent and feels the need to cough up phlegm. She saw a physician for that episode. Diagnostic test confirmed a diagnosis of Chronic Obstructive Pulmonary Disease when she had her first episode of these symptoms. Her lung sounds presented with some wheezing on the upper lungs bilaterally, she had rapid shallow breathing with a respiration of 24. Upon walking long distances she becomes emotionally anxious; rest does not...
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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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...Geriatrics Geriatrics Jennifer P. Dugan, Pharm.D., BCPS Clinical Assistant Professor University of Colorado Colorado, Denver Updates in Therapeutics: The Pharmacotherapy Preparatory Review and Recertification Course 31 Geriatrics Learning Objectives: The following case pertains to questions 2 and 3. J.T. is an 82-year-old community-dwelling woman with a history of stage III Parkinson disease, hypertension, and urinary incontinence (UI). She is receiving carbidopa/levodopa, pramipexole, selegiline, tolterodine, diazepam, metoprolol, and hydrochlorothiazide. When she comes to your pharmacy to get her prescriptions, she walks slowly with a cane, and she is stooped over. 1. Identify age-related pharmacokinetic and pharmacodynamic changes in older people. 2. Evaluate the pharmacotherapy regimens of older people to support the maintenance of optimal physical and mental function. 3. Identify inappropriate medication prescribing in older people. 4. Recommend appropriate pharmacotherapy for patients with dementia. 5. Evaluate the risks and benefits of the use of antipsychotics (APs) (including atypical APs) in older patients with dementia. 6. Recommend appropriate interventions for patients suffering from behavioral symptoms related to dementia. 7. Identify the types of urinary incontinence and recommend appropriate treatments. 8. Given a patient’s American Urology Association Symptom Index for benign prostatic hyperplasia, recommend...
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...PYRAMID SCHEMES: Saving the network marketing industry by defining the gray by Kevin Thompson kevin@theadvocategroup.net copyright of Advanced Advocates, LLC. I. INTRODUCTION In these trying economic times, responsible network marketing companies are positioned to offer viable opportunities for people that desperately need them. They combine passion for products with individual ambition to create a powerful testimony to the unyielding principles of free enterprise. With a fair compensation plan, an exciting product, and proper education, independent agents across the globe (also referred to as distributors) can leverage the power of networking to dramatically change their financial circumstances. Network marketing companies are responsible for providing its distributors with marketable products and compensation plans that rewards and motivates the sales force. Ideally, the rewards are designed to be commensurate with the work performed. With a good product and a fair compensation plan, !! the average person is given an opportunity to completely redefine their finances while operating a home based business. Distributors earn income primarily in two ways. First, they can purchase products at wholesale and mark them up for retail sales, thus earning an immediate profit. Secondly, they can form a “downline” by recruiting additional distributors and earn commissions on their sales to customers and purchases for personal use. Since distributors are paid...
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...A kid with Hepatitis A can return to school 1 week within the onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley...
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...General Psychiatry William a. Kehoe, Pharm.D., m.a., FCCP, BCPS University of the Pacific stockton, california © 2009 American College of Clinical Pharmacy 1-281 General Psychiatry Learning Objectives: 1. Describe pharmacotherapeutic options for managing the following psychiatric problems: depression, bipolar disorder, schizophrenia, anxiety disorders, insomnia, and alcohol withdrawal. Describe the drugs used to treat the above disorders in terms of unique pharmacological properties, therapeutic uses, adverse effects, and cognitive and behavioral effects. Formulate a pharmacotherapeutic treatment plan when presented with a patient having depression, bipolar disorder, schizophrenia, an anxiety disorder, or insomnia. Discuss the treatment of substance abuse using alcohol abuse as a model. 4. 2. C. Theophylline. D. Pseudoephedrine. Which one of the following antidepressants would be least likely to cause drug-disease or drug-drug interactions for T.N.? A. Venlafaxine. B. Fluvoxamine. C. Phenelzine. D. Fluoxetine. Which one of the following periods represents the continuation therapy phase for T.N.’s depression? A. 6–12 weeks. B. 12–16 weeks. C. 6–12 months. D. 2−3 years. T.N. will be seen initially at monthly intervals to assess antidepressant therapy. Which one of the following instruments is a patient-completed measure of depressive symptoms that could be used to assess his response? A. Hamilton Rating Scale for Depression. B. Montgomery-Åsberg Depression Rating Scale...
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...Neeraj’s USMLE Step-2 CS Notes The Perfect “Encounter”: A Strategic Approach to Communication & Interpersonal skills The encounter in a USMLE CS examination is between a non-physician medical educator (SP: Standardized Patient) and an examinee, who may be a medical student or a physician. SPs are defined as "a simulated or real patient who has been taught to present a problem so accurately that the simulation cannot be detected by a skilled clinician.” (1) These SPs will seem like real patients to you and should be treated as such during the USMLE examination. With this in mind, it is important to remember that good communication and interpersonal skills are a top concern for every patient. If you have a pleasing personality, patiently hear all of their dilemmas and concerns, and have good communication skills, it will surely create and maintain long lasting and conducive relationships with your patients. Before we talk about strategies to delineate an ideal and perfect encounter with a SP, we should know a few facts about the examination. First, what is the purpose of the examination? It is very interesting that this examination is structured to test your clinical skill proficiency and not the diagnosis that you arrive at. Three components of the report score: One must pass all three components in a single test administration. These three components are as follows: ICE (Integrated Clinical Encounter): assess data gathering and data sharing ability...
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...Critical Thinking Paper Aubrey Lewis Grand Canyon University 11/11/11 SYSTEMATIC ASSESSMENT Biographical Data Patient, C.L, is a 52-year-old Caucasian female that was admitted to Banner Thunderbird on 09/29/11 for difficulty breathing and shortness of breath (SOB). The patient has no known drug or food allergies and is registered as a “do not resuscitate” and “do not intubate” (DNR/DNI). History of Present Illness Patient stated that she had 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...
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...“So Cute I Could Eat It Up”: Priming Effects of Cute Products on Indulgent Consumption GERGANA Y. NENKOV MAURA L. SCOTT This article examines the extent to which consumers engage in more indulgent consumption when they are exposed to whimsically cute products and explores the process by which such products affect indulgence. Prior research on kindchenschema (baby schema) has found that exposure to cute babies or baby animals leads to more careful behavior (see the study by Sherman, Haidt, and Coan), suggesting restraint. The present research uncovers the opposite: consumers become more indulgent in their behavior after exposure to whimsically cute products. Drawing from research on cognitive priming, kindchenschema, anthropomorphization, indulgence, and regulatory focus, this research posits that exposure to whimsically cute products primes mental representations of fun, increasing consumers’ focus on approaching self-rewards and making consumers more likely to choose indulgent options. These effects do not emerge for kindchenschema cute stimuli, since they prime mental representations of vulnerability and caretaking. Four empirical studies provide evidence for the proposed effects and their underlying process. C ompanies market a rapidly increasing number and variety of cute products across numerous categories, targeting not only children but also adult consumers. The marketplace is replete with cute clothing, utensils, appliances, foods, office supplies, and...
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...“So Cute I Could Eat It Up”: Priming Effects of Cute Products on Indulgent Consumption GERGANA Y. NENKOV MAURA L. SCOTT This article examines the extent to which consumers engage in more indulgent consumption when they are exposed to whimsically cute products and explores the process by which such products affect indulgence. Prior research on kindchenschema (baby schema) has found that exposure to cute babies or baby animals leads to more careful behavior (see the study by Sherman, Haidt, and Coan), suggesting restraint. The present research uncovers the opposite: consumers become more indulgent in their behavior after exposure to whimsically cute products. Drawing from research on cognitive priming, kindchenschema, anthropomorphization, indulgence, and regulatory focus, this research posits that exposure to whimsically cute products primes mental representations of fun, increasing consumers’ focus on approaching self-rewards and making consumers more likely to choose indulgent options. These effects do not emerge for kindchenschema cute stimuli, since they prime mental representations of vulnerability and caretaking. Four empirical studies provide evidence for the proposed effects and their underlying process. C ompanies market a rapidly increasing number and variety of cute products across numerous categories, targeting not only children but also adult consumers. The marketplace is replete with cute clothing, utensils, appliances, foods, office supplies, and...
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...“So Cute I Could Eat It Up”: Priming Effects of Cute Products on Indulgent Consumption GERGANA Y. NENKOV MAURA L. SCOTT This article examines the extent to which consumers engage in more indulgent consumption when they are exposed to whimsically cute products and explores the process by which such products affect indulgence. Prior research on kindchenschema (baby schema) has found that exposure to cute babies or baby animals leads to more careful behavior (see the study by Sherman, Haidt, and Coan), suggesting restraint. The present research uncovers the opposite: consumers become more indulgent in their behavior after exposure to whimsically cute products. Drawing from research on cognitive priming, kindchenschema, anthropomorphization, indulgence, and regulatory focus, this research posits that exposure to whimsically cute products primes mental representations of fun, increasing consumers’ focus on approaching self-rewards and making consumers more likely to choose indulgent options. These effects do not emerge for kindchenschema cute stimuli, since they prime mental representations of vulnerability and caretaking. Four empirical studies provide evidence for the proposed effects and their underlying process. C ompanies market a rapidly increasing number and variety of cute products across numerous categories, targeting not only children but also adult consumers. The marketplace is replete with cute clothing, utensils, appliances, foods, office supplies, and...
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