...Stroke Case Study Scenario: You are at base when you get dispatched code 4 to 100 Me She Ka St, Christian Island, Ontario for a 75 y/o female patient possible CVA. On arrival you find a frantic husband stating the patient (his wife) was making breakfast when she suddenly collapsed. The symptoms started 10 minutes prior to calling 911. The patient is suffering from left sided paralysis with slurred speech. She lives on Christian Island and needs to take a ferry to get to the nearest hospital. She has a history of atrial fibrillation and TIA’s, and the patient also smokes 2 packs of cigarettes a day. She’s on ASA, digoxin, ramipril, metoprolol. She has an allergy to penicillin and bee stings. The patient shows a-fib on the monitor and vital signs and GCS are normal. Pupils are PEARL at 3mm. Patient name: Myrtle Bellamee Birthday: 1938/01/10 Health card number: 1284569735 VR Treatment with the Ontario Stroke Strategy The Ontario Stroke System (OSS) is a comprehensive and integrated approach that aims to decrease the incidence of a stroke and improve patient care and outcomes for those who’ve experienced a stroke. The treatment plan that Mrs Myrtle Bellamee would have been on before this incident would be a very common strategy due to her history of cerebrovascular accident (CVA) or a stroke, atrial fibrillation and her previous transient ischemic attack (TIA). She would have been on a low dose antiplatelet...
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...Recurrent Stroke in Children with Sickle Cell Disease Receiving Blood Transfusion Therapy for at Least Five Years After Initial Stroke Taylor Kaplan University of Bridgeport Physician Assistant Institute Introduction Sickle cell disease is an inherited blood disorder that is characterized by a defect in hemoglobin. Normally, red blood cells take the form of a biconcave disk and can easily move through the vessels throughout one’s body. Sickled red blood cells however are very different; these damaged red blood cells cluster together as a result of the loss of oxygen and can no longer easily move through blood vessels in the body. This cluster creates a blockage in small arteries or capillaries and prevents the...
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...Stroke is a disease with disturbance or damage in brain function that may cause temporary or permanent function loss of the part of the body or even death. This disease is one of the major leading causes of death almost in all over the world, including Indonesia. According to Riskesdas' survey result, stroke causes 15,4% death in all ages in Indonesia. This rate is the highest among all death rates caused by other non-transmitted diseases. (Departemen Kesehatan RI, 2011) As a heterogeneous disease, stroke has some types and each of them has its own warning signs, symptoms, risk factors, and causes. The one that will be discussed in this article is ischemic stroke, which occurs as the result of blockage in cerebral artery. This blockage leads...
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...“Understanding Stroke” is an article from a peer reviewed scholarly journal that looked at stroke incidence statistics, demographics, pathophysiology, etiology, and nursing care of patients with stroke. According to Casey, “stroke is the leading cause of disability and second most cause of death worldwide.” Stroke is becoming more common affecting people from all walks of life including young adults. Statistics also suggest that the number of strokes will continue to rise due to lack of access to prompt medical care in low and middle-income countries. An increasing world population, environmental factors, cultural factors, lack of health care, and social depravation in the elderly all contribute to higher incidence of stroke. The risk factors...
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...Stroke is a common, serious and global health care problem; it’s the third most common cause of health and first cause of adult disability (12). The rehabilitation is the major part of his care (13). Stroke is a neurological deficit caused by an acute focal injury f the central nervous system (CNS) by a vascular cause: a cerebral infraction appears with overt symptoms or intracerebral hemorrhage with no symptoms (10%) and subarachnoid hemorrhage (5%) (14). The most impairment that can be regarded as a loss or limitation of function in movement or limitation in mobility and muscle contraction, is the most common and widely recognized impairment caused by stroke. The movement of face, arm, and leg of one side of the body are the structures affected...
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...Another approach to use is cognitive-behavioral therapy.This model is useful in dealing with Joan’s stroke, as evidence suggests it can affect how one thinks, feels and communicates. There are major changes in behavior and emotion as a result of a stroke, therefore, long-term therapy is quite useful for Joan. (The Stroke Association). The task-centered approach, therefore, comes with its strengths and limitations. Strengths and Limitations. The strength I find using the task-centered approach with Joan were, it was a very empowering process for her.This approach addressed the issues of power and oppression in Joan’s life.Joan has lived more of her life in oppressive situations from her childhood with the family that showed her little love...
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...phone and dial 911. When the medical team arrived they noticed left-sided facial drooping, left-sided weakness, and disorientation. Her blood pressure was 170/90 and she admitted to forgetting to take her medication that day. When Emma was admitted they suspected a right CVA due to her symptoms. The best way to test for a stroke is an MRI immediate magnetic resonance imaging or also known as an MRI showed that Emma sustained a right cerebral vascular accident. According to, (Schellinger, 2010), “MRI scans can help reveal how severe some types of strokes are. These scans also may help find lesions early. In addition, the guideline found MRI scans more accurately detected lesions from stroke and helped identify the severity of some types of stroke or...
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...“Stroke is the 5th leading cause of death in the US, with one person dying every 4 minutes as a result (McIntosh, 2016).” Strokes occur more often than one might think and by understanding the deficits that can occur after a stroke, individuals can be more prepared. There are many who do not believe in prophylactic medications and life style changes that can prevent a stroke or do not acknowledge the deficits that can be life long after a stroke. Teaching and being open to learning from healthcare professionals can be extremely important in stroke care before and after one occurs. After a stroke, patients can suffer from a number of challenges. Understanding these challenges are important in order to give patients individualized care directed...
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...The case study I have chosen to do is, case study number 1. Case study 1 is about a woman by the name of Jill, Jill is taking of her ill 82-year-old mother who has had a stroke. Since Jill’s mother has had the stroke, Jill has been taking care of her mother around the clock. Jill works from home, and it’s becoming hard for her stay focus on her work, because she has to take care of her mother. The first problem in this case is her mother having a medical condition that Jill and her mother has deal with. The second problem I Jill having to provide the 24-hour care for her mother and maintain doing her job. The third problem is, neither Jill or her mother has some support from outside sources such as, relatives or close friends. The three problem that are obvious with Jill’s story, is that they are starting to take a toll on Jill. Because Jill’s mother has had a stroke this has made Jill’s the primary care provider for her. Jill is taking on the stress of taking care of her mom and maintaining her position with...
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...Case Study Format 1. Title Page Should include the following information: • Your Official Name (as it appears on Seneca College documents) • Your Student Number • Course Name and Number • Professor's name • Name of the Case • Due Date Background Only the key background points are to be included here. The reader of your case does not want to know that the company was founded in 1900 and (the name of every president since then) rather he or she only wants to know the facts necessary to understand the problem/opportunity and your analysis. • describe the key issues only i.e. Market growing, cash flow problems etc. Problem/Opportunity • Identify the main and secondary problems/opportunities. • Attempt to summarize each problem/opportunity in one or two sentences (underline these so that they stand out). • Provide rationale for why you believe these are the problems or opportunities. This section should follow the underlined sentence(s) mentioned above. As necessary list any assumptions you have made. • Analysis should be done from a symptom or a cause perspective Recommendations and Rationale • Number each recommendation. • Attempt to summarize each recommendation in one or two sentences (underline these so that they stand out). • An in depth rationale...
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...GEOG 1 Essays (15 marks) Exam date | Rivers | Coasts | Population | Health | Specimen | Describe and explain the development of meanders. | With reference to one or more case study of coastal management, discuss whether the benefits outweigh the costs. | With reference to a named country, evaluate attempts to manage population change.Name of country: | Discuss how the United Kingdom’s changing population structure is likely to affect employment in the health and care services over the next 25 years or so. | June 09 | Describe and explain the formation of landforms resulting from rejuvenation. | With specific reference to a case study of coastal erosion, assess the relative importance of its physical and socio-economic consequences. | Outline and comment on the economic and political consequences of populationchange | Describe and suggest reasons for regional variations in morbidity in the UK. | Jan 10 | Discuss the advantages and disadvantages of hard engineering as a floodmanagement strategy | Explain the causes of sea level change and the formation of resultant coastal landforms. | For any two of the following types of area, summarise the contrasts between themand explain the implications of these contrasts for social welfare: * inner city * suburban * rural–urban fringe * rural settlement.Chosen areas: | Discuss the impact of obesity on people’s health and the strategies adopted to care for people with obesity | June 10 | Compare and comment on the economic...
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...“Water Can Kill?” by Susan D. Hester Page 1 NATIONAL CENTER FOR CASE STUDY TEACHING IN SCIENCE Water Can Kill? Exploring Effects of Osmosis by Susan D. Hester Department of Molecular and Cellular Biology University of Arizona, Tucson, AZ Part I – Three True Stories Case 1: Jennifer Strange 1,2 Jennifer Strange was a 28-year-old mother of three who entered a radio contest to try to win a Nintendo Wii game system for her children. As part of KDND’s “Hold your wee for a Wii” contest, Jennifer drank bottle after bottle of water for hours without urinating. Initially, Jennifer seemed to be having fun, joking lightheartedly with the radio hosts and obligingly downing an 8-ounce bottle of water every 15 minutes. As the hours passed, however, she developed a splitting headache and dizziness. Finally, she couldn’t take it anymore and ran to the bathroom and vomited. Jennifer called her boss to say that she was going home for the day because her headache was excruciating and she was too sick for work. Jennifer’s mother found her that afternoon, dead in her home. Case 2: Cassandra Killpack 3 After a 3 ½-week trial, a jury found Jennete Killpack, 29, guilty of killing her 4-year-old adopted daughter Cassandra by forcing approximately a gallon of water down the girl’s throat in an attempt to discipline her. A few hours after the “hydro-discipline,” the Killpacks called the paramedics because Cassandra was unresponsive. The paramedics delivered her to the hospital...
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...MBAD504 MANAGEMENT INFORMATION SYSTEMS ASSIGNMENT Instructions: Read the attached Case Studies 1. Answer all questions at the end of the case. Provide your own insights and perspectives on the case analysis (not more than 500 words for each question), with complete references. Your answers should be typed not handwritten. Number each answer. 2. On the cover page indicate the following items: Registration Number and Name 3. Due Date : 22nd July 2016 Case Study 1 ROCHE’S NEW SCIENTIFIC METHOD For years, the Swiss pharmaceutical giant Roche Group worked hard to create an ultra-competitive culture that pitted scientific teams against one another in fighting for scarce resources. Roche had believed that this culture was instrumental in creating such blockbuster drugs as Valium and Librium. But, on the downside, this approach made it almost impossible for scientists to abandon faltering projects that they felt were pivotal for their careers. Rather, it led them to hoard their technical expertise and findings. In 1998, the company turned to a more collaborative style of teamwork—especially for its teams working in the new field of genomics. Roche began running ads in Science magazine for a young new breed of researchers who could reinvent themselves as their job opportunities rapidly changed. It was the new breakthroughs in genomics and molecular biology that pushed Roche to change the way it hunted for drugs. Roche knew it had to speed...
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...Case Studies Weeks 1-4 Advanced Anatomy and Physiology Name: Robert Mixon Student ID#: 4321101 Case Studies – Instructions: Type your answers IN RED and use your textbook and other resources such as the ones listed below to help you answer the questions. Merck Manual of Diagnosis and Therapy: http://www.merck.com/mmpe/index.html MedlinePlus: Medical Dictionary: http://www.nlm.nih.gov/medlineplus/mplusdictionary.html E-medicine from WebMD: http://emedicine.medscape.com/________________________________________ Case #1: Jim and Jane Magnolia have tried for years to conceive a child, with no success. So instead, they have decided to adopt a child. They have found a beautiful little girl named Emma who has been given up by her mother....
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...MEANINGFUL WORK: EXPLORING BARRIERS INTERVENING AS WELL AS FACTORS ENHANCING EMPLOYEES’ ENGAGEMENT IN MEANINGFUL WORK. Course: Careers & Organizations Student: Isabelle van den Tol Studentnumber: 2509606 Contact: i.vandentol@student.vu.nl Coordinators: Prof. dr. Svetlana Khapova & Dr. Sylvia van de Bunt Datum: October 19th, 2015 MEANINGFUL WORK: EXPLORING BARRIERS INTERVENING AS WELL AS FACTORS ENHANCING EMPLOYEES’ ENGAGEMENT IN MEANINGFUL WORK. ISABELLE VAN DEN TOL 2509606 Vrije Universiteit Amsterdam Through interviews and literary findings, a qualitative case study has been done to enrich the theory about the factors enhancing and barriers intervening meaningful work. For this case study two interviews were conducted. Together with the literary findings several findings became apparent. There were three sources found that enhance the meaning of work, being: the self, the others and the work context. There were also several constraints found that are intervening the meaning of work. These constraints were the individualism within the jobs, the communication within the management team and the organizational pressure of being as efficient and effective as possible. These constraints together formed the barriers, which has a negative effect on the meaning of work. These findings were then discussed and concluded. Implications of the findings (e.g. limited amount of data) for both theory and practice are discussed. The area around Human Resource...
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