NATIONAL CENTER FOR CASE STUDY TEACHING IN SCIENCE A Case of Acute Pancreatitis by David F. Dean Department of Biology, Spring Hill College Case Presentation George Hendrix is a 38-year-old man who has abused alcohol his entire adult life. Recently, following an episode of binge drinking, George experienced a gradual onset of pain in his upper abdomen that radiated to his back. The pain persisted for several hours and worsened each time that he ate. He also felt nauseous and experienced
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Acute pancreatitis is a sudden and serious swelling of the pancreas. The amount of inflammation ranges from mild swelling/fluid buildup to extreme tissue death. This disease usually and equally affects middle-aged men and women; however, the percentage of African Americans with acute pancreatitis is three times higher than in Caucasians. Many factors make up the etiology of acute pancreatitis; gallbladder disease being the number one cause (most common in women) followed by chronic alcohol intake
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evaluating acute pancreatitis. She mentioned that initially many biological markers such as amylase and lipase levels, complete blood count with differential metabolic panel, urinalysis and triglyceride levels were being used. However recent studies have found other potential means of concluding the severity and prognosis of pancreatitis. Such promising markers include the use of trypsinogens and pancreatic protease which are used in the auto digestive process of acute pancreatitis. Additional
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assignment covering disease research, I chose pancreatitis. I chose this because my friend was just recently diagnosed with this. She is a very healthy person, in fact healthier than I and a little younger. I thought it would be a perfect research topic. Pancreatitis means inflammation of the pancreas that can appear in two very different ways. Acute pancreatitis is sudden while chronic pancreatitis is recurring or persistent. Some cases of pancreatitis may be mild and go away on their own and
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Pathophysiology of Pancreatitis The pancreas contains enzymes which have potential to cause extensive tissue damage. Under normal circumstances several mechanisms protect the pancreas from damage by these enzymes; however, inappropriate activation of the enzyme systems leads to extensive damage by auto digestion. Some proposed mechanisms by which auto digestion begins are: reflux of duodenal contents, reflux of bile into pancreatic duct when CBD blocked, and activation of complement system and overstimulation
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Total Parenteral Nutrition or for short TPN is an expensive but life-saving therapy that provides the correct nutritional needs required by the body so it may function normally and help with a patient’s recovery process. People of all ages; infants, children, as well as adults can receive TPN for as long as it is needed. Some patients may require this therapy for a short time and there are other patients who have received TPN at home for a lifetime with close monitoring. TPN solution is mixed daily
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therapy for bronchial infections 2–3 times per year. This presentation will review the following: 1. Priority care needs of the patient at the center of the case study 2. Priority care needs of the family care providers 3. The disruption that this acute illness has caused for the patient, family members, and clinical microsystem 4. The experiential features of acuity 5. The elements that the clinical microsystem 6. Potential barriers to providing care 7. The communication strategies that were
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Ethnographic research: oral interview 4-5 pages double spaced An ethnography is a long term investigation of a group (often a culture) that is based on immersion in and, optimally, participation in that group. Ethnography provides a detailed exploration of group activity and may include the collection of historical information and in-person interviews of members of the group. It is an approach which employs multiple methodologies to arrive at a theoretically comprehensive understanding of a group
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the result of the Gua).So The essence of Guasha is the scraping of the back and other areas to release blocked Qi (energy) and to cure other illnesses. When is Gua Sha used? Gua Sha is used whenever a patient has pain whether associated with an acute or chronic disorder. It can resolve musculo skeletal pain, Gua Sha is used to treat as well as prevent common cold, flu, bronchitis, asthma, as well as any chronic disorder involving pain, congestion of Qi and Blood. Where is Gua Sha applied?
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emotions. I never quite realized this until I sat down to elaborate on this topic. Emotions are key attributes to customer satisfaction and that equals reimbursements and ultimately the success of an organization; in this case I'm referring to an acute hospital setting. As a child I was taught to believe that it was rude to laugh or speak loudly and disrespectful to make eye contact with elders. Crying was perceived as weak and insecure. Emotions such as pride in academia were revered. I developed
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