Discuss issues related to psychosocial changes of aging. 7. Describe selected health concerns of older adults. 8. Identify nursing interventions related to the physiological, cognitive, and psychosocial changes of aging. Joseph Lawrence, a 78-year-old retired attorney, was admitted to the hospital with chest pain that was diagnosed as a myocardial Infarction. He was treated with a stent 2 days ago. He has a history of hypertension. He is active and plays golf twice a week with a group
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following a cardiac catheterization and stenting of her right coronary artery (RCA). Labs and EKG preformed in the ER demonstrated elevated cardiac enzymes and troponin levels as well as EKG changes revealing the patient was experiencing an acute myocardial infarction (AMI). Upon admission to the telemetry unit her personal health intake reveals that she is overweight with irregular eating habits and blames her weight and lack of exercise on the length of her daily commute. Mrs. K’s admitting physician reveals
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PAST MEDICAL/SURGICAL HISTORY: Patient has a history of a myocardial infarction (MI, or also known as a heart attack) in 2004, she had a hip pinning in 2005, and a traumatic amputation of fingers on her left hand in 1974 from a lawnmower accident. Pt lived on her own until 4-27-12 when her family found her lying on the floor in her home. Pts family brought her to live with them but pt continued to have episodes of falling and hitting her head. Pt was taken to the ER and given a Ct
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day and admits he doesn’t eat a “perfect diet.” He enjoys 2 or 3 beers q HS (every night), he uses stick margarine, eats red meat 2 or 3 times per week, and is a self-professed “sweet eater.” His cardiac history includes a recent inferior myocardial infarction (MI) and a heart catheterization revealing 3-vessel disease: in the left anterior descending (LAD) coronary artery, a proximal 60% lesion; in the right coronary artery (RCA), proximal 100% occlusion with thrombus; and a circumflex with 40%
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I. Introduction - Shock (Chapter 11) A. Review of anatomy and physiology B. Pathophysiology Initiation | * Decreased tissue oxygenation * Decreased intravascular volume * Decreased Myocardial contractility (cardiogenic ) * Obstruction of blood flow (obstructive) * Decreased vascular tone (distributive) * Septic (mediator release) * Neurogenic (suppression of SNS) | No observable clinical indications Decreased CO may be noted with hemodynamic monitoring | Compensatory
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billion annually for health care expenditures and productivity losses and is a leading driver of growing Medicare expenditures for controlling glucose levels, blood pressure (BP), and lipid levels and avoiding tobacco, singularly or in combination, reduce the incidence of costly and disabling micro- and macrovascular diseases(2). To advance responsibility among health care provider and patients and support better control of these elements, there has been research, health care and benchmarking against
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MEDICAL-SURGICAL NURSING NERVOUS SYSTEM Overview of structures and functions: Central Nervous System Brain Spinal Cord Cranial Nerves Spinal Nerves Sympathetic nervous system Parasympathetic nervous system AUTONOMIC NERVOUS SYSTEM Peripheral Nervous System Autonomic Nervous System Sympathetic Nervous System (ADRENERGIC) - Involved in fight or aggression response. - Release of Norepinephrine (cathecolamines) from adrenal glands and causes vasoconstriction. - Increase all
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consequence of this, nurses frequently face ethical dilemmas. In deciding the best course of action in such dilemmas, nurses can look for guidance to professional standards of conduct, such as those enumerated in the Code of Ethics of the American Nursing Association (ANA). According to Mahlmeister (1996), each nurse should own a copy of the ANA code, as this document can provide guidance on situations that nurses face on an almost daily basis. For example, consider a situation that may result from
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consequence of this, nurses frequently face ethical dilemmas. In deciding the best course of action in such dilemmas, nurses can look for guidance to professional standards of conduct, such as those enumerated in the Code of Ethics of the American Nursing Association (ANA). According to Mahlmeister (1996), each nurse should own a copy of the ANA code, as this document can provide guidance on situations that nurses face on an almost daily basis. For example, consider a situation that may result from
Words: 961 - Pages: 4
consequence of this, nurses frequently face ethical dilemmas. In deciding the best course of action in such dilemmas, nurses can look for guidance to professional standards of conduct, such as those enumerated in the Code of Ethics of the American Nursing Association (ANA). According to Mahlmeister (1996), each nurse should own a copy of the ANA code, as this document can provide guidance on situations that nurses face on an almost daily basis. For example, consider a situation that may result from
Words: 961 - Pages: 4
