Van Whitfield is an accomplished author and has written for shows such as “The Wire” and “The Chapel” show. He has earned 6 Ben Franklin Award nominations including Best Author and Best New Voice in Books. During his session at Drexel he shared something with us that he had never shared with anyone to this day. He talked about his experience when he had a heart attack and was put in a comma because the doctors didn’t think he was going to live. He said that the day of his heart attack he knew something was wrong with him and went to the doctor to get some medication.
In adherence to paragraph five of the NMC code of professional Conduct (2008) which requires nurses to maintain anonymity and confidentiality, a pseudonym is used in this critical incident for the identity of the patient. The patient will be called John. I was a novice in my last placement in a dementia ward. It was a Monday morning, all the patients were having their breakfast in the lounge .It was my second week of placement where I was asked by a nurse to go and observe a suicidal patient suffering from anorexia nervosa. The patient was a 37 year old male named John.
The patients who had a positive screening would then proceed with a surgical diagnostic procedure by their Physician. The conclusion of the random study was that the ratio of surgeries done, compared to the positive screened patients was high. Also, most of the positive screened cases ended up being late stage cancer. Although this clinical trial correlates with the 2010 USPSTF recommendations against routine ovarian cancer screening, the entire effect of screening to decrease mortality is not yet known. ADVISING PATIENTS USING THE USPSTF Reference "Breast Self Exam."
PART A QUESTION 1 Infection control in a health care setting Chickenpox in a Health Care Worker – Total 13 marks A registered nurse working in an HDU (High Dependency Unit) notified the Infection Control Nurse that her daughter had chickenpox. The daughter’s skin lesions had appeared five days prior to the notification. The staff member did not have a history of having had the disease and was in the second trimester of her second pregnancy. Blood tests on the RN for antibody to Varicella zoster virus (VZV) were negative. She was rostered off work and given varicella zoster specific immunoglobulin by her obstetrician.
The patient is alert and oriented times 4. Swollen with 3+ pitting edema on both lower legs, palpation is very warm, and reddish colored dots appearing on the surface of the skin. The patient winces in pain as palpate the area. Patient as a history of diabetes mellitus 2, HTN, hyperlipidemia, hypertension, right hip replacement 2007 and left inguinal herniorrhaphy done over 30 years ago, and tonsillectomy in his childhood. Patient denies any recent tobacco and ETOH use.
I walked to my patient’s room and saw the patient breathing with accessory muscles and said she didn’t know what was wrong but didn’t feel well. I listened to her lungs and found she now had crackles in all lobes of the lungs. The nurse who answered her call light was her first year as a Registered Nurse. The nurse did not listen to her lungs had only taken vitals. One extra step during an assessment saved that patients life.
| | | b. Withhold the next dose of furosemide. | | | c. Document the findings and reassess in 1 hour. | | | d. Check the patient for other symptoms of digitalis toxicity. | | Question 4 Marks: 1 The physician has ordered the adrenergic drug doxazosin (Cardura), an antihypertensive drug, for a patient.
A. The history of breast cancer dates all the way back into ancient Egypt, but treatments began in the 18th century and is still being researched and developed to this very day. B. My best friends mom was diagnosed with breast cancer on December 13th and had a mastectomy on December 14th. A mastectomy is removing all parts of the breast and nearby structures.
When tumor spread to the other part of the body it staged as IV (National Cancer Institute., n.d.). Care approach during staging: Before the staging finalized the client goes through serious of test or even surgery. It is a difficult situation for the client and the family. To relive the anxiety of the patient the health care professionals must give adequate information of the disease and should help them to make the necessary appointments for the test. Health education is very important, health professionals must explains the staging and ensure that stages of the cancer does not change overtime even if the cancer advances.
A forty-seven year old patient arrived to the unit with shortness of breath, worsening on exertion. I connected the telemetry wires to the patient, took a set of vitals and oriented the patient to the room. I felt his radial pulse, and knew immediately it was irregular! I asked the RN what rhythm he was in and she confirmed it was atrial fibrillation. I knew it was paroxysmal atrial fibrillation because he reported he had gone into atrial fibrillation because of his thyroid problem once before.