Chapter 0621
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This document discusses various topics related to the biliary system and pancreas, including gallstones, cholecystitis, cholecystectomy, acute pancreatitis, chronic pancreatitis, and pancreatic abscess. It covers underlying causes, signs and symptoms, surgical and nonsurgical treatment options, postoperative care, complications, and the roles of the healthcare team in management of these conditions.
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This document discusses the care of patients with diabetes mellitus. It covers the types of diabetes, including type 1, type 2, and gestational diabetes. It describes the acute complications of diabetes like diabetic ketoacidosis and hypoglycemia. It also discusses the chronic complications involving damage to blood vessels and organs over time. The document outlines treatment options, patient education needs, assessment approaches, and managing an acutely ill patient with type 1 diabetes presenting with ketoacidosis.
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This document provides an overview of HIV and AIDS related drugs and treatment. It discusses the structure of the immune system, HIV infection pathophysiology, the HIV life cycle, transmission routes, laboratory testing, treatment classifications, goals of antiretroviral therapy (ART), ART indications, classes of antiretroviral agents including their mechanisms and side effects, highly active antiretroviral therapy (HAART), adherence, the nurse's role, opportunistic infections, treatment in pregnancy, and immune reconstitution inflammatory syndrome (IRIS).
Obesity and the Kidney (Link and Evidence) - Dr. Gawad
- Visit our website for more lectures: www.NephroTube.com
- Subscribe to our YouTube channel: www.youtube.com/NephroTube
- Join our facebook group: www.facebook.com/groups/NephroTube
- Like our facebook page: www.facebook.com/NephroTube
- Follow us on twitter: www.twitter.com/NephroTube
The role of ERAS society
A presentation by Olle Ljungqvist at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine.
All available content from SSAI2017: https://scanfoam.org/ssai2017/
Delivered in collaboration between scanFOAM, SSAI & SFAI.
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Olle Ljungqvist discussed improving perioperative care worldwide through the ERAS Society. He summarized evidence showing variations in outcomes between countries and hospitals, and how implementing ERAS guidelines can reduce variations and complications. Sustaining ERAS requires a multidisciplinary team approach, ongoing training, and continuous auditing to maintain compliance over time. While complex to implement initially, ERAS has been shown to reduce costs and complications globally when properly established.
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This document provides clinical practice guidelines for acute kidney injury (AKI) from the UK Renal Association. It summarizes the definition and staging systems for AKI from ADQI, AKIN and KDIGO to standardize classification. AKI has significant prevalence in hospitalized patients and poor outcomes, with mortality ranging from 10-80% depending on severity and presence of multiorgan failure. Prevention and early recognition of AKI is important. The guidelines cover areas like assessment, prevention, management, renal replacement therapy modalities and prescriptions, and timing of treatment. Improving education of healthcare professionals about AKI is emphasized.
Recommended
Chapter 067
This document discusses the care of patients with diabetes mellitus. It covers the types of diabetes, including type 1, type 2, and gestational diabetes. It describes the acute complications of diabetes like diabetic ketoacidosis and hypoglycemia. It also discusses the chronic complications involving damage to blood vessels and organs over time. The document outlines treatment options, patient education needs, assessment approaches, and managing an acutely ill patient with type 1 diabetes presenting with ketoacidosis.
China girl
Qian Hongyan lost both her legs in an accident and comes from an impoverished Chinese family unable to afford prosthetics. She uses a basketball to move from place to place, supported by two wooden crutches, and remains always smiling and positive despite her circumstances. The document encourages forwarding it to friends so that donations can be collected for Qian to receive a pair of prosthetic legs.
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This document discusses preoperative care and preparation of surgical patients. It covers topics like preoperative teaching, assessments of patient health status, preventing complications, implementing restrictions like NPO guidelines, and preparing patients physically and ensuring documentation is complete prior to surgery. The goal is to optimize patient health and safety during the preoperative period through education, assessments, interventions, and preparation.
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This document provides an overview of HIV and AIDS related drugs and treatment. It discusses the structure of the immune system, HIV infection pathophysiology, the HIV life cycle, transmission routes, laboratory testing, treatment classifications, goals of antiretroviral therapy (ART), ART indications, classes of antiretroviral agents including their mechanisms and side effects, highly active antiretroviral therapy (HAART), adherence, the nurse's role, opportunistic infections, treatment in pregnancy, and immune reconstitution inflammatory syndrome (IRIS).
Obesity and the Kidney (Link and Evidence) - Dr. Gawad
- Visit our website for more lectures: www.NephroTube.com
- Subscribe to our YouTube channel: www.youtube.com/NephroTube
- Join our facebook group: www.facebook.com/groups/NephroTube
- Like our facebook page: www.facebook.com/NephroTube
- Follow us on twitter: www.twitter.com/NephroTube
The role of ERAS society
A presentation by Olle Ljungqvist at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine.
All available content from SSAI2017: https://scanfoam.org/ssai2017/
Delivered in collaboration between scanFOAM, SSAI & SFAI.
The role of the ERAS society
Olle Ljungqvist discussed improving perioperative care worldwide through the ERAS Society. He summarized evidence showing variations in outcomes between countries and hospitals, and how implementing ERAS guidelines can reduce variations and complications. Sustaining ERAS requires a multidisciplinary team approach, ongoing training, and continuous auditing to maintain compliance over time. While complex to implement initially, ERAS has been shown to reduce costs and complications globally when properly established.
Acute+kidney+injury+ +final+version+(08+march+2011)+
This document provides clinical practice guidelines for acute kidney injury (AKI) from the UK Renal Association. It summarizes the definition and staging systems for AKI from ADQI, AKIN and KDIGO to standardize classification. AKI has significant prevalence in hospitalized patients and poor outcomes, with mortality ranging from 10-80% depending on severity and presence of multiorgan failure. Prevention and early recognition of AKI is important. The guidelines cover areas like assessment, prevention, management, renal replacement therapy modalities and prescriptions, and timing of treatment. Improving education of healthcare professionals about AKI is emphasized.
Dental Implant 1 /certified fixed orthodontic courses by Indian dental academy
Dental Implant 1 /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078MO230 Chapter 002
This document discusses the health record as the foundation of medical coding. It describes the various sections and forms that make up a health record, including administrative data, clinical reports, diagnostic testing results, and discharge summaries. It also outlines standards for reporting diagnoses and procedures coded from the health record, including defining principal diagnosis and procedure and providing guidelines for coding additional secondary diagnoses. The importance of using documentation from qualified physicians in the health record and querying physicians when needed to clarify the clinical picture is also emphasized.
Austin Renal Disorders
Austin Renal Disorders is an open access, peer reviewed, scholarly journal dedicated to publish articles covering all areas of Kidney Failure & Renal Disorders.
The journal aims to promote research communications and provide a forum for doctors, researchers, physicians and healthcare professionals to find most recent advances in all the areas of Renal Disorders. Austin Renal Disorders accepts original research articles, reviews, mini reviews, case reports and rapid communication covering all aspects of Kidney Failure & Renal Disorders.
Austin Renal Disorders strongly supports the scientific up gradation and fortification in related scientific research community by enhancing access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed journals under one roof thereby promoting knowledge sharing, mutual promotion of multidisciplinary science.
New drugs and medical issues 2014 2 (2)
The document summarizes several new drugs approved by the FDA in 2014 to treat various medical conditions, including:
1) Zerbaxa and Rapivab, approved to treat infections. Saxenda was approved to treat obesity. Namzaric was approved to treat Alzheimer's disease.
2) Viekira Pak was approved to treat hepatitis C. Kitabis Pak was approved to treat cystic fibrosis. Xigduo XR was approved to treat diabetes.
3) Sotylize was approved to treat arrhythmias. Several studies on new drugs and treatments for COPD, emphysema, influenza, and other conditions were summarized.
New drugs and medical issues 2014 2
This document summarizes several new drugs and medical issues from 2014. It describes new drugs approved for treating infections (Zerbaxa, Rapivab), obesity (Saxenda), Alzheimer's disease (Namzaric), hepatitis C (Viekira Pak), cystic fibrosis (Kitabis Pak), diabetes (Xigduo XR), and arrhythmias (Sotylize). It also summarizes studies on treating COPD, emphysema, liver failure, ICU infections, anemia, nutrition, and more.
New drugs and medical issues 2014 {2}
The document summarizes several new drugs approved by the FDA in 2014 to treat various medical conditions such as infections, obesity, Alzheimer's disease, hepatitis C, cystic fibrosis, diabetes, arrhythmias, COPD, emphysema, and cancer. It also discusses clinical trials on topics like the use of statins for COPD, prophylactic antibiotics for liver failure, antibiotic decontamination of the digestive tract, transfusion thresholds, enteral nutrition, immune modulatory enteral feeds, palliative ICU care, intraoperative PEEP, stem cell therapy for scleroderma, and chemotherapy for small cell lung cancer.
TAVRb
The document discusses the TAVR (transcatheter aortic valve replacement) procedure, which is a minimally invasive alternative to open-heart surgery used to replace the aortic valve in patients considered too high risk for open-heart surgery. The TAVR procedure involves inserting an artificial valve through the femoral or apical artery using a catheter. Potential complications include stroke, death, and bleeding issues. Physical therapy implications include screening patients who will be on lifelong aspirin therapy for risk of bleeding complications and addressing mobility issues common in the elderly patient population eligible for TAVR.
C4 iwgdf guidance on footwear and offloading interventions to prevent and hea...
This document provides recommendations from the International Working Group on the Diabetic Foot (IWGDF) for footwear and offloading interventions to prevent and heal foot ulcers in patients with diabetes. The recommendations are based on a systematic review of the literature and expert opinion. The document begins with 13 recommendations regarding casting/prefabricated devices, therapeutic footwear, surgical offloading, and other offloading interventions. It then provides the rationale for each recommendation, discussing the quality of evidence. The quality of evidence is assessed as high, moderate, or low.
Unit 6 Cancer and HIVDr. Jeanette Andrade PhD, RDN, LDNNS.docx
Unit 6: Cancer and HIV
Dr. Jeanette Andrade PhD, RDN, LDN
NS335
Elsevier items and derived items © 2012, 2008, 2007 by Saunders, an imprint of Elsevier Inc.
1
Reminders
Unit 6 discussion board due Tuesday
Unit 6 assignment due Tuesday
Elsevier items and derived items © 2012, 2008, 2007 by Saunders, an imprint of Elsevier Inc.
2
Unit 6 Assignment
1. In which stage of HIV infection would you categorize Mr. W?
2. Name and describe the major clinical complications in the final stage of AIDS and explain how these complications profoundly compromise a patient’s nutritional status.
3. What should be the goal of nutritional therapy based on assessment data and the patient’s history?
4. Utilize your critical thinking skills to determine the most appropriate route of feeding to administer nutrition support. Defend your choice with evidence from the patient description and the knowledge you have gained regarding alternative feeding routes.
Elsevier items and derived items © 2012, 2008, 2007 by Saunders, an imprint of Elsevier Inc.
3
Unit 6 Assignment
5. Working with patients who have HIV can include a number of sensitive issues, including patient confidentiality, integrity and ethical issues, and social responsibility. Explain how you would deal with these issues as you attend to Mr. W.
6. List several nutritional supplements that might be used to alleviate some of Mr. W’s symptoms and increase his caloric intake when he is able to tolerate a diet again.
7. Write a Nutrition Care Plan/Chart note on the HIV patient that addresses the patient’s current clinical situation. Write this note as though you were a nutrition professional caring for this patient in a hospital setting. Please refer to Table 11-3 and 11-4 in your textbook for information on the ADIME chart note process.
Elsevier items and derived items © 2012, 2008, 2007 by Saunders, an imprint of Elsevier Inc.
4
Unit 6 Assignment
Answer questions numbers 1–5 in a 2–3 page paper using APA format and citation guidelines. Include a title page, introduction, body, conclusion, and reference page. Include number 6, the Nutrition Care Plan/ Chart note, as an appendix.
References: Include a minimum of 4 quality references
Elsevier items and derived items © 2012, 2008, 2007 by Saunders, an imprint of Elsevier Inc.
5
Last week
What was your muddiest point from last week?
What was your clearest point from last week?
Any questions from last week’s material?
Cancer
Abnormal cell division and reproduction that can spread throughout the body
Three stages
Initiation
Promotion
Tumor progression, including metastasis
Response to treatment is complete, partial, stable, or progressive
7
Elsevier items and derived items © 2012, 2008, 2007 by Saunders, an imprint of Elsevier Inc.
7
Cancer
What are risk factors for cancers? Both dietary and lifestyle
How can nutrition contribute/ reduce risk for cancer?
Elsevier items and derived items © 2012, 2008, 2007 by Saunders, an imprint of Elsevi ...
Aki dr osama el shahat 2017
This document discusses acute kidney injury (AKI), including its definition, classification systems, causes, biomarkers, treatment, and management. It provides a brief history of terms used to describe AKI and summarizes current classification systems. It also outlines causes of AKI, the advantages of various biomarkers for early detection, and general principles and indications for renal replacement therapy (RRT). Modalities of RRT including peritoneal dialysis, intermittent hemodialysis, slow low-efficiency dialysis, and continuous renal replacement therapy are compared.
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This document summarizes information from a supplement on digestive health. It includes articles on coeliac disease, irritable bowel syndrome, gastroesophageal reflux, new technology to remove large polyps, and the role of diet in gut health. The supplement discusses raising awareness of coeliac disease, the importance of early diagnosis, and new screening and treatment options that can help manage digestive conditions and reduce cancer risks. It aims to help readers make informed choices to support digestive wellness.
Manual ultrasound
This document provides an overview and table of contents for "The Partners In Health Manual of Ultrasound for Resource Limited Settings." It was edited by Sachita P Shah and Daniel D Price and contains chapters on fundamentals of ultrasound, trauma, echocardiography, obstetrics, liver, gallbladder, spleen, kidney, abdominal aortic aneurysm, deep venous thrombosis, volume status, bladder, skin, procedures, and vascular access. It is intended as a resource for healthcare providers using point-of-care ultrasound in resource-limited settings.
AUTOSOMAL DOMINANT POLYCYSTIC KIDNEY DISEASE AND NEW TREATMENT APPROACHES
This document summarizes autosomal dominant polycystic kidney disease (ADPKD) and new treatment approaches. ADPKD is characterized by bilateral renal cysts that lead to chronic kidney disease. About 78% of cases are caused by mutations in the PKD1 gene and 15% by PKD2. These mutations disrupt renal epithelial cells and lead to cyst formation and growth over time, eventually causing loss of kidney function. The document outlines the stages of ADPKD progression and approaches to diagnosis, including ultrasound and MRI. It discusses treatments focused on slowing disease progression, including controlling hypertension with RAAS inhibitors and the vasopressin antagonist tolvaptan. Early diagnosis and treatment can help manage complications and improve outcomes for
Running Head Nursing Care Plan Nursing Care Plan for an 80-ye.docx
Running Head: Nursing Care Plan
Nursing Care Plan for an 80-year-old female with Chronic Kidney Disease
Student’s name; Daysi Fernandez
South University
Course: Illness & Disease Management
Nursing Care Plan for an 80-year-old female with Chronic Kidney Disease
Case study
An 80-year-old female presents to the clinic with grievances of asthenia, malaise, headache, weight gain, and a decrease in urination. A tentative diagnosis of acute renal failure is made. She has a history of alcohol and drug abuse. Her medical history is unremarkable, and she has not been taking any medicines. The laboratory results include values of a serum sodium level of 151mg/dl. The potassium level is 2.7mg/dl, chloride is 123mg/dl, and bicarbonate is 14mg/dl. Blood urea nitrogen is 95mg/dl. Blood glucose is 757mg/dl. Serum calcium is 7.5mg/dl, and leukocyte counts are 8000/mm3. The patient is hydrated. She is diagnosed with diabetic ketoacidosis.
Chronic Kidney Disease Patient Questionnaire
1. Have you been diagnosed with kidney disease? Y / N
2. How long has it been your first diagnosed? ____Months / ____years
3. Do you take pain or anti-inflammatory medication? Y / N
4. Do you use herbal treatments? Y / N
5. Do you take blood pressure medication? Y / N
6. Do you check your blood pressure at home? Y /N
7. Have you heard any family heart diseases? Y /N
8. Have you had a history of diabetes or prediabetes? Y /N
9. Have you ever been diagnosed with anemia, or low hemoglobin count? Y / N
10. Have you had any history of osteoporosis, osteopenia, brittle, thin or broken bones? Y / N
11. Summary
I. If you responded yes to any of the questions above, please give more detail___
II. Do you have any question about your Kidney disease that we can help you? ___
Chronic kidney disease (CKD) according to (Bomback and Bakris, 2011) is a continuous decrease of working renal tissue whereby the residual kidney mass cannot sustain the body’s internal environment. CKD is an illness that progressively develops for years or as an effect from an occurrence of kidney related diseases from which the patient has not improved. Acute Renal Failure (ARF) is a continuous and quick weakening of the working of the kidneys (Healthy people 2010, 2013). It occurs when there is a high accumulation of toxic substances in the kidney and left unattended. Development of ARF happens when the kidney fails to remove waste materials from the kidney in the form of urine. Therefore kidney disorders have stopped functioning and lost their strength to remove water and waste from the blood. Deterioration of kidney functioning will lead to other problems in the body such as anemia, poor nutritional health, high blood pressure and nerve damage (Wong et al., 2010). Early diagnosis of this disorder is essential when it comes to its management. Researchers assert that when CKD is detected early, its progression is slowed down and managed (Bomback an ...
Kidney Hospitals in India – Laparoscopic Surgery, Lithotripsy Centre, Dialysi...
Devasya Kidney Hospital provides information on kidney disease, protection, and treatment. Chronic kidney disease means the kidneys are less able to filter wastes from the blood and may lead to failure requiring dialysis or transplant. Type 2 diabetes and high blood pressure are the most common causes. The hospital has advanced laparoscopic and lithotripsy centers, a dialysis center, and other facilities for kidney care. It is located in Ahmedabad and was the first in India to use advanced laser technology for prostate procedures.
E2 chronic kidney-disease-stage-5-peritoneal-dialysis-
This document provides guidance for healthcare professionals on the use of peritoneal dialysis for patients with chronic kidney disease stage 5. It recommends that peritoneal dialysis be considered as a renal replacement therapy option for appropriate patients. Peritoneal dialysis can be performed safely and effectively at home or other locations chosen by the patient, with training and support. The guidance seeks to improve care for patients needing dialysis by making evidence-based recommendations on the role of peritoneal dialysis.
Metabolic abnormalities observed in osteoarthritis of knee: A single center e...
Osteoarthritis (OA) has become a major public health problem not only because of increasing prevalence worldwide (about 21 million people affected in the United States) but also frequent association with cardiovascular diseases-the leading cause of death in the industrialized countries.
Dr. osama-el-shahat-aki-dep
This document discusses acute kidney injury (AKI), including:
1. Definitions and classifications of AKI including RIFLE and AKIN criteria.
2. Biomarkers that can help detect AKI earlier than creatinine such as NGAL and cystatin C.
3. Treatment of AKI including conservative management, indications for renal replacement therapy (RRT), and modalities of RRT such as intermittent hemodialysis, continuous RRT, and peritoneal dialysis.
AKI for VIPCo - Sandokji.pptx
A presentation given at the VIPCo conference.
Recorded presentation can be seen in this YouTube link:
https://youtu.be/mSpZl-JtiIA
Dr. Osama El Shahat PD in DM
This document discusses peritoneal dialysis (PD) in diabetic patients. It notes that about one third of new dialysis patients have diabetes as their primary diagnosis. PD has several potential advantages for diabetics including no need for vascular access, better preservation of renal function, and lifestyle benefits. However, concerns with PD in diabetics include higher peritonitis rates and differences in peritoneal membrane characteristics that may impact transport. Maintaining good glycemic control, preserving residual renal function, and intensive patient education are important factors for successful PD treatment in diabetics.
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This document discusses the health record as the foundation of medical coding. It describes the various sections and forms that make up a health record, including administrative data, clinical reports, diagnostic testing results, and discharge summaries. It also outlines standards for reporting diagnoses and procedures coded from the health record, including defining principal diagnosis and procedure and providing guidelines for coding additional secondary diagnoses. The importance of using documentation from qualified physicians in the health record and querying physicians when needed to clarify the clinical picture is also emphasized.
Austin Renal Disorders
Austin Renal Disorders is an open access, peer reviewed, scholarly journal dedicated to publish articles covering all areas of Kidney Failure & Renal Disorders.
The journal aims to promote research communications and provide a forum for doctors, researchers, physicians and healthcare professionals to find most recent advances in all the areas of Renal Disorders. Austin Renal Disorders accepts original research articles, reviews, mini reviews, case reports and rapid communication covering all aspects of Kidney Failure & Renal Disorders.
Austin Renal Disorders strongly supports the scientific up gradation and fortification in related scientific research community by enhancing access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed journals under one roof thereby promoting knowledge sharing, mutual promotion of multidisciplinary science.
New drugs and medical issues 2014 2 (2)
The document summarizes several new drugs approved by the FDA in 2014 to treat various medical conditions, including:
1) Zerbaxa and Rapivab, approved to treat infections. Saxenda was approved to treat obesity. Namzaric was approved to treat Alzheimer's disease.
2) Viekira Pak was approved to treat hepatitis C. Kitabis Pak was approved to treat cystic fibrosis. Xigduo XR was approved to treat diabetes.
3) Sotylize was approved to treat arrhythmias. Several studies on new drugs and treatments for COPD, emphysema, influenza, and other conditions were summarized.
New drugs and medical issues 2014 2
This document summarizes several new drugs and medical issues from 2014. It describes new drugs approved for treating infections (Zerbaxa, Rapivab), obesity (Saxenda), Alzheimer's disease (Namzaric), hepatitis C (Viekira Pak), cystic fibrosis (Kitabis Pak), diabetes (Xigduo XR), and arrhythmias (Sotylize). It also summarizes studies on treating COPD, emphysema, liver failure, ICU infections, anemia, nutrition, and more.
New drugs and medical issues 2014 {2}
The document summarizes several new drugs approved by the FDA in 2014 to treat various medical conditions such as infections, obesity, Alzheimer's disease, hepatitis C, cystic fibrosis, diabetes, arrhythmias, COPD, emphysema, and cancer. It also discusses clinical trials on topics like the use of statins for COPD, prophylactic antibiotics for liver failure, antibiotic decontamination of the digestive tract, transfusion thresholds, enteral nutrition, immune modulatory enteral feeds, palliative ICU care, intraoperative PEEP, stem cell therapy for scleroderma, and chemotherapy for small cell lung cancer.
TAVRb
The document discusses the TAVR (transcatheter aortic valve replacement) procedure, which is a minimally invasive alternative to open-heart surgery used to replace the aortic valve in patients considered too high risk for open-heart surgery. The TAVR procedure involves inserting an artificial valve through the femoral or apical artery using a catheter. Potential complications include stroke, death, and bleeding issues. Physical therapy implications include screening patients who will be on lifelong aspirin therapy for risk of bleeding complications and addressing mobility issues common in the elderly patient population eligible for TAVR.
C4 iwgdf guidance on footwear and offloading interventions to prevent and hea...
This document provides recommendations from the International Working Group on the Diabetic Foot (IWGDF) for footwear and offloading interventions to prevent and heal foot ulcers in patients with diabetes. The recommendations are based on a systematic review of the literature and expert opinion. The document begins with 13 recommendations regarding casting/prefabricated devices, therapeutic footwear, surgical offloading, and other offloading interventions. It then provides the rationale for each recommendation, discussing the quality of evidence. The quality of evidence is assessed as high, moderate, or low.
Unit 6 Cancer and HIVDr. Jeanette Andrade PhD, RDN, LDNNS.docx
Unit 6: Cancer and HIV
Dr. Jeanette Andrade PhD, RDN, LDN
NS335
Elsevier items and derived items © 2012, 2008, 2007 by Saunders, an imprint of Elsevier Inc.
1
Reminders
Unit 6 discussion board due Tuesday
Unit 6 assignment due Tuesday
Elsevier items and derived items © 2012, 2008, 2007 by Saunders, an imprint of Elsevier Inc.
2
Unit 6 Assignment
1. In which stage of HIV infection would you categorize Mr. W?
2. Name and describe the major clinical complications in the final stage of AIDS and explain how these complications profoundly compromise a patient’s nutritional status.
3. What should be the goal of nutritional therapy based on assessment data and the patient’s history?
4. Utilize your critical thinking skills to determine the most appropriate route of feeding to administer nutrition support. Defend your choice with evidence from the patient description and the knowledge you have gained regarding alternative feeding routes.
Elsevier items and derived items © 2012, 2008, 2007 by Saunders, an imprint of Elsevier Inc.
3
Unit 6 Assignment
5. Working with patients who have HIV can include a number of sensitive issues, including patient confidentiality, integrity and ethical issues, and social responsibility. Explain how you would deal with these issues as you attend to Mr. W.
6. List several nutritional supplements that might be used to alleviate some of Mr. W’s symptoms and increase his caloric intake when he is able to tolerate a diet again.
7. Write a Nutrition Care Plan/Chart note on the HIV patient that addresses the patient’s current clinical situation. Write this note as though you were a nutrition professional caring for this patient in a hospital setting. Please refer to Table 11-3 and 11-4 in your textbook for information on the ADIME chart note process.
Elsevier items and derived items © 2012, 2008, 2007 by Saunders, an imprint of Elsevier Inc.
4
Unit 6 Assignment
Answer questions numbers 1–5 in a 2–3 page paper using APA format and citation guidelines. Include a title page, introduction, body, conclusion, and reference page. Include number 6, the Nutrition Care Plan/ Chart note, as an appendix.
References: Include a minimum of 4 quality references
Elsevier items and derived items © 2012, 2008, 2007 by Saunders, an imprint of Elsevier Inc.
5
Last week
What was your muddiest point from last week?
What was your clearest point from last week?
Any questions from last week’s material?
Cancer
Abnormal cell division and reproduction that can spread throughout the body
Three stages
Initiation
Promotion
Tumor progression, including metastasis
Response to treatment is complete, partial, stable, or progressive
7
Elsevier items and derived items © 2012, 2008, 2007 by Saunders, an imprint of Elsevier Inc.
7
Cancer
What are risk factors for cancers? Both dietary and lifestyle
How can nutrition contribute/ reduce risk for cancer?
Elsevier items and derived items © 2012, 2008, 2007 by Saunders, an imprint of Elsevi ...
Aki dr osama el shahat 2017
This document discusses acute kidney injury (AKI), including its definition, classification systems, causes, biomarkers, treatment, and management. It provides a brief history of terms used to describe AKI and summarizes current classification systems. It also outlines causes of AKI, the advantages of various biomarkers for early detection, and general principles and indications for renal replacement therapy (RRT). Modalities of RRT including peritoneal dialysis, intermittent hemodialysis, slow low-efficiency dialysis, and continuous renal replacement therapy are compared.
Digestive Health small
This document summarizes information from a supplement on digestive health. It includes articles on coeliac disease, irritable bowel syndrome, gastroesophageal reflux, new technology to remove large polyps, and the role of diet in gut health. The supplement discusses raising awareness of coeliac disease, the importance of early diagnosis, and new screening and treatment options that can help manage digestive conditions and reduce cancer risks. It aims to help readers make informed choices to support digestive wellness.
Manual ultrasound
This document provides an overview and table of contents for "The Partners In Health Manual of Ultrasound for Resource Limited Settings." It was edited by Sachita P Shah and Daniel D Price and contains chapters on fundamentals of ultrasound, trauma, echocardiography, obstetrics, liver, gallbladder, spleen, kidney, abdominal aortic aneurysm, deep venous thrombosis, volume status, bladder, skin, procedures, and vascular access. It is intended as a resource for healthcare providers using point-of-care ultrasound in resource-limited settings.
AUTOSOMAL DOMINANT POLYCYSTIC KIDNEY DISEASE AND NEW TREATMENT APPROACHES
This document summarizes autosomal dominant polycystic kidney disease (ADPKD) and new treatment approaches. ADPKD is characterized by bilateral renal cysts that lead to chronic kidney disease. About 78% of cases are caused by mutations in the PKD1 gene and 15% by PKD2. These mutations disrupt renal epithelial cells and lead to cyst formation and growth over time, eventually causing loss of kidney function. The document outlines the stages of ADPKD progression and approaches to diagnosis, including ultrasound and MRI. It discusses treatments focused on slowing disease progression, including controlling hypertension with RAAS inhibitors and the vasopressin antagonist tolvaptan. Early diagnosis and treatment can help manage complications and improve outcomes for
Running Head Nursing Care Plan Nursing Care Plan for an 80-ye.docx
Running Head: Nursing Care Plan
Nursing Care Plan for an 80-year-old female with Chronic Kidney Disease
Student’s name; Daysi Fernandez
South University
Course: Illness & Disease Management
Nursing Care Plan for an 80-year-old female with Chronic Kidney Disease
Case study
An 80-year-old female presents to the clinic with grievances of asthenia, malaise, headache, weight gain, and a decrease in urination. A tentative diagnosis of acute renal failure is made. She has a history of alcohol and drug abuse. Her medical history is unremarkable, and she has not been taking any medicines. The laboratory results include values of a serum sodium level of 151mg/dl. The potassium level is 2.7mg/dl, chloride is 123mg/dl, and bicarbonate is 14mg/dl. Blood urea nitrogen is 95mg/dl. Blood glucose is 757mg/dl. Serum calcium is 7.5mg/dl, and leukocyte counts are 8000/mm3. The patient is hydrated. She is diagnosed with diabetic ketoacidosis.
Chronic Kidney Disease Patient Questionnaire
1. Have you been diagnosed with kidney disease? Y / N
2. How long has it been your first diagnosed? ____Months / ____years
3. Do you take pain or anti-inflammatory medication? Y / N
4. Do you use herbal treatments? Y / N
5. Do you take blood pressure medication? Y / N
6. Do you check your blood pressure at home? Y /N
7. Have you heard any family heart diseases? Y /N
8. Have you had a history of diabetes or prediabetes? Y /N
9. Have you ever been diagnosed with anemia, or low hemoglobin count? Y / N
10. Have you had any history of osteoporosis, osteopenia, brittle, thin or broken bones? Y / N
11. Summary
I. If you responded yes to any of the questions above, please give more detail___
II. Do you have any question about your Kidney disease that we can help you? ___
Chronic kidney disease (CKD) according to (Bomback and Bakris, 2011) is a continuous decrease of working renal tissue whereby the residual kidney mass cannot sustain the body’s internal environment. CKD is an illness that progressively develops for years or as an effect from an occurrence of kidney related diseases from which the patient has not improved. Acute Renal Failure (ARF) is a continuous and quick weakening of the working of the kidneys (Healthy people 2010, 2013). It occurs when there is a high accumulation of toxic substances in the kidney and left unattended. Development of ARF happens when the kidney fails to remove waste materials from the kidney in the form of urine. Therefore kidney disorders have stopped functioning and lost their strength to remove water and waste from the blood. Deterioration of kidney functioning will lead to other problems in the body such as anemia, poor nutritional health, high blood pressure and nerve damage (Wong et al., 2010). Early diagnosis of this disorder is essential when it comes to its management. Researchers assert that when CKD is detected early, its progression is slowed down and managed (Bomback an ...
Kidney Hospitals in India – Laparoscopic Surgery, Lithotripsy Centre, Dialysi...
Devasya Kidney Hospital provides information on kidney disease, protection, and treatment. Chronic kidney disease means the kidneys are less able to filter wastes from the blood and may lead to failure requiring dialysis or transplant. Type 2 diabetes and high blood pressure are the most common causes. The hospital has advanced laparoscopic and lithotripsy centers, a dialysis center, and other facilities for kidney care. It is located in Ahmedabad and was the first in India to use advanced laser technology for prostate procedures.
E2 chronic kidney-disease-stage-5-peritoneal-dialysis-
This document provides guidance for healthcare professionals on the use of peritoneal dialysis for patients with chronic kidney disease stage 5. It recommends that peritoneal dialysis be considered as a renal replacement therapy option for appropriate patients. Peritoneal dialysis can be performed safely and effectively at home or other locations chosen by the patient, with training and support. The guidance seeks to improve care for patients needing dialysis by making evidence-based recommendations on the role of peritoneal dialysis.
Metabolic abnormalities observed in osteoarthritis of knee: A single center e...
Osteoarthritis (OA) has become a major public health problem not only because of increasing prevalence worldwide (about 21 million people affected in the United States) but also frequent association with cardiovascular diseases-the leading cause of death in the industrialized countries.
Dr. osama-el-shahat-aki-dep
This document discusses acute kidney injury (AKI), including:
1. Definitions and classifications of AKI including RIFLE and AKIN criteria.
2. Biomarkers that can help detect AKI earlier than creatinine such as NGAL and cystatin C.
3. Treatment of AKI including conservative management, indications for renal replacement therapy (RRT), and modalities of RRT such as intermittent hemodialysis, continuous RRT, and peritoneal dialysis.
AKI for VIPCo - Sandokji.pptx
A presentation given at the VIPCo conference.
Recorded presentation can be seen in this YouTube link:
https://youtu.be/mSpZl-JtiIA
Dr. Osama El Shahat PD in DM
This document discusses peritoneal dialysis (PD) in diabetic patients. It notes that about one third of new dialysis patients have diabetes as their primary diagnosis. PD has several potential advantages for diabetics including no need for vascular access, better preservation of renal function, and lifestyle benefits. However, concerns with PD in diabetics include higher peritonitis rates and differences in peritoneal membrane characteristics that may impact transport. Maintaining good glycemic control, preserving residual renal function, and intensive patient education are important factors for successful PD treatment in diabetics.
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Chapter 0621
- 1. Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Chapter 62 Care of Patients with Problems of the Biliary System and Pancreas
- 2. 2Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. GI Tract
- 3. 3Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Gallstones
- 4. 4Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Gallstones (cont’d)
- 5. 5Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Acute vs. Chronic Cholecystitis Underlying cause Signs/symptoms Risk factors Role of diet
- 6. 6Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Cholecystectomy Laparoscopic vs. traditional Preoperative, intraoperative, postoperative similarities and differences
- 7. 7Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Traditional Cholecystectomy Standard preoperative care Operative procedure Postoperative care Opioids via PCA pump T-tube (and care of) Antiemetics Wound care NPO Nutrition therapy
- 8. 8Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Acute Pancreatitis Laboratory and diagnostic tests Clinical manifestations Contributing factors Roles of collaborative health care team Priority of care Priority nursing interventions Patient and family teaching Resources
- 9. 9Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Acute Pancreatitis (cont’d)
- 10. 10Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Autodigestion
- 11. 11Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Complications of Acute Pancreatitis Hypovolemia Hemorrhage Acute kidney failure Paralytic ileus Hypovolemic or septic shock
- 12. 12Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Complications of Acute Pancreatitis (cont’d) Pleural effusion, respiratory distress syndrome, pneumonia Multisystem organ failure Disseminated intravascular coagulation Diabetes mellitus
- 13. 13Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Chronic Pancreatitis Progressive destructive disease of pancreas characterized by remissions and exacerbations Nonsurgical management: Drug therapy Analgesic administration Enzyme replacement Insulin therapy Nutrition therapy
- 14. 14Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Chronic Pancreatitis (cont’d)
- 15. 15Copyright © 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Pancreatic Abscess Most serious complication of pancreatitis; always fatal if untreated High fever Blood cultures Drainage via percutaneous method or laparoscopy Antibiotic treatment alone does not resolve abscess
Editor's Notes
- Organs of the biliary system and the pancreatic ducts.
- Anatomic relationships of the large intestine.
- Gallstones within the gallbladder and obstructing the common bile and cystic ducts.
- Acute pancreatitis. Axial CT image demonstrates peripancreatic stranding (arrow), a finding of pancreatitis. There are multiple gallstones in the gallbladder, which were the cause of this patient's pancreatitis.
- The process of autodigestion in acute pancreatitis.
- Chronic calcific pancreatitis. Axial unenhanced CT image demonstrates multiple pancreatic calcifications, which are a common finding in chronic pancreatitis. The pancreatic duct is also dilated, although that is generally better delineated on postcontrast images.