Prognosis 1
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Mrs. Jameela Saifi, who was suffering from interstitial lung disease, was assigned to the assistant nurse practitioner from October 31st to November 2nd, 2016. Over this time period, her condition improved with treatment including oxygen therapy, analgesics, daily activities and self-care. Her vital signs stabilized, oxygen levels decreased, pain reduced and she was more actively involved in her care. Discharge was being planned pending completion of her treatment regimen and instructions on continuing care.
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Patient Goal/Outcome
Interventions
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Evaluation of Each Goal/Intervention
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Paper URL: https://www.ijtsrd.com/medicine/ayurvedic/23812/nasal-polyp-nasa-arsha-management-through-ayurveda-a-single-case-study/dr-shyam-kumar-sah
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The student nurse created a teaching care plan for a patient who had thyroid cancer surgery. Through assessment, the student identified the patient's acute pain and knowledge deficit regarding non-pharmacological pain management. Goals were set to teach the patient 3 pain relief methods by a certain time and reduce her pain level to below a 2 by discharge. The student taught the patient physical and cognitive-behavioral pain relief techniques. Medication administration was also checked. Outcomes were met as the patient was able to demonstrate techniques, have reduced pain levels, and swallow foods with less pain.
PRACTICAL SEMINAR PRESENTATION ONEs pptx
The patient is a 64-year-old male admitted with aspiration pneumonia. He has a history of stroke which caused swallowing dysfunction and reduced mobility. Laboratory findings show anemia and elevated white blood cell count indicating infection. The patient requires full assistance with activities of daily living and nutrition is provided through a feeding tube. Nursing care involves treatment of the infection, prevention of further aspiration, and rehabilitation to improve swallowing and function.
Self Management of Asthma
This document discusses self-management of asthma through peak flow monitoring. It begins by defining asthma and highlighting its chronic nature. It then discusses using a peak flow meter to monitor lung function and identify early signs of worsening asthma. By dividing readings into green, yellow, and red zones on a peak flow chart, patients can tailor their medication based on the zone to help control symptoms and prevent attacks. Regular monitoring using a peak flow meter and adherence to the treatment plan it outlines allows patients to better self-manage their asthma.
Ms. Tate Case Summary
Ms. Tate, a patient at Glenbridge Nursing Home, is seen in her wheelchair after her shower. She struggles to find words at times and seems fearful about not being able to visit her niece. Her medications were recently adjusted which led to increased confusion and yelling. Increasing her gabapentin dosage helped significantly improve her symptoms. She has also recovered from a possible respiratory or urinary infection treated with IV fluids and antibiotics. On examination, her lungs are clear and heart rhythm is normal.
Pneumonia
My little case study and a brief discussion about Pneumonia in general.
Constructive criticisms and reactions are welcomed. I'm still a nursing student, so I would like to thank you guys in advance for helping me to learn more.
:)
Asthma case study by abhishek pandey
A 48-year-old female patient presented with breathlessness, chest tightness, and cough with expectoration. Physical examination revealed dyspnea, tachycardia, and abnormal lab results. Spirometry showed 62% of predicted FEV1. She was diagnosed with acute exacerbation of asthma. Her treatment plan included bronchodilators, antibiotics, leukotriene inhibitors, and vitamin supplements. A clinical pharmacist counseled the patient on medication use, disease management, and lifestyle modifications like exercise and diet.
Financial & Managerial Accounting Assignment 1 – Financial S.docx
This document provides guidelines and instructions for an assignment on financial statement analysis. It states that the assignment is individual work, must be grounded in relevant theory, and plagiarism will be penalized. It provides word count guidance and states the assignment is an Excel assessed work folder and business report to be submitted as one document between weeks 3-4. The learning outcomes assessed are also listed.
The second part of the document is a sample SOAP note for a patient presenting with cough and fever. It provides an exemplar of all the required sections of the SOAP note, including subjective information like the patient's history and complaints, objective physical exam findings, assessments and diagnoses, and a plan section.
Git j club gerd acg guides21
This document summarizes the key points discussed in a surgery club meeting on GERD. It was noted that GERD remains one of the most common conditions seen in clinical practice. While PPIs are still first-line treatment, there has been increased scrutiny of their long-term safety profile and overprescribing. New data on surgical and endoscopic interventions was also discussed. The document presents several case studies and questions on the best next steps for management.
Pneumonia in english
THIS SLIDE IS PREPARED BY SURESH KUMAR FOR MY STUDENT SUPPORT SYSTEM TO WATCH THIS VIDEO VISIT YOUTUBE CHANNEL- https://www.youtube.com/channel/UC3tfqlf__moHj8s4W7w6HQQ
YOU CAN JOIN FACEBOOK GROUP FOR MORE SUCH VIDEOS BY THIS LINK- https://www.facebook.com/groups/241390897133057/
FOR MAKING EASY NOTES YOU CAN ALSO VISIT MY BLOG - https://mynursingstudents.blogspot.com/
Instagram- https://www.instagram.com/mystudentsupportsystem_nursing/
Twitter-https://twitter.com/student_system?s=08
,#pneumonia,#acuterespiratorytractinfection,#CHILDHEALTH,#paediatrics,#childhealthnursing
Nursing Process – SAMPLE Nursing DiagnosisNANDA (North American .docx
Nursing Process – SAMPLE Nursing Diagnosis
NANDA (North American Nursing Diagnosis)
Chronic Painrelated to unknown etiology
as evidenced by self-reports of pain “I feel pain when sitting or lying down mostly at night” using a standardized pain scale, 4/10 on a 0 to 10 numeric rating scale. The patient reports an altered sleep-wake cycle.
Patient Goal/Outcome
Interventions
Rationale for Interventions
Evaluation of Each Goal/Intervention
1)The Patient’s pain will reduce and her sleep will promote by using nonpharmacological methods such as supplements or enhance pharmacological interventions within the next three months.
1a) RN will in addition to administering analgesics, support the client's use of nonpharmacological methods to help
control pain, such as distraction, imagery, relaxation, and application of heat and cold.
1b) RN will ask the client to describe prior experiences with pain, effectiveness of pain management interventions,
responses to analgesic medications (including occurrence of side effects), and concerns about pain and
its treatment (e.g., fear about addiction, worries, anxiety) and informational needs.
1a) Evidence
suggested efficacy and satisfaction when complementary therapies are integrated into pain treatment plans of
older adults (Bruckenthal, 2016 as cited in Ackley et al., 2022, p. 723).
1b) Sleep disturbance and decreased physical activity are adverse
effects of people with chronic pain. In a study of clients with chronic pain, those who participated in a 4 week
multiprofessional program that included psychoeducation and training related to pain, sleep, exercise, and
activity training had improvement in sleep quality and pain intensity (de la Vega, 2019, as cited in Ackley et al., 2022, p. 721).
1a) Goal partially met. Patient’s pain decreased to level 2/10, with relaxation therapy such as meditation and usage of heat pads.
1b) Goal met. Patients starts to drink Valerian root tea and states “It reduced the amount of time takes me to fall asleep and helped me sleep better.”
Health history assignment part 1
Section 1: Biographic Data
N.V is a 46-year-old married Iranian woman, who currently is a full-time financial manager at BMW company. She speaks fluent English and does not require an interpreter.
Section 2: Source of History
The patient provides the information herself. The patient seems reliable, as she is alert and oriented.
Section 3: Reason for Seeking Care
The patient states, “I am really exhausted and want to get rid of my leg pain. I have severe pain in my thighs and legs and it started six years ago.”
Section 4: History of Present Illness (HPI)
The patient’s thigh and leg pain began six years prior to the interview. Her pain started following the birth of her second child. The patient has frequent episodes, the last being three days ago. It has never been resolved. It is specially located in the thighs and .
Asthma in children english
THIS SLIDE IS PREPARED BY SURESH KUMAR FOR MY STUDENT SUPPORT SYSTEM TO WATCH THIS VIDEO VISIT YOUTUBE CHANNEL- https://www.youtube.com/channel/UC3tfqlf__moHj8s4W7w6HQQ
YOU CAN JOIN FACEBOOK GROUP FOR MORE SUCH VIDEOS BY THIS LINK- https://www.facebook.com/groups/241390897133057/
FOR MAKING EASY NOTES YOU CAN ALSO VISIT MY BLOG - https://mynursingstudents.blogspot.com/
Instagram- https://www.instagram.com/mystudentsupportsystem_nursing/
Twitter-https://twitter.com/student_system?s=08
,#asthma,#acuterespiratorytractinfection,#CHILDHEALTH,#paediatrics,#childhealthnursing
Case study patient with copd
1. JS, a 74-year-old man with COPD, heart failure, and pneumonia, presents with shortness of breath and fever. His medical history and physical exam reveal severe COPD and risk factors for exacerbation.
2. Chest X-ray confirms right lower lobe pneumonia. ABG results show respiratory acidosis. The patient is treated with antibiotics and oral steroids in the hospital with improvement.
3. Proper management of COPD includes educating patients about self-care, monitoring for exacerbations, promoting smoking cessation, and referring to pulmonary rehabilitation.
Bronchial Asthma slide share ppt
The document summarizes a seminar on the management of bronchial asthma. It discusses the objectives of understanding the definition, pathophysiology, and approaches to managing asthma. It then presents two case scenarios of patients presenting with asthma exacerbations and outlines diagnostic and treatment approaches based on asthma control and severity. The key aspects of asthma management include assessment, pharmacological treatment using bronchodilators and inhaled corticosteroids, and stepping treatment up and down based on asthma control.
2012 asthma
This document summarizes guidelines for diagnosing and managing asthma from the American Thoracic Society, National Asthma Education and Prevention Program, and Global Initiative for Asthma. It outlines defining features of asthma including airway inflammation and obstruction. Diagnosis involves assessing symptoms, lung function testing, and ruling out other causes. Goals of treatment are avoiding symptoms, limiting reliever medication use, and normal lung function through a stepwise treatment approach tailored to asthma severity and level of control.
Status epilepticus
Status epilepticus (SE) is a medical emergency that starts when a seizure hits the 5-minute mark (or if there’s more than one seizure within 5 minutes).
Convulsive Status epilepticus-
The convulsive type is more common and more dangerous.
It involves tonic- clonic seizures (grand mal seizures)
In the tonic phase ( lasts less than 1 minute), body becomes stiff and person lose consciousness. Eyes roll back into head, muscles contract, back arches, and trouble breathing.
As the clonic phase starts, body spasms and jerks occur. Neck and limbs flex and relax rapidly but slow down over a few minutes.
Once the clonic phase ends, patient might stay unconscious for a few more minutes. This is the postictal period.Non-convulsive Status epilepticus-
Patient lose consciousness but is in an “epileptic twilight” state.
There might not able any shaking or seizing at all, so it can be very hard for someone observing patient to figure out what’s happening.
A non-convulsive seizure can turn into a convulsive episode.
Poorly controlled epilepsy
Low blood sugar
Stroke
Kidney failure
Liver failure
Encephalitis
HIV
Alcohol or drug abuse
Genetic diseases such as Fragile X syndrome and Angelman syndrome
Head injuries
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多年留学服务公司,拥有海外样板无数能完美1:1还原海外各国大学degreeDiplomaTranscripts等毕业材料。海外大学毕业材料都有哪些工艺呢？工艺难度主要由：烫金.钢印.底纹.水印.防伪光标.热敏防伪等等组成。而且我们每天都在更新海外文凭的样板以求所有同学都能享受到完美的品质服务。
国外毕业证学位证成绩单办理方法：
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4：个人职称评审加20分个人信誉贷款加10分。
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本公司拥有海外各大学样板无数，能完美还原。
1:1完美还原海外各大学毕业材料上的工艺：水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠。文字图案浮雕、激光镭射、紫外荧光、温感、复印防伪等防伪工艺。材料咨询办理、认证咨询办理请加学历顾问Q/微741003700
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二.真实使馆公证(即留学回国人员证明,不成功不收费)
三.真实教育部学历学位认证（教育部存档！教育部留服网站永久可查）
四.办理各国各大学文凭(一对一专业服务,可全程监控跟踪进度)
如果您处于以下几种情况：
◇在校期间，因各种原因未能顺利毕业……拿不到官方毕业证【q/微741003700】
◇面对父母的压力，希望尽快拿到；
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◇企事业单位必须要求办理的
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◇申请留学生创业基金
留信网认证的作用:
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2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
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本公司拥有海外各大学样板无数，能完美还原。
1:1完美还原海外各大学毕业材料上的工艺：水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠。文字图案浮雕、激光镭射、紫外荧光、温感、复印防伪等防伪工艺。材料咨询办理、认证咨询办理请加学历顾问Q/微741003700
【主营项目】
一.毕业证【q微741003700】成绩单、使馆认证、教育部认证、雅思托福成绩单、学生卡等！
二.真实使馆公证(即留学回国人员证明,不成功不收费)
三.真实教育部学历学位认证（教育部存档！教育部留服网站永久可查）
四.办理各国各大学文凭(一对一专业服务,可全程监控跟踪进度)
如果您处于以下几种情况：
◇在校期间，因各种原因未能顺利毕业……拿不到官方毕业证【q/微741003700】
◇面对父母的压力，希望尽快拿到；
◇不清楚认证流程以及材料该如何准备；
◇回国时间很长，忘记办理；
◇回国马上就要找工作，办给用人单位看；
◇企事业单位必须要求办理的
◇需要报考公务员、购买免税车、落转户口
◇申请留学生创业基金
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
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Prognosis 1
- 1. PROGNOSIS 31-10-16 Temperature : 97F Pulse : 86/min Respiration : 24/min Blood pressure: 130/80mmhg Mrs. Jameela saifiwas suffering frominterstitial disease. She was administered oxygen therapy at a rate of 3litres. No signs of cyanosis seen in the patient. Analgesics were provided for chest pain. Kussmaulbreathing was seen and was asked to carry pursed lip breathing. Daily activities were scheduled which involved activity and rest periods. Self care deficit due to breathing difficulty and so was assisted and encouraged in activities of daily living. Supportivecare provided. 01-11-16 Temperature : 98.4F Pulse : 84/min Respiration : 20/min Blood pressure : 120/70mmhg Jameela saifi followed pursed lip breathing.
- 2. Continued chest exercises and use of incentive spirometry She was involved in activities of daily living . Oxygen levels were reduced to 2litres. Pain became bearable and doses reduced. She was more active. Involved morein self care, groomed well. Understood the need for care, maintaining health and cleanliness. Followed diet regimen and medications as asked to. 02-11-16 Temperature : 97F Pulse : 84/min Respiration : 20/min Blood pressure: 110/80 mmhg Mrs. Jameela saifi carried her daily activities well Analgesics were stopped. Antibiotics and bronchodilators continued . Carried all self care activities well Maintained grooming and cleanliness. Oxygen administration was stopped. Chest exercises and use of incentive spirometry was continued. Followed diet regimen and medications were taken timely.
- 3. Tissueperfusion was maintained. Effective Breathing pattern maintained. Dischargewerebeing planned DISCHARGE PLANNING Mrs.jameela saifi is a patient suffering from interstitial lung disease. Discharge was not decided yet planning made. Patient was on antibiotics, bronchodilators and supportive care was provided. Mrs. Jameela was adviced to carry out antibiotics, bronchodilators, chest exercises taught, use of incentive spirometry explained and returned demonstrations taken. Instructed to strictly stay away from air pollutans. Pursed lip breathing was adviced. SUMMARY As part of ANP posting, my subject for case study was Mrs. Jameela saifi who was suffering from interstitial lung disease. He was suffering frm breathing difficulty for the past 10years.she was assigned to me from 31st of october to 2nd of November, 2016. He prognosed well after treatment. CONCLUSION Thus, Mrs. Jameela saifi a case of interstitial lung disease was taken well care of with the help of health professionals, reacted well to surgery and medications and was discharged on 11th November, 2016.
- 4. BIBLIOGRAPHY SUZANNEC SMELTZER, BRENDA G BARE, BRUNNER AND SUDDHARTH’S TEXTBOOKOF MEDICAL SURGICAL NURSING, VOLUME2, 12TH EDITION, PP: 1067-1110. LIPPINCOTTWILLIAMS AND WIKINS, NURSING 2011 DRUG HANDBOOK, 31ST EDITION, PP:1300-1302, 1010-1015 1340-1367,330-332. RISK FOR impairedventilationperfusion, ELSEVIER,www1.us.elsevierhealth.com/SIMON/Ulrich/Constructor/diagnoses.cfm.https://www.nursingtimes.net /nursing-patients...interstitial lung diseas /850840.article. Michael Buckmire, MD, FACS, FASCRS, ASCRS, Americansociety of respiratory disorders. Gerald j. tortora, bryan h. derrickson, principles of anatomy and physiology, volume 2, 12th edition, PP: 676-700.