Pain Case Studies Samples For Students

[Institution Title]

Care Plan Template

Patient Initials: Not Applicable Age: 60 y/o Sex: Male
Subjective Data:
HPI (History of Present Illness): Patient said that the abdominal pain started the day before. Although patient admitted to experiencing similar discomfort in the past, patient did not experience this kind of pain which he rated as 10 from last night. In the past, the pain would only last for a couple of hours unlike this time which has not been relieved despite 24 hours had already passed. Patient also admits to experiencing nausea but has not vomited despite feeling nauseous. For the past ...

[Institution Title]

Care Plan Template

Patient Initials: N/A Age: 60 yrs. old Sex: MAle
Subjective Data:
HPI (History of Present Illness): Patient has been experiencing heartburn during the past 2 weeks. Patient said to experience heartburn after eating. It is relieved after a few hour or after taking over the counter antacid. According to patient, the pain seems to progress. It started in the umbilical region and is now diffused. Patient said that he was partly relieved after sitting down. However, the pain has become unbearable that he rated it 10 during the actual attack.
PMH (Past Medical History— ...

Axis I

Lucy suffers of a major depression or depressive condition. She is getting the attention or medication with the antidepressants. This depressive episode is causing a lot of disturbance in her daily life activities. The medical pain is extreme hence making her to fail going to her workplace.

Axis II

She is suffering from a personality disorder, which has contributed to the development of the depression. The attempted to commit suicide shaped her condition of depression. Her history of depression is as a result of the medical pain and being diagnosed with fibromyalgia. The personality disorder induces the depressive episode in axis I.

Axis III

Depression disorder is ...

Q. 1 Assess Mrs Daps’ medication chart. Discuss three (3) significant risks involved with Mrs Dap’ home and/or inpatient use of medicines.

Based on Mrs Dap’s medication chart, it shows that the patient is being administered with regular, variable dose and PRN medications. The patient requires several medications that are specific to her condition. However, the number of medications scheduled for Mrs Dap could potentially cause a medication interaction, even though each targets specific condition. For example, the patient is being administered with 10mg of Felodipine daily, which is a CCB type of medication. However, calcium channel blockers tend to ...

The patient was a 24-year-old black male who was brought to the emergency room via an ambulance on June 21 at 03:50 pm. The report indicated that it was a pedestrian versus vehicle accident. The state of the patient reported included acute lung injury, pulmonary contusion, deep road rash extending over right side of axillary region to the abdomen, deep avulsion to the right hip area and exposed muscles. Trauma alert team and the respiratory therapist were called to the bedside. The patient developed respiratory failure and immediately was intubated by the respiratory therapist with an endotracheal tube size 7.5 mm. ...

Question 1

Introduction
- Hello! Dr. Williams I am calling to inform you about your patient Jamie Lynn.

Situation

- This is the situation, Ms. Jamie is having severe abdominal pains she is sweating and very anxious.

Background

- The supporting background is that she was admitted with complains of abdominal pains 2230 hrs yesterday. She was then admitted to the acute medical unit for investigation on the investigation for query appendicitis 0600 hrs today. Other details include; Vitals: 38.9 124 26 BP: 145/70 Sp02: 97% on room air. Pain: 8/10 on a scale of 1 to 10. Region: right lower quadrant of ...

Question 1 – Critically discuss the initial history taking and assessment of Mr. Markantonakis

In every medical procedure, regardless of the type of medical practitioner (e.g. Nurse, Physician, Physiatrist, Physical Therapist, Paramedics), it is standard, at least in most medical centers that an initial history taking, assessment, and evaluation is performed. Aside from helping the practitioner paint a bigger picture of the patient’s condition and diagnose, and do medical procedures based on this document, medical documents such as this serve as protection for the patients (or in this case, the patient’s family), and the practitioner, should an unexpected death of exacerbation of the patient’s condition that would lead to a lawsuit occur. ...

Jane is a thirty seven year old woman working as a Nurse. Jane has been working in a fast paced technical department of a hospital for over 15 years in a role that requires a very high degree of repetitive hand finger manipulation, and fine manual dexterity. Her roles include application of digital pressure to prevent blood hemorrhage, and complex canulation procedures (RBI, para 5).
Jane has no underlying medical conditions. A general practitioner has already diagnosed Jane with Carpal Tunnel Syndrome and the line manager has referred Jane to the occupational safety department to modify her work procedures as a treatment option (RBI, para ...

Section 1

Part A: Assessment
Cause
Hank’s pain comes from a two-year-old surgery and radiotherapy for his left lung mesothelioma.
Objective Data
Hank is alert, oriented and can respond to questions in an appropriate manner. Hank’s skin appears pale with slight perspiration. The VAS assessment kit shows an intensity score of 2/10. Furthermore, Hank demonstrates distress on movement with visible restrictions on trunk movements. Finally, Hank’s chest is clear though with reduced air entry.

Subjective Data

Hank explains that he has a constant burning pain localized in his left chest area. He states that the pain has been continuous since ...

The case is based on acute right quadrant abdominal pain of Mrs. DC who comes to the emergency department. She states that the pain occurred after dinner and has steadily increased. She complains that the pain has increased substantially which has moved towards her back. She also reports to feel bloated and gassy (Yarmish, et al. 2014).
The cause of upper right quadrant pain can be due to varied reasons which is based on the general conditions, age, and sex of the patient (Mazzei, et al. 2013). The medical history and physical examination of the patient would help in ...

Pediatric Case Study

Part I. Cultural and Family Assessment

Culture and family are oftentimes neglected during patient assessment, especially when the person is viewed only in terms of disease, causes and treatment. However, providing holistic care that encompasses all aspects of the patient’s life has the potential to improve patient outcomes. In nursing theory, Callista Roy and Madeleine Leininger refer to culture as a belief system, a worldview through which the patient perceives health, care, nursing and the world in general (George, 2011). It is transmitted from one generation to the next through interaction in social institutions such as the family, school and ...

Objective Data

Physical assessment procedures on the patient can help to identify some findings that can form a vital part of the pain diagnosis and influence treatment regimens. The following are some of the key inspections features that a health practitioner can seek out when assessing the patient according to “Chapter 8. Pain Assessment”;

Posture

The patient’s posture gives an insight into the effects of the pain on the physical aspects of the patient. An upright posture may indicate comfort while a slumped posture might indicate discomfort.

Facial Expression

A smiley face with appropriate facial expressions and proper eye contact would indicate that ...

In the given case the nurse should ask the following questions in addition to the ones already asked, regarding the pain. If the pain radiates to any other organ, if there is any relation between the pain and the menstrual cycle of the patient? If the pain increases before or during the menses, if there is any family history of such pains, especially in the maternal side, if anyone in the family has a history of breast cancer, or if she is pregnant or not.

Some of the important causes of breast pain which should be borne in the ...

Pain: State in which the individual experiences and communicates the presence of severe discomfort or an uncomfortable feeling.

Related factors: Pain resulting from musculoskeletal disorder; in this case, osteoarthritis; immobility

Features: Verbal communication of pain descriptors, level 8-9 pain reported by patient

Evidence: Mrs. Hardy experiences great knee pain when climbing stairs, a symptom associated with her osteoarthritis. Osteoarthritis cannot be cured, but pain can be controlled.

The primary client-centred goal for Mrs. Hardy is pain management (Bijlsma, Berenbaum and Lafeber, 2011). Expected measurable outcome is that Mrs. Hardy will experience relief of pain as evidenced by Mrs. Hardy’s ...

Abdominal Pain

Acute abdominal pain is a common presenting complaint. It can be due to a range of conditions some of which are benign and self-limiting and others life-threatening medical/surgical emergencies (Cartwright and Knudson, 2008). This paper will address the issue of abdominal pain from a paramedicine perspective in reference to a 29 year old male patient who presents with this complaint. It will interrogate the provided information and identify other essential information that is needed, three differential diagnoses for the patient, and the pathophysiology of the most probable diagnosis. Lastly, the implications of the case on paramedicine practice will be ...

Pathophysiology

One of the most important parts of achieving the goal of being able to meet the patient’s entire healthcare (i.e. nursing) needs is to ensure that the underlying disease’s pathophysiology is well understood by all the stakeholder groups. These groups, in this case, would include the medical and healthcare practitioners, patients, and their respective family members. It would be a lot easier to instruct a patient to have a patient undergo a prescribed healthcare routine once he understands the nature of his condition, why each procedure is being done, and how they collectively contribute to the end-goal ...

Caner care and the complications of chemotherapy have always created concerns in the nursing profession. Arguments have been that these complications are preventable since evidence based research has discovered strategies to limit burns and other adverse effects of the treatment. The following pages of this document present a case study of a patient suffering from chemotherapy complication. A synthesis of evidence based research interventions that have been recommended as prophylactic measures will be advanced as an appropriate nursing care is designed for this patient.

Mr. John was diagnosed with colorectal cancer and agreed to surgery. Adjuvant Chemotherapy was prescribed after surgery ...

Introduction

Osteoarthritis of the knee also known as the degenerative arthritis is a major and growing problem for the elder population all over the globe. Approximately, 27 million individuals have been reported to suffer from osteoarthritis by the Arthritis Foundation in United States (US). Women have been more commonly reported to suffer from osteoarthritis as compared to men. The prevalence of developing arthritis has been found to increase after the age of 45 . Although, mostly elderly population are most affected yet there are few evidences of young people suffering from it. Osteoarthritis is also commonly defined as wear- and- tear ...

Clinical Case Study

The evidence based clinical literature reveals the difficulties in diagnosing Myocardial Infarction (MI) concomitantly with pre-existing left bundle branch block (LBBB) with the application of 12 lead ECG in the pre-hospital environment (Surawicz and Knilans, 2008). Indeed, the T waves and baseline ST segments incongruently displaced in negative direction in cases of LBBB as evident through the ECG findings. These abnormal variations in ECG findings tend to override the actual ECG results in relation to MI manifestations, thereby challenging the confirmation of MI with the ECG intervention. However, the moving ST segments revealed through the serial ECGs during ischemic ...

Meadowbank TAFE

HLTAP501A/B/C Analyze Health Information
HLTCOM510B Provide Services to Clients with Chronic Disease or Conditions
PATHOLOGY ASSIGNMENT
–ASTHMA–
Abstract
Asthma is a chronic problem that influences lung function. Clinically asthma is identified by the variation in expiratory airflow and abnormal respiratory symptoms such as wheezing, chest congestion, cough, and shortness of breath. The aetiology of asthma is linked to a mixture of genetic and environmental factors, though; heredity or atopy also plays a role in asthma. Asthma is categorized into two types: extrinsic (allergic) and intrinsic (nonallergic). Allergic asthma is an outcome of the reaction of an antibody ...

Differential Diagnoses Assignment Answer Sheet

NURS 5305 Adult Management
The case
68 year old man presents with pain in the right shoulder. He states that it came on while lifting a box down from a shelf. He thinks that the symptoms started about 3 weeks ago, now he finds it difficult to lift his arm above his head. The pain itself has gotten worse, and “interesting, that the pain is worse when he tries to go to sleep at night”. He has never had anything like this scenario before; he has used heat, ice and rub-on liniments without relief. He has taken a few ...

The patient presents with anorexia, heartburn, and weight loss over the past 6 months while also complaining of back pain. All these symptoms point to a problem within the gastrointestinal system which is slowly developing and which if not managed at this early stage could progress to severity. The weight loss over the last six months is an indication of the inability of the body to process and utilize the meals taken as would be expected and the body is currently more reliant on the food/energy reserves (Jarvis, 2015).
In this case, there are three possible causes for these ...

I will use the Institute for Clinical Systems Improvement (ICSI, 2013) assessment protocol to evaluate the patient. I will conduct a history, physical, and assessments of pain and function. I will next ascertain the biological causes of the patient’s back pain, i.e. if the pain is neuropathic, muscle-related, inflammatory or compressive/mechanical (ICSI, 2013). If the pain is chronic, it is necessary to find out if the cause can be corrected which may require referral to a specialist. If not, I will perform assessments of work, disability, psychological and spiritual wellbeing, contributing factors, and barriers to pain management (ICSI, ...

Abstract

The health care providers come into contact with patients and people from a variety of faiths. This means that they should have the right knowledge of the diversity of religions. The purpose of this paper is to provide a comparative ethical analysis of George, patient diagnosed with ALS, which is a progressive disease that will cripple his quality of life. Ultimately, he will lose control over his life and become completely dependent on others. The deterioration of motor neurons will make him lose his ability to speak, move, eat, and breathe. George is devastated by the diagnosis and is ...

PHIL 434 Medical Ethics

Short answers 3 point seach
What is medical tourism?
Medical tourism is “where patients travel overseas for operations and various invasive therapies.” (Connell 2006, p. 1093).

What are 3 reasons people choose surgeries/procedures in other countries?

1. Economics – Even with health insurance, many procedures can be performed
for a fraction of the cost overseas.
2. Quality of care – quality of care is increasing around the world to the
near equivalent of Western countries.
3. More options- Even with health insurance, many patients find their health insurance companies limit the kinds of procedures they are able to receive.

What is the commoditization of care?

Turning health care into a commodity that is undifferentiated from other competing ...

Diagnosis

Goals
Interventions
Assess area and intensity of Mrs. Laure’s pain together with the changes in the pains characteristics hourly
Elevate neck and leg slightly using either a pillow or bed adjustments
Discuss the pain and places it is felt putting into perspective why and how it is felt. Acknowledge the presence of the said sensations as Mrs. Larue’s real pain.
Instruct Mrs. Larue on the appropriate use of appropriate use of patient-controlled analgesia not forgetting effective pain management measures.

Issue PRN medications in a prescribed manner for breakthrough pain, employing opioid and nonopiod medicine.

Assess symmetry, the degree of Mrs. Larue mobility and strength.

Advice for effective isometric exercises when required

Monitor pain as it can limit mobility and ...

Introduction

Sub- capital fracture of the femoral neck is a common injury among the ageing population and is regarded as “unsolvable fractures”. This is a growing health concern in every country as the healthcare expenditure is very high. The surgical options, especially for elderly population, highly depend on the patient’s profile, their preference and the experience of the surgeon . Mrs. Pollard, 75- year- old, sustained a left sub- capital fractured neck of femur. Due to her age and her other complications such as hypertension and Type- 2 diabetes, a total hip replacement might be a better surgical option as ...

Initial Patient Assessment

Overview
The patient is 67-year-old Mrs. Finch.

She lives with her husband in their marital home.

Recently, she suffered a CVA and had been in the hospital’s rehabilitation ward recovering from her latest episode.
Before her CVA, Mrs. Finch had a healthy and active lifestyle.

However, her condition has brought with it numerous other complications including a chest infection.

She is also having difficulty staying mobile due to residual weakness on her left side.
She has had a dark wound on her heel for about a week now. This wound keeps deteriorating into the present wound.
A series of CVA specific issues such as limited mobility, the risk for infection and reduced nutrition hinders Mrs. Finch’s capacity to heal.
Wound ...

HISTORY OF PRESENTING ILLNESS:

56 year old female presented to emergency (ER) with the chief presenting complaint of pain in chest which was sudden in onset radiating up to her neck. She also experienced shortness of breath while having chest pain without diaphoresis, vomiting, or nausea. The symptoms subsided on resting. The next day, she started feeling same symptoms while she was walking her dog. She then rushed to the hospital and did not do anything for her pain besides coming here. She does not remember experiencing dizziness, palpitations or dyspnea on exertion. The pain remained same even on moving and had no ...

The case here is a case of failed back syndrome. Failed back syndrome is also referred to as post laminectomy syndrome. It is a term used to describe the discomfort and pain that a patient experiences after undergoing surgery. It would be recalled that Brenda underwent back surgery for a back condition a few years back. She has not relapsed into excruciating pain that has necessitated her attending a pain clinic, obviously to alleviate her pain.
I believe that the multidisciplinary team gave Brenda full details of her condition, and the fact that this condition is very difficult to cure. Even if a temporary solution ...

Patient history

JM is a 28-year old Hispanic 38 weeks pregnant, admitted into the maternity unit. This is her first pregnancy and seems calm and relaxed, except for the normal anxiety of this stage of pregnancy. Her obstetric history; G1, T1, P1, A0, L0

1st stage

Subjective: The patient verbalizes that she is afraid of the delivery process because it is her first time into the maternity ward. Patient verbalizes extreme abdominal pains.
Objective: Patient exhibits, facial tension, poor eye contact and grimacing observed. Patient appears anxious, pre-occupied as well as decreased perceptual field. Vital signs (T-370 C, BP- 138/74 mmHg, RR-14 cpm, ...

R M. G

Dr. S
P. A., a 56 year old Italian male that identifies with the Italian culture with no significant past medical history presents to the emergency department with the chief complaint of recurrent chest burning. P.A. says his wife believes that he is showing symptoms of having GERD but he has never been diagnosed. P.A states that “the chest burning and discomfort began five days ago and just got progressively worse despite his self medicating with TUMS” he presented to the emergency department on 05-31-16 and felt “some improvement” after a GI cocktail was administered. One set of biomarkers ...

This paper addresses a pharmacological management plan for Mr. NX, including consideration of possible contraindications for CAMs, prescriptive and non-prescriptive recommendations for management of acute pain and other ongoing disease processes, followed by evaluation strategies.

Pharmacological Management Plan

CAMs Contraindicated with Current Prescriptions
The order of Mr. NX include drugs such Glyburide 3 mg daily with breakfast, Lisinopril 20 mg daily and Coumadin 5 mg daily. Glyburide is an oral anti-diabetic drug (mainly for diabetes type 2). Glyburide causes lactic acidosis and. Therefore, anything that may increase the risk of this side effect is contraindicated like in this case the use of ...

Jane Doe

Questions:
Describe how burn wounds are classified. Identify and describe Mr. Angelo’s burn injuries.
Burn wounds are classified using four degrees that are based on the severity of how many layers of the dermis have been damaged; the higher the degree of burn classification, the more severe the burn injury and damage done to the patients skin and body. In the case of Mr. Angelo’s burn injuries, he sustains both 2nd and 1st degree burns covering approximately 40 percent of his body.

Explain the “rule of nines” used in assessment of burn injury.

When assessing burn injuries, the “rule of nines” is a formula to assess how much ...

Question 1

One would need to know the period for which the pain has been ongoing. One would also need to know from the patient if he has had a physical injury to his knee in the recent past. One would also need to know if the patient has been involved in some strenuous exercise recently.

Question 2

Magnetic resonance imaging would also need to be carried out to determine where there is damage to other joint tissues.
Fluid would also be acquired from the knee joint for microscopic scrutiny to conclude whether the pain is resulting from a bacterial infection or from ...

Video Game Violence and its effects on children

Abstract
This was a single subject case study to evaluate the effects of video games on children. In this study, a case of 14- year- old boy was evaluated to check whether the problems he faced were the result of long- term exposure to video games. The 14- year- old boy was administered with sedatives and anticoagulants to treat deep vein thrombosis. He underwent FMRI scans, cognitive inhibition- counting test and emotional interference tests designed to see his brain activity and response to different stimulus. The FMRI scans and the results of the tests were recorded and compared with the ...

Step1: Patient situation:

The first step in clinical reasoning is to describe the patient in the context of the clinical situation. Ms. Melody King, a 36-year-old female was presented for an emergency laparoscopic surgery for a ruptured appendix. She has a medical history of asthma and depression. Her medication list includes Ventolin, Seretide, Sertraline. Postoperatively, Melody developed peritonitis and was treated with antibiotics and analgesic. The biopsy results of Melody’s sample revealed the presence of adenocarcinoma. Melody will need to undergo a few most test, and till then continue her stay at the hospital. The diagnostic tests: CT scan of chest, ...

[Institution Title]
Clinical Case: Patient W.R.

The priorities of care

The first priority in relation to provision of care in the case of patient W.R is relieving him of the discomfort brought about by perceived unrelieved indigestion. The second priority is to address the elevated blood pressure of the patient. Finally, the third concern would be to transfer W.R to the Regional Medical Center so that he could be subjected to cardiac catheterization and given proper medical attention.

The Admission VS

For a man his age, the vital signs of W.R., in particular of his blood pressure recorded at 200/124 is not normal. The blood pressure ...

The requirements to be filled on a patients admission form after an open reduction and internal fixation will include; the patient’s full name, the date of birth, weight, height, and vitals (such as; health status), the M/S on the bone status which will include; fractured right femur and humerus, muscle strength, extensor, abductor muscle strength, normal fixed supinated cavus type foot, the heartbeat rate and rhythm, and the capillary filling.
This information will be vital in determining if K.B. needs to undergo surgery, hence cold pack is preferred as it will ease any pain and swelling. It will ...

The symptoms of anorexia, heartburn, and weight loss are common for duodenal ulcer disease, functional dyspepsia, acute gastritis, alcohol related dyspepsia (ARD) as well as gastroesophageal reflux disease (GERD). All these conditions are difficult to diagnose correctly due to the variable nature of its presenting symptoms against those of other gastrointestinal illnesses. In this case, acute gastritis is ruled out technically by the fact that it presents with presence of blood in the stool and the test in this case did not indicate any blood stains. On the other hand, acute gastric presents with temporary pain in the stomach ...

Patient information

The patient under review is a 42 year old female Indian who is admitted into the emergency room presenting with acute gastrointestinal bleeding. Prior patient diagnosis reveals the patient had suffered from dental abscess and also a fractured tooth, which was subsequently treated with antibiotics. However, a tooth extraction procedure was carried out for the extraction of the tooth. Ensuing dental ache was treated with drugs purchased over the counter (OTC) including ibuprofen and acetaminophen before the medical prescription of Vicoprofen. The patient complains of nausea and headache in addition to vomiting copious amounts of a dark brown liquid ...

The issue/ problem

The case concerns Mr. A. His medical condition relates to terminal cancer that is affecting his lower spine and pelvic bones. The problem with his condition is the complexity of the situation. The patient has decubitus ulcers since the skin around his pelvic bones has developed bed sore and pressure sore. At one point, nurses do not know whether to keep on turning him to avoid any further skin breakdown while other nurses insist that he has to remain in the present position to stop causing pain to the patient. Also, it is critical since Mr. A has a ...

Question one: What is the etiology of JIA?

Juvenile Idiopathic Arthritis (JIA) is a common type of arthritis affecting children below the age of 17. The condition relates more to malfunctioning of the immune system that targets the lining of the synovial membrane found in the joints causing an inflammation and later damages the joints. Medical professionals and disease experts are yet to establish the etiology of JIA; however, the condition is highly linked to genes transfer. JIA is not a hereditary disease because it rarely affects more than one person in the family. Multiple genes play a significant role in the onset and manifestations of JIA. ...

PHYSICAL EXAM:

You will be expected to write up your response as follows:
List of Differential Diagnoses [rank ordered]
A. Congestive Heart Failure
B. Angina
C. Hypercholesterolemia
D. Myocardial Infarction

E. Diabetes Mellitus

F. with Grade II diastolic heart failure.

G. Hypertriglyceridemia

H. GERD
I.

J. Hypertension

Leading hypothesis : Congestive Heart Failure
Active Alternative hypotheses
Must not miss diagnoses [critical rule outs]
Congestive Heart Failure
Angina
Hypertriglyceridemia
Hypercholesterolemia
Most common diagnoses [reasonable alternatives]
GERD
Hypertension
Diabetes Mellitus
Presumptive Diagnosis [assumption]
Congestive Heart Failure

Treatment Plan

Non-pharmacologic / lifestyle interventions (provide rationale)
• Modify Diet.
- Advance to a low-sodium, low-cholesterol, low-fat, solid diet as tolerated R: to minimize metabolic demands ...

Introduction

With the current technology, there are many ways to save lives. However, the methods have brought controversies on how right or wrong the application of the methods is. In the medical field, lives have to be saved daily while other lives are lost daily. Some actions are taken to help save lives while others are to fasten the death of the dying patients. There are several factors that must be considered before applying the methods and consultations have to be made with different sources.

With the current technology, it has been possible to perform organ transplants. Body parts are ...

Introduction

While on his way to Hiroshima, it was around 7:30 a.m. when Captain William Parsons inserted the detonator along with the explosive charge into the bomb. It was around 8:16 a.m. (Japanese time) when the bomb exploded in Hiroshima over Dr. Shima’s Clinic. The glowing fireball had a temperature of about 50,000 degrees. Soon after this attack, another major city of Japan was attacked. It was basically the idea of General Leslie Groves, General Farrel and Admiral Purnell to launch two atomic bombs on Japan; the first bomb would demonstrate power and the second would tell the Japanese ...

J.K has acute kidney failure with Rhabdomyolysis. Acute kidney failure happens when the kidneys are suddenly not able to sift waste products from the blood. This results to accumulation of waste and affects the chemical balance of the blood. Rhabdomylosis is caused by skeletal muscles injury (Grau, Poch, &Bosch, 2009). The injury of the skeletal muscles results to the production of different intracellular muscle ingredients. In this case, J.K had an acute renal failure with Rhabdomyolysis because of cocaine and heroin use. Cocaine and heroin cause damage to myocyte. Damage to the myocyte leads to an entry of sodium ...

The principle of double effect is an ethical issue that tackles movements aimed at good intentions with the permission that an inevitable evil may arise in the process (Gillon, 1986). The issue applies to any action with an end that is not malicious of foul but may entail such a consequence in its commission. The principle greatly applies to the case at hand, as Dr. Robinson’s situation urges him to render treatment of morphine to the ailing Mr. Mills, with full knowledge of the possibility that the patient, who is afflicted with a terminal sickness, might have his lifespan shortened.

...

This is a common type of musculoskeletal disorder that affects people at some stage in life. According to the medical researchers, it affects nearly 80% of all the people in their life time. Precisely, the chronic pain is that which lasts for more than 12 weeks.
It has been scientifically found out that the chronic back pain is caused by the benign musculoskeletal problems which results from either the sprain or strain of the muscles or soft tissues of the body. This may cause pain to the spine particularly in cases where the back is physically downloaded.

Chronic pain is bad because it negatively affects people in many ways:

i) Causing job ...

Introduction

Hepatitis is a major health threat to our environment because of the associated effects on liver and the mode of transmission. Hepatitis C which is one of the types of hepatitis that has become a major challenge since the discovery. Different factors have contributed to these challenges. One of those major challenges is the inability of researchers to discover suitable vaccine for the infection. The prolonged inactive period of the causative organism in the body before clinical manifestation is another factor (Department of health). The infectious course usually leads to enlargement of the liver and this in turn affects the functions ...

YourName

This case study presents J.W., a patient who went to the emergency room of the Community Hospital due to a persistent and severe headache over the last couple of days. Patient displayed signs and symptoms that her condition required blood testing and a head CT scan. However, Nurse Jackie, the nurse assigned to handle the patient’s case, only charted the symptoms but did not act on it or report it. The triage nurse, together with Nurse Jackie, also interviewed J.W. about previous neurological problems, headaches, or incidences of cerebral hematoma. But due to J.W.’s disorientation caused by ...

The 2-year child has complaints of the ear that have deprived him of sleep due to the associated pain. There are two possible diagnosis in this case; on one hand the patient could be having a swimmer’s ear condition also known as the acute otitis externa which usually a condition that causes, inflammation, irritation as well as infection on the ear canal that runs from the eardrum to the external region of the ear (Burns, Dunn, Brady, Starr & Blosser, 2013). The condition is characterized by the production of an odorless clear discharge from the ear which can advance ...

Explain how you would prioritize care of these clients in order of importance, and why

I will triage these patients with regard to their needs. The one with the immediate and most pressing needs is Mr. Richard. He takes first priority since he is in severe pain and nursing care dictates that the nurse should ensure that the patient is comfortable and one way to achieve is this is through pain relief. I would administer moderate analgesia such as morphine or pethidine. The fact that Mr. Richards was experiencing difficulty in breathing affirms me making him my first priority. Dyspnea translates to the fact that there is inadequate tissue perfusion. This in itself is ...

Introduction

According to Naharcı et al. (2012), osteoporosis is pretty common among the elderly persons due to wearing on the bone tissue with age. As Rachner, Khosla & Hofbauer (2011), asserts, this condition in its early stages is devoid of symptoms, however, in its advanced stage, it may lead to chronic back pain and an increased risk of falls especially for the elderly.

Scenario

JN is a 66 year old Hispanic male who was diagnosed with osteoporosis 10 years ago. JN is a retired flight attendant and a divorce living alone. Nonetheless, her daughter has been persistently emphasizing that at his age ...

Acute coronary syndrome is an umbrella term for a group of clinical symptoms indicative of acute myocardial ischemia. These conditions include non-ST-segment elevation myocardial ischemia (NSTEMI), unstable angina, and ST-segment elevation myocardial infarction (STEMI). These conditions are high-risk manifestations of atherosclerosis in the coronary artery and significant causes of utilization of emergency services and hospitalization (Kumar and Cannon, 2009). STEMI causes 30% of all acute coronary syndromes in Australia (Harper and Lefkovits, 2010). This paper will describe the expected presentation, pathophysiology, ECG findings, pre-hospital management, and initial 24-hour management of STEMI in hospitals settings. These aspects will be described ...

In this case, the diagnosis process was totally wring due to the general assumption made by the care provider and the primary care doctor that the patient being an athlete could not in any way have such a serious problem as a clot. The diagnosis was made from an assumption-based view and there was no effort whatsoever to link the illness presented or the symptoms to the patient’s history to order any forms of diagnostic tests. In most cases, care providers do assume that athletes such as this patient regarded as an avid runner are less likely to ...

Subjective Data:

Patient’s demographic and social information
Jnr. is a 10 year old African American Male patient brought into clinic by his mother who reports that Jnr. was recently discharged from hospital for acute asthma exacerbation. The boy presented with cough and difficulty in breathing combined with a running nose and elevated temperature which has now been resolved with over the counter Tylenol. The mother also says that her son has a history of multiple admissions to the hospital for acute asthma exacerbation. His mother reports child repeatedly loses inhalers. She also states that she does not check for inhaler ...

Biology of Disease

Mode of action of;-
Dexamethasone
The Glucocorticoid receptors are discovered intracellularly in all tissues. They enter cells through inactive dispersion and structure a complex with a receptor protein (Rhodes & Hartnoll, 2002, P.10). This intricate then experiences an irreversible enactment and enters the cell core, where it ties to the DNA, hence prompting organic impacts instigated by these hormones, which include expanded hepatic gluconeogenesis, as well as expanded lipolysis (Ahmed, 2007, P.13).
Dexamethasone is utilized to treat numerous provocative and immune system conditions, for example, rheumatoid joint pain and bronchospasm. Idiopathic thrombocytopenic purpura, an abatement in quantities of ...

Major Issues in the Stella Liebeck’s Case and in the Successive Incidents

The major issue in the cases presented against McDonald’s is that customers suffered bodily and psychological harm from consuming their foodstuffs. For instance, in Stella Liebeck’s case she accuses McDonald’s of “gross negligence”, and selling “unreasonably dangerous” coffee that was “defectively manufactured”. Stella stayed in hospital for eight days and spent three weeks recuperating after suffering third-degree burns from a coffee cup bought from McDonald’s. Through her lawyer, Reed Morgan, Stella wanted to be compensated $ 100,000 for medical expenses and McDonald’s fined triple that amount in punitive damages. As the case went on trial, ...

MEMORANDUM

Re: Proposed changes in the marketing strategies.
Recommendation:
Avail the opportunities optimistically and with sustainability.
Increase market share of Bakery Segment.
For Dinner segment, come up with innovative ideas for the food items, ambiance of restaurants, and services in the restaurants.
Come up with new and unique food menus frequently.
Opportunities Available
Panera Bread (PB) designs its strategy in such way that its brand becomes the best for selling fresh bread. Panera Bread is also popular as a casual restaurant with fast food. It provides high-quality food in a distinctive dining environment. The company managed to design extensive differentiation ...