Essays on Jarvis

Chronic obstructive pulmonary disease (COPD) is one of the many respiratory conditions which need to be properly handled to avert possibilities of it worsening off. In the same line, there is the need for a proper assessment of the patient to be done to assist in providing them with the required treatments. As such, the first step in the assessment phase will be establishing the symptoms of the condition. The commonest symptoms of the exacerbation of COPD include a fast and shallow breathing pattern, shortness of breath, coughing, incidences of low oxygen levels, feeling sleepy, wheezing and chest tightness ...

Health History

Introduction Health history assessment is a vital part of the nursing process. This process establishes the foundation through which nurses can diagnose and create a care plan for their patients. That said, incorrect health assessments may result in misdiagnosis, hence wrongful care plan development. For this task, I interviewed Anna, L. (not her real name). The following discussion encompasses a review and reflection of this interview.

Demographic Data

Anna is a 26-year-old single female of Japanese descent. She recently moved to the US to pursue her degree at the University of Illinois at Chicago. Her hobbies include traveling, photography, blogging, dancing, ...

Question 1

According to Bickerstaff (2010), a concussion is a brain injury experienced during a traumatic event and which alters normal brain function. Although effects are temporary, early or late symptoms include headaches, memory and attention impairment, loss of balance and coordination, and an overall alteration of an individual’s mental status. This condition is usually associated with blows to the head, although it can also occur if one’s upper body and head are shaken violently. This aspect can be related to Randy’s situation, who was involved in a motor vehicle accident. In regards to treatment, rest is mostly ...

Based on the scenario above, please use the general survey process to describe the areas that you would be observing immediately upon entry to the home. Since the patient (Millie Gardner) is reported to be old, my first observation will be to assess and confirm the appearance of the patient in relation to the reported age. Secondly, I would check her facial expressions for any signs of acute distress as well as the body structure of the patient, for example, the range of body weight, height and nutritional status (Jarvis, 2016). Moreover, since the patient is confined to a ...

Question 1

Maria is an at-risk individual of developing lifestyle illnesses associated with weight gains, such as diabetes and even cardiovascular illnesses. For this reason, a comprehensive analysis of her lifestyle is essential. In this case, it is imperative to gather additional information aside from that provided. For instance, one should enquire whether she has developed any meal plans and what they consist of. In addition, according to Healthy People 2020 (2017), one should also enquire about her medical status and her hospital visits. This will assist in determining whether Maria has received any medical advice regarding her lifestyle and the ...

Patient initials: MK Age: 60 Sex: M

Care Plan Subjective MK, the patient presents with a chief complaint of decreased urinary flow but has also had troublesome nocturia for the last two weeks as well as significant terminal dysuria. History of present illness: Patients states that in the past day he has had significant difficulties especially in starting his urine flow and this has affected his ability to enrage in normal daily activities. Patient denies radiating pain. Patient history: Patient has had a history of hypertension, hypercholesterolemia, costochondritis, as well as suspected angina characterized by chest wall syndrome which was however treated.

Significant family history: There is also a probable positive family history for cardiovascular or heart diseases

Objective: Patient is a ...

Care Plan

Subjective The patient presents at the clinic complaining of nocturia, decreased urinary flow, decreased flow as well as terminal dysuria. TG states that the symptoms have been persistent for the last two years but the last two weeks have seen a significant increase in intensity of the symptoms. TG denies any case or instance of radiated pain within the period of two weeks,

Objective:

60 year old, Hispanic male

Vital signs: BP at 140/92;

Pulse rate: 80; Temperature: 99.0 Weight = 200 pounds; height = 71”, BMI = 27.9

Patient Hx for hypercholesterolemia, hypertension, costochondritis, suspected angina, possible family history of heart disease in the family

Patient denies any use of alcohol, tobacco, or drug abuse Current medication list: Cardizem 240mg QD and Zocor 20mg ...

Scenario

In the case study provided, the patient, a 12-year-old, presents at the clinic after having hit her head while playing soccer. The mother denies any instance of loss of consciousness, but notes that the child seems “loopy” and cannot recollect what happened immediately after the fall. She collided and fell on her back on the ground. The patient denies vomiting or diplopia but admits a significant headache since then. Neurologic examination and physical examination are all normal and negative respectively. There are three possible diagnoses for this patient;

Differential diagnosis

Concussion: In the event of a fall or a collision that ...

Ms. G is diabetic and she is apparently overweight for her age with a BMI of 32.7 which is extremely above the normal BMI levels. The white blood cell count is extremely higher than the normal levels which indicate presence of an infection. On the other hand, the patient also presents with neutrophilia and on culture growth and isolation of staphylococcus aureus which is a gram-positive bacteria which poses significant complications to vital body systems through various infections that affect the functionality of the systems or organs. On the treatment, the patient will be prescribed on antibiotics to manage ...

It is undeniable fact that cultural differences affect forensic assessment to a greater extent. Because of the cultural inclination, forensic assessment always produces results that are biased towards a particular culture (Fernandez, 2013). It’s worth noting that forensic investigators are members of some cultures; therefore, all their thinking and decision significantly reflects their cultural values. However, it should be pointed out that not all decisions made by forensic assessors are biased towards their culture of origin; consumers of these data must trust them and allow the notion of professionalism to prevail. Forensic investigators are taken through compulsory training ...

Differential diagnosis

The patient presents with the a 3-day cough and primary signs including a productive cough with yellow mucus, afebrile indications, no cervical adenopathy, enlarged nasal turbinates and moderate clear rhinorrhea. The father is in fear that the child has bronchitis. However, the patient has does not indicate cervical adenopathy ad is able to take deep breaths without coughing. The respiratory rate is at 18 indicating to be within the normal range (Dains, Baumann & Scheibel, 2007). Bronchitis could be a possible condition in this case as the patient presents with a productive cough, yellow in color as well as afebrile ...

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 ...

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 ...

In children, the presentation of a rash and a fever as in the case with this 24-month old patient is not normally a cause for concern and the early arrival at the clinic helps limit the spread of these symptoms to serious cases (Jarvis, 2015). In such instances, there are three major classifications; on in which the patient presents with a serious illness and may require immediate treatment, second where the viral syndromes are easily recognizable and manageable and third where there occurs an undifferentiated rash. In this patient, the rash and fever can be classified within the second ...

On this particular day, I had to manage a patient, 4 years old. The patient presented with inability to make average count of numbers with the parent seriously concerned that the children of his age were well past this stage. The patient, as observed by the parent was antisocial and prefers playing alone and has not been spotted even once having an idea of the ‘mom and dad’ play with other kids. On the other hand, the patient is said to have difficulties of separating from parents without giving a fight and cry. Top ascertain this, I requested the ...

DQ week 5

What health risks associated with obesity does Mr. C. have?

Is bariatric surgery an appropriate intervention? Why or why not?

Considering that the patient has a BMI of BMI = 29.55 kg/m2, bariatric surgery is a good option for him. Bariatric surgery is recommended for patients with a BMI of beyond 25 and who have been ascertained to indicate any other signs of extreme obesity. Bariatric surgery is a life-altering process but it has been noted to have positive impact on the life of the patient especially those with chronic severe obesity issues and this helps them reduce weight and subsequently maintain weight at a level that is manageable. It ...

In most cases successful involves Mediation involves numerous steps that are al intended to improve the patient outcomes. Some of the steps that are crucial include taking the patient’s medical history, laboratory examinations, physical examinations, and drawing the assessment and treatment plan. Primarily, one should listen to the patient’s main complain before starting any examination. They should give a narration of their present illness, including the signs and symptoms as well as the present regimen, if any (Quinn et al., 2013). While establishing the medical history, the practitioner should ask the patient whether they have suffered from ...

What is the possible disease process according to the client’s history?

Based on the client’s history, the patient has been experiencing frequent colds, especially in the springs and falls. This is an indication of a type of hypersensitivity to the allergens being propagated by colds and chilly conditions. On exposure to these allergens, the patient’s the body reacts with the various manifestations such as itchy eyes, nasal congestion with watery nasal discharge and a tickling cough at night which however do disappear with the elimination of the allergen,. However, upon subsequent exposure, these symptoms reoccur.

What assessment questions would be useful to ask about her medical and family history?

The nurse has to focus on an assessment of Donna’s family history ...

P.J is a 73 year old male who was brought to the facility by a stretcher in the company of a paramedic and the son. The patient was admitted to the Emergency Department’s cardiac room and having been reported of experiencing a cerebrovascular accident. The son reported that the father had been found on the floor vomiting and could not even talk. The son admits that he l8ives with t5he father but sometimes he is out for long hours because he is a truck driver. He however has a social worker attached to him who regular pays visits ...

P.J is a 53 year old man who has had type 2 diabetes for which he was diagnosed two years ago. He has also had hyperthyroidism and obesity problems. P.J is a lawyer and says that he his job restricts him from having free time to do exercise or any light activity. He is a regular user of alcohol and uses five sticks of cigarette per day. He is however planning to quit alcohol in the next 12 months. He says that for the last three nights he has woken up at 4.00am due to elevated blood glucose levels ...

Univesity

2. The core product, or product benefit, is freedom to explore uninhibited, and information regardless of location. What is excellent about the product, or the key feature of the core product, is the ability to use the device anywhere in the country, and receive the same benefit, with regard to provision of tourist information. The actual product is the Kiwi traveler, a speaker, dash-mount device that connects to the GPS in order to provide travel advice and tourist information for a traveler’s current location in real time. The augmented product includes special coupon offers from local retailers, or ...

<Course>

According to Open Access Journal of Sports Medicine, around 45 million children in the United States play in an organized sport. This could have been a good figure; however, by the time these children reach 15 years old, 80 percent of them quit (Atkinson). There are many possible reasons why these children decide to stop participating in sports. One of these is the wrong perspective that parents hold about sports. For instance, there are parents who believe that winning is the main goal of sports (Atkinson). When their children do not succeed, they will either tell them ...

Mary is a 51-years old female who has been a bookkeeper for the large part of her lifetime. In her childhood days, Mary had a weak chest in her childhood, but these problems have significantly reduced in her adulthood save for occasional colds during the cold season. Mary admits that she thinks that she would experience some wheeziness in case she participated in exercise, but she has had a sedentary lifestyle and thus there was no cause for worry with her asthma (British Thoracic Society, 2015). Mary’s symptoms over the last five years have increased gradually even amidst ...

The patient developed respiratory complications which led to severe anasarchia, no corneal reflexes and no papillary responses. She was later pronounced dead on the fourth day of hospitalization. Mrs. M’s mother succumbed to death from congestive heart failure at the age of 65 years while the father died from myocardical complications at the age of 48 years. One of Mrs. M’s sisters died at the age of 46 years from cardiompathy which is a complication that had developed from a heart failure which she had harbored for two years prior to her death. Mrs. M’s other ...

Question 1

Competitive Advantage The General Manager of the Hotel Van Orange, Noordwijk, The Netherlands explains that the hotel is located in one the most environmentally conscious communities in the Netherlands. The hotel boasts of modern large meeting space and a wellness center. The hotel’s reason to pursue the Green Globe certification was informed by the realization that the certification goes beyond sustainability certification; it involves people, and the hotel values people. The most important strategy relating to people the hotel wishes to maintain is cultivating mutual relationships with the employees and the clients. The hotel has a social responsibility ...

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 ...

The company’s overview

Google is a multinational corporation based in the United States that is devoted to services related to internet search, online advertising and offering cloud-computing services to its clients. It was initially formed during September 4, 1998 by Larry Page and Sergey Brin as a private company; it later went public during August 19, 2004 through an Initial Public Offering (IPO). Google Inc.’s mission statement is “to organize the world’s information and make it universally accessible and useful” (Google Corporation, 2011). Google’s headquarters is currently located in Mountain View, California. Google’s rapid development saw the company engage in a ...