PT was aox4 with CC of lumbar back pn around his spine. PT stated that he was walking and lost his footing and sat down on his but onto a rock. Pt has chronic pn in his lumbar area and tingling in his legs. Pt statest that his chroinc pn is slightly worse since the fall.pt states pn 9/10 Pt had no other complints. PT was place in full c-spine precaustions and carried to the ambulance.…
SC received a call from Pa’s informal CG/dtr Tina Carroll on 3/30/2016. Tina reported that the Pa fell at the front door and hit het bottom. Tina called 911 and the Pa was transported by ambulance the Penn Presbyterian Medical Center. The Pa was examined and treated in the ER and was placed under observation. Tina reported no broken bone but that the Pa is very sore and shaken-up.…
The injury is treatment-related or caused by a dereliction of professional skill. 2. Expert evidence is required to determine whether the appropriate standard of care was breached. 3. The act or omission involved an assessment of the patient’s condition.…
Database and Assessment Table 1 – Physical Nursing Assessment Data GENERAL: Patient is an 88 year-old Caucasian male. Vital signs stable at 97.3°F, 82BPM, 22 breaths/min, 84/54mmHg, 100% on 1.5lL O2, 0/10 pain, patient weight 58kg. SKIN/HAIR/NAILS: Skin was thin and fragile, warm and moist, skin color slightly pale, skin tear on left upper arm measuring 3 inches, no bleeding or pain.…
The obvious indication was her trip over the throw rug, which needs to be removed. Additional fall risks include: complaints of weakness and poor appetite, a low blood pressure, and the use of multiple medications. According to Sirkin & Rosner (2009), elderly patients that take several medications are at a higher risk for adverse effects, including falls (p. 403). As discussed above, Sallie Mae needs her medications reconciled and should also have orthostatic blood pressure monitoring; hypotension is a main contributor to falls and it can commonly occur due to concomitant drugs (Smith,…
Mr. Griffin was a pedestrian who was hit by a motor vehicle, traveling approximately 50 mph. EMS arrived on scene and he was unconscious. His Glasgow Coma Scale (GCS) was a “3”. He was transported to Detroit Receiving Hospital where is Glasgow Coma Scale in the ER was 7 or 8. He appeared to be un-kept and was wearing all black clothing with dreadlock like hair.…
We were given a case study of an elderly woman, Mrs. Chung, who had gone through several health complications. Mrs. Chung is a 77-year-old woman who fell in her home and…
It was reported that the cause of her fall was dehydration. This was the first time she was misdiagnosed. The doctor said she experienced Sports Performance Anxiety, she was not provided any therapeutic…
• Inflammation occur. • Pain and swelling of the metacarpophalangeal (MCP) and the proximal interphalangeal (PIP). • Edema, which is the cumulative of fluid, occur in the synovium due to the underlying inflammation of the synovium. • The joint spaces between the metacarpophalangeal (MCP) and the proximal interphalangeal (PIP) will be narrowing and the soft tissues will be swelling due to the joint effusion, synovitis and the edema.…
Edema is swelling caused by extra fluid trapped in the bodies tissues. Edema can affect anywhere on the body but is most common in the arms, hands, legs, ankles, and feet. Signs of edema include: swelling or puffiness of the tissue under your skin, stretched or shiny skin, skin that remains a dimple after being pressed for several seconds, and increased abdominal size. Signs of pulmonary edema are shortness of breath, difficulty breathing, and chest pain.…
I have caught up with Nicholas, three weeks since his last appointment. Symptomatically, Nicholas has improved somewhat, although his cough persists and he is still intermittently producing yellow phlegm. He has also become more aware of nasal congestion with post-nasal drip. He is not experiencing his typical seasonal allergic rhinitis symptoms. During this time, Nicholas has undergone a bronchoscopy, which, macroscopically, has identified some oedema to the right and left lower lobe bronchial mucosa.…
John suffered from angioedema, which caused an inflammation all throughout his face including his vocal cords and bronchi. The hoarse was due to the inflammation in his vocal cords. Wheezing was heard due to his difficulty in breathing. Since histamine and leukotrienes where released from the mast cells, the bronchi constricted and the wheezing sound was the air being forced through the narrow pathway.…
Abnormal assessments included respiratory, cardiovascular, peripheral vascular, neurological, urinary, gastrointestinal, musculoskeletal, hematologic, and endocrine. The patient also had an abnormal dietary and eating habits. Objective data was obtained through vital signs and intake and output measurements. Assessment of blood pressures and looking at previously documented blood pressure readings in his chart led to the assumption of hypertension. His primary care physician further confirmed this as a medical diagnosis.…
Most falls occur in the patient’s room while attempting to…
Fall is one of the common problems in the hospital. It can be due to various reasons such as accident, related to medical condition such as vasovagal, dizziness related to postural hypotension or physical condition such as leg amputation, swollen or sore feet or negligence of the patient or carer including nurses. However, whatever is the cause of fall it can be reduced or prevented by appropriate assessment and interventions. In relation with the situation I experienced the incident can be prevented by proper assessment and good communication with the patient (Lovallo, Rolandi, Rossetti, & Lusignani, 2010).…