Wednesday, December 18, 2019

The History Of Coronary Heart Failure And Chronic...

Introduction T.S. is a 75-year-old male who has a history of coronary artery disease, congestive heart failure, chronic obstructive pulmonary disease, cerebrovascular accident, hypertension, myocardial infarction, renal failure, atrial fibrillation, dyslipidemia, and severe cervical spinal stenosis C4-5. He underwent many procedures in the past, including coronary artery bypass graft, implantation of IV dual chamber permanent pacemaker, exploratory laparotomy, and cardiac pacemaker in situ. TS came into the ER at MMMC with complaints of nausea and vomiting, on March 21, 2017. He has been feeling nauseated and not feeling well for 3 days. When TS arrived at the ER, his peripheral capillary oxygen saturation or SpO2 was 80%, so 3L of oxygen†¦show more content†¦TS has not been tolerating his hemodialysis, and has been hypotensive. During my shift, midodrine was given prior to going to his hemodialysis to increase his blood pressure. TS’s diabetes is not well controlled; he had capillary blood glucose of 178 on March 22. He is currently receiving a sliding scale injection of Humalog. TS is not able to ambulate, stating, â€Å"they use hoyer lift to transfer me.† During his swallowing evaluation, I noticed that he was not able to lift up his right hand, and both of his upper and lower extremities were swollen. I also noticed that he had healing ulcers to his left and right second toes, and on the plantar surface of his fourth toe. He also had abrasion on his right shoulder, and a blister on his right elbow, covered with a dressing. After his session with the occupational therapist, we helped him reposition to reduce excessive pressure on his bony prominences. When I peeked at TS’s room after we documented his swallowing evaluation, he was staring at the window. He has depression, and a history of suicidal attempt. It would have been helpful to have a therapeutic communication with him, to help him express his feelings about his situation. Reflection Unfortunately, I was only with TS during my PT and OT experience for his swallowing evaluation. I was able to assist the occupational therapist with TS’s evaluation. During my hospital experience, TS went to his dialysis. I was not able to do a lot of interventions for his multipleShow MoreRelatedDisease Condition : Heart Failure906 Words   |  4 Pages Heart Failure Marikate Williams Delaware County Community College Disease Condition Heart failure (HF) is a chronic, progressive condition defined as the hearts inability to efficiently pump an adequate amount of blood to meet the demands of the body (Naab, 2011). Heart failure may be the result of the heart chambers not adequately filling, also known as diastolic HF or the decreased contractility of the valves to perfuse blood to the body, also known as systolic HF. â€Å"Heart Failure isRead MoreDiagnosis And Treatment Of The American Heart Association1726 Words   |  7 Pagesâ€Å"According to the American Heart Association (AHA) affects nearly 5.7 million Americans and is responsible for more hospitalizations than all forms of cancer combined. It is the number 1 cause of hospitalization for Medicare patients. With improved survival of patients with acute myocardial infarction and with a population that continues to age, heart failure will continue to increase in prominence as a major health problem in the United States† (Dimitru, 2015,p. Epidemiolo gy). I chose to reportRead MoreCase Study Of A Patient2213 Words   |  9 Pageseducational level is College Diploma. He is admitted with the medical history of chronic obstructive pulmonary (COPD) disease and coronary artery disease (CAD). Definition of Chronic obstructive pulmonary disease (COPD) COPD is preventable and one of the most common respiratory diseases. COPD characterized by an airflow limitation that is progressive and not fully reversible. It is usually described as a mixture of chronic bronchitis (increased mucus production and recurrent cough present on mostRead MoreNursing Process Paper2695 Words   |  11 PagesNURSING PROCESS PAPER Nursing Process Paper â€Æ' Abstract This process paper will evaluate the complex relationship between disease pathophysiology and how it has progressed to the patient’s current state of health. It will include a comprehensive discussion of chronic and acute problems leading to the patient’s hospital admission, a complete description of interrelationships and pathophysiology for all medical diagnoses, a comprehensive discussion of the client’s signs and symptoms and resultsRead MoreA Short Note On Chronic Obstructive Pulmonary Disease1836 Words   |  8 Pagesinclude the trachea, the bronchi, and the bronchioles. Chronic Bronchitis is a serious long-term lung disease that can be caused by a long-term exposure to inhaled irritants such as cigarettes. Chronic Bronchitis is one of the conditions that correlates with Chronic Obstructive Pulmonary Disease (COPD). As the study shows M.K is noted to have a history of smoking for 22 years. Smoking is known to be the predominant cause associated with chron ic bronchitis. Risk factors commonly lead to acute exacerbationRead MoreChronic Obstructive Pulmonary Disease1140 Words   |  5 PagesChronic Obstructive Pulmonary Disease, also known as COPD, is defined as a progressive, chronic lung disease that makes it difficult to breathe by limiting airflow and it is characterized by chronic inflammation of the airway and shortness of breath and wheezing. BOOK/FAM PRAC â€Å"Progressive† means that the disease gets worse over time. â€Å"COPD is one of the important diseases that lead to restrictions, disability, and an increase in mortality rates among elder population† [4,5].TURK STUDY QUOTE TheRead MoreHeart Failure : A Clinical Syndrome Characterized By Structural Or Functional Impairment Of Ventricular8006 Words   |  33 PagesCLARIFICATION †¢ Heart failure is a clinical syndrome characterized by structural or functional impairment of ventricular filling or ejection of blood resulting in insufficient perfusion to meet metabolic demands; most commonly results from impaired left ventricular myocardial function; cardinal manifestations include edema, dyspnea, and Fatigue4†¢5 CLASSIFICATION †¢ Classification by American College of Cardiology Foundation/American Heart Association {based on structure and progression of disease) 4 o StageARead MoreFactual Essay About Chronic Obstructive Pulmonary Disease2424 Words   |  10 Pages CHRONIC OBSTRUCTIVE PULMONARY DISEASE [pic] INTRODUCTION Chronic obstructive pulmonary disease (COPD) presents significant challenges to a persons ability to carry out functional tasks and participate in social networks. Such factors are widely recognized as contributing to a persons sense of self identity, health and well-being. (Kerr, A, and C Ballinger 2010) Although there is no cure, the symptoms of COPD can be managed and damage to your lungs can be slowed down. If you smoke, quittingRead MoreChronic Obstructive Pulmonary Disease3277 Words   |  13 Pagesincludes congestive heart failure exacerbation (CHF) with pneumonia (PNA). He has a full code status. Past medical history includes congestive heart failure, COPD, peptic ulcer, chronic kidney disease stage 3, anemia, and hypernatremia. Patient is a widower who lives with son and consumes no alcohol or illicit drugs, he has is an ex-smoker with a 70 pack year history. Patient is a retired mechanic with no family medical history on file; it is suspected that father had heart issu es. He has noRead MoreThe Effects Of Smoking On The Decline Of Smoking Rates1072 Words   |  5 Pagesyear by 2030. Smoking is a behavioural risk factor that has been shown to greatly increase the risk of cardiovascular disease. As well as this, it has also been shown to increase the risk of cancer, chronic obstructive pulmonary disease and other respiratory diseases, and peripheral vascular disease. In those who do not smoke, second hand tobacco smoke is responsible for disease and premature death in adults and children. As well as the personal burden of smoking on the individual, smoking bears

No comments:

Post a Comment

Note: Only a member of this blog may post a comment.