Healthcare -- Nursing -- Case Study
I am required to make differential diagnosis, examine health issues and their management, order diagnostic tests and provide health teachings/health promotion for "Ted." Ted is a 55-year-old Caucasian man with general malaise and a 6-day history of a productive cough. During this time he had noticed a gradual accumulation of fluid in his legs and feet. He had not seen a health care professional in 3 years. His social history was significant because he smoked about a pack of cigarettes a week. Ted reported having a dry, hacking cough for years, but he attributed it to 30 years of smoking. The review of systems was unremarkable. Generally he appeared well nourished and in no acute distress. The physical exam showed the following: weight 142 pounds, height 5'8," blood pressure 150/92 mmHg left arm and 158/96 mmHg right arm, temperature 99.2 degrees F, and oxygen saturation 97% on room air, dropping to 96% on ambulation.
Abnormal findings on exam included bibasilar crackles and coarse wheezing throughout all fields, with signs of focal consolidation on the right. Bilateral anterior cervical and supraclavicular lymphadenopathy were present. He had a III/VI holosystolic murmur and an S4 gallop, which were new findings compared with his last exam. Limb examination found 3+ bilateral lower extremity brawny edema, but there was no warmth, erythema or tenderness. Homan's sign was negative.
Ted's electrocardiogram (ECG) was within normal limits, and I ordered a chest film for the following day. Based on the history and physical findings, I treated Ted empirically...
Okay? Client: Thank you Christina, I look forward to seeing you next week. Zal (1990, p. 136) states that it can indeed be a very fragile and emotionally battered individual that comes to your office for evaluation. An adequate treatment plan for panic disorder must therefore comprise many specific aspects. The first of course is to make the diagnosis and share it confidently and directly with the patient. As the first
Cognitive Disorder in Elderly Cognitive Disorders in Elderly Sachiko Furuya Cognitive Assessment & Lab Kris Thomas, PhD The research of this study is related to cognitive, dementia, Alzheimer disease, and depression issues with the elderly populations of the United States and in the world in general. Societies with a large number of elderly people such as the U.S.A. are increasingly focusing their efforts on improving the life standards of these people based on the types
Bipolar psychiatric disorder (BD) -- which is characterized by "…cycles of depression and mania" -- is a "euphoric, high-energy state" that can produce remarkable bursts of creativity or, on the other hand, can produce erratic behavioral events that are risky and provocative (Gardner, 2011). About 2.4% of the world's population has been diagnosed with bipolar disorder (at one time or another in their lifetime) but the rate in the United
Mindful vs. traditional martial arts toward improved academic grades in children diagnosed with ADHD While medication and psychotherapy are the current best practice in treating attention deficit hyperactivity disorder (ADHD), their benefits and aim are too peripheral and topical -- neither resolving the neurological origin of deficits. Moreover, many are opposed to these treatments and there are few substantiated and readily accepted alternatives. The consequences of ADHD have a ripple effect --
The AS person has often spent an inordinate amount of time fixated on one particular (often peculiar) topic, and when that person is in a social environment, he or she tends to ramble on about the topic and that one-sided rambling is more important to that AS person than any other activity in a social setting, Woodbury-Smith writes on page 4. According to Woodbury-Smith, as the AS person gets older,
According to the manual, the personality disorder 'is clinical syndrome which has more long lasting symptoms and encompass the individual's way of interacting with the world; the mental disorder includes paranoid, antisocial, and borderline personality disorders' (House, 2000). The deterioration of the physical condition is considered to be likely cause of the development, continuance, or exacerbation of clinical syndromes, developmental disorders and personality disorders. The DMS-IV manual has elaborated
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