Excess Fluid Problem Medical Case Study of Mr P - 811 Words

Case Study #2 Mr. P’s problem is excess fluid volume; he needs to remain free of edema, moist crackles throughout lung fields, and labored breathing as soon as possible. Mr. P should be assessed for abnormal heart and lung sounds as well as blood pressure and pulse. He will also need to be given oxygen. There must be close monitoring of his intake as well as output noting signs showing decreasing urine output in relation to overload. It is important to measure these trends because Mr. P has fluid volume overload (Ackley et al., 2008). In addition, there will be provision of a restricted diet as appropriate. It is critical for Mr. P to excrete excess fluid as much as possible; therefore sodium restriction in the diet will be beneficial. Treatment Plan The following treatment is able to reduce shortness of breath, and swelling of tissue, while enhancing Mr. P’s energy level, ability to exercise, as well as feeling of well-being. In addition he must avoid smoking as this narrows blood vessels and alcohol as this depresses the pumping function of the heart. †¢Daily weight: Mr. P’s Weight need to be monitored every morning at the same time on the same scale. He should not gain 2 pounds or more overnight or 5 pounds in a week. †¢Diet: it is recommended that Mr. P gets proper diet and modified daily activities. Sodium (salt) must be limited in his diet because this will make the body hold fluid (de Lorgeril, Salen, Defaye, 2005). The excess fluid makes the heart work harder toShow MoreRelatedManagement of Hospitalized Patient With Diabetes Mellitus Essay2805 Words   |  12 PagesMr. Brown is a 45 year old male who has been diagnosed with type 2 diabetes mellitus (T2DM), peripheral arterial disease,(PAD), and hypertension (HTN). Mr. Brown requires immediate intra venous therapy of normal saline to re-hydrate and correct his electrolyte imbalance. Mr. Brown was admitted to the ward following a revascularization procedure on his anterior lower right leg, and has a history of Hyperosmolar Hyperglycaemic Nonketotic Syndrome (HHNS) which is a combination of hyperosmolality ofRead MoreManagement of Fluid Overload in Chronic Renal Failure4584 Words   |  19 PagesManagement of Fluid overload in Chronic Re nal Failure (CRF) Chronic Renal Failure is a long term serious irreversible condition, described as the gradual loss of kidney function (McCarthy, et al 2009). The number of patients suffering from CRF in United Kingdom (UK) is rising rapidly. Ferenbach and Wood (2005, p.16) state that in UK, about 6000 people are commencing dialysis treatment per year. Fluid overload is a frequently observed finding in renal failure patients. About one third of the patientsRead More PMS: How Much Do We Really Know? Essay1666 Words   |  7 Pagesreason, verbally and sometimes physically abuse, feeling out of control, or Dr. Jekyl-Mr. Hyde behavior changes. D- Depression: confused, clumsy, forgetful, withdrawn, fearful, paranoid, suicidal thoughts and rarely suicidal actions. C- Cravings: food cravings, usually for sweets or chocolate; diary products including cheese, an on occasion, alcohol or food in general. H- Heaviness or Headache: Fluid retention leading to headache, breast tenderness, abdominal bloating and weight gainRead MorePathophysiology of Acid Base Balance Essay examples6959 Words   |  28 Pageswith differing aetiologies. By understanding normal physiological principles and how they relate to clinical situations can enhance patient care. A good understanding of Present address: Department of Pre-registration Nursing, Faculty of Health Studies, Buckinghamshire Chilterns University College, United Kingdom. Tel.: +44 1494 522141x2123 (Off.)/1442 876772 (Res.); fax: +44 1494 603182. E-mail address: sedwar02@bcuc.ac.uk. âˆâ€" the essential concepts of acid base physiology is necessary so thatRead More1. Running Head: A Reflection Of My Day In The Or. . .2033 Words   |  9 Pagesgentleman, who I later found out was a volunteer chaplain at the hospital. We began conversing about school, and what I was studying. The conversation helped calmed my nerves up until the point I heard Mrs. Varnes call my name to come back to change into my OR scrubs. After changing into my scrubs, Mrs. Varnes could tell by my face I was nervous. She began to comfort me and explain that there was nothing to be worried about. She explained that this is an opportunity that many students don?t get toRead MoreEssay about Infection Control2957 Words   |  12 Pagesisolated;contact with contaminated objects and surfaces; medical personnel, usually via their hands; invasive procedures such as the installation or maintenance of a device(1). 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IM Black and IM Proud - 864 Words

Black History speech: I m Black and I m Proud As we come to the close of another black History Month, we have been reflecting upon our heritage. Upon such people as Chrispus Atticks, Harriet Tubman, Fredrick Douglas, George Washington Culver, Dr. Charles Drew, Thurgood Marshal, Malcolm X, and of course Dr. Martin Luther King, Jr. and many, many more. And as we remember and review these names we realize that in any other society this would be a great list of historical figures. But being in the society that we are in, our contributions have been, to say the least, SUPPRESSED. So therefore we have to acknowledge our own, since history will not acknowledge us we choose to acknowledge ourselves. And so this month of celebration and†¦show more content†¦So beloved I salute you today and if you will allow me to paraphrase of one of our American slogans, YOU VE COME ALONG WAY BABY. And I want to tell you that we have indeed have come along way, but that s not to say that there isn t still a ways to go; because it seems like we have been carrying our cross from the beginning of time, you remember that it was a black man named Simon the Cyrenian, who carried the cross for Christ. And then we as a people, were brought to America and we carried the cross of slavery, and then after slavery was abolished, we carried the cross of prejudice and segregation, and believe it or not, we are still carrying that cross today. However all is not gloom and doom, all is not lost, because you see my brothers and sisters, we are one of the few people who realize that GREATER IS HE, THAT IS IN US, THAN HE THAT IS IN THE WORLD. So yes I m proud to be an African American because one day a black woman riding a bus was tired and decided that she wanted to sit down. I m proud to be an African American because a man named Dr. Charles Drew developed the technique for blood transfusions, and even though he himself died because after being in an automobile accident and the hospital refused to give him a bloodShow MoreRelatedBlues Music Is Still Based On Emotional Pain914 Words   |  4 Pagesimpactful. Many blues songs used racial inequality as a common theme because many black Americans were suffering from this in their daily lives. The following songs were structured to help raise support to put an end to the racial inequality that occurred. First, we talk about James Brown’s â€Å"Say it Loud ( I’m Black and I’m Proud)†. As the title suggests, this song is about black pride. Brown was a leader in the black community, and encouraged his people to stand up for their rights. The 60’s wereRead MoreReflection Paper On Being Black1168 Words   |  5 Pagesput on my mask. The person I see is an attractive black women that is very educated. 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Healthcare Facilities Free Essays

Research the websites of two competitors and assess the effectiveness of their online presence. Identify specific areas where those websites are superior to yours whether in form or function. Also identify areas where your own website is superior. We will write a custom essay sample on Healthcare Facilities or any similar topic only for you Order Now In searching the Web for the only two competitors in the community in which our organization serves, it was interesting to learn that neither had a website. When searching for Desoto Healthcare Center website, web-surfers are led to a blue page that flashes the message â€Å"This site is currently under construction†¦Ã¢â‚¬  (desotohealth. com. 2013). This for profit nursing home, located nearest the only Hospital in the community, is a 120-bed center with no apparent online presence. Landmark of Desoto, another competitor, is a 60-bed non-profit nursing home with no online presence nor is there any sign of a website to come. Therefore, when compared to other Skilled Nursing Facilities in the area, it is safe to say that Golden Living Center’s website is in fact superior to the competition in both form and function. Research the websites of one supplier and one client. Evaluate the effectiveness of each website as it relates to their association with your organization. Identify specific areas where those websites could better serve your needs. In the Nursing Home sector of Healthcare, many of the suppliers are also the clients. Sta Home Health and Hospice serves as both a supplier and a client to our organization. Sta-Home’s website effectively allows us to refer potential patients to them directly through a link on the site offering us the opportunity to save time from having to make a phone call, leave a message, or provide needed information to someone who may not deliver it to the proper person or location. The website includes a â€Å"Helpful Resources† tab where patients can obtain information on diseases, treatments, tests and procedures, and many other resources. This tab, however, does not offer any information regarding the services offered by my organization. If a Sta Home patient or family were seeking assistance with finding a skilled nursing facility in the area this site would be of no help to them, nor would help my organization with gaining a new referral or potential resident. Identify a journal or publication specific to your industry. Evaluate the overall value that reading such a journal brings to your knowledge of your organization’s performance. In reading the Long Term Living publication I learned valuable information about the performance of my organization. While reading an article on the Center for Medicare and Medicaid Services I discovered clarification on new guidelines to laundry regulations for nursing facilities. These guidelines have not yet been implemented in my facility and failure to do so would result in receiving an F tag on the Annual State Survey (Pamela Tabar, 2013). My continued reading introduced me to new products on the market that would allow for better monitoring of the residents and patients in our care. With a wristwatch appearance, The Trilock personal locator functions as both a tracking and communications device and offers a perimeter management setting that would alert caregivers when the wearer is near the set area (Tabar, 2013). For my organization, this would serve as another safety measure and allow for added patient/resident security. As I read through this online publication, I found information that is vital to both patient care and overall operations of our organization. Some of this information had not been communicated to our facility and could cause potential service issues or even result in a failing score on CMS review. This gives me insight that there is a possible breakdown in our organizations performance as it relates to communications from the top down. References Desoto Healthcare Center. 2013. Retrieved on February 15, 2013 from http://www. desotohealthcare. com/ Stahome. com Pamela Tabar. 2013. CMS Cleans Up Guidelines on Laundry and Infection Control. Retrieved on February 15, 2013 from http://www. ltlmagazine. com/news-item/cms-cleans-guidelines-laundry-and-infection-control Pamela Tabar. 2013. GPS Wristwatch Locates Wandering Seniors, Contacts Care Team. Retrieved on February 15, 2013 from http://www. ltlmagazine. com/news-item/gps-wristwatch-locates-wandering-seniors How to cite Healthcare Facilities, Papers