Review of Systems:
General: the patient denies fatigue, fever, weakness, chills, problem in sleeping, weight loss and weight gain.
Skin: the patient denies rashes, lumps, sores, itching, dryness, changes, etc.
HEENT: Head- The patient denies headache, head injury and pain. Eyes- the patient report very seldom blurring of vision. The patient denies redness, loss of vision, pain, dryness, flashing lights, and denies use of eyeglasses. Ears- the patient denies ear discharge, loss of hearing and ringing in the ears. Nose- the patient denies nosebleeds, dry sinuses, loss of smell, sinusitis and nasal drip. Mouth- the patient denies sore tongue, sore mouth, bleeding gums, loss sense of taste, dentures, dry mouth, hoarseness of voice, painful swallowing and acid and bitter taste in mouth.
Neck: The patient denies neck injury, stiffness and neck pain.
Breasts: The patient denies lumps, pain and other discharges.
Respiratory: The patient denies chronic dry cough, cough with blood, repeated pneumonias, night sweat and wheezing.
Cardiovascular: The patient reported hypertension. The patient denies chest pain, irregular heartbeats, palpitation, SOB and heart murmur.
Gastrointestinal: The patient denies loss of appetite, nausea, vomiting, blood vomiting, heart burn, regurgitation, stomach pain, belching, jaundice, constipation, diarrhea, blood in stools, hemorrhoids.
Peripheral vascular: The patient denies swollen legs and feet and varicose veins
Urinary: The patient reports of leakage of urine in ADL and other activities. The patient denies difficulty in urination, pain in urination, blood in urine, frequent urination, kidney stones and ulcers.
Genital: the patient denies sexual difficulties and STDs
Musculoskeletal: The patient denies cramping in arm, buttocks and thigh. The patient denies pain, weakness and tenderness, joint swelling and major orthopedic surgeries.
Psychiatric: The patient denies depression, suicidal ideation, counseling and special treatments.
Neurological: The patient denies dizziness, headache, fainting, loss of consciousness, memory loss and sensitivity to hands and feet.
Hematologic: The patient denies anemia and problems in clotting tendencies and bleeding tendencies.
Endocrine: The patient denies flushing, fingernails changes, increase thirst, increase salt intake and intolerance to hot and cold.
History of Present Illness (HPI): 44-year-old Caucasian female that complains of urine leakage that keeps occurring in her daily activities. She stated that the urine leakage began approximately 2 years ago. According to her, it already progresses to the point that she is using 3 pads per day. She is bothered by the condition because it happens mainly in her chores around the house. In addition, she also stated that there is also involuntary loss of urine on forceful sneezing, coughing and jumping. She has 3 children making, her Gravida 3 and Para 3 in her pregnancies. All of them were delivered vaginally and uncomplicated. She is on a healthy diet. However, her body mass index is 35 kg/ m2 which classifies as obese. Her medical history revealed that she had hypertension and diabetes. Currently, she is taking hydrochlorothiazide (Microzide®) 25 mg. Nine years ago, she had partial hysterectomy. She is menstruating normally and has no other urinary symptoms.
By catching the symptoms of ADHD early in childhood and treating with this medication there is a less likely chance of the child abusing the medication as an adolescent ( Hodgkins et al., 2012) Another way to evaluate the use of medication use in children and adolescents with ADHD is a patient and family study or survey on the medication they are using and its effectiveness....
(Septicemia is what killed Muppets creator Jim Henson several years ago.) Or instead of a cold, he has an infected cut that won't heal, or any other common bacterial disease, such as an ear or prostate infection.
Vital Signs: Axillary temperature of 36.9 ° C, Respiratory rate of 20, Heart rate of 87 with regular rhythm and Blood Pressure of 130/90.
BMI: 35 kg/ m2
General: a 44-year-old obese female who is awake, alert and appears healthy with good posture, grooming, and looks at her age.
SKIN: the patient’s skin appears uniform in color and no presence of foul odor. Good skin turgor and temperature are in normal limit.
HEENT: Head- normocephalic and symmetrical head. Eyes- white sclera, pink conjunctiva, transparent cornea, PEERLA, parallel movement of eye balls, no edema. Ears- firm and non-tender auricles, no lesions, no palpable masses. Nose-symmetric nose, with uniform color, no presence of discharges, no nasal flaring, no tenderness and no lesions. Tongue and mouth- uniform , moist, symmetric lips. Pinkish color in gums, tongue centrally positioned and uvula in the midline.
Neck: Head movements are coordinated and without discomfort, lymph nodes not present.
Chest/Lungs: Chest wall appears intact and without tenderness, full symmetric expansion, percussion without rales, rhonchi, wheezing and diminished breath sounds, quiet, rhythmic and effortless respirations.
Heart/Peripheral Vascular: regular rhythm, no visible pulsation, no jugular vein distention, no presence of lifts or heaves. Normal s1 and s2 sounds, no s3, s4 and murmurs, no peripheral edema, no cyanosis, no pallor, capillary refill less than 2 seconds.
Abdomen: positive bowel sounds, soft, non-tender, non-distended abdomen, no rebound, no guarding and no masses.
This paper will address the problem statement, literature review, conceptual underpinnings and research questions, research design/method, ethical considerations, sampling, data collection, data analysis, confirmability of the findings, interpretation and discussion of findings, additional considerations, and rating the scientific merit of a research report....
The specific population served by the long-term-care facility was chosen as a focal point for investigation because of the emerging health care concerns facing this population. Researchers examining the populations provided for in long-term care facilities note that there are a number of confounding variables that make infection control an issue of paramount concern. In particular researchers have noted that the age of the patient coupled with a decrease of in the acute care setting have created a situation in which patients in the long-term care facility are typically less stable than they have been in the past. As a result of this situation, the spread of infection in the long-term care setting has increased significantly in recent years.
With the realization that infection control in the long-term care facility is such a predominant issue for the quality of care provided to the patient, there is a clear impetus to consider what specific steps are being taken to improve infection control in setting. To this end, this investigation considers a review of the long-term-care population and the problems that can resolve with respect to the spread of infection. In addition, this investigation also provides an overview of the clinical observational experience in a long-term care setting. Utilizing this information as a basis for analysis, this research concludes with an analysis of the performed by the professional as well as an analysis of the effectiveness of the work performed by infectious control nurses in the long-term care setting.
Current research on infection control in the long-term care facility indicates that this issue has become one of paramount concern for professionals. As a direct result of these issues many long-term care facilitates are currently in the process of developing infection control programs that can help professionals better control the outbreak of infections in this care setting.
These research papers will synthesis information about surgical infections, patient experience, hospital-acquired conditions and achievement of expected treatment for specific clinical diagnoses.