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Causes of Syncope Term Paper

… Management plans consider all of the issues a patient is facing, and continue to monitor the patient so that adjustments can be made as and when the patient's condition changes. Proper treatment of the cardiac issues should reduce or eliminate the syncope (Ruwald, 2014).

Syncope that has come about from a B-12 deficiency that has led to anemia is considered relatively easy to treat. Patients will need to increase their B-12 levels, to reduce the chances of syncope. This can be done through diet, but is generally done through supplementation. Tablets are sometimes used in more mild cases, while severe cases can warrant B-12 injections that can restore normal limits more quickly (Manifestations, 2009). With proper B-12 levels, syncope should dissipate.

Follow-Up and Patient Care…. [read more]


Long-Term Settings the Health Case Study

… Nursing homes -- The old age people who have no one to care for them can avail an option to live in nursing homes. However, some of the nursing homes also offer temporary caring facilities so that family or friends may take a short time break.

There are different rates for these services. Home care facility has the lowest charges and nursing homes service has highest charges. (Better Health Channel, 2011)

Mrs. Smith has only social security/pension as a source of finance. Property's power of attorney is also with her daughter. Considering the resources and condition of Mrs. Smith, it would be better to avail community services. Moreover, since the dementia patients' need high level of support from their family and friends to live a…. [read more]


Heart Transplants Asthma and Pulmonary Hypertension Thesis

… Heart Transplant, Asthma & Pulmonary Hypertension

Heart Transplants

A heart transplantation is the replacement of a diseased or injured heart with a healthy heart from a donor (Rizzo & Spiwak 2004). It is performed at end-stage heart failure or another art condition. All possible treatments to correct the condition are resorted to thoroughly before heart transplantation is decided on. The goal is to extend and improve the patient's life without which he will die of heart failure. Most patients who undergo heart transplantation are too sick to live a normal life before the procedure. It is only when his heart is replaced that he may be able to return to his normal daily activities (Rizzo & Spiwak).

Age, sex, race or ethnicity is not a…. [read more]


Improving Healthcare Delivery in Nursing Case Study

… (Kutner, et al., 1992)

There are physical deficits in the elderly that contribute to their frailty in terms of skeletal muscle strength, gait and speed, range of motion in the joints and musculoskeletal flexibility, postural stability, including balance, coordination nd reaction time as well as cardiovascular responsivity." (Kutner, et al., 1992) These conditions are reported to contribute to "significant functional limitations." (Kutner, et al., 1992) These conditions are reported to be such that contribute to significant functional limitations. (Kutner, et al., 1992)

The most prevalent type of injury among older adults is falls and it is stated that 30% of older adults 65 years of age or older fall each year. The number is highest for the oldest in this group and 5% of falls…. [read more]


Care Plan for Patient Term Paper

… Care Plan

Patient Introduction:

The patient is a 85-95 years old Caucasian male who admitted to an acute rehab facility on April 11, 2016 after suffering a syncopal episode (loss of consciousness) and fell in the dining hall at Brighton Gardens nursing home. Patient has no memory of the events surrounding the fall and transporting to the hospital. He stated last thing he remembered was sitting in the dining hall with other residents and when he woke up he was already in the hospital.

Prior to his admission into the rehab facility, the patient was brought to Suburban hospital on April 4, 2016 after suffering a syncopal episode and stayed at the hospital for a week. While he was into the hospital, he had loop…. [read more]


Nursing homes and Evidence based fall prevention Research Proposal

… Likewise, the USA's Preventive Services Task Force discovered multifactorial clinical evaluation, management, and follow-up decreased falls. Falls and related injury commonly occur, arising from interactions between numerous risk factors, several of them potentially modifiable. Primary care providers contribute greatly to decreasing elderly fall risk determinants. Guidelines suggest yearly screenings for high-risk patient identification and detailed risk evaluation and management for changeable risk factors in case of this patient population. Routine exercise to improve balance and strength, besides vitamin D supplements, may decrease falls and prove to be suitable prevention approaches for both high- and low- risk populations. Comprehending aged individuals' perspective and facilitating their participation in fall avoidance activities proves crucial to clinician effort efficacy (Phelan, Mahoney, Voit, & Stevens, 2016).
Extant research heterogeneity and…. [read more]


Gardasil HPV Vaccine Pros Cons Term Paper

… Gardasil

An Analysis of the Pros and Cons of Gardasil as a Vaccine for HPV

Gardasil, a new vaccine developed by Merck & Co., was approved in 2006 by the U.S. FDA as a preventative vaccination for HPV (human papillomavirus -- types 6, 11, 16, and 18) -- recommended for girls before the onset of adolescence and for men ages 9 to 25. This paper will discuss the pros and cons of receiving the Gardasil HPV vaccine.

HPV: What It Is

Before discussing the pros and cons of the HPV vaccine a brief discussion of the human papillomavirus may be beneficial. In existence today are almost 200 different types of human papillomavirus -- however, most of these produce no known symptoms.

The symptoms of those…. [read more]


Intervention Strategy for Grief Long Qt Syndrome Term Paper

… Intervention Strategy for Grief

Long QT syndrome is a congenital that can result in sudden arrhythmia death syndrome (SADS), where sudden death occurs as a result of cardiac arrest. Although rare, deaths from SADS, including those attributed to long QT syndrome, are not accompanied with any anatomic abnormality, which can make prediction and prevention very difficult (Meyer, Mehdirad, Salem, Kulikowska, Kulikowski, & Jamry, 2003). Long QT syndrome is characterized by arrhythmias that are associated with prolongation of the electrocardiographic QT interval, and it is also associated with hereditary genetic defects that affect the cardiac ion channels.

Since it is mostly asymptomatic, the presence of long QT syndrome often goes undetected until it is too late, and death has occurred. When there is an awareness of…. [read more]


Linguistic History of the Insular Celtic Language Family and Proto Thesis

… Linguistic History Of the Insular Celtic Family and Proto-Celtic

The Celts were ancient people in Europe who spoke the Celtic languages forming a branch of the European languages including other languages which are unknown but which have been associated with Celtic cultural traits in archaeological evidence. Celtic is used in contemporary times to describe the languages and cultures of Ireland, Scotland, Wales, Cornwall, the Isle of Man and the French region of Brittany however the Celtic language family includes the Gaelic languages of Scottish, Irish and Manx and the Brythonic languages of Welsh, Breton and Cornish.

The Celtic language family is said to be a branch of the larger Indo-European language and it has been hypothesized that the Celtic prototype language may have derived from…. [read more]


Nursing and Issue of Falls Essay

… In some instances however for instance limiting ambulation and using restraints will be hazardous to the patient than the fall itself.

Gait and Balance Impairments

Gait and balance impairment disturbances patients should be evaluated for the underlying process which can be evaluated after examination into problems with strength, sensation, pain, joint mobility, spasticity and/or central processing. Once investigated the treatment process should be tailored to involve programs of gait training, specific exercises, and prescription of assistive devices. Training of gait should normally be under the supervision of a professional therapist, this training is basically helpful to persons suffering from stroke, hip fracture, arthritis, or Parkinsonism. As for assertive devices they should be tailored to individual specifications and should be prescribed in consultation with a physiatrist…. [read more]


Ectopic Pregnancy: Etiology, Modern Diagnosis and Treatment Thesis

… Ectopic Pregnancy: Etiology, Modern Diagnosis and Treatment

An ectopic pregnancy is an abnormal kind of pregnancy, which occurs outside the uterus or womb (Chen 2008). The term "ectopic" was adapted from the Greek word, ektopos, which means "out of place (Sepilian & Wood 2009). Studies showed that approximately 1-2% of pregnancies are ectopic and 97% of these occur in the fallopian tube (Moeller et al. 2009 as qtd in Kovacs 2010). An ectopic pregnancy develops initially but when there is no more room for it to expand, it can rupture the tube. In rare cases, pregnancy occurs in the ovary, the stomach or the cervix. A condition blocks or slows down the normal travel of a fertilized egg through the fallopian tube to the uterus…. [read more]


IV Aspirin for Acute Myocardial Infarction Patients Research Proposal

… ¶ … Aspirin for Acute Myocardial Infarction Patients

Item

Organization of the Study

IV ASPIRIN FOR ACUTE MYOCARDIAL INFARCTION PATIENTS

IV ASPIRIN FOR ACUTE MYOCARDIAL INFARCTION PATIENTS

Aspirin (ASA) has been known to influence the bleeding time of individuals who take aspirin and it this is presumably due to the inhibition of prostaglandis biosynthesis and the resultant platelet secretion time. All observations in man indicate that long-term ingestion of aspirin is associated with impaired platelet function and prolongation of the bleeding time. Patients with inadequate platelet inhibition by aspirin, which is commonly referred to as aspirin resistance, may have an increased risk of suffering cardiovascular events. Because of this, identification of these patients with aspirin resistance by measuring platelet function is of great interest. This…. [read more]


Market Orientation of Medical Diagnostic Term Paper

… Services at the HHS, MDU's are not planning to be eliminated, but to be more efficient through improved discharge planning, more efficient ways to canalize patient, increase training and skills and more effective clinical and technological test taking of patients. The MDU used as a sample for this research project has an acceptance of approximately 3588 patients a year in the Echocardiography laboratory, 37856 patient for Electrocardiography, 1633 for Holter Monitoring, 2839 for Stress Test, and a 16,102 per year for diversity of cardiac and related non-cardiac diagnostic technologic tests. Having a total of 62018 tests at this particular Unit.

The four units at the corporation have approximately 167,489 invasive and non- invasive cardiovascular tests (including a small number of neurology test) done a year.…. [read more]


Tetralogy of Fallot: Literature Review Literature Review Chapter

… The molecular mechanisms of CHD may include mutations in components of the cardiac gene network, altered haemodynamics, and regulatory pathway of cardiac genes, micro-RNA dysfunction, epigenetics, and adult congenital heart diseases, among others. The molecular basis of CHD is a rapidly evolving field and continuing advances in the understanding of the molecular mechanisms of CHD is likely to result in improved genetic counseling and care of affected individuals and their families.

Gelson, Gatzoulis, Lupton, Steer, & Johnson (2008) highlight that Tetralogy of Fallot is the most common congenital heart defect associated with systemic cyanosis, and accounts for 5 to 6% of all cases of congenital heart disease. It is characterized by ventricular septal defect, aortic override, pulmonary stenosis and right ventricular hypertrophy. With advances in…. [read more]


Chronic Wound Care: Nursing Assessment Essay

… In chronic wounds, stage two is where the healing process is arrested; chronic wounds do not seem to progress past the inflammation stage. In order to move past the inflammation stage, there must be a multi-modal approach to dealing with wound necrosis, bacterial load, and moisture balance. Treating the wound with topical antibiotics can mitigate infection. Necrotic tissue may need debridement. The moisture balance of the wound must be balanced with dry wounds receiving moisture and moist wounds receiving drying. Specialized dressing materials are available to move the chronic wound past the inflammation stage, including films, hyrdrofibers, hydrogels, foams, and alginate dressings (Gist, Tio-Matos, Falzgraf, Cameron, & Beebe, 2009).

O'Meara et al. (2009) conducted a study to assess the efficacy and appropriateness of using compression…. [read more]


Concise Analysis of the incidence of falls in the older adult population Essay

… The use of restraints and slippery floors in healthcare facilities are the main hazards that contribute to falling. It has been found that nearly 50% of falls in hospitals are bed related. The use of bed rails is commonly mentioned (Fletcher, Fankhauser, Lee, & Westley, 2004). In the place of restraints, the nurse should be given the liberty to place the high-risk patient's beds close to the floor. Bed alarms are yet another option. Such alarms alert the nurse when the patient has left their bed. With regard to slippery floors, nurses should be encouraged to promote the use of non-slip shoes and footwear and non-skid wax for the floors. Non-skid rugs, skid proof areas around beds and other anti skid measures should be implemented…. [read more]


Congested Cardiac Failure Health Assessment Essay

… Congested Cardiac Failure Health Assessment

Holistic Nursing Assessment of a Congestive Heart Failure Patient

Background and Initial Presentation

Many factors, both physical and psychological, impact the development of congestive heart failure (CHF). The prevalence of CHF in developed countries is 1-2% of the adult population overall and the sudden onset of life-threatening complications associated with the symptoms of CHF makes it especially dangerous (Blinderman et al. 2008). Given its immediate dangers, it is critical that a patient presenting with CHF receives a systematic and comprehensive assessment.

The initial stage of the holistic nursing assessment is the patient's story. The nurse should initiate the interview by allowing the patient to introduce himself. This aspect of the patient interview allows him to provide unfiltered information that express…. [read more]


Hypertrophic Cardiomyopathy in Athletic Population Term Paper

… Hypertrophic cardiomyopathy (HCM) is a heart condition characterized by excessive thickening of the heart muscles. Left ventricular thickening is usually the most common defining feature of the disease though in some patients right ventricular thickening is also noticed. While heart muscle thickening is also observed in patients with a history of high blood pressure and among those with prolonged athletic training, in HCM the thickening is idiopathic. HCM occurs roughly in around 1 in 500 (600,000 to 1.5 million) people in the U.S. And is the single most common cause for sudden death in young athletes. [Cleveland Clinic] Statistics show that roughly around 35% of sudden deaths among athletes are ascribed to HCM. Statistics also reveal that sudden deaths among joggers, marathon racers, and other…. [read more]


Performance Improvement Analysis A-Level Coursework

… Human Resources -- Performance Improvement Analysis

The analysis is focused on a 32-year-old female Registered Nurse (here called XX) working in the Telemetry unit of an acute care hospital. XX has been employed by the acute care hospital for approximately 3 years total and in the Telemetry unit for six months. XX is a native of Jamaica and has a thick accent that is sometimes hard to understand. The nature of our work relationship is that we are colleagues in this unit, having worked together for the past six months, essentially 40 hours per work week. The specific performance problem requiring assessment is XX's repetitive failure to attend to patients who are toileting. The most recent incident involved an 88-year-old female patient who suffers from…. [read more]


Wbgt Limits for Chinese Migrant Research Proposal

… " While this would seem to be in line with the necessary considerations elucidated above, subsequent research has found the WBGT index lacking in a key area; namely, WBGT produces overly conservative estimations of heat stress in highly humid conditions, necessitating the use of a more accurate heat limit standard for tropical climates.

In contrast, Claasen and Kok (9) examined the accuracy of the WBGT heat stress index at low and high humidity levels in their paper of the same name and ultimately found that "WBGT index values above 30 with HH [high humidity] levels underestimate thermal load and that un-acclimatized employees may be at risk to develop heat illnesses if work schedules are not properly managed" because the WBGT index is so inaccurate at…. [read more]


Cocaine Botanical Origins Term Paper

… Behavior

False hallucinations are common among cocaine users. Tactile hallucinations - "cocaine bugs" - sensations of itching and particles moving under the skin, visual hallucinations - "snow lights" - the flashing of lights behind closed lids, olfactory hallucinations - smelling repulsive odors of feces, garbage, and urine, and digestive hallucinations - failure to detect strong food and drink - are often reported in users of short duration (i.e., three to six months) and become more pronounced as the abuse lengthens.

An addict will often display a personal fascination with their own thought processes and become quite philosophical about the meaning or core of things. Repetitious, almost compulsive behavior can be seen in the moderate to heavy user of cocaine.

Chronic use and defined addiction often…. [read more]

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