Inguinal Hernia Repair

Diagnostic Studies: Flat plate and upright films of the abdomen revealed a localized abnormal gas pattern in the right lower quadrant with no evidence of free air.

Class, in this thread we will be looking at patient documentation and patient encounters. The purpose of this thread is to familiarize you with the Key Concepts found in Terminal Course Objectives (TCOs) 1 and 2. You must address all of the questions located after the example of surgical history and patient encounter of Darryl McFadden.

This was my first shift back from having a few days off and I returned to work on a night shift. Patient A was admitted to the hospice that day. She was admitted for general deterioration and she had tried to maintain her independence up until breaking point. It was handed over she has aphasia.

In the primary source titled Report on the Chicago Strike of June-July 1894, Thomas W. Heathcoate the writer, shares his experience and struggle during the Chicago Strike of June and July 1894. Even though there is no exact date given in this short account as a reader, I would say that this was written shortly after the strike took place because you can still sense the frustration that Thomas feels. This event just took place and obviously Heathcoate was apart of it so I would also assume that this was written in the same place the strike took place, Chicago. The intended audience that Heathcoate probably had in mine was the American people as a whole. He wanted people to know how bad things were and the reasoning behind the strike. Obviously

Pelvic organ prolapsed repair surgery is either performed through the vagina or the abdomen. The repair is reinforced with stitches or surgical mesh which is supposed to support the pelvic organs. The problem is that the mesh puts women at a greater risk of complications than other options that are available. There is no greater benefit

During this day, I was assigned to care to one of our sick residents and based on my assessment, her condition shows no sign of improvement from her chest infection so I checked her vital signs specifically her respirations. After assessing her, we rang in the GP to inform him about the condition of his patient and asked him to schedule a visit. Also, in the afternoon, we had a new admission from Eversley. Firstly, we greeted the patient, introduced ourselves and oriented the resident to the unit. Secondly, the nurse from Eversley informed us about the relevant information about the patient’s

that was very painful. He went into surgery and explained that the hernia was more painful than

Since 1945, Canada based Shouldice Hospital has gained a reputation around the world for their primary performed surgeries and services in hernia repair. Shouldice’s main objective is to take the inconvenience of being diagnosed with a hernia and turn it into a quick and even enjoyable experience for their patients. This is all possible through Shouldice’s service delivery system, consisting of selecting patients that do not hold an overly complicated hernia in order to perform a superior surgical technique established by Dr. Shouldice. The patients endure an active stay to ensure a proper, speedy recovery, and a quaint estate resembling a country club accompanied with a pleasant staff and encouraged socializing with other patients that give them a unique experience. After the patient's stay, Shouldice Hospital invites them back for a yearly gala Hernia Reunion dinner to follow up and provide a complimentary hernia inspection. The lifelong bond that Shouldice has been able to establish and maintain display the above and beyond service they’ve given their clientele for decades.

and Dr. James Dowling et al. was presented to a medical review board, then ultimately in the Louisiana Court of Appeals, 4th District demonstrating the importance and necessity of informed consent. Between 1963 and 1973, Mr. Milton Lugenbuhl experienced three inguinal hernias and unsuccessful surgeries, ultimately receiving a successful mesh surgery in 1974. Ten years later, Mr. Lugenbuhl experienced another hernia following open-heart surgery, seeking the expertise of Dr. Dowling and requesting a surgery involving mesh to repair the defect. Dr. Dowling performed the hernia repair without using mesh, professing the mesh was not worth the risk of infection and the size of the hernia did not require a mesh closure. Subsequently, the plaintiff, Mr. Milton Lugenbuhl filed an action against Dr. John Dowling, specifically for not using a surgical mesh, requested by the patient, Lugenbuhl, to repair the hernia, seeking damages incurred from additional surgeries due to additional hernias (Lugenbuhl v Dowling). According to court documents, the trial judge rendered a directed verdict to the jury to return a favorable verdict for Dr. Dowling on the medical malpractice, as there was not enough evidence. Next, the jury awarded $300,000 in favor of the plaintiff finding Dr. Dowling liable for medical malpractice and failure to obtain informed

The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT

However, I was uncertain of which career path I wished to pursue. I was given the privilege to shadow various healthcare physicians around the area, which could help determine which field of medicine was for me. Of the specialties I had observed, I found that anesthesiology was the most intriguing and I was immediately attracted to it. In order to acquire more information about the speciality, I applied to volunteer at East Georgia Regional Medical Center in the anesthesia department. I began assisting the anesthesia technician with her daily responsibilities. She eventually introduced me to many anesthetists there. After shadowing many anesthetists, I quickly learned that much of the patient interaction was with the anesthesiologist assistant or the certified registered nurse anesthetist rather than the anesthesiologist. I was thrilled to see the anesthetist comfort the patient as well as his family before the surgery. I, then, realized that I did not want to become a physician but rather an anesthesiologist assistant because I wanted to provide that administrative and comforting experience for the patients and their loved

Shouldice Hospital is one where only external abdominal hernias are operated. The hospital has a unique “technique” for this which was developed by Dr.Earle Shouldice, the founder of the hospital. The hospital with its low cost solution, properly routine tasks, facilities for the patients and their visitors, high quality service, and best in industry doctors and staff had a competitive edge. The Shouldice Hospital in itself is not just a curing centre but a holistic experience for its patients, doctors, nurses and supporting staff alike.

Although this may be pushed inwards since it is mainly a displaced fat tissue or a part of the small intestine, whenever there is an increase in the pressure in the abdominal region the bulge reappears. This kind of pressure is exerted on the navel when the patient of the Umbilical Hernia coughs or vomits hence putting pressure in the abdominal region (Aroyo et al., 2001).

Some hernias may be pushed back into place. These are reducible hernias. They are most likely to return again, which have fewer side effects that if left untreated can become very dangerous. Hernias that cannot be pushed back into place may have become “strangulated.” Strangulated hernias occur when the piece of organ or tissues have become trapped in the lining of the opening. Once trapped, a strangulated hernia can

Shouldice Hospital focus on hernia repair surgery which is mostly performed on males. Shouldice operation strategy