"Contrary cases are clear examples of 'not the concept'" (Walker, L.D. & Avant, K.C., 2010, p. 166). The following is an example of a contrary case. A 65-year-old woman was admitted to the day-surgery unit at this hospital for release of a trigger finger of the left ring finger. Approximately 3 months earlier, the patient was seen in the orthopedic clinic at this hospital because of pain and stiffness in the ring finger of the left hand. She reported that the finger intermittently “got stuck” in flexion. She had a history of coronary-artery and carotid-artery atherosclerosis, hypertension, diabetes mellitus, hyperlipidemia, and hypothyroidism. She had had a cholecystectomy in the past. Medications included nitroglycerin and nitrate preparations, metformin, levothyroxine, simvastatin, acetylsalicylic acid, and vitamins. She had no known allergies. She had been born in a Caribbean country and spoke only Spanish. She lived with her son. She did not smoke, drink alcohol, or use illicit drugs. …show more content…
There was snapping of the left ring finger with flexion and extension. Motor and sensory function and tendon balance were normal, and there was no angular or rotational deformity. A diagnosis of idiopathic trigger finger (stenosing tenosynovitis) was made. The patient elected a trial of dexamethasone, which was injected locally. At follow-up 8 weeks later, she reported no improvement in the joint symptoms. The examination was unchanged. The risks, benefits, limitations, and alternatives of operative and non-operative treatment were discussed. The patient decided to proceed with
Examination of the right elbow reveals focal tenderness over the medial and lateral epicondylar region of her right elbow.
Case Scenario Ms. C was a case manager at an outpatient clinic that provided a variety of services. One of her clients was Ms. R, who was receiving services as a result of a recent divorce. Ms. C had also experienced a divorce in her past and thought she had effectively dealt with that experience, but found herself identifying with many comments made by Ms. R. Through their work together, the two women realized they shared many common interests. They often found themselves talking about these shared interests in their time together and eventually began meeting for coffee after their sessions. Ms. R soon suggested they begin spending additional time together socially and Ms. C agreed.
DOI: 8/6/2015. Patient is a 51-year-old female licensed vocational nurse who sustained a work-related injury to her back and hips while moving a client. As per OMNI, she was diagnosed with muscle spasm, pain over the low back and thoracic region. She is status post right carpal tunnel release on 02/26/16.
----- Clinic presents a black male 68 years old. Currently experiencing dyspnea and lethargy. For the past week he has been having a increase of difficulty breathing. Complains of alternating periods of sweating and chills. Other symptoms he has been experiencing is a productive cough with expectoration of thick yellow sputum. Patient is a ex- smoker, he was a 40 pack year history, denies smoking, stopped over 10 years ago. Medical history includes chronic bronchitis, hypertension, MI five years ago, has had a angioplasty, and denies chest pain since having angioplasty. Current medication combined albuterol/ipratropium MDI, nebulized albuterol prn, captopril, and hydrochlorothiazide.
Mary was seen today following a repeat chest x-ray, which reassuringly shows almost complete resolution of the effusion with just some mild pleural thickening seen in the right base, which is a reaction to the parapneumonic effusion.
Case Studies This paper will consist of four very different case scenarios. Two of them will focus on children who are in a school environment. Clients will be assessed and screened by considering the background, pertinent life experiences, and family history. The correct assessment and screening must take place for resources and proper care to be given.
The patient reports no complaints. No pain. No numbness or other problems. He does notice that the left thumb continues to be somewhat swollen although significantly better with the release of the soft tissue at his last visit on July 7, 2015.
Lewis, S.L., Dirksen, S.R., Heitkemper, M.M., Bucher, L., Camera, I.M. (2011). Medical-surgical nursing: Assessment and management of clinical problems (8th ed). St. Louis, MO: Elsevier.
4. From the investigations in section 2 of Chapter 5, there is reason to believe that
1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act.
Appreciably, having an honest background and data concerning plays a polar role in enhancing the health-outcomes of the patients. An important examination of the present case illustrates that if Annie failed to have a nursing background, she wouldn't comprehend the essence of taking the blocker daily to handle the matter of speedy pulse rate. As well, she would neither have contacted the APRN to repeatedly give her with a lot of provide concerning her medication (Milstead & Short, 2014). The implication here is that the health condition of Annie would have considerably deteriorated. it's by having a stable nursing background that Annie created an idea for Associate in Nursing annual Eudaimonia visit.
In 1911 the race car driver Louis Chevrolet and GM founder William C. co-found the Chevrolet Motor Company in Detroit. Louis Chevrolet shares company with Billy Durant. The first car wearing the Chevy bowtie logo shows, it’s the Royal Mail Roadster. The Chevy Model 490 introductions as a 1916 model with a list price of $490. The primary "value-priced" Chevy, it places Chevrolet in direct competition with Henry Ford's Model.
CHIEF COMPLAINT: This is a post op note from a procedure performed July 21, 2015 by David Lin, MD.
The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.
PROCEDURE: The patient was placed in the supine position on the operating room table, where her right hand and forearm were prepped with Betadine and draped in a sterile fashion. We infiltrated the thenar crease area with 1% Xylocaine, and once adequate anesthesia had been achieved, we exsanguinated the hand and forearm with an Esmarch bandage. We then created a longitudinal incision just at the ulnar aspect of the thenar crease and carried the dissection down through the subcutaneous tissue. We identified the transverse carpal ligament and incised this