Create CHART (C-omplaint, H-istory, A-ssessment, R-x - Drugs, T-reatment) documentation for the patient. 2. What is the discharge goal for the patient? Create discharge plan for the patient using METHOD. (M-edications, E-nvironment, T-reatment, H-ealth teaching, O-ut patient referral, D-iet) see photo for reference Thank you! :)
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QUESTIONS. (see pictures for the case scenario and the CHART)
1. Create CHART (C-omplaint, H-istory, A-ssessment, R-x - Drugs, T-reatment) documentation for the patient.
2. What is the discharge goal for the patient? Create discharge plan for the patient using METHOD. (M-edications, E-nvironment, T-reatment, H-ealth teaching, O-ut patient referral, D-iet) see photo for reference
Thank you! :)
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- You work in Dr. Gainess office and you know that the Boulays appointment today is about a potential contagious rash. What precautions should you take when the family arrives?Female patient whose is a 13-year-old, was admitted to the hospital with complaints of progressive weakness and shortness of breath with minimal physical effort. She has experienced recurrent fevers reaching 38.8°C. Physical examination reveals a well developed teenage with good nutritional status and in no acute distress. There is no lymphadenopathy or organomegaly. Many petechial hemorrhages cover her chest and legs. Several bruises are found on her legs and thighs. Laboratory tests were ordered upon admission. The laboratory tests result were as the following: RBC 2.24 X1012 /l Hb 71 g/l PCV 24% Plt 8.0 X109/l WBC 1.2 X109/l Differential Segmented Neutrophils 2% Lymphocytes 94% Monocytes 4% Reticulocyte count 0.7% She was referred to a hematologist who ordered a bone marrow examination. Bone marrow biopsy showed a markedly hypocellular marrow with very few hematopoietic cells and…Female patient whose is a 13-year-old, was admitted to the hospital with complaints of progressive weakness and shortness of breath with minimal physical effort. She has experienced recurrent fevers reaching 38.8°C. Physical examination reveals a well developed teenage with good nutritional status and in no acute distress. There is no lymphadenopathy or organomegaly. Many petechial hemorrhages cover her chest and legs. Several bruises are found on her legs and thighs. Laboratory tests were ordered upon admission. The laboratory tests result were as the following: RBC 2.24 X1012 /1 Hb 71 g/l 24% 8.0 X10/1 PCV Plt WBC 1.2 X109/1 Differential Segmented Neutrophils Lymphocytes Monocytes Reticulocyte count 2% 94% 4% 0.7% She was referred to a hematologist who ordered a bone marrow examination. Bone marrow biopsy showed a markedly hypocellular marrow with very few hematopoietic cells and there were no malignant cells present. 1- Connect these clinical symptoms with her laboratory-screening…
- A 19-year-old woman, Melody, is enrolled in a community college’s physical therapy assistant program. She has just received the required immunizations, and her tuberculin test result is positive. She tells her provider that the same test was negative 2 years ago. 1. What could the positive tuberculin test result mean? 2. What, if any, treatment might be prescribed? 3. If she does not have an active case of TB, what preventive measures could she take? 4. Will she be allowed to remain in the program? 5. Justify your response.A 13-year-old girl with chronic myelogenous leukemia presented with respiratory distress 30 days after hematopoietic cell transplantation. There was an onset of breathlessness after 5-day history of hemoptysis and fever. Respiratory system showed bronchial breath sounds in right supraclavicular areas. Laboratory investigation showed mild elevation of AST/ ALT levels. Other blood parameters were normal. Initial work- up for fever, including malaria, dengue, scrub typhus, and leptospirosis tests, were negative. Hepatitis B surface antigen and HIV were also negative. Sputum samples for acid-fast bacilli were reported as negative. On the sixth day of admission, the patient’s sputum culture was reported positive for specific fungi. The green granulated colony of the cultured specimen revealed microscopically the presence of septate hyphae and small conidia. Questions: What is this patient’s most likely diagnosis? What are this patient’s most striking clinical and laboratory findings?…A 13-year-old girl with chronic myelogenous leukemia presented with respiratory distress 30 days after hematopoietic cell transplantation. There was an onset of breathlessness after 5-day history of hemoptysis and fever. Respiratory system showed bronchial breath sounds in right supraclavicular areas. Laboratory investigation showed mild elevation of AST/ ALT levels. Other blood parameters were normal. Initial work- up for fever, including malaria, dengue, scrub typhus, and leptospirosis tests, were negative. Hepatitis B surface antigen and HIV were also negative. Sputum samples for acid-fast bacilli were reported as negative. On the sixth day of admission, the patient’s sputum culture was reported positive for specific fungi. The green granulated colony of the cultured specimen revealed microscopically the presence of septate hyphae and small conidia. Questions: What is this patient’s most likely diagnosis? What are this patient’s most striking clinical and laboratory findings?…
- A 13-year-old girl with chronic myelogenous leukemia presented with respiratory distress 30 days after hematopoietic cell transplantation. There was an onset of breathlessness after 5-day history of hemoptysis and fever. Respiratory system showed bronchial breath sounds in right supraclavicular areas. Laboratory investigation showed mild elevation of AST/ ALT levels. Other blood parameters were normal. Initial work- up for fever, including malaria, dengue, scrub typhus, and leptospirosis tests, were negative. Hepatitis B surface antigen and HIV were also negative. Sputum samples for acid-fast bacilli were reported as negative. On the sixth day of admission, the patient’s sputum culture was reported positive for specific fungi. The green granulated colony of the cultured specimen revealed microscopically the presence of septate hyphae and small conidia. Questions: What are the clinical manifestations of the disease caused by the organism responsible for the patient’s infection?…A 13-year-old girl with chronic myelogenous leukemia presented with respiratory distress 30 days after hematopoietic cell transplantation. There was an onset of breathlessness after 5-day history of hemoptysis and fever. Respiratory system showed bronchial breath sounds in right supraclavicular areas. Laboratory investigation showed mild elevation of AST/ ALT levels. Other blood parameters were normal. Initial work- up for fever, including malaria, dengue, scrub typhus, and leptospirosis tests, were negative. Hepatitis B surface antigen and HIV were also negative. Sputum samples for acid-fast bacilli were reported as negative. On the sixth day of admission, the patient’s sputum culture was reported positive for specific fungi. The green granulated colony of the cultured specimen revealed microscopically the presence of septate hyphae and small conidia. A. Aside from specimen culture, what other test can be helpful to diagnose the disease? What sample can be used in this test? What is…Describe in detail the preventive and control measures employed by the health office for these following diseases if there are any. 1. Acute upper respiratory infections of multiple and unspecified sitessites 2. Influenza A (H1N1) 3. Bird Flu (Avian Influenza) 4. Chickenpox 5. Cholera
- Mr. Whaley is a 65-year-old man with a history of COPD who presents to his primary care provider’s (PCP) office complaining of a productive cough off and on for 2 years and shortness of breath for the last 3 days. He reports that he has had several chest colds in the last few years, but this time it won’t go away. His wife says he has been feverish for a few days, but doesn’t have a specific temperature to report. He reports smoking a pack of cigarettes a day for 25 years plus the occasional cigar. Upon further assessment, Mr. Whaley has crackles throughout the lower lobes of his lungs, with occasional expiratory wheezes throughout the lung fields. His vital signs are as follows: BP 142/86 mmHg HR 102 bpm RR 32 bpm Temp 102.3F SpO2 86% on room air The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. Based on these findings, Mr. Whaley’s PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED). While waiting…Mr. Whaley is a 65-year-old man with a history of COPD who presents to his primary care provider’s (PCP) office complaining of a productive cough off and on for 2 years and shortness of breath for the last 3 days. He reports that he has had several chest colds in the last few years, but this time it won’t go away. His wife says he has been feverish for a few days, but doesn’t have a specific temperature to report. He reports smoking a pack of cigarettes a day for 25 years plus the occasional cigar. Upon further assessment, Mr. Whaley has crackles throughout the lower lobes of his lungs, with occasional expiratory wheezes throughout the lung fields. His vital signs are as follows: BP 142/86 mmHg HR 102 bpm RR 32 bpm Temp 102.3F SpO2 86% on room air The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. Based on these findings, Mr. Whaley’s PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED).…Mr. Whaley is a 65-year-old man with a history of COPD who presents to his primary care provider’s (PCP) office complaining of a productive cough off and on for 2 years and shortness of breath for the last 3 days. He reports that he has had several chest colds in the last few years, but this time it won’t go away. His wife says he has been feverish for a few days, but doesn’t have a specific temperature to report. He reports smoking a pack of cigarettes a day for 25 years plus the occasional cigar. Upon further assessment, Mr. Whaley has crackles throughout the lower lobes of his lungs, with occasional expiratory wheezes throughout the lung fields. His vital signs are as follows: BP 142/86 mmHg HR 102 bpm RR 32 bpm Temp 102.3F SpO2 86% on room air The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. Based on these findings, Mr. Whaley’s PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED). While waiting…