Clinical Assessment Essay

S.R is a 69-year old man who presents to the clinic because his “wife complains that his snoring is difficult to live with.”

You want to teach the patient the side effects of dizziness, headache, hypotension, and tachycardia. Also you want to teach him not to take erectile dysfunction medications (Viagra) because it could further decrease his blood pressure.

My first encounter with a Certified Registered Nurse Anesthesia (CRNA) was during my undergraduate nursing OB/GYN rotation. I was impressed with the CRNA when she placed the epidural to the patient in labor. I remembered patient had difficulty staying still due to the contraction, but the CRNA took her time to explain the procedure while comforting the distressed patient. Once the epidural was in placed and the medication started working, I could tell the relief the patient experienced. I realized then that a CRNA goes beyond the delivery of anesthesia, pain management and monitoring of patients. Thus, obtaining this degree will prepare me to ease the patient’s mind through education, pain management, monitoring, experience and compassion.

* Healthy diet (balanced diet) by avoiding too much salt in food as salt tends to increase blood pressure. Avoid too much carbohydrates and starch to allow the body to breakdown excess fat in the body. Too much of bad cholesterol can be deposited in blood vessels, thus worsening the patient blood pressure (Baric, 1997).

Just following up on our discussion on Friday regarding Which agencies should be memo billed VS direct billed in FY 15-16. One of the action items from that meeting was you will confirm with DOB that all funds identified for FY 15-16 for ITS was already received. Please let me know the status, so I can schedule a follow up meeting to finalize this

Such lifestyle changes include weight loss, if he is overweight or obese, reduce or eliminate alcohol and drug use as well as smoking, and changing his diet so that it is more ‘heart healthy’. A heart healthy diet will include the following characteristics: 20-35% fat, 10-25% protein, 45-65% carbs, emphasizes healthy fats such as DHA, EPA, mono and polyunsaturated fats, limits unhealthy fats including saturated and trans fat, is high in fiber (25-35 grams per day), contains whole grains and nuts, limits added sugars, moderates alcohol consumption and includes plant stanols or sterols (Brown,

Eat foods that are high in fiber, low in sodium, low in fat, and watch portion sizes.

Public health nursing is an important aspect of nursing field, which contributes tremendously to the safety and health of our society. Public health nurses work hard to assure our communities are healthy and are able to attain needed support to be self-sufficient. However, it seems their hard work goes unnoticed by vast majority of our society. This of course, is my opinion, but I would say that if I were to survey various communities, most people would say that “Nurses just work in the hospital”. I could be very wrong.

Discuss the four components of corporate social responsibility and how they relate to a charitable campaign such as (Product) RED. How does participation in a cause-marketing event contribute to a company's social responsibility? What role does sustainability play?

1. Create and interpret Commonwealth’s statement of cash flows for 2013. What information does it provide regarding the HMO’s sources and uses of cash over the past year?

Southwestern University: F The recent success of Southwestern University’s football program is causing SWU’s president, Joel Wisner, more problems than he faced during the team’s losing era in the early 1990s. For one thing, increasing game-day attendance is squeezing the town of Stephenville, Texas and the campus. Complaints are arising over parking, seating, concession prices, and even a shortage of programs at some games. Dr. Wisner, once again, turns to his stadium manager, Hank Maddux. This time, he needs a guaranteed revenue stream to help fuel the stadium expansion. One source of income could easily be the high-profit game programs. Selling for $6 each, programs are a tricky business. Under substantial pressure from

Clinical practicum has provided a valuable study opportunity to me.When I took care of a living person in wards,I could apply the skills which are learnt from indoor lessons in school and books.Also,I could achieve more knowledge outside textbooks.However,I find that there is a difference between the real situation and theory.In ward,nurses have to be multitasking and need to manage several patients,time is precious to them.Nurses have to make an effort to save time from different ways.To give an example,in the ward I worked in this clinical practicum,nurses connected the syringe to the end of tube and administered drug to a patient with nasogastric tube by giving pressure to pump drug solution down the tube.Thus ,the procedure finished in a few seconds.I learnt this method from them and applied it in my practice.However,I was stopped by the supervisor teacher during one of my practise.She told us that it was wrong to administer drug by using pressure.She then asked me for the right method.I was shocked in that time because I learnt this way from the

Today I spent seven hours in the cardiac rehab. St Jude medical center offers health education and prevention classes for the community members. I attend the food and nutrition class, which was offered by registered dietitian for the cardiac patients. The focus was over all health, wellness, balanced heart healthy meals and change of habits. Dietitian discussed through food and exercise how to manage and prevent high cholesterol, manage blood pressure or hypertension and heart disease. Dietitian answered one-on-one patient’s question. She showed how to read food labels, specially the fat, sugar and salt content. It is hard to believe that only 10% of salt comes from saltshaker, most of the salt comes from processed food. For an example, instance oatmeal has lots of salt. A cardiac patient is allowed < 1500 mg salt per day. Dietary approaches to lower or

Deep Knowledge of the Subject: Fred often provided necessary drug samples and information regarding side effects of those drugs based on his prior experience and knowledge. And several times his knowledge helped them a lot. His doctors and nurses were highly influenced by his knowledge.

Tale servizio, offerto da Tyring, prevede la sostituzione del battistrada consumato con del materiale nuovo,