Rp Case Study

The author read Mrs. X’s medical notes prior to their initial consultation to afford herself the knowledge she required should she need to prescribe for her when fully qualified. It was evident from reading her medical notes that there were a few considerations to take note of before commencing any treatment, such as her medical history, drug history and allergies. Her past medical history consisted of Type 2 diabetes mellitus, which was diet controlled, hypertension, hypercholesterolaemia, neuropathy, rheumatoid arthritis and raynauds syndrome.

S.P. is admitted to the orthopedic ward. She has fallen at home and she has sustained an intracapsular fracture of the hip at the femoral neck. The following history is obtained from her: She is a 75-year-old widow with three children living nearby. Her father died of cancer at age 62; mother died of heart failure at age 79. Her height is 5’3 and weighs 118 pounds. She has a 50 pack year smoking history and denies alcohol use. She has severe Rheumatoid Arthritis (RA) and had an upper GI bleed in 1993 and had Coronary Artery Disease with CABG 9 months ago. Since that time, she has engaged in “very mild exercise at home.” Vital signs are 128/60, 98, 14, 99 degree farenheight (32.7 degrees C) SAO2 94%

I will be using the patient initials (MK), throughout this paper when I reference her. I asked the patient a list of questions about her life and I will summarize the answers for you now. MK is an alert and oriented 84 year-old female who is happily married and lives with her husband of 56 years. MK is retired and worked as a high school secretary for 20 years in the town she lived in. She grew up in Pennsylvania with her parents and was the oldest of five children. Her family medical history includes cardiac disease and diabetes with all of her brothers and sisters still alive. MK has three of her own children who all live with in a 30 minute drive from her home and they speak frequently on the phone with her and her husband. MK and her husband are going on a vacation together this summer to South Carolina with her son and his family. MK still hosts holidays and family gatherings at her home with only a couple holidays hosted by her son at his home. MK and her husband receive social security and her husband’s pension as their income. They have Medicare and also a supplemental insurance through AARP. MK enjoys her exercise class, reading, her card club, traveling and is also very active in her church including being on the bereavement committee. MK still drives her own car around town to visit friends and shop but prefers not to drive at night

Patient presents with right leg pain and heard a pop. Slipped today while shoveling snow about an hour ago. Rates pain at 6 out of 10

History:  Margaret Donovan, a 72-year-old white female, was brought to the emergency room by her son-in-law after falling in her bathtub. She was previously in good health, despite leading a relatively sedentary lifestyle and having a 30-pack-year history of cigarette smoking. The only medication she currently takes is Inderal (propranolol) for mild hypertension. She fell upon entering the bathtub when her right leg slipped out from under her; she landed on her right hip. There was no trauma to her head, nor does she complain of right or left wrist pain. However, she reports severe pain in the right hip and upper thigh, and was unable to get up after her fall. An injection

One afternoon a 67 year-old man presented to the emergency department of a small, rural hospital complaining of severe left leg and hip pain following a fall at home. The patient had no past history of falls. He had a history of impaired glucose intolerance, prostate cancer, hypercholesterolemia and hyperlipidemia. The patient’s current medications were atorvastatin and oxycodone for chronic back pain. The patient stated his pain was ten out of ten on a scale of one to ten with ten being the worst. The left leg appeared shorter than the right, edema was present in the calf, as was ecchymosis and he had limited range of motion. After an evaluation in triage by a registered nurse and a subsequent examination by the emergency department physician, a plan was established to sedate the patient using moderation sedation protocol and perform a manual reduction of the hip.

Anna stroke lives with her husband Steve Stork in a three-bedroom apartment in Newport Richey, Florida. Her both parents are deceased. Her father died at 68 due to myocardial infarction and mother died at 92 due to old age problems. She has a total of 4 siblings. One sister with hypertension which is controlled by medications and diet, one brother with hypertension and cardiomyopathy, and the other 2 siblings (boy and girl) are in good health with no current illnesses. Her husband has mild dementia, diabetes, and hypertension. She has 2 children (son & daughter); both are healthy with no significant medical history. Anna Stork is happily married for 40 years. She denies alcohol, tobacco, and illicit drug use. She was a former smoker and quit smoking few months ago. One of her sister own few day care centers and she work 8 hour shift 3 days a week in one of her

Shirley Caretaker is a 56 year-old widow who spent the last twenty-five (25) years working in the health care field as a Certified Nurse’s Assistant and Licensed Practical Nurse. Ms. Caretaker’s job-related knee pain was worsened by a work related accident, which also injured her hip and back. She cannot sit or stand for more than 30 minutes at a time, or walk for more than 10 minutes. Pain in her upper back radiates up her neck and through her fingers, which causes her arms and fingers to periodically feel

Ms. T has no past surgical history at this time. She had previous episodes of Group A Streptococcus in the past relieved by Amoxicillin, but the last time this medication did not seem to work as good. She takes Flonase and Claritin daily for her severe allergies. She has no other past medical history other than recurring GAS, constipation, hand, foot, and mouth as a toddler, and a few episodes of gastroenteritis, when she started day care. She has no known allergies or medication intolerances. Ms. T lives with her mother, which has no chronic medical conditions. Her father is healthy other than some lower back pain from work. She has two smaller siblings that are healthy. Her maternal grandmother is

She reports a history of back pain, ovarian cysts excision, and breast tumor. She denies chest pain, shortness of breath, or palpitations. Patient reports that her immunizations and preventive care are up to

Reporting party (RP) stated that her daughter, April O'Meany-Lucas (04/08/2000) is ADHD and has learning disabilities which qualified her to be cared for at this daycare. RP stated that child attended until December 2016. RP stated that she left specific instructions for the licensee to not allow the child access to any electronic devices (cell phones, tablets, computers, etc) because RP would not be able to monitor her. RP stated that she discovered nude photos of the child which were taken during daycare hours using the licensee's tablet and posted the photos on social media. LPA Lasso-Hills asked RP how she found out about the photos and RP stated that she searched through "Instagram". LPA asked if the child has an Instagram account, and

Husband is the head of the family. All the family members are health conscious. The whole family is covered under medical insurance and adheres to annual health check up. This family prefers homely food and the parents set example for that. They also enjoy the relationship with neighbors and with extended family members. There are no risk factors of smoking, alcoholism, and use of other drugs.

The patient I have chosen to write about is a seventy year old male who has been married for nearly fifty years. He has two grown up sons, both married with

departments, this proved problematic as hospitals relied on vendor support for employee training, medical procedure support, patient follow-up and more. As these services were typically at no charge (or hidden in the product price), their cost was a non-issue for the hospital. To ensure vendors are unable to charge separately for these services, the GPOs now include criteria that stipulated the level of service required for a vendor bid to be retained. If the vendor refuses to acknowledge those terms, their bid is immediately rejected.

The patient is a 92-year-old female who tripped and fell while walking into her place of residence. She tripped and fell on her right side and presented to the ED. Her medical history is significant for hypertension, hypothyroidism, s/p thyroid lobectomy, a parathyroid, nephrectomy, chronic, afib (on Coumadin) and a past history of polio as a young child. CT of the pelvis which reveals that she has a right hip nondisplaced inferior and superior rami fracture. Clinical review of the chart indicates Dr. Rifai has grave concerned that this fracture and the fact that she is on Coumadin places her at