Need help with your Discussion

Get a timely done, PLAGIARISM-FREE paper
from our highly-qualified writers!

glass
pen
clip
papers
heaphones

St Thomas University Healthcare System Response

St Thomas University Healthcare System Response

St Thomas University Healthcare System Response

Description

  • You should respond to your peers by extending, refuting/correcting, or adding additional nuance to their posts.
  • All replies must be constructive and include at least two references.

Ferlanda Pierrelus.

Weekly clinical experience. Clinical Week 2

I learned this week how to include patient preferences, functional capacities, and co-morbid conditions into a treatment plan. I view the care of elderly patients as a distinct clinical challenge since older patients typically had longer medical histories, used more drugs, and responded differently to treatment than younger ones. I do, however, like the medical complexity of these cases. Another difficulty is communicating with family members about the hopelessness of care and navigating end-of-life concerns because “as a practitioner, one wants to fix things; one does not want to call it quits,” but “clearly, that has to happen.” Additionally, I recognized compliance as a barrier when patients with cognitive impairments or financial constraints cannot adhere to specific care regimens. Financial restraints on older individuals may also make navigating topics such as home nurse affordability more difficult. Practitioners need to have the fundamental skills necessary to safely, effectively, and compassionately care for older patients. It is critical to understand how to care for elderly patients.

One of the patients I encountered is a 69-year-old female originally from Cuba who has been diagnosed with hypertension, asthma, hyperlipidemia, and rheumatoid arthritis. She came to the clinic for the management of her chronic conditions. She is not in any discomfort. In terms of ADLs, she is quite functioning (6/6), with no falls, no urinary incontinence, and no memory problems. The woman indicated that she had seen her rheumatologist just a few weeks prior and had been diagnosed with Bradycardia. Her vital signs were as follow B.P.: 126/81, T: 97.1, HR: 50, R.R.: 18, Ht: 5ft 2in, Wt.: 155lbs, BMI (percentile):18.3. An EKG was performed and revealed NSR in conjunction with LAD and Bigeminy.

The condition known as ventricular bigeminy occurs when every normal sinus pulse is followed by a premature ventricular complex (PVC). So every second beat is reproduced as a premature ventricular complex ( Rai A. and Blissitt L., 2020). PVCs are common in patients suffering from heart illness caused by infection, ischemia, or inflammation. PVCs can also be caused by electrolyte imbalances, stressful situations such as hypoxia or surgery, and chemicals such as caffeine, alcohol, and cigarettes, among other things. Furthermore, activation of the autonomic nervous system might result in the formation of PVCs ( Rai A. and Blissitt L., 2020). A CMP, CBC, TSH, and lipid panel were ordered.

The differential diagnosis is Atrial fibrillation, Sinus arrhythmia, and Premature atrial contraction ( PAC ) – all of which have a very similar sensation to PVCs but are benign. A PAC has a shorter compensating pause than a PVC ( Farzam K. and Richards J.R., 2021 ).

No pharmacological treatment is necessary at this time. PVCs are benign in the majority of patients and do not require intervention. Treatment is reserved for patients with symptoms or hemodynamic impairment and may involve various antiarrhythmic drug classes or radiofrequency ablation ( Rai A. and Blissitt L., 2020).

The patient was educated in lifestyle changes:

Strategies to alleviate stress include consistently engaging in physical activity, meditation, or yoga.

Abstain from caffeine, alcohol, smoking, and recreational drugs.

Keep a log of her symptoms to help identify other causes.

The patient was referred to a Cardiologist for further diagnostic options, including echocardiography and stress testing. The patient will be seen again in four weeks. The patient was urged to return to the clinic immediately if the condition deteriorated.

References

Farzam K. and Richards J.R. ( 2021 ). Premature Ventricular Contraction. https://www.ncbi.nlm.nih.gov/books/NBK532991/ (Links to an external site.).

Rai A. and Blissitt L. ( 2020). Ventricular bigeminy after electroconvulsive therapy: a case report. Journal of Geriatric Care and Research, 2020, Vol 7, No 1. ISSN 2397-5628.

https://d1wqtxts1xzle7.cloudfront.net/64595968/JGCR_2020_7_1_p23-26_Rai-libre.pdf?1601839486=&response-content-disposition=inline%3B+filename%3DVentricular_bige

Have a similar assignment? "Place an order for your assignment and have exceptional work written by our team of experts, guaranteeing you A results."

Order Solution Now

Our Service Charter


1. Professional & Expert Writers: Eminence Papers only hires the best. Our writers are specially selected and recruited, after which they undergo further training to perfect their skills for specialization purposes. Moreover, our writers are holders of masters and Ph.D. degrees. They have impressive academic records, besides being native English speakers.

2. Top Quality Papers: Our customers are always guaranteed of papers that exceed their expectations. All our writers have +5 years of experience. This implies that all papers are written by individuals who are experts in their fields. In addition, the quality team reviews all the papers before sending them to the customers.

3. Plagiarism-Free Papers: All papers provided by Eminence Papers are written from scratch. Appropriate referencing and citation of key information are followed. Plagiarism checkers are used by the Quality assurance team and our editors just to double-check that there are no instances of plagiarism.

4. Timely Delivery: Time wasted is equivalent to a failed dedication and commitment. Eminence Papers are known for the timely delivery of any pending customer orders. Customers are well informed of the progress of their papers to ensure they keep track of what the writer is providing before the final draft is sent for grading.

5. Affordable Prices: Our prices are fairly structured to fit in all groups. Any customer willing to place their assignments with us can do so at very affordable prices. In addition, our customers enjoy regular discounts and bonuses.

6. 24/7 Customer Support: At Eminence Papers, we have put in place a team of experts who answer all customer inquiries promptly. The best part is the ever-availability of the team. Customers can make inquiries anytime.

We Can Write It for You! Enjoy 20% OFF on This Order. Use Code SAVE20

Stuck with your Assignment?

Enjoy 20% OFF Today
Use code SAVE20