Chronic Kidney Disease
Over the last several years, the issue of chronic kidney disease has been increasingly brought to the forefront. This is because when someone becomes older, the more likely they will develop this condition. According to the Center for Disease Control (CDC) and the National Kidney Foundation, once someone reaches above the age of 50, there is a 50% of them becoming susceptible to it. As they increase in age, these probabilities rise dramatically, with the most likely individuals having the greatest chances of experiencing chronic kidney disease at 70 years old. ("2014 National Kidney Disease Fact Sheet," 2014) ("Kidney Disease Facts," 2014)
However, in spite of these issues, the CDC determined that there are number of variables which increase the odds of someone developing the condition. They found that lifestyle choices are one of the biggest factors, with the disease steadily progressing in the course of time.…… [Read More]
, Sweet, Starkey, Shekelle, 2013, p. 835). Depending on whether the patient is in early-stage vs. late-stage prognosis, the patient will be offered different treatments and approaches to managing the disease and its effects.
According to Qaseem et al., Stage 1 -- 3 CKD is treated in a variety of methods; different types of medicine, diets, exercise, and other treatments and approaches are all available, some with better results than others of course. Additionally, the problems with screening for CKD are often harbingers of problems that will crop up as the disease progresses. The Qaseem et al. study determined that "expert opinion suggests that the harms of CKD screening include misclassification of patients owing to false-positive test results, adverse effects of unnecessary testing, psychological effects of being labeled with CKD, adverse events associated with pharmacologic treatment changes after CKD diagnosis, and possible ?nancial rami-cations of CKD diagnosis" (p. 837). In…… [Read More]
Chronic Kidney Disease
CKD, or Chronic Kidney Disease, refers to the impairment a person suffers in his/her kidneys, which may result in their reduced function, as time progresses. Chronic Kidney Disease is used as a replacement for previously held terms, such as the Chronic enal Failure and Chronic enal Insufficiency by the paediatric nephrology specialists. These terms were formerly used to describe the reduction of renal functions, whether to a large extent or otherwise. However, the adoption of the name Chronic Kidney Disease came about because it described the progression of the organ's functional loss (Wong, Warady and Srivastava, 2015).
Chronic Kidney Disease can be detected through various symptoms, which are common to other diseases. However, they point to the disease in its formative stage. Some of these symptoms, which point to the onset of the disease are:
Constant tiredness and feeling ill
The loss of one's appetite
Experiencing nausea…… [Read More]
Baltimore Kidney Health
Chronic kidney disease (CKD) is a preventable problem. Yet as many as 26 million Americans already have CKD, and many more are at risk (National Kidney Foundation, 2012). Why do so many Americans have CKD if the problem is preventable? The answer is simple: lack of awareness. Americans at risk for CKD do not know that by simple changes to their diet and lifestyle habits, they can become healthier human beings. Moreover, their healthy habits will carry over into how their children and grandchildren live their lives. The purpose of this nutrition program is to highlight the simple changes that can be made to an individual's or family's diet. These changes cost little to nothing, and require only a commitment to health and positive change.
According to the National Kidney Foundation (2012), early detection can help the progression of kidney disease to kidney failure. Moreover, hypertension…… [Read More]
However, Harvard Medical School (HMS) reports that in that study of 1,400 patients, 222 "composite events occurred." Those "events" included 65 deaths, 101 "hospitalizations for congestive heart failure, 25 myocardial infarctions and 23 strokes."
In an understatement, the HMS report - written by Dr. Singh - concluded that while improving the lives of patients with CKD is "of paramount importance," this particular study reveals, "...Aiming for a complete correction of anemia is associated with increased risk, increased cost and no quality of life benefits." The study was published in the November 16, 2006 issue of the New England Journal of Medicine.
Meantime, the National Institutes of Health / Medline Plus (www.nim.nih.gov) explains that epoetin alfa is also used with people who have HIV, it is used prior to surgery and after surgery "to decrease the number of blood transfusions needed" in the predicable loss of blood during surgery. It is…… [Read More]
For example, in these procedures it is often difficult to open the patient's mouth wide enough for laryngoscopy and intubation, thus creating the possibility that cardiopulmonary changes may be present and the "probability o lesions in oesophagus, bowel, kindneys, skin and joints." This information would not be known if not for this study and its reported findings.
The study's conclusion is that the use of thoracic epidural anesthesia to sevoflurane based inhalation "may be a suitable technique for thoracic surgery in achalasia due to sclerodermic patients." The reason for this conclusion is that the study found that this procedure "can provide a smooth anesthesia course and a rapid recovery, with hemodynamic stability, and also having pain-free postoperatively." More so, the study found that providing anesthesia without neuromuscular blockade and non-intravenous opioids has "provided a shorter recovery time."
Clearly this specific case study has important and practical implications to the practice…… [Read More]
Chronic Kidney Disease
Chronic kidney disease commonly develops alongside diabetes and/or high blood pressures. Patients who suffer from either are at risk of also developing chronic kidney disease. This is because high blood sugar can cause damage to the kidneys in the same way that a car exposed to wintery weather conditions is impacted by the salt that the city will dump on the road to control for ice. The car will be ruined if not properly cleaned and maintained—and the same goes for the body’s kidneys. To prevent chronic kidney disease the patient must first address the issues of diabetes and/or high blood pressure. Obesity is also a factor in the progression of kidney disease. Additionally, chronic kidney disease can lead to hypertension if this is not already a factor. The reality is that an individual who suffers from chronic kidney disease is likely to suffer from stress, poor…… [Read More]
(2012) conducted a cohort study in which a large (over three million) group of patients had their renal activity monitored. The study ultimately came to focus on the subgroup who had undergone kidney stones: these were followed up with and examined, at a median follow-up period of eleven years, in Alberta, Canada. The goal was to examine patients who had experienced at least one episode of kidney stones and to see if that correlated with any other forms of kidney disease (up to and including end stage renal disease) later in life. The basic measure used for examining the patients on the follow-up visit was the level of serum creatinine, the most basic measure of kidney health that is available to physicians. Those patients who had double the expected serum creatinine level were judged to have chronic kidney disease.
The most unexpected finding from the cohort study was the effect…… [Read More]
Chronic Illness: Coronary Heart Disease
Outline of Coronary Heart Disease
The Coronary Heart Disease (CHD) has been on the increase of late across the globe and this disease, alongside stroke have been the top causes of death in many countries like Australia (Baker Heart and Diabetes Institute, 2017). There have been cases of people succumbing to complications occasioned by the CHD hence the need for any medic or clinician to fully furnish themselves with the CHD and the causes and effects as well as how it can be managed.
CHD is a disuse characterized by the development of a waxy substance called plaque building up in the inner walls of the coronary arteries. These are the arteries responsible for supplying oxygen-rich blood to the heart muscles. The buildup of plaque on the inner walls of the arteries results into atherosclerosis and this takes many years to pile up to harmful…… [Read More]
Alcoholic Liver Disease
CAUSES AND IMPACT
Causes, Incidence, Risk Factors, Impact
Alcohol use has been linked with liver disease mortality and increased social and economic costs (NCI, 2014; ruha et al., 2009). Most recent statistics say that disorders in alcohol consumption afflict millions of people worldwide. The incidence has been increasing along with increasing alcohol consumption. Alcohol liver disease takes the form of acute alcoholic hepatitis and chronic liver disease, such as steatosis, steatohepatitis, fibrosis and cirrhosis. Seriousness and prognosis depend on the amount consumed, the pattern of drinking and the length of time of consumption, the presence of liver inflammation, diet and nutritional and genetic disposition. While steatosis is virtually benign, morbidity and mortality are both high in liver cirrhosis. Survival rate for advanced cirrhosis is 1 to 2 years and 50% mortality risk for those with severe acute alcoholic hepatitis have as much as 50% mortality (NCI, 2014).…… [Read More]
Management of Chronic and Terminal Illness
For people dealing with chronic or terminal illness, stress levels can be very high. While that is to be expected, high stress levels only make things worse. Accepting the inevitable is easier on a person's emotional well-being, but it may take some time to get to that point (Taylor, 2005). If a diagnosis is new, denial is often the first emotion the person faces. He or she does not want to believe the sickness or the severity of it. After denial, there are other stages that a person usually works through, including bargaining, anger, and depression, before acceptance finally sets in and the person is able to get on with life as much as possible. Chronic illnesses can include things like diabetes, kidney disease, heart disease, COPD, and other health problems (CDC, 2010). Many of these diseases are preventable, but they are not curable…… [Read More]
Diabetic Vascular Disease state caused by the deficiency of a chemical in the body called insulin which is a hormone is called Diabetes. There are two forms of diabetes. In the type-one diabetes no insulin is formed and people require insulin injections for existence. This was once thought it would affect only children, but now it can occur at any age. The type2 diabetes is due to the resistance of the body towards the effects of insulin. This also includes insulin which is insufficient. ut in this type there is some amount of insulin produced. In both the types the blood glucose levels is increased. When compared to people without diabetes, people with diabetes are prone to certain problems. These problems occur in the nerves (neuropathy), kidney (nephropathy) and eye (retinopathy). These people are prone to early heart attacks and stroked due to the hardening of the arteries (arteriosclerosis). With…… [Read More]
A way to better distribute the information that is being taught in the classrooms is also through the community so that the changes are also effecting the parents to the students, as a change on their part as well would be helpful in the battle against obesity. It would be useful to initially target pamphlets, an informational booth or table at grocery stores, where the foundation of the problem lies. It would be effective if information is given before families go grocery shopping so they are more conscious of the items that they are purchasing. Furthermore, information should also be initially presented on TVs, in newspapers and magazines and other mediums that would likely be used in the more low-key and sedentary setting in order to galvanize individuals to get outside. Once outside, in order to sustain the physical activity, it would be nice to have water and juice at…… [Read More]
However, many patients suffering with chronic renal disease do not explore this option.
4-6: Increase the proportion of patients with treated chronic kidney failure who receive a transplant within 3 years of registration on the waiting list. Again renal transplantation can improve overall quality of life for patients struggling with this condition.
4-7: educe kidney failure due to diabetes: Type II diabetes is a significant contributor to chronic kidney disease. educing and preventing diabetes can effectively reduce the number of cases of chronic renal failure.
4-8: Increase the proportion of persons with type 1 or type 2 diabetes and proteinuria who receive recommended medical therapy to reduce progression to chronic renal insufficiency. This measure would help improve health outcomes for the patient and reduce the overall impact of the disease on the general population.
elevance of the Objectives and Desired Outcomes
The objective outlined as the principle focus of improving…… [Read More]
Additionally, there may be patients that will be found to have the early symptoms of CKD, and those test results will be passed on to the individual patient.
All participants will be invited to learn more about CKD, and a one-night informational meeting will be conducted in which informational brochures will be passed out to the attendees, and will be discussed in detail. The attendees will also be provided the opportunity to give feedback (positive or negative) concerning their experiences with the early testing and how they view CKD from a current view as compared to their previous perceptions.
After all the data has been gathered and analyzed, a paper will be compiled that presents the results, along with a discussion of those results. It is hoped that the results will provide information to the medical community concerning how early testing and positive reinforcement can be effectively used during the…… [Read More]
Studies conducted over decades have concluded that there is a significant link between diabetes mellitus and cardiovascular disease. For instance, the most common form of diabetes is type 2 diabetes, which involves both the impairment in insulin resistance and the defective secretion of insulin by the pancreas. The development of diabetes often comes with a number of cardiovascular complications including "coronary heart disease (CDC), stroke, peripheral arterial disease, nephropathy, retinopathy, and possibly neuropathy and cardiomyopathy." (Grundy 1999)
Specifically both diabetes type 1 and type 2 are considered to be risk factors for atherosclerotic coronary heart disease. "Moreover, myocardial ischemeal due to coronary atherosclerosis commonly occurs without symptoms in patients with diabetes." (Grundy 1999) In other words, patients with diabetes are more likely to be stricken with congestive heart failure. But it is not only the risk of heart failure that diabetes sufferers are at risk from, another…… [Read More]
Diabetes in Australia
The Australian government and the relevant Health agencies have for many years strived to put the diabetes menace under close observation and management. There have been massive researches and huge sums directed towards good management and possible elimination of diabetes at the national levels. This commitment is exhibited by the specialized funds and efforts like the Juvenile Diabetes esearch Fund (JDF) that has been committed to striving to mitigate the effects of diabetes from the render age of the Australians.
Since diabetes is such a big challenge to Australia as a whole, diabetes mellitus was declared a National Health Priority Area in 1996 during the Australian Health Minister's Conference and this was as recognition to the high levels of diabetes prevalence within Australia, the mortality rates that were due to it, the impact it had on morbidity and the possibility of the health improvements that can be…… [Read More]
Renal failure, or commonly referred to as kidney failure, is a condition in which the kidneys do not sufficiently filter out the toxins and waste products that are transported in the body's blood stream. There are two basic forms of renal failure. The first is when there is an acute injury prevents the kidneys from functioning properly. The next is a more serious condition in which the kidneys are chronically inflicted. Chronic kidney disease has the potential to be irreversible and requires immediate medical attention. Some of the symptoms of renal failure include (Lin, 2011):
General ill feeling and fatigue
Itching (pruritus) and dry skin
eight loss without trying to lose weight
Other symptoms that may develop, especially when kidney function has gotten worse, include:
Abnormally dark or light skin
Brain and nervous system symptoms:
Drowsiness and confusion
Problems concentrating or thinking
Numbness in…… [Read More]
incidence of diabetic nephropathy, its etiology, its comorbidities, and how to control it. The best type of 'cure' is, as always, prevention, and close regulation of the disease which is particularly important since diabetic nephropathy can be fatal.
Diabetic nephropathy is the primary etiology of chronic kidney disease and kidney failure. Unfortunately, type 2 diabetes mellitus is skyrocketing in the United States alone to over 21 million cases, it is imperative for health care professionals to understand the mechanisms of diabetic nephropathy. This is particularly so since early recognition and prevention of the disease as well as tight serum glucose control can help prevent diabetic nephropathy from occurring thereby leading to potentially longer life for its carriers.
The authors describe the characteristics and etiology of diabetic nephropathy explaining how and why it can result in kidney disease and kidney failure.
Understanding these mechanisms can help us prevent kidney failure from…… [Read More]
Hypotension & Antihypertensives
Antihypertensives should not be withheld just for hypotensive purpose. Patients with other high risk conditions, such heart failure, IHD, chronic kidney disease, recurrent stroke, etc., should be given antihypertensives inspite of hypotension. Patients with hypertension target organ damage, or at risk of, should continue antihypertensives, even with hypotensive events. Pregnant women with chronic hypertension who are at risk of preeclampsia should also continue with antihypertensives, even with hypotension situations.
"Therapeutic decisions in individuals with hypertension and other high risk conditions, such as heart failure, IHD, chronic kidney disease, recurrent stroke, etc., should be directed at both the compelling condition and lowering blood pressure" (National High Blood Pressure Education Program, 2004, Aug). According to the authors, 40-50% of patients with heart failure symptoms have preserved systolic function and are more likely to have hypertension, LVH, and isolated diastolic dysfunction. Progression to more severe stages of left ventricular dysfunction…… [Read More]
CKD - Design
Designing a study that evaluates an intervention must take several items into consideration in order to be determined as both reliable and valid; even if the study is in reality a health promotion goal, it is still necessary to treat it the same way a study would be treated. Determining what is reliable and what is valid therefore is an important step in both including those two objectives in a study, and achieving them as well. Study reliability is determined when the researcher can expect the same results time and time again by replicating research procedures. If a study is set up to determine results, and those results can be replicated, then the researcher can determine that the results are reliable. hen the researcher is attempting to show reliability, the researcher wants an independent observer to be capable of replicating results of the study using the same…… [Read More]
Critical Pathway: Chronic enal Failure
egents Online Degree Program
Critical Pathway: Chronic renal failure
Chronic renal failure is often occasioned by chronic kidney disease, immune disorder, trauma among other conditions. It does not have any specific symptoms and might include feeling unwell generally and experiencing a reduced appetite. It is diagnosed following screening of individuals who are identified to be at risk of kidney problems, like individuals with diabetes or high blood pressure and others who have blood relative with chronic kidney disease. It always seems complex when trying to come up with the right diagnosis for a patient.
M.A. is a 60-year-old man who has a stage V chronic kidney disease mainly as a result of diabetic nephropathy and a 12-year of type 2 diabetes. He has symptomatic peripheral vascular insufficiency, and 3 years ago he had undergone coronary artery bypass 3. Within the ten months that…… [Read More]
educing obesity is seen as the primary goal of these efforts, but part of combating obesity is engaging in more active lifestyles and thus the educational efforts Oklahoma is planning will address both identified risk factors for diabetes. Strategies outlined that will assist in achieving the objective of reduced obesity other than through an increase in the availability and effectiveness of education include working for better policy development and implementation that directly encourages more healthy choices and behaviors, a better integration of various local programs and resources available throughout the state, and ensuring that evidence-based practices are used in medicine.
The State of the State report notes that infant mortality is higher in Oklahoma than in the rest of the country, with a lack of adequate prenatal care being a contributing factor in this issue. Healthy People 2020 addresses this issue in calling for a greater awareness of infant…… [Read More]
These clinics will have to be set up over a number of years as funding becomes available for each. It is envisioned that the combination of clinics and learning programs will help the community to achieve better overall health. Indeed, clinics that focus on the specific health issues faced by the Hispanic community will remove some of the burden from general-purpose clinics and hospitals.
In conclusion, it is projected that the above-outlined prevention strategies can go a long way towards significant improvements in the health of the Hispanic community. In addition to addressing specific renal failure problems, prevention measures and better access to clinics can also result in a better overall health and lifestyle experience for the Hispanic community. It is therefore proposed that these measures be implemented and thoroughly researched for both short- and long-term effectiveness.
Bibby, M. (2009). Advocacy strategies for government sponsored public health agencies:…… [Read More]
Telehealth Strategies to Support Adolescents with Diabetes and CKD
Children and youth who must undergo dialysis because of chronic kidney disease (CKD) are typically provided age appropriate educational materials for self-care. Key objectives of efforts to strengthen self-care education are the maintenance of optimally beneficial diet and, although direct evidence has not yet been shown for children, maintenance of blood pressure that is below the 90th percentile for height, age, and gender ("NIH," 2014). Longitudinal studies may point to strategies that result in earlier detection, and perhaps even enable diabetic kidney disease to be prevented (Lane, 2005). In the interim period, research that identifies enhanced methods for assisting and encouraging children and youth to adhere to their dietary regimens are an important support to utilize ("NIH," 2014).
Guidelines for optimizing the benefits of a customized diet for children and youth with chronic kidney disease have been provided by the National…… [Read More]
Community Health Nursing
One of the most important aspects of healthcare today is prevention. Some of the many preventable diseases within the American population today include diabetes and kidney disease. Often, a key to such prevention is medical screening and education. One major challenge medical professionals today are facing is the growing incidence of kidney disease, not only in the general population, but especially among Hispanics. This population is one of the fastest-growing racial groups in the country (Banabe and ios, 2004). This group is also twice as likely to develop kidney failure as those who are non-Hispanic and white. For a community nurse, this is of particular concern, especially in terms of strategies to help this population prevent the prevalence of kidney failure and its causes.
The disease is among this population is of particular interest, since the researcher has worked with this population for some time. Several questions…… [Read More]
Leading and Managing a Change in Clinical Practice: Patient on Ventilator and the Usage of Saline in Performing Suctioning
Organizational direction depends on many factors. Most of them were an integral part of clinical practice for a while, but until the latter part of the 20th century has been so prominent in the organizational structure. This paper will explore the four factors that influence the management of clinic and are characterized by efficient designs. This paper will discuss about the leadership and management in relation to improving quality, change, care management, values and results. We will also present integration and possible implementation concepts, tools and strategies.
Suctioning the patient on ventilator pose a unique challenge in following a clinical pathway or case management model of care. Our patient is on ventilator and we are performing suctioning by the usage of saline solution. Multiple decisions need to be made when…… [Read More]
Alcohol on Urine Formation
The functioning of cells in the body depends on the supply of the required nutrients and the elimination of waste in the body. The extracellular fluid that surrounds different cells also thrives in stable chemical and physical conditions. While water is one of the most vital substances that provide such an environment; the concentration of hydrogen ions in the body influences the permeability, cell structure and rate of metabolic reactions (Epstein, 1997). In the human body, the kidneys are responsible for regulating different amounts and concentration of all these substances. They ensure that the large variation in the intake or loss of different substances does not interfere with the normal functioning of the body.
The consumption of alcohol has been proven to have adverse effects on the process of urine formation. According to Dasgupta (2011), this may occur directly because it affects the functioning of the…… [Read More]
ecause this is true, it is critically clear that the nursing leadership manager's role is one of a vital nature and that support for nurses in their role is the primary component that must necessarily be integral to leadership in nursing in dialysis units if the turnover of nurses is reduced to the lowest possible level. The nursing leadership manager's role is one that must proactively deal with burnout of these dialysis unit nurses instead of attempting to address these as they occur. Prevention is 'key' toward this end. As the demands grow for quality and competent nursing staff so does the need grow for competency in leadership nursing manager roles. ecause the dialysis unit nurse is very closely involved in their patient's care and because these patients are required to report for treatment several days a week for several hours a day the nurse's mental, physical and emotional state…… [Read More]
New Graduate Position Selection Criteria
Demonstrated High Level Interpersonal, Verbal And Written Communication Skills
When I worked at the eader's Bookstore, I nurtured skills and applied them in the areas mentioned above. I dealt with customers regularly, and staff and suppliers over the phone and in person. I was charged with handling customer enquiries. I applied my communication skills to the fullest extent. Dealing with book request orders involved contacting the supplier on phone, updating the computer system with the data of the customer and the book/s ordered, making the book order and reaching back to the customer to alert them when the order has been delivered. I also captured the same information in the bookstore's filing system for use by others in the firm. I established a good relationship with customers and suppliers through effective communication strategies. I also rendered effective customer service. My line manager gave a positive…… [Read More]
When evaluating completions rates involved with PWA, radial tonometry had a 66% and carotid tonometry had a 99%. The radial tonometry was determined to be easier on the patient.
Laser Doppler Imaging (LDI)
Laser Doppler Imaging (LDI) has increased significance over previous single probe techniques. lood flow is no longer measured at a single site but between an area and the LDI due to being non-contact cannot interfere with the final results. LDI is a 1mm laser beam that uses a mirror to scan in two dimensions. A small amount of light penetrates the skin; the depth depends on wavelength and absorption, of area scanned and interacts with cells and tissues. Speed and density of moving cells determine the signal sent to detector. Discovery Technology International defines the amount of tissue measured as:
we have estimated that for well-perfused tissue such as muscle, the mean sampling depth for our probes…… [Read More]
Morbidity and Mortality Statistics:
Hypertension affects around 1 in 3 Americans and according to the CDC only 52% of people have this condition under control (CDC.gov, 2016). In older men, two-thirds have hypertension, and one-third of white men have hypertension. There are nearly 1000 deaths from hypertension daily in the United States, around 360,000 per year. Hypertension is related to first heart attacks, strokes and chronic heart failure.
The patient also suffers from orthostatic hypotension, which is when blood pressure drops when going from a lying or sitting position to standing. The largest risk for elderly people is the increased risk of falling that this brings. The patient may have fallen because of this condition. It is caused by, or linked to, high blood pressure and prolonged bed rest, as well as other conditions not faced by this patient. Anemia or vitamin B12 deficiency is another potential contributor…… [Read More]
Counterbalance of Sugar and Fat Content between Insulin and Glucagon
Physical survival depends on the sustained availability and use of energy in the form of adenosine triphosphate or ATP from sufficient levels of a substance, called glucose (owen, 2001). The use of energy depends on the varying levels of activity. Hence, the amount of glucose needed for activity likewise varies each day. Too much or too little glucose is damaging to the body, hence the need for some system to regulate the availability of glucose. It must be present at the precise time and amount that it is needed in order to maintain what is called glucose homeostasis. Homeostasis is the tendency of the body to maintain internal stability and balance through the coordinated responses of body parts to stimuli or conditions (owen).
Insulin and Glucagon
The regulation of glucose availability begins with the pancreas, primarily by…… [Read More]
Montefiore Medical Center (MMC): A Case Study
This study reviews a Harvard Business School case on Montefoire Care Centers. The Balanced Scorecard is chosen for the strategic management initiative at Montefoire and the reasons and results of such a choice is reviewed in this case study.
The objective of this study is to answer the question of what were the underlying reasons for the development of a new strategy at Montefiore Medical centre (MMC)? Secondly this study will answer as to how could the strategic direction chosen by MMC be described and what factors likely influenced the chosen direction? This study will compare and contrast the old and the new organizational structures. With reference to the notions of synergy and responsiveness, this study will analyze the advantages and disadvantages or each of these and will explain what is meant by the term causal ambiguity. This work will take the Heart…… [Read More]
2012, 1.5 million lives were lost to diabetes globally. It ranked eighth among the causes of deaths across both sexes and fifth among women (WHO, 2016). Higher than optimal glucose levels, even those that fall below diabetes diagnostic threshold, is one of the major causes of morbidity and mortality. Diabetes' diagnostic criterion is fasting plasma glucose ≥ 7.0 mmol/L which is a diagnostic point chosen because of micro-vascular issues such as diabetes retinotherapy. The likelihood of having a macro-vascular disease such as stroke or a heart attack begins to increase even before this point is reached (ellamy, Casas, Hingorani & Williams, 2009). To comprehend the impact blood glucose levels can have on mortality, one ought to view blood glucose related mortality as a risk factor. The total lives that were lost to high blood glucose levels in 2012 have been estimated to be about 3.7 million. The number includes those…… [Read More]
Implementation Process of the EHR Change
In recent time, electronic health records (EHRs) have been carried out by a progressively greater number of hospitals across the globe. At the present moment, the small rural hospital will largely benefit from the implementation of EHRs. The following are the steps that could be undertaken in the implementation process of EHR for the hospital:
1. The first phase would encompass delineating all of the tasks and practices necessitated to be carried out by the physicians, IT staff, as well as practice managers. The fundamental tasks in this phase comprise of scheduling the implementation, patients and practice data migration, formation of a training program and delineating critical success factors and assessment strategies.
2. The implementation committee is thereafter selected. This includes project manager, application analyst and developer, physician advocate, nursing advocate, billing advocate, training managers.
3. Different departments will be involved in…… [Read More]
pag). Some business will continue as usual, of course: Abbott's nutrition division, based in Columbus, Ohio and employing approximately 2,000 people, announced that the nutrition unit will "fall under the umbrella of a new medical products company that will retain the Abbott name in a split announced ednesday" (Rouan n.pag). In addition, the announcement has apparently met with international investor approval: "At the news, Abbott's shares went up 7.3% in premarket trading on ednesday" (M2 Pharma n.pag).
The split is expected to occur in 2012 and will result in the currently-unnamed pharmaceutical company and the diversified medical products company, retaining the name "Abbott" (Abbott Laboratories n.pag).
(a). Pharmaceutical Company:
The pharmaceutical company is projected to have annual sales of approximately $18 Billion, a portfolio including Abbott's high-profile drugs such as Humira and Lupron, and a pipeline of "promising new specialty medicines and formulations" (Abbott Laboratories n.pag). According to Abbott's press…… [Read More]
Childhood type diabetes and obesity
Which three databases will you use?
Search each database, using key words, for relevant research on this subject. What key words did you use in the Search Strategy fields? nclude all attempts and limitations used to refine your search.
Childhood obesity diabetes
Childhood obesity diabetes
Report the number of citations identified from each database in the number of articles found field.
Select one article from a peer-reviewed nursing journal published within the last three years -- or a germinal article which may contain an earlier publication date -- and provide the citation in APA format.
Hayden, M.R., Joginpally, T., Salam, M., & Sowers, J.R. (2011). Childhood and adolescent obesity in cardiorenal metabolic syndrome and type 2 diabetes: A clinical vignette and ultrastructure study. Diabetes Management, 1(6), 601-614. doi:http://dx.doi.org/10.2217/dmt.11.50
Answer the following questions using your selected research article:
Q1. s this…… [Read More]
Towards of the goal of fulfilling the mission to "help those we care for to experience the best life possible," nursing services provided at the Sarah Neuman Center include:
Twenty-four nursing in a secure residential setting.
Twenty-four medical coverage supported by onsite and on-call physicians.
Onsite medical specialist consulting services.
Individualized therapy sessions, to include speech therapy, physical therapy, art and music therapy.
Nutritional services supported by staff dietitians.
Onsite pharmaceutical and laboratory services. (Sarah Neuman, para. 9)
Patients that require long-term residential care are often transferred to the Bronx nursing home which provides all of the above services, in addition to highly individualized care services and therapies for "more complex clinical needs" (Bronx, para. 4). These needs include-but are not limited to-progressive Alzheimer's, severe vision impairment, severe speech and swallowing impairments, and chronic kidney disease requiring hemodialysis.
Structural Support of Mission
That each facility essentially provides the same services…… [Read More]
My nutrient report reveals a number of different things. The first thing that is interesting is that the three day period for which I tracked my diet was perhaps not indicative of my normal consumption levels. I was traveling to hang out with friends and as a result, I ate more junk food, exercised less and drank more than I usually would. I was actually surprised when entering the results that I ate burritos on each of the three days. While I do enjoy a nice burrito every now and again, I do not normally eat one every single day. But, the thing about having a nutrition plan is that people often stick to it, and then blow it up for special occasions like travel or holidays, leading to weight gain that can be hard to remove later. So it is important to track one's consumption even while…… [Read More]
Treatment of Addison's disease involves addressing the hormone deficiency using "replacement dose." [NIH] The drugs that are used as replacements for cortisol functions are known as glucocorticoids. Hydrocortisone or Dexamethasone or Prednisone is the drugs of choice. Since blood levels of Hydrocortisone can be directly measured it is an excellent choice for treatment and it makes drug dosage adjustment very easy. [Sarah aker] Patients with Aldosterone deficiency are treated with fludrocortisone (Florinef). Inside the human body the secretion of cortisol is affected by stress. More cortisol is secreted during stress, fever, vomiting, etc. Therefore during periods of stress or physical ailments patients may require additional dosages of cortisol therapy. During sick days it is therefore necessary to consult with the physician, as a higher dose of cortisol therapy is essential. "Sick day rules" are different from normal days for glucocortisoid treatment dosage. Also, if the patient suffers from severe vomiting…… [Read More]
detection of the Borna disease virus relating them to the epidemiology.
The first cases of Borna disease were descried in the 17-19th century in Southern Germany. It was discovered to e a fatal disease affecting the neurological systems of horses and sheep, (Ludwig et al., 1985; Durrwald, 1993) causing ehavioral and neurological symptoms. It was proven to e caused y a 2003]
Today it is eing realized that the scope of the disease is not limited to just a few countries as was previously elieved ut encompassed the world. Also it was realized that far from affecting just horses and sheep as was originally thought virus, the Borna Disease Virus (BDV) in the early 1900's y Zwick and his team in Giessen Germany. [Author not availale, it in fact affected other animals and even human eings.[Staeheli, Sauder; Schwemmle, et al., 2000]
Research into the epidemiology and pathogenesis of the BDV…… [Read More]
The author of this report has been presented with a hypothetical situation where a forty-four-year-old patient has contracted scleroderma within her lung tissue. There are many implications to having this medical disorder and they are not limited to the medical realm. Indeed, this report will cover a number of these implications and byproducts including stereotyping by all of society including medical professionals, the overall predisposition for the disease, daily life of scleroderma, comorbidities that might exist or end up happing and social issues such finances, the environment and so forth. While there are a good number of things that can be done to mitigate, treat or even prevent scleroderma, there are a lot of implications that any scleroderma patient must face and it can be very difficult for the patient.
Scleroderma is rare but it can take on many forms. Indeed, while the patient in this…… [Read More]
Although the severities of congestive signs may be similar, medical evaluation should be instructed to determine whether there is accompanying proof of cardiovascular disease. Physical proof of cardiovascular disease contains the narrow pulse pressure, cool arms, and legs, and sometimes changed mentation, with supporting proof sometimes provided by reducing serum sodium level and deteriorating renal function. Cardiovascular disease is frequently difficult to recognize through phone contact but may be suspected when previously effective diuretic increases fail, nurses report lower blood pressure, or patients explain improved lethargy.
Facilitators and barriers to optimal disorder management and outcomes
Environmental factors and cultural beliefs; motivators and hinders
In this case, the client thought he was suffering from a heart attack and feared to come to the hospital. The symptoms had presented for four days before the patient sought help. The patient had been suffering from similar symptoms for the past six months, but thought…… [Read More]
The pancreas is an important source of digestive enzymes and fluids, and plays a critical role in regulating blood sugar levels through the production of insulin and glucagon (NDDIC, 2012). Should the pancreas become inflamed there is the risk that the digestive enzymes will become activated within the pancreas, resulting in self-digestion. This disease is known as pancreatitis and even mild cases require hospitalization. This essay will review what is known about pancreatitis in the United States and the clinical guidelines for diagnosis and treatment.
Pancreatitis Pathophysiology, Epidemiology, and Etiology
The digestive enzymes produced by a healthy pancreas are secreted into the small intestine as zymogens, which are enzymes that have their catalytic domain blocked by a peptide group (Berg, Tymoczko, and Stryer, 2002). The intestinal brush border cells secrete enteropeptidase, which removes the peptide blocking the catalytic domain of trypsin. Trypsin then activates the digestive enzymes secreted by…… [Read More]
Public health screening activities in programs are also essential in ensuring this level of prevention is ensured. A good example is organized screening programs targeted at the community.
The third level of prevention, tertiary prevention, involves bother rehabilitative and therapeutic measures once the person already has the symptoms and signs of the disease. Tertiary prevention has several goals, which include preventing damage and pain that may arise from the disease, slowing down the progression of the disease, preventing the disease from causing complications, giving optimum care to people with signs of the disease, and helping those with the disease to live healthy lives afterwards. A quintessential example of tertiary preventive activities includes treating diabetics to prevent complications that occur as a result of the disease such as liver and kidney failure. Other examples are management of patients with chronic heart disease with therapy and medication, physical and occupational therapy as…… [Read More]
The intense pulmonary microvasculature branching runs parallel with lung development; however, detailed understanding of their interactions and interactions with various growth factors is elusive (www.emedicine.com).
hat causes BPD is unique to each neonatal situation. However, high levels of extra oxygen can harm the lungs, cause inflammation, and slow or stop the lung growth in babies born very early. Babies who need a high level of extra oxygen for a period of time may develop BPD. Babies who cannot breathe on their own have breathing failure. Many of these babies are put on a breathing machine to help them breathe. The pressure that the machine uses to push the air can irritate the airways and the lungs and cause them to become more inflamed. Also babies can be exposed to infections both in the womb and after birth. Infections in babies born early can harm their less formed lungs and cause…… [Read More]
Diabetes Has on Hearing
Diabetes is regarded one of the major health concerns in the United States given the increase of diabetes cases throughout the country. In the past few decades, diabetes has continued to affect adults and children in the United States. The increase of this condition has been associated with several considerable impacts since it generates numerous medical and related phenomena in the American society. One of the medical phenomena generated by diabetes is hearing loss given that diabetes changes the hearing of many people in America. This paper focuses on examining the perceptual phenomenon of hearing changes brought by diabetes. This analysis will include a discussion of what it feels to live with the effect of diabetes and hearing loss among Americans. The other elements included in this article is methods for prevention, treatment, and cure of hearing impairments from diabetes as well as dangers of having…… [Read More]
recoding a pregnant mother-Based case study. thai primegravida multpara.
This essay is about a process recording for a pregnant mother. Process recording is a written record of an interaction with a client. Pregnant mothers are in danger of any disease but there most alarming gestational diseases; these include hypertension, cardiac disease, anemia, diabetes, hyperemis gravidarum and many more. In this essay am only going to dwell in gestational hypertension.
This is a process recording of a case study of a pregnant mother. Mrs. B is a 16 years old primigravida at 30 weeks gestation and has attended the antenatal clinic three times. All finding were within the normal range until her last visit 1 week ago when her blood pressure was 130/90mmHg.On urinalysis there was no proteinuria. The fetal heart sounds were normal, the fetus was active and uterine size was consistent with dates. She has come to clinic today,…… [Read More]
However, what was once a slow journey has recently gathered momentum with the introduction of "more flexible immunosuppression protocols, the ability to individualize surgical options to patient needs, and the dramatic improvement of isolated islet transplantation results." (Allen, p. 3485) esearchers use pancreas transplant options and advanced surgical techniques, but the donor pancreas and surgical complications, as well as the type of immunosuppression affect the outcome of islet transplantation.
The immunosuppressive drugs have significant side effects and long-term effects are still not known. Known side effects of immunosuppressive drugs include mouth sores and gastrointestinal problems, such as stomach upset or diarrhea. Patients also have experienced increased blood cholesterol levels, decreased white blood cell counts, decreased kidney function, and increased susceptibility to bacterial and viral infections. Taking immunosuppressive drugs increases the risk of tumors and cancer as well.
Progress on whole pancreas and beta cell transplantation has been hampered by the…… [Read More]
Its use on those with acute PAH should be performed with caution. The complication rate was observed at 2%
in patients with acute PAH. The use of the procedure was deemed relatively safe for chronic pulmonary arterial hypertension. Severely ill patients should be subjected to non-invasive imaging method exhaustively before resorting to pulmonary angiography (Hofman et al.).#
Albert, Nancy M. Caring for Patients with Pulmonary Hypertension. Nursing:
Springhouse Corporation, May 1999. Retrieved on April 25, 2009 from http://findarticles.com/p/articles/mi_qa3689/is_199905/ai_n8846566/?tag=content;col1
adesch, David, et al. Medical Therapy for Pulmonary Arterial Hypertension.
131 (6). Chest: American College of Chest Physicians, July 20, 2007. Retrieved on April 25, 2009 from http://www.medscape.com/viewarticle/560041
Flattery, Maureen P. And Kathy M. aker. Evidence for Racial Disparity in Cardiac
Transplantation Survival Rates. Journal of Cultural Diversity: Tucker Publications,
March 22, 2004. Retrieved on April 26, 2009 from http://findarticles.com/p/articles/mi_m)MJU/is_1_11/ai_n6183827/?tag=content;col1
Hofman, Lawrence V., et al. Safety and Hemodynamic Effects of Pulmonary…… [Read More]
Untreated diabetes can result in serious deterioration of the circulatory system as a consequence of long-term exposure to elevated blood glucose levels (NIDDKD, 2006). By monitoring blood glucose levels and administering insulin to reduce glucose concentration in the blood, many patients can carry on with their lives without significant effects of the disease (ADA, 2009).
However, undiagnosed or untreated diabetes can have very serious effects on the body and consequences for the patient. Among those effects and consequences are kidney damage, cardiac and circulatory system damage, as well as vision problems leading to increasing blindness (ADA, 2007; ADA, 2009). Because untreated or insufficiently managed diabetes often results in decreased circulation to the extremities, diabetes is also associated with the significant risk of losing fingers, toes, and even arms or legs. Once circulation is reduced below the minimum level required to oxygenate tissues enough to sustain them, the patient is at…… [Read More]
Mold Spore Trapping
Current Scientific Knowledge
People are exposed to aeroallergens in a variety of settings, both at home and at work. Fungi are ubiquitous airborne allergens and are important causes of human diseases, especially in the upper and lower respiratory tracts. These diseases occur in persons of various ages.
Airborne spores and other fungi particles are ubiquitous in nonpolar landscapes, especially amongst field crops, and often form the bulk of suspended biogenic debris. The term mold often is used synonymously with the term fungi. A more precise definition would specify that molds lack macroscopic reproductive structures but may produce visible colonies. Respiratory illness in subjects exposed to rust and dark-spored imperfecti fungi was described more than 60 years ago, and physicians worldwide now recognize a sensitization to diverse fungi.
Since fungus particles commonly are derived from wholly microscopic sources, exposure hazards are assessed largely through direct sampling of a…… [Read More]
Air pollution pertains to substances and gases in the air that threaten health and life. Among these are pollutants and irritants, such as nitrogen oxides, sulfur dioxide, and carbon dioxide; particulates, volatile organic compounds (VOCs), toxic substances and some natural substances, like pollen. ut most of the pollution comes from the by-products of industrialization - fossil fuel combustion, transportation, transportation, power plant emissions and those from other industrial processes. The burning of fossil fuels to generate electricity alone is the greatest source of air pollution in the U.S.A. These outdoor pollutants can undermine health and cause environmental disturbances, such as acid rain, and are toxic.
Studies show that we now spend more than 90% of our lives inside buildings and other constructed environments. ecause of this, such structures - including homes and office buildings - are constructed with energy efficiency and comfort foremost in mind. The installation of central heating,…… [Read More]
.'s secretions, administration of I.V. fluids to keep B.. hydrated, and, prior to hospitalization, the administration of albuterol.
B..'s breathing was labored and was not significantly improved by the interventions, although suctioning to clear the airways and the introduction of oxygen ensured adequate oxygen intake. Postiaux et al. found that the addition of prolonged slow expirations and provoked coughs could contribute "actively to a direct and immediate drainage of secretions" (2011). This might have helped alleviate "some bronchial obstruction symptoms that are usually associated with an increased load of breathing, due to a positive intrathoracic pressure and an increased respiratory rate" (Postiaux et al., 2011).
Potential Long-Term Effects / Complications
An early and severe infection with SV bronchiolitis is associated with breathing difficulties such as asthma, wheezing, and atopy later in life (Todd et al., 2010). Whether the SV causes these problems or whether a common factor makes infants more…… [Read More]
Type I diabetes is usually diagnosed in children and young adults and results from the body's failure to produce insulin. Type 1 account for 5% to 10% of all diagnosed cases of diabetes (Centers for Disease Control, National Diabetes Fact Sheet, www.cdc.gov/diabetes/pubs/pdf/ndfs_2003.pdf). The most common form of diabetes is Type II, which accounts for about 90 to 95% of all diagnosed cases of diabetes (Centers for Disease Control, National Diabetes Fact Sheet, www.cdc.gov/diabetes/pubs/pdf/ndfs_2003.pdf). Pre- diabetes is a condition often present prior to the development of Type II diabetes. In pre-diabetes, blood glucose levels are higher than normal, but not high enough to be considered diabetic.
Pre-diabetes does not have to lead to the development of diabetes if a person diagnosed with this condition: Patients who work to control their weight and increase their physical activity can often prevent or delay the onset of diabetes. There are 41 million Americans…… [Read More]
Australian Tax on Wine
usiness Submission - Australian Tax on Wine
With the Australian government seeking to impose additional taxation upon the use and sale of wine, there have been many outcries of indignation arguing how this would affect the Australian wine industry, and eventually the Australian economy. However, what needs to be considered are the consequences and the public cost of continuing with the discounted taxation to which wine makers in Australia are currently subjected to. The effect on the Australian GDP needs to be taken in to account with the harms that alcoholism in the increasingly youth population is set to unleash, if made available readily and at subsidized prices.
The risks and problems that have arose from the increased alcohol consumption by the Australian public in recent years, especially the young generation, point towards a possible increase in the health deterioration of most Australians while also impacting…… [Read More]
Elderly in Monrovia, CA
The population of people aged 65 years or greater is steadily escalating, as baby boomers come of age. It is estimated that this age bracket accounts for 10% of the total world population, and is statistically increasing. As this sector of the population steadily increases, there are of course, accompanying health care issues: osteoarthritis, cardiac and kidney issues, Alzheimer's or dementia, and an ever-growing problem with depression. For this essay, we will concentrate on several health issues that plague seniors nationally, but will specifically focus on the aging population over 65 in Monrovia, California.
Monrovia is a smallish city located at the foothills of the San Gabriel Mountains in the San Gabriel Valley, Los Angeles County. Monrovia was settled in the late 1800s as a central hub for the growing orange grove industry, but has now become more of a bedroom community that supports the urban…… [Read More]
Normative and Felt Needs Assessment
Normative and Felt Need Assessment
Over the last several years, the issue of Type 2 Diabetes Mellitus (T2DM) has been continually brought to the forefront. This is because an increasing number of minorities have been affected by this condition, in comparison with other population groups. In Australia, this has been having a dramatic effect upon Aborigines, who are 10 to 30% more likely to suffer from this condition than the rest of the population. (Summary 2010) As a result, growing concern is taking place among health officials, who are worried that the number of people suffering from the condition could increase. Especially when you consider the fact that six out of every 10 Aborigines are considered to be obese. To determine the overall scope of the problem: a needs assessment and felt assessment must be conducted. Where, both will concentrate on the Aborigine men and…… [Read More]