Entries by Daphne Hanson

Recurrent Fever and Flank Pain

G. D. is a 13-year-old male patient who has a history of recurrent fever and flank pain. His parents traditionally are not believers in the health care system, and he has not been seen by a health care provider for many years. Today he has fever, chills, and costovertebral angle tenderness. Urinalysis reveals findings consistent […]

Heart failure and COPD

Directions pH: 7.30PaCO2: 58 mm HgPaO2: 78 mm HgHCO3: 26 mEq/L Sarah is a 69-year-old female that presented to the emergency department with shortness of breath. Her past medical history includes heart failure and COPD. Her pulse oximetry on room air is 82%. You notify the provider, and he orders oxygen at 2 L via […]

Tachypnoeic , Hypoxic, Hypotensive, Tachycardic

Tachypnoeic , Hypoxic, Hypotensive, Tachycardic 84 year old female – Tachypnoeic , hypoxic, hypotensive, tachycardic Pt is discharged from hosiptal 5/7 ago post ORIF to R) hip after a mechanical fall spontaneous, RR 36, Sp02 88% RA, increased work of breathing , accessory muscle use GCS 13/15 (E3V4M6), PEARL 3mm Brisk temp 38.9, diaphoretic +++, […]

Hypertension is a Non-communicable Disease

Hypertension is a non-communicable disease that is a primary cause of death worldwide. The key pillar for the management of hypertension and its consequences is patient adherence to medication. The study investigates and evaluates factors that influence hypertension patients’ adherence. A total of 306 patients in Riyadh, Saudi Arabia, aged 18 and above were enrolled […]

Work role boundaries

Work role boundaries can unwittingly happen when relationships have been built with the clients. Please read the following. Decide what are the work role boundaries and what your responsibilities would be do if you were in the same situation.   You have been working with a client for 2 years and have built an excellent […]