Friday, August 23, 2019
Reading a Health Record Coursework Example | Topics and Well Written Essays - 500 words
Reading a Health Record - Coursework Example Abdomen: Benign, Genitalia: normal with red sacral area. Extremities 3+ pitting edema to the knees. Neurological: good and on track. The patient doesnââ¬â¢t sleep well, has increased pedal edema and no symptoms of coughing or fever. X-ray displays Left pleural effusion, congestive heart failure and pneumonia. In the case of patient assessment with cognitive heart failure, left pleural effusion and pneumonia a dosage of Diurese was administered, four antibiotics, blood cultures and sputum test. The patient is admitted and put on bed rest with oxygen mask. Behavioral problem ââ¬â patient constantly complaining of poor living conditions of the facility, staff and food. She doesnââ¬â¢t want to sleep in her room. Causal factor appears to having trouble with anger or adjustment problem and severe end-stage cardiomyopathy. Cardiomyopathy is caused by hardening of the arteries responsible for bringing blood into the heart. As the arteries narrow the heart lacks oxygen and gradually it becomes difficult for the heart to pump blood. This condition is diagnosed when heart has irregular heartbeat and fractional ejection is lower. Fractional ejection can be tested through MRI of heart, echocardiogram, cardiac blood pooling image and gated SPECT. Change of certain lifestyle habits that lead to heart failure. Introduction of a Pacemaker to help the heart beat slow down or beat normally. There are surgery procedures like angioplasty and cardiac catheterization that helps good flow of blood in the veins. If a patient fails all treatment then heart transplant would be the only alternative left. (Libby & Braunwald, 2008) The patient was put under the right diagnosis given her symptoms and the treatment of the disease. The patient tested positive for Ischemic cardiomyopathy. The patient displayed all symptoms as projected in the hospital records that matched the
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