Relevant Evaluation Criteria Scenario/Model Outcome Information Gathering 1. Gather essential information about the patient’s symptoms, including: a. description of symptom(s) (i.e., nature, onset, duration, severity, associated symptoms) Infant has cried constantly since coming home from the hospital. The parents think that this is his “hungry cry” and feed him almost every 1-2 hours. He rarely goes 2 hours between feedings. Despite these frequent feedings, he never seems satisfied and is very irritable. He appears to have lost weight since coming home from the hospital 4 weeks ago. He has very frequent bowel movements but no emesis. The parents also report a significant diaper rash and streaks of blood in the diaper. …
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Relevant Evaluation Criteria Scenario/Model Outcome Information Gathering 1. Gather essential information about the patient’s symptoms, including: a. description of symptom(s) (i.e., nature, onset, duration, severity, associated symptoms) Infant has been spitting up formula after every feeding, almost always with a little force. Although some emesis has occurred since birth, the amount and frequency has increased over the last week. The infant also appears to have more gas, often crying from “gas pains.” The infant girl appears well hydrated. b. description of any factors that seem to precipitate, exacerbate, and/or relieve the patient’s symptom(s) Emesis occurs only after feedings. The infant appears to be more comfortable after each episode of emesis. Irritability …
[ Continue Reading... ]Relevant Evaluation Criteria Scenario/Model Outcome Information Gathering 1. Gather essential information about the patient’s symptoms, including: a. description of symptom(s) (i.e., nature, onset, duration, severity, associated symptoms) Patient describes difficulty swallowing solid foods for several weeks and requests a “low-cost Ensure product” that she can drink. She describes solid foods as “getting stuck” in her throat. b. description of any factors that seem to precipitate, exacerbate, and/or relieve the patient’s symptom(s) She can drink liquids, but all solid food seems to be a problem, even soft foods. c. description of the patient’s efforts to relieve the symptoms She takes only liquids, avoids solid foods, crushes all pills and mixes them with …
[ Continue Reading... ]Relevant Evaluation Criteria Scenario/Model Outcome Information Gathering 1. Gather essential information about the patient’s symptoms, including: a. description of symptom(s) (i.e., nature, onset, duration, severity, associated symptoms) Patient has no symptoms; older brother was recently diagnosed with coronary heart disease and her mother died from this disease. The patient wants to do what she can to avoid heart disease and is particularly interested in “functional foods” because of an article she saw in a magazine. 2. Gather essential patient history information: a. patient’s identity Mary Romero b. patient’s age, sex, height, and weight 33-year-old female, 5 ft 4 in, 135 lb c. patient’s occupation Clerk at a department store d. patient’s …
[ Continue Reading... ]Relevant Evaluation Criteria Scenario/Model Outcome Information Gathering 1. Gather essential information about the patient’s symptoms, including: a. description of symptom(s) (i.e., nature, onset, duration, severity, associated symptoms) Patient does not have any complaints. However, on inquiry of supplementation taken at home, patient says she regularly takes a multivitamin with extra nutrients to reduce stress, an antioxidant supplement plus beta-carotene once daily for vision, and calcium tablets twice daily for osteoporosis prevention. b. description of any factors that seem to precipitate, exacerbate, and/or relieve the patient’s symptom(s) N/A c. description of the patient’s efforts to relieve the symptoms N/A 2. Gather essential patient history information: a. patient’s identity Katherine Forest b. patient’s …
[ Continue Reading... ]Relevant Evaluation Criteria Scenario/Model Outcome Information Gathering 1. Gather essential information about the patient’s symptoms, including: a. description of symptom(s) (i.e., nature, onset, duration, severity, associated symptoms) Patient inquires about information found on the Internet recommending supplementation with various vitamins to prevent cancer and aging. He states he currently takes Centrum Silver plus extra vitamin C to prevent colds and gingko biloba for his memory. b. description of any factors that seem to precipitate, exacerbate, and/or relieve the patient’s symptom(s) N/A c. description of the patient’s efforts to relieve the symptoms N/A 2. Gather essential patient history information: a. patient’s identity Bruce Trappers b. patient’s age, sex, height, and weight 79-year-old …
[ Continue Reading... ]The doctor tells you to “cut back on salt” due to high blood pressure. What do you do? Stop using the saltshaker? Scan the food labels for sodium content? Read on to find out the best way to follow your doctor’s advice. Salt vs. sodium Table salt is the common name for sodium chloride, a mixture that is 40% sodium and 60% chloride. The American Heart Association recommends limiting sodium intake to no more than 2400 mg per day, about the amount of sodium present in 1 ΒΌ teaspoons of table salt. Sodium’s connection to high blood pressure High blood pressure affects one in four adults and is a major risk …
[ Continue Reading... ]It has become almost common knowledge that the group of antidepressants called SSRIs (selective serotonin reuptake inhibitors) can cause sexual problems, including lack of interest and difficulty in becoming aroused or reaching orgasm. But research findings presented at the annual meeting of the American Psychiatric Association in Chicago last week suggest that for most depressed patients, sexual interest and function get better, not worse, when depressive symptoms are treated effectively. "You have a considerably larger number who are reporting improvement during treatment. That’s not generally appreciated," stated Dr. David Michelson, a neuroscientist from Eli Lilly and Company, the manufacturers of Prozac. "The degree to which treating the depressive symptoms seems to …
[ Continue Reading... ]If you’ve ever had a stomachache before an exam or important meeting, or developed a headache during an argument, you have some idea of what somatization is. Although it’s common to experience these types of medically unexplained symptoms, such as pain and digestive upset under stress, somatization is often a part of serious disorders such as depression, anxiety, and schizophrenia. “Somatization is a normal, daily experience. It’s highly situational, [with] marked individual differences and marked cultural differences, and associated clearly with psychosocial stress,” stated Normal Jensen, M.D., a professor at the University of Wisconsin in Madison. Jensen addressed an audience of physicians at the annual meeting of the American College of …
[ Continue Reading... ]Blood cholesterol levels are measured in mmol/L. Shown below are the recommended levels for cholesterol and lipoproteins for people: With no risk factors With risk factors With heart disease No Risk Factors (mmol/L) With Risk Factors (mmol/L) With Heart Disease (mmol/L) Total Cholesterol below 5.2 5.0 4.5 Triglycerides below 2.3 2.0 1.7 LDL below 3.4 3.0 2.5 HDL above 0.9 1.1 1.2 These are recommended values only. Your cholesterol values may be different depending on your own individual history and conditions. Any decisions related to lifestyle and therapy should be discussed with your doctor.
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