Your patient reports a change in his medical history from last visit; he is now taking depakote as a mood stabilizer. The PDR states it is an anticonvulsant and may cause gingival enlargement. How will this new information alter your plan for dental hygiene care and patient education?
This new information has definitely changed plans
Your patient reports a change in his medical history from last visit; he is now taking...
Initial Discussion Post: An older patient reports his vision is good even though he has been diagnosed with glaucoma; his medical history includes diabetes and COPD. He has been taking his ordered daily eye drops sporadically, usualy forgetting them. His IOP has not dropped as desired. The patient indicates his friend is taking a different eye drop than him for glaucoma and the timolol maleate is working well. He thinks this eye drop would be better for him. How would...
An older patient reports his vision is good even though he has been diagnosed with glaucoma; his medical history includes diabetes and COPD. He has been taking his ordered daily eye drops sporadically, usually forgetting them. His IOP has not dropped as desired. The patient indicates his friend is taking a different eye drop than him for glaucoma and the timolol maleate is working well. He thinks this eye drop would be better for him. How would you educate him...
Initial Discussion Post: An older patient reports his vision is good even though he has been diagnosed with glaucoma; his medical history includes diabetes and COPD. He has been taking his ordered daily eye drops sporadically, usually forgetting them. His IOP has not dropped as desired. The patient indicates his friend is taking a different eye drop than him for glaucoma and the timolol maleate is working well. He thinks this eye drop would be better for him. How would...
Your next patient, Josiah S, has recently relocated to your town, approximately 6 months ago, and is a new patient to your practice. He is a 45 year old divorced male, who admits to smoking approximately 15 cigarette per day, and drinks a night alcoholic cocktail. He works in sales, and due to his hectic travel schedule, tells you that he has had to cancel his last few dental hygiene appointments. Your intraoral exam reveals that Josiah presents with moderate...
You have just recently married and moved across the country to the city where your husband was raided. His parents helped you secure a full-time dental hygiene position with their family dentist, Dr. Ramos. You are quite happy working with the office staff, as well as meeting and getting to know many of your in-law’s family and friends, who are patients of the practice as well. Today, your mother-in-law, June, is scheduled for her 6 months recall appointment. This is...
Presentation: You inherit a new patient F. L. who has a history of "recent stroke." He was recently (approximately 3 months ago) hospitalized, but you don't have his records at the moment. The patient's wife wanted him "checked out," and states that his "cat scan" showed a stroke. She claims, "They did a bunch of other tests but didn't find anything." She does not think he has hypertension but adds, "He does not like to go to doctors." The past...
Refer to Chapter 6 IDENTIFYING INFORMATION: Patient is 37 years old, self-referred and currently separated from her husband of six years and living with two of her sons, ages 6 and 8. She reported that she has been working as an independent contractor in real estate. She complains of an on-and-off problem with eating disorder. HISTORY OF PRESENT ILLNESS: Patient is a 37-year-old female who reported that she has no previous psychiatric history, but she has been taking some medication,...
Patty Mills is a 74-year-old female with a past medical history of coronary artery disease with stent placement, hypertension, and diabetes. Her son brought her to the Emergency Department because she has become increasingly weak and confused and was found by a neighbor wandering her neighborhood unable to locate her home. Patty’s son tells the nurse that his mother takes a "water pill" for her blood pressure 2 or 3 times a day. The label on the medication bottle that...
Denzel Armstrong Case Study Welcome to Dr. Jones’s busy general practice clinic where he sees patients of varying ages. You are one of three RNs in the clinic and your general duties include assessment, patient education, assistance with minor dressing changes, obtaining routine labs (i.e. urine, blood etc.) to name just a few. You have been a nurse for five years and feel very comfortable in this environment. On this day, you have a student nurse, Mary, assigned to work...
A 62-year-old Caucasian female presents for a return visit for monitoring of arthritic pain in her knees. She has informed the medical assistant taking her vital signs that she wants to make sure that the nurse practitioner also checks out her arms and chest because she has noticed blood-like spots under the skin on her body that she has not had before. She notes having bruising in her past not related to injury that she attributes to taking quinine for...