In 2011, Avi Weisfogel created the innovative medical information program, “Healthy Heart Sleep” and “Owner Unlimited Sleep Patients,” informing medical practitioners and dentists about sleep apnea. To coincide with the initial two programs, Avi Weisfogel established “Dental Sleep Masters,” a program informing dentists the proper use of oral devices when working with sleep apnea patients. Avi believes there is a direct correlation between sleep apnea and dental issues. He is a graduate of Rutgers University, in New Brunswick, New Jersey, holding Psychology and Biology degrees and earned his dental degree-DDS-from the College of Dentistry at New York University. Avi is compassionate about what he does and always has time for helping others.
2.Heart failure symptoms can include shortness of breath while sleeping or walking. Symptoms can show signs of chest pain or anxiety from stress. There are multiple signs and symptoms a person should look out for, such as dizziness, fatigue, rapid irregular heartbeat, or even swelling in the ankles, legs, and feet. But, in some cases there may be no symptoms at all. 3.Heart Failure can affect anyone of age, including infants, toddlers, children, teens, adults, and the elderly.
The Complexity of Sleep In Matt McCarthy’s Nap Time, he discusses the “most mysterious” of all needs - sleep. McCarthy uses the story of Mike Napoli to introduce this topic. Napoli’s story of his struggle with severe sleep apnea includes some abnormal elements. Firstly, he cites his “first dream in a decade” that he can actually remember (p. 49).
1. There are several outcomes anticipated for Mr. A. Foremost, stabilizing a number of conditions reported to be fluctuating is the first prioritized outcome. Such conditions include: respiratory rate (12-20 breaths/min), blood pressure (below 120/80 mm Hg), complete ceasing of crackles in the bases, normalized heart rate (60-100 beats/min), reduced and stable body temperature (97.8-99o F), hemodynamic stability, and general normalized parameters determined via ABG analysis (that is, arterial pH in the ECF of about 7.35–7.45, PaO2 of 80–100 mm Hg, PaCO2 of about 35 – 45 mm Hg, HCO3 21–28 mEq/L, and SaO2 or 95%-100%. Also, all possible infections have to be prevented and/or treated. Finally, fluid balance maintenance is also an outcome.
Dyspnea is one of the symptom with patient suffering from heart failure and also experience wheezing. ( chronic obstructive pulmonary disease and chronic heart failure. J Am Coll Cardiol 2007; 49:171.). BNP(B-typ Natriuretic peptide) blood test done on her, to check wether she is suffering from heart failure. Mrs.Smith was monitored closely for signs of deterioration and vitals done regularly.
• Inefficient pumping action. • Loss of arteriolar tone. • Abnormalities in volume and constituents of circulating blood. • Local disorders of the central nervous system. >
causes of peripheral edema in patients with heart failure are related to compensatory changes that influence hydrostatic pressure and fluid retention? (Cooper 2011). Input and Output need to be monitored ? accurate measuring for intake and output is important for the client with fluid overload.? (Metheny 2010).
Case Study 2: CHF Congestive heart failure (CHF) is a disease process in which the cardiac function as a pump cannot meet the body requirements resulting in fluid buildup in tissues such as arms, abdomen, limbs, and lungs. Symptoms can include fatigue, edema, dyspnea, and reduced tolerance to activities. Causes of CHF are cardiomyopathy, hypertension, and atherosclerosis, etc. Cardiomyopathy is an illness that affects the myocardium (heart muscles) and includes three types: dilated, hypertrophic, and restrictive cardiomyopathy. Managing a patient with this condition requires a proper treatment plan, techniques for education, and an all-inclusive teaching strategy.
Systolic and Diastolic Heart Failure Heart failure occurs when the heart cannot pump enough blood for the body due to a weakened or damaged heart. The heart 's pumping action moves oxygen-rich blood as it travels from the lungs to the left atrium, then on to the left ventricle, which pumps it to the rest of the body. The left ventricle supplies most of the heart 's pumping power, so it 's larger than the other chambers and essential for normal function. (American Heart Association). In left-sided or left ventricular heart failure, the left side of the heart must work harder to pump the same amount of blood.
Throughout the book ,The Strange Case of Dr.Jekyll and Mr.Hyde the author Robert Louis Stevenson portrays the theme of temptation repeatedly through the story. An example of this theme in the story is the temptation for Dr.Jekyll to turn into Mr.Hyde(by taking a drug). During the novel the temptation for Dr.Jekyll to turn into Mr.Hyde who is the”evil” side of Dr.Jekyll dramatically increases due to the moral weakness of Dr.Jekyll .The reason why Dr.Jekyll enjoys turning into Mr.Hyde is because of the pleasures and adventures that occur while being Mr.Hyde. However Dr.Jekyll had come to a point of decision,to be Jekyll who “had more of a father’s interest” (page 48),or Hyde “who had more than a son's indifference”(page 48) Stevenson compares
Hypoxia is associated with signs of increased breathing effort. Asses the lungs for decreased ventilation, use pulse oximetry to monitor oxygen saturation, monitor for changes in BP and HR. Caring for a patient with impaired gas exchange it is important to, position the patient for optimal respiratory excursion (if possible 45 degrees when supine). Change the patient’s position every 2 hours to promote secretion
Sleep consumes at least one third of our time every day. During sleep, our bodies will react by growing or recovering from the day. When we sleep good, we wake up feeling refreshed and alert throughout the day (National Sleep Foundation). The way we sleep can depend on what activities we have done before we went to sleep. One of the many theories of sleep stated that we sleep to rest.
Congestive Heart Failure Acute Decompensated Heart Failure (ADHF) is a clinical syndrome of worsening signs or symptoms of heart failure requiring hospitalization or other unscheduled medical care (Felker 2014). ADHF formerly known as congestive heart failure is one of the leading cause for hospitalizations in the United States. ADHF accounts for approximately 1 million hospitalizations per year in the United States (Arnold & Porepa 2012). According to the Acute Decompensated Heart Failure National Registry, patients hospitalized with ADHF have a substantial risk of in-hospital mortality and rehospitalization. Pathophysiology
Sleepless in American is a National Geographic documentary on the lack of sleep Americans are receiving each night. The film starts with the statistic that “40% of American adults are sleep deprived” and followed with different effects of sleep deprivation such as: weight gain, delayed reaction time, depression, anxiety, speeds the growth of cancer, and has been linked to Alzheimer’s disease. Although, there is no scientific evidence to support the need for sleep, it is an important process that allows our bodies to function properly. Several sleep studies have been performed to understand the effects sleep deprivation has on a person. The participants of the sleep trial only received four hours of sleep per night.
THE IMPORTANCE OF SLEEPING WELL Hello everybody, I’m going to speak about the most time-consuming activity in our lives: sleeping. As a matter of fact, we usually don’t pay much attention to the quality of our sleep, in spite of influencing a big deal our performance during the day, our health and well-being, in other words, our quality of life. That’s the reason why I would like to introduce some interesting material to understand better this important though disregarded necessity.
