Question 5: In the case history it states that Thomas does not cough when he drinks and from the clinical swallow exam and the cranial nerve examination it has identified that Thomas demonstrates a pro-longed oral phase. There was no evidence that Thomas has any pharyngeal difficulties once he initiates the swallow. Therefore, it is appropriate to start oral food trials with Thomas as there is no potential risk of aspiration at this stage. Cichero and Murdoch (2006) have identified conditions that
6. Bill of Rights: This topic is taken from module 6.1 of BMN03 of the Ethical Issues in Nursing Practice. It is all about human rights and dignity, that is the patient’s bill of rights, the eight key areas in the bill of rights, the major goals, and uses of the bill of rights, freedoms to be given to the patient, then the evidence-based report on the relationship between ethics and rights. 6.1 Personal context: Personally the patient’s bill of rights includes the laydown guideline that ensures
plan of care. Nursing procedures must be explained well in order to secure the consent from blood transfusions and radiologic examinations. Conversation for possible operation and transfer eventual transfer to surgery ward should be open up. 12. Achalasia Health teachings include radiologic procedures and operation. Assent from the child and consent from the parents are necessary. Diet modification is very crucial which involves: raising the head of the bed, small and slow feeding, and avoidance of
Discussion Swenson's operation provides surgeons with a satisfactory method to treat Hirschsprung’s disease, some considered this a technically demanding surgery and the results were not quite as good in other people's hands [9]. Swenson's operation may be associated with injury of deep pelvic nerves, vessels and other structures such as vagina, prostate, vas deferens and seminal vesicles if dissection is not intimately done on the rectal wall [10]. To avoid such complications, many procedures were
Introduction Clostridium Botulinum is the bacteria from which Botox is derived from. It can be found in its inactive form in the natural environment, in things such as the forest, cultivated soils and the sediment of lakes and streams, also in the intestinal tracts of mammals and fish. Naturally occurring forms of this bacteria and spores are normally harmless. Problems only arise when the spores transform into vegetative cells and the cell population increases to the point where the bacteria Clostridium
Introduction Clostridium Botulinum is the bacteria that BOTOX® is made from. It can be found naturally in the environment in its inactive form, in things such as the forest, cultivated soils and the sediment of lakes and streams, also in the intestinal tracts of mammals and fish. This bacteria is normally harmless in its naturally occurring form, but when the spores transform into vegetative cells, problems arise, because the cell population increases to the point where the bacteria Clostridium Botulinum
I felt an intense pain shoot into my chest and neck, and I had to run to the bathroom as fast as my disabled body would allow me to. I heard my mother scream out “Dustin, what’s wrong?” but I couldn’t answer her, all of the soft food that I had tried to eat had come back up, and this was just the first of thousands of times that this would happen over the next nine months. This incident previously described happened on Thanksgiving Day 2014, I was recovering from a surgery that I just had three
after the initial LSG, then it was confirmed by both upper gastrointestinal series and gastro endoscopy all were treated endoscopically ,all were functional stenosis no organic stricture was found.4 cases responded well to repeated dilatation using achalasia balloon dilator at an increasing pressure starting from 15-psi ,and the other 2 cases required stent deployment with a self-expandable metal stent for 3 weeks then stent was removed . No further intervention was needed in any of the patients. The