Personal Narrative: My Systolic Blood Pressure

For PYC-652 Advanced Health Assessment, my clinical site will be the Richard A. Roudebush Veterans Affairs Medical Center. This site is located in Indianapolis, Indiana. I will be working with a nurse practitioner who works in one of the primary care clinics located at the hospital. According to my preceptor, the four most common diagnoses she encounters is type II diabetes mellitus, hypertension, hyperlipidemia, and chronic kidney disease.

You can seek the help of a nutrition expert and personal trainer to assist you in making the lifestyle changes to fight diabetes. Get tested and tell your loved ones to get tested as

The capillary nail refill test is a quick test done on the nail bed. It is used to monitor dehydration and the amount of blood flow to tissue. If there is good blood flow to the nail bed, a pink color should return in less than 2 seconds after pressure is removed. There are a few important factors that can reduce the chances of a complication with diabetes Keep your blood pressure and cholesterol under control, don 't smoke, keep close watch on feet. It is important to keep close watch on the blood sugar, and proper administration of medications.

Day two clinicals. This day went so much smoother. I had the same two patient as the day before and one got discharged and I got a new patient. I feel like my second day I had an amazing relationship with my one patient. I got her to eat a little more that day because I knew what to talk to her about.

Bob, a 52 year old Hispanic male with type II diabetes mellitus. He sells insurance in Loveland, CO. Bob was diagnosed with type 2 diabetes as a result of blood tests that were performed due to a heart condition known as Atrial Fibrillation. At the time of diagnosis he weighed 320 pounds, he was 6’1’, with a BMI of 42.01. He was classified as level 3 obesity. He denies being excessively hungry or thirsty.

JAMA Intern Med, 173, 1328-35. Ripsin, C. M., H. Kang & R. J. Urban (2009) Management of blood glucose in type 2 diabetes mellitus. Am Fam Physician, 79, 29-36. Willi, C., P. Bodenmann, W. A. Ghali, P. D. Faris & J. Cornuz (2007) Active smoking and the risk of type 2 diabetes: a systematic review and meta-analysis.

Type 2 diabetes mellitus is a heterogeneous syndrome characterized by abnormalities in carbohydrate and fat metabolism. Also known as "on-set diabetes" or "non-insulin-dependent diabetes". Factors that set the influence of developmening diabetes are genetic, metabolic, microbiologic and immunologic. Genetic factors include etiology of diabetes because it runs in the families. Metabolic factors involved in the etiology of diabetes are several and complex.

This would determine whether primary or secondary preventive interventions would likely be effective in treating condition. Kirkman mentioned type 2 diabetes can be prevented or delayed by lifestyle interventions or by various classes of medications. In one study mentioned in this article more than 20 % of participants ages 60 and older seemed to have more efficacy from lifestyle intervention than younger participants, but did not appear to benefit from medication. Follow up in 10 years showed the same outcome with ongoing greater impact of the original lifestyle intervention in older participants. This article also discussed the fact that diabetes increases the chance of having other health complications in older adults.

Cutting these out of your diet and replacing them with organic, homemade meals is a good way to cut out extra sugars, salts and fats from your diet. • Avoid alcohol intake. Alcohol increases blood sugar, which like refined sugars, is also very dangerous. Cutting out alcohol or limiting your intake is a good lifestyle choice to make when suffering with diabetes. • Introduce Omega-3 fats to your diet.

My passion for healthcare lies with patient care. I enjoy taking care of patients and their family. I have chosen to become a family nurse practitioner because I can combine nursing and medicine to provide a higher level of care to my patients. As a nurse practitioner will be able to make an impact on my patient’s health through, health promotion, disease prevention, managing acute and chronic conditions and improving patient’s health (Wynne,

In my personal essay I acknowledged the theme of sound heart, deformed conscience. Huck goes through this when he knows he should be turning Jim in because it’s the law, but he doesn’t because he wants to help Jim. I had my conscience telling me one thing and my heart and head telling me another, when I explored my situation. My Sound Heart One night about a month or so ago, I was at a friends house. There were a few of us over, just chilling.

Pediatric interventional cardiology is a passion and a dream which I hope one day to realize. During my first pediatric residency training, I realized the depth of my interest in cardiology. I found pleasure and interest in all the pediatric cardiology rotations; however, cardiac catheterization, despite the limited sophistication with which it was performed, captivated me. As there were no training opportunities available back home and few interventional procedures can be done due to lack of experience in congenital interventional cardiology. Therefore, I decided to pursue a second pediatric residency training in the USA to allow me the opportunity for further training in pediatric cardiology and eventually congenital cardiac intervention.

Thank you for referring Lawrence Collins, a 56 year-old gentleman who works part-time in customer service at the MCG. Lawrence is also on a disability support pension. He is an ex-smoker of less than five pack years and does not consume alcohol. There is a long-standing history of diabetes that is currently managed with Lantus, Janumet and Forxiga. Other medications include Coversyl and Crestor.

Have you ever been in the place that you don 't want to be in? Because I have and itś horrible. It’s horrible when someone in your family passes away it is very sad and it’s hard, but it happens everyday trust me it has happened to me many times 3 people in my family passed in 3 months, everyday someone passes away. We all face it we, it’s normal for someone to pass away. But just think that they 're not in pain anymore and their spirit will always be with you no matter what, you think they’re not

A lot of people don’t understand the pressure that comes with being a child of immigrants. Everything that I do is to prove that I am indeed proof that my parents’ sacrifice was worth it. I guess that is why I always strive to reach my full potential in anything that I do. I believe my full potential can be reached by becoming a heart surgeon. There’s something so captivating about the fact that I can use my parents’ sacrifice to save lives.