Diagnosis And Disease Progression / Acute Exacerbation Essay

1. 3 Priority medical diagnoses: A. 40 weeks and 2 days pregnant G1 T0 P0 A0 L0 (priority because of potential complications of pregnancy and labor, some which may be life threatening) B. Second degree tear to perineal (compromises the integrity of the skin and increases risk of infection) C. Anemia (currently being treated with medications) 2. Description of the client’s pathophysiology of the disease progression or acute exacerbation (refer to 1A) (Describe the â€Å"what, when, where, how, and why† in regards to the patient’s admitting diagnosis and disease progression/acute exacerbation. Be specific. This should be a 6 – 8 sentence paragraph.) The patient is an 18 year old Spanish female who came to the unit on 11/31/2016 at 23:10 complaining of cramping and she had thought that her water had broken. Her pain was a 4 on a scale of 0-10 in her abdomen described as cramping. Upon examination she was dilated to 3cm, 80% effaced and the position of the baby was -2 and vertex. Her membranes remained intact. Her estimated due date was 10/28/2016. This is her first pregnancy. She has no history of abortion or miscarriage. She has had her flu vaccine and tdap vaccine in October, 2016. She has never smoked or done illegal drugs. She is negative for group b strep, hepatitis, HIV, and syphilis, gonorrhea, and chlamydia. She is rubella immune. There is a language barrier between the patient and the staff. The patient and her family only speak Spanish and only knew very littleShow MoreRelatedEssay On Pulmonary Care938 Words   |  4 PagesWhen treating chronic obstructive pulmonary disease, it has been shown that most healthcare prac titioners are focusing on episodes when the disease is in its exacerbation or its acute phase. When the patient presents with an acute exacerbation, the disease has already progressed to the point that could potentially be dangerous, but this can also be avoided. 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