Sepsis Case Studies

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Sepsis is a life-threatening response to infection responsible for over a million yearly admissions and mortality rates as high as 25 to 50 percent in the USA alone (VHQC, n. d.). People commonly believe sepsis is likely to develop during acute care stay; however, statistics show that 80% of sepsis cases generate outside of the hospital including nursing homes and other subacute care facilities (Bowerman, Cardillo, Heymann, 2012). In the fiscal year 2011, almost a quarter of all Medicare nursing home residents were transferred to hospitals due to sepsis accounting for 13.4% of all transfers and 3 billion in spending, making sepsis the most common and expensive transfer diagnosis (Levinson, 2013). High rates of sepsis in nursing homes present a health care paradox: despite the availability of licensed medical personnel responsible for identifying and treating infections, the health outcomes for this population remain low. To address sepsis epidemic in nursing homes Centers for Medicare and Medicaid created new quality improvement measure that evaluates facilities based on the percentage of residents who were re-hospitalized after a nursing home admission or had an outpatient ER …show more content…
The recommendation is for the Office of Licensure and Certification of Virginia Department of Health to review and consider adding sepsis prevention program as state licensing requirements for nursing homes. Sepsis is an extensive multifaceted topic; therefore this proposal will focus on sepsis-related education, surveillance programs and transfer protocols for nursing homes for the State of Virginia. The proposal will address the significance of sepsis as a healthcare issue, current trends and evidence of sepsis being an issue, suggestions to alleviate the problem, and possible evaluation

Sepsis Case Studies

and this shows that she has a sepsis infection (Jevron, 2010). High levels of sepsis in her body can lead to disruption of the flow of blood in the body especially the kidneys and the brain and it might lead to organic failure. The level of saturation shows that she has some mild respiratory problems which can be…

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Neonatal Sepsis: A Case Study

Neonatal Sepsis 1. Definition: • A bacterial blood infection in newborns younger than 3 months; can be either early-onset (24hrs-1st week) or late-onset (newborns within 1 week-3 months). 2. Causes/Contributing/Risk Factors: • Premature rupture of membranes • Premature infants • UTIs in mother • Maternal GBS colonization • Chorioamnionitis • Low Apgar score • Low Birth Weight • Birth asphyxia • Meconium staining 3. S/S (maternal & fetal): • High fever • N/V/D • Respiratory distress • Poor sucking/latching…

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Diverticulitis Case Study Essay

obstruction. Diverticulitis can also progress to sepsis. Sepsis occurs when the immune system is overwhelmed in responding to infections, and therefore becomes overreacted and induce inflammation throughout the entire body causes tissue damage, organ failure and even death. In addition, sepsis can affect the abdominal and causes diverticulitis so sepsis can be a cause and a complication of diverticulitis. (Hotchkiss, Monneret, & Payen, 2013) Case Study This case study was conducted from November 8th, 2017…

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Respiratory Failure Case Study

Sepsis and Respiratory Failure Sepsis is defined as systemic inflammatory response syndrome in response to infection, and, when associated with acute organ dysfunction, it is considered severe sepsis (Durthaler, Ernest, & Johnston, 2009, p.45). As describe on the case study, septic patients can show a multi system infection process in response to the invading microorganism like bacteria, fungi, parasites, and viruses. What is the process involved in sepsis? The process involved in sepsis consists…

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Sepsis Research Paper

life threatening process known as sepsis. When sepsis or septic shock occur, the domino effect quickly plays out and measures need to be taken with promptness to ensure the safety of the infected individual- one of those measures being mechanical ventilation. Mechanical ventilation is a crucial procedure to perform on patients effected by septic shock and can be the thing…

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Essay on Critical Analysis of Patient Care Utilising John’s Model of Structured Reflection

Introduction The aim of this assignment is to reflect on the management of a patient with multiple organ dysfunction syndrome (MODS). Reflective practice is associated with learning from experience, (Johns & Freshwater 1998) and viewed as an important strategy for health professionals who embrace life long learning (Department of Health 2000). Engaging in reflective practice is associated with the improvement of the quality of care, stimulating personal and professional growth and closing the…

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Chest Radiography

patient also shows hypothermia; it is febrile based on the severity of the disease.4-8 Since ARDS often occurs in the context of sepsis, it is often associated with peripheral vasoconstrictions with cold extremities and hypotension.17-20 Cyanosis of the nail beds and the lips may also occur.20 Examination of breath sounds may reveal bilateral rales however in many cases, rales may not be present despite widespread involvement. This is due to intubation and being on mechanical ventilation. Decrease…

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Acute CHF ICU Essay

Department of Internal Medicine (Drs Chockalingam, Mehra, Dorairajan, and Dellsperger), University of Missouri School of Medicine; and the Cardiology Section (Dr Chockalingam), Harry S. Truman VA Medical Center, Columbia, MO. FundingրSupport: This study was funded by Veterans Administration Research award [VISN 15] to Dr Chockalingam. Correspondence to: Anand Chockalingam, MD, Division of Cardiology, University of Missouri–Columbia, 5 Hospital Dr, CE306, Columbia, MO 65212; e-mail: chockalingama@health…

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Post-Mortem Biochemistry

a disease and explains the interaction between the two. There are two types of autopsies: forensic and clinical. Forensic autopsies are performed for suspicious or unknown causes. Clinical autopsies are performed by pathologists (a scientist who studies the causes and effects of diseases, especially one who examines laboratory…

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Furosemide Research Paper

considered when treating ill patients who are under a critical condition. Based on our study but also to all the information was reported in thesis, it can be clearly understood the controversial role of those drugs. We should highlight that the usage of albumin in critical ill patients in clinical practice is helpful, as in cases of hypovolemia, acute nephrosis, burns, shock and others. Nevertheless, based on mentioned studies, can be presented the positive (pros) and negative (cons) sites of the use of…

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