Human PapillomaVirus or HPV is the most common sexually transmitted disease. It has been proven to cause cancer and other diseases in both men and women, boys and girls. There are about 100 types of the virus and approximately 40 of them infect the genital area. Certain types cause anal cancer, genital warts, penile cancer, vaginal, vulvular and cervical cancers and also oral cancers. There are approximately 14 million new infections every year and the highest infections in the under 24 age group. Question: At what age is the HPV vaccine recommended? What is the dosage schedule?
The Center for Disease Control recommends 11-12 year old receive two doses 6 months apart. If started at age 15 to 26 years, three doses are still recommended to prevent cancer-causing HPV infections.
Using Evidence Based Practice which important component was not followed: 50 year old autistic gentleman is assigned to you for care, Your patient is non-verbal, uncooperative and in respiratory distress. He is alone and scared, His diagnosis is respiratory failure due to COPD (chronic obstructive pulmonary disease). You remember your research that you reviewed two days ago regarding care of a patient with COPD and remember caring for a mentally disabled patient in the past. You assess a respiratory rate of 30 which are labored, heart rate 112, skin is pale and moist. He is restless and agitated. You apply O2 and start a breathing treatment previously ordered to be given as needed. You leave to call the physician where you report the above. Based on EBP, what component (s) is/are missing? A. Ask- formulate you question. B. Acquire and appraise the evidence. C. Apply interventions based on evidence. D Audit- reassess your interventions. E: All are appropriate.
Choice A: Knowing your patient has been admitted for COPD and respiratory distress you would you would already begin to ask yourself what are the signs and what are your interventions for a patient in respiratory distress; what is COPD and is there any specific interventions for someone in distress; what is autism and is there anything specifically related to their care that you need to know. Choice B: In this case, you are drawing on previous knowledge that you have obtained after caring for previous patients with these problems. Choice C; Are the appropriate? Yes but they fall short. A patient with anxiety and respiratory distress plus special needs should not be left alone. And depending on your clinical setting, they most likely call for a special team to assist you. You could argue that he needed a monitor and pulse ox plus a blood pressure asap too. Choice D: Were the interventions reassessed? You could say yes in that she anticipated this was a critical situation and called the physician asap. ANSWER: C
What bone would you suspect to be fractured if someone has an external rotation of the leg and the affected leg is shorter than the other leg?
When you think about the anatomy of lower extremities, you think about the long bone of the thigh (femur) and the two bones in the lower leg (fibula, the smaller of the two bones and lies laterally; and tibia). Fractures of the lower leg bones do not cause the above signs. But fractures (loss of continuity of the bone from trauma or stress) in the upper quarter of the femur cause the muscles acting in the hip joint to become disrupted (stretched, pulled, etc). And there you are: A shorter appearing leg rotated outward. ANSWER: HIP FRACTURE/ HEAD OF THE FEMUR