Reference books for prognosis

[syderman999]

We have an upcoming case presentation, our clinical instructor said that we need to put references for our interpretation of our patient's prognosis. Any good books/ebooks you guys can suggest? By the way the patient's diagnosis is CVA (Hemorragic).

Here's our prognosis. This is the interpretation we came up with based on "our own" observation (comments will be highly apreciated):

CRITERIA:

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[TD]Good

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[TD]Fair

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[TD]Poor

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[TD]Criteria

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[TD]Interpretation

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[TD]ü

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[TD]A. Response of the patient regarding the presence of the condition's manifestation after its management

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[TD]Patient showed no complication and was able to comply with the weaning process.

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[TD]ü

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[TD]B. Physiologic response of the body to disease process

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Patient showed improvement of disease condition from medical and nursing interventions given but some clinical manifestations are evident

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[TD]ü

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[TD]

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[TD]C. Relief of symptoms associated with the disease condition

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Patient showed improvement of disease condition as evidenced by a decrease in edema on upper extremities, and had undergone debridement as treatment for phlebitis.

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[TD]

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[TD]ü

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[TD]D. Performance of the daily living of the patient during confinement (e.g. eating, toileting, dressing, etc.)

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Patient is fully dependent on her activities of daily living for she is unconscious for the whole 3 weeks of care.

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[TD]ü

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[TD]E. Compliance of the patient to the medication and/ or therapy

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Consent was obtained and signed by the patient's significant other regarding the treatment regimen.

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[TD]ü

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[TD]F. Adequacy of rest periods and sleep

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Patient is stuporous for the whole 3 weeks of care.

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[TD]ü

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[TD]G. Consumption of the patient with nutrition

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Patient was able to receive adequate nutrition having a modified diet specifically appropriate to condition.

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[TD]ü

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[TD]H. Patient's significant others' behaviour regarding the health teaching given by the health caregiver and the physician

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Patient's significant other follows health teachings provided as means of aiding to the client's healing course.

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[TD]

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[TD]ü

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[TD]I. Attitude

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Patient's attitude cannot be determined for PV is unconscious.

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[TD]

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[TD]

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[TD]ü

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[TD]J. Duration of Illness and recovery

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PV was admitted for a long period of time 3 months up to the present due to presence of multiple complications

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[TD]

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[TD]ü

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[TD]K. Precipitating Factors

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PV was unable to identify factors that precipitated her current admission for patient is stuporous for the entire 3 weeks during our care.

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[TD]ü

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[TD]M. Family Support

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Significant Other (husband, daughter and son) supports PV through the course of treatment and adheres to fasten healing process by following instructed health teachings.

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[TD]

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[TD]ü

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[TD]N. Level of Consciousness

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[TD]PV is stuporous,

withdraws to pain with a GCS of 7.

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[Michaeal]

Prognosis requires objective assessment of a milieu of findings that are beyond any health care provider or statistical tool to accomplish. For some time now phase angle determined by bioelectrical impedance has been shown to be reliable, accurate and objective to assess the presence, progression and severity of disease, measure the effectiveness of treatment and predict the timing of non-acute death.

Specifically for your type of patient here is a good reference,

Bioelectrical phase angle values in a clinical sample of ambulatory rehabilitation patients

Simon M Gunn, et al. Dynamic Medicine 2008, 7:14 doi:10.1186/1476-5918-7-14

There are many others, good luck,

Cheers!

Michaeal

[Esme12, ASN, BSN, RN]

Prognosis of Neurological Disorders great book.......you'll find it on amazon.