Acute Inpatient Hospitalization

A visit note from Dr. Robert Hendren (Urology), dated 09/20/2017, indicated that the claimant continued to have urinary frequency, urgency, and urge incontinence that required her 2 pads per day. She had microscopic hematuria noted on 08/31/2017. She had 3+ blood on urinalysis during the visit, but she had been undergoing her menstrual period. She had complaints of pain in the stomach, left arm, right leg, and foot. Urinalysis showed moderate blood with 30+ protein. Her BMI was 32.12. She was diagnosed with urge incontinence and hematuria. Cystoscopy was recommended.

Introduction: Jessie Buchanan, an 80-year old female, was admitted to Bethany Care Society in room 3088-1 at the center unit. She is an extensive assist, requires 1 staff assistance and uses the transfer belt to transfer from bed to her wheelchair. She was admitted here because none of her family members can look after her because they are all busy with their own personal life. Jessie prefers to stay at Bethany because she receives full-time care from the health care providers. Jessie had a history of edema on her right ankle because she was experiencing hyponatremia. Currently, she is on fluid restriction and every morning I would put her compression stockings to prevent the occurrence of edema. Her condition worsens when she was diagnosed with osteoarthritis(OA), delirium, depression, type 2 diabetes mellitus, schizophrenia, hypertension, and urinary tract infections. Her recent urine culture shows that she is positive for urine nitrite and urine leukocyte which caused the UTI. Jessie is incontinent and she wears an indwelling catheter. Jessie said that sometimes her knees are painful. She takes an analgesic to relieve the pain that she feels. Jessie 's blood sugar level is within the range. She is not taking insulin or any oral medications like metformin because she knows how to control it, by following the proper diet. Jessie always have a good sleep and never complains about her sleeping pattern. She is taking medications for GERD, iron supplement, bone health,

I chose United Hospital Center (acute) located in Bridgeport, West Virginia. This hospital is transitioning from paper to EHR (EPIC) as we speak, and the EHR (EPIC) is going live on August 1, 2017. At this point, doctors’ offices (non-acute) who collaborate with the hospital are implementing and using the EHR system. The person I interviewed from the health information management department is Tina Williams. She has been a long time employee of United Hospital Center, and it is very abreast to all the critical areas of health information management.

The patient is a 78-year-old female who had a recent fall. She fell on the left side. She has a very large left medial thigh hematoma. She continued to feel weak and unable to care for herself at home and presented to the ED. She is known to have hypertension, insulin dependent diabetes mellitus, a TIA in 1998 with some minimal left-sided weakness and she has had nephrolithiasis. In the ED she was found that her creatinine has gone from 1.2-1.82. Sodium on admission was 130 with a glucose of 360 which suggests that she has some hyponatremia not as profoundas the 130 would suggest. The patient has a complained of pain all over her body, her neck, her arms and her back. She is evaluated by physical therapy who feels that she is unsafe

Sara is in need of residential treatment due to her history of self-injurious behaviors, and multiple attempts of suicidal gestures. Sara requires a higher level of care which outpatient care is currently failing to provide her at this time. Sara continues to have depressive symptoms and anxious feelings for the last few months. The patient has had two acute inpatient admissions within the last 3 months and requires long term stabilization. At this time Sara requires 24 hour supervision and ongoing intervention and treatment.

Significant health disparities between rural and urban populations have been a major concern in the United States. One prominent factor contributing to the disparities is lack of access to quality care in rural areas which is closely associated with challenges faced by rural health care providers (National Rural Health Association, 2007). Rural hospitals are the key health care provider in rural areas, offering essential health care services to nearly 54 million people (American Hospital Association, 2006). They face a series of challenges such as workforce shortages, rise in health care costs, difficulty in finding access to capital, difficulty in

Redesigned Care processes for reliable delivery and 100 percent evident best practices after four months.

According to the American Hospital Association (AHA), Critical Access Hospitals (CAHs) are rural hospitals that receive reimbursements from programs like Medicare and Medicaid. Critical Access Hospitals are part of a national effort to provide equal access to affordable health care to all citizens.

The patient is an 80-year-old African American female unremarkable who presents to the ED complaining of inability to walk and loss of weight. She was sent in by her primary doctor, Dr. Nil. She also presents with some altered mental status. On presentation in the ED the patient is found to have a white count of 21,000, hemoglobin of 8.7, close follow up revealed a white count of 15.4 and hemoglobin dropped to 7.6. She has a left shift in her leukocytes and her platelets are increased. She is also noted to have iron deficiency anemia, acute kidney injury, as well as moderate to severe right-sided hydronephrosis with no clear explanation. Her urine culture is growing e coli with a fairly benign susceptibility pattern. However in view

For the purpose of confidentiality, the patient will be identified by the initials A. S. A.S was a 52- year old African American woman who was admitted to the hospital when she started to experience severe urinary retention and shortness of breath. She has three adult children and eight grandchildren, but recently lost her husband of 25 years to diabetes. The patient appears to be very independent because she lives alone in her home and is aware of the disease process. She has a past medical history of acute renal

Emily is an 83 year old mother of three who was admitted to the ICU for sepsis from a UTI. She has been in the ICU for two days. She has not been intubated during her stay, however her lactate level is rising. She is awake, alert and oriented. Daughter is at bedside. During catheter care using chlorhexedine wipes, she experienced increasing discomfort and complained of a strong burning sensation in between her legs and vaginal area. She was becoming distraught.

A study conducted by Twigg et al. (2016), exemplifies that adding assistants in nursing (AIN) to acute hospital wards has impacted negatively and increased adverse patient outcomes. The study revealed that there were three significant increases in unfavourable adverse outcomes which are, failure to rescue, urinary tract infections and falls with injury, as this is due to AINs caring for and completing tasks for patients not within their scope of practice.

The facility that I work, is near a poor area. As the result, ones in my facility have the chances to take care the homeless with drug addictions. These people have the government insurance to cover all the payment and by law, the facility needs to provide the safest place for them. The placement would become an issue for the facility. When they are medically stable but no safe place to go, the facility still cannot discharge them. People who need acute hospitalization may need to be put on the waiting list. These people have normal competencies without any disability but they use the medical resources as hotel services. While they like, they stay; while they do not like, they leave or assault health-care workers. In addition, they have the

The general public understanding of hospitalization is that it is a simplistic process. However, not all patients who arrive at the emergency department are admitted. The patient's journey from admission to discharge is a multi-faceted pathway that involves professionals from various disciplines. This paper will analyze the hospitalization of a seventy-eight-year-old male patient, henceforth referred to as Rick, exploring the circumstances that led to his admission to hospital, the roles of nurses and interprofessional (IP) teams in maximizing the client's health, nursing considerations and discharge planning.

The patient presents with urinary tract infection (UTI), hyponatremia, severe dehydration, cerebrovascular accident in October, dysphagia, leucocytosis with hemiparesis.