Annual Isp Essay

Mr. Howard has been a resident of Arbor Terrace for the past year. He is 82 years old and in good physical condition. He does not need any assistive devices and often passes for a visitor instead of a resident. Mr. Howard’s daughter moved him into Arbor Terrace because of his growing confusion. He lives in AL and spends much of his time near the front desk asking the

Peter is a 47 year old male, with severe learning disabilities who lives in a community setting with other residents. He requires the assistance of his carers to meet his needs. Peter has asthma which is controlled by inhaled medication, he has a history of depression, he has a grade 2 pressure ulcer to his sacral area, and his body mass index (BMI) is 31. He is visited twice daily by the district nurses (DN)who administer Peter’s insulin, because he has been newly diagnosed with type 2 diabetes, following a recent hospital admission. Peter has also experienced complications with his diabetes as following his diagnosis; he has been admitted acutely into hospital twice following a hypoglycaemic episode.

2/10/2016, 1600, Vital Signs: BP 140/85 P132 RR32 Temp 102.2 SpO2 85% on 2 liter by nasal cannula. Jacquline Catanzaro is 45 years old female on disability admitted to Medical Unit Hospital. Sister with patient. Reason to admit is can’t breathe. Diagnosis is 30 year of asthma exacerbation, psychiatric schizophrenia, obesity, pneumonia and herniated disc. Smokes 40 packs year. Drinks 2 pots of coffee a day. Drinks 3 beers each day. Frequency ED visits and hospitalization dependence on rescue inhaler. Patient refuses wear nasal cannula because of worry that it contains poison. Patient has a long history of stopping taking psychiatric medication and asthma medications. Patient has isolated herself from others. Sister is only caregiver. Neuro

This is Journal #9. My placement is at Weakley County Nursing and Rehabilitation Center in Dresden, Tennessee. The ninth day I attended my placement was on Tuesday, April 5, 2016. I volunteered from 10:00 am to 1:00 pm.

A is an 87 year old women, with a long history of health troubles including chronic kidney disease, congestive heart failure, coronary artery disease, a pacemaker insertion for her atrial fibrillation, type 2 diabetes, dyslipidemia, colon cancer, breast cancer, mild cognitive impairment and most recently paranoid psychosis.

He is total care with his ADLS, he is able to verbalized his needs but unable to perform them. He reports that he had a colostomy placed in 2011 and urostomy placed in 2014. His father provides hygiene care and changes for both his colostomy and urostomy bag. He has bilateral arm/hand contractures and he has gotten weaker. He is getting OT and PT from kindred home health. He uses a hospital bed with air mattress and his father changes his position every 3 hours. He reports pain in his legs and back that is constant, dull and aching. His pain is worse with movement and dressing change. His current pain level is 8/10 on a pain scale. His pain regimen consists of fentanyl 75 mcg patch every 72 hours and oxycodone 5 mg p.o every 6 hours as needed for breakthrough pain. He has been taking 2 prn doses daily because he did not want to run out of medication. He states that 2 prn dose is not effective in relieving his breakthrough pain. He previously was getting his medication from his PCP but since his condition has deteriorated his parent who are elderly is not able to get him to the

The first health care team member should be the doctor, He is the most familiar with the physiological and psychological limitations of Mr.

NH hospitalization record reveals a medical history of a non-injurious stroke, numerous episodes of sickle cell crisis, acute chest syndrome and chronic asthma. NH is prescribed a daily regimen of medications including a daily dose of 15,00 mg hydroxyurea, 1 mg folic acid for his SCD and 44 mcg of inhaled fluticasone for his asthma. Currently, while suffering from sickle cell crisis, NH is prescribed oxycodone 5mg, Toradol 21 mg IV solution, acetaminophen, and morphine as well as a continuous IV drip of D5 ½ NS, KCL. Due to the opioids and level of pain NH has endured the last 4 days (since beginning of crisis) he is exhausted and considered a fall risk due to his fatigue and reports that he naps off and on throughout the day and only gets out of bed to use the

As the Nursing Home Administrator for (The Bay Nursing Home and Skilled Nursing Home Facility) our beloved local nursing home. I now am in transition, as our nursing home has been acquired by a national group. The result of the new policies that were implemented with regards to the new

Both of the gentlemen stated they had been in other homes and that this was the nicest home they had been in. Kenneth complained of his first home ¡°smelling more like a zoo than a nursing home.¡± John told me that his last home was on the South Side and that the neighborhood was filled with gang bangers and hoodlums. When his family visits here though, they wheel him through the Lincoln Park neighborhoods and it¡¯s nice. For all of the questions that I asked these two men, they had just as many questions for me. Heading in to this assignment, I hadn¡¯t really considered that someone would be asking ME questions. In the midst of all that happens in nursing homes, it¡¯s important to remember that these residents aren¡¯t just dependent, older people, but that they are still people just like you and I.

“There is some evidence that the quality of care for nursing home residents has improved, such as the decreased use of physical restraints and psychotropic medications, serious problems continue for many residents, especially those at the end of their lives.” Some of the issues have been corrected, not abusing or neglecting the elderly patients but the services are not handling the most important part of the patients’ lives. They are still having some issues with handling the patients that are at the end of their lives, they need to focus on the end of their lives in dealing with this they need to know how deal with this part with them and the families.

Looking at internet speeds in Australia does not paint a rosy picture; in fact average Australian internet speeds have declined so much that Australia now ranks 44th in the world in terms of internet speeds, putting it well behind most western countries. The government responded by rolling out the National Broadband Network, but even with the NBN, finding a wireless ISP that offers consistent speeds at a decent price is difficult. Now if you live in Adelaide, or Southern Australia, then the internet situation is even worse. Internet speeds in Adelaide are the worst in the entire country; so finding a good ISP that services Adelaide is difficult. Thankfully, there is an option out there for Adelaide residents, and it is called NuSkope. NuSkope is an Australian owned ISP that is based in Adelaide. Since 2007 it has been offering quality fixed wireless broadband to Adelaide residents.

The Good Shepherd Village (GSV) located on 300 acres in a semi-rural community within easy driving distance of Philadelphia had history of more than 20 years. In the facility, GSV has 570 independent living units 120 licensed nursing card beds, 30 assisted living beds and 20 studio units. The management team at GSV is very conservative, they nervous to make changes or adapt to some new ideas.

Reggie enjoys learning how to utilize technology. During this quarter, Reggie is currently enrolled in a cognitive enhancement therapy (CET). CET course is taking place here at the DRC every Tuesday afternoon from 12:30PM- 3:15PM. Reggie has a very good attendance and his participation is good. On the other hand, Reggie has not been working on finding employment. He fairs that if he finds a job there might be a possibility that he might be tempted to go back to his old ways. Therefore, he chooses not to seek employment. During this quarter, the staff encouraged Reggie to sees volunteer opportunities in the community where he will be get pay, but gain experience by giving back to the community.

Have you ever wondered how your phone company started out? Or the new innovations it has brought about? And maybe even how the business is run? Well, today I’m going to talk about AT&T’s history, the products it sells, the employee jobs and U-verse.