Bariatric Patient Case Study

Monday was a slow day at the office, and I was not given a task by my supervisor to complete. I took the initiative to email everyone in my intake department. My email asked if anyone needed assistance with their cases to contact me. An intake case worker saw my email and told an ongoing caseworker who need assistance. The ongoing caseworker asked if I could assist her with transporting a child from the Perseus shelter to the McKean County Court House. The ongoing caseworker said she did not feel comfortable with transporting her teenage girl client in her car alone. The ongoing caseworker wanted another caseworker to monitor the girl’s behavior. I accompanied the ongoing casework with transporting the youth to court. The

Dispatch informed me we had a NICU that was coming from fontana with the baby, isolet, and team dispatch told me that we also had to pick up a NICU nurse from sunset and since 125 was on a call we to prevent a delayed EAT and we came up with the plan to have the reserve go to sunset get Unit 52 and the nurse and drive to Southbay where an complete crew would meet them and they would swap rigs. My eta to sunset would have cause a 15 to 20 minute delay of 52 leaving and getting to southbay on time the reserve has ran NICUs before and since all she was doing was getting the unit and nurse i told her do not what for me if i hadn't made it on time. i told her if she had any issues to contact me asap so i could help walk her through itl. and

The patient was located on the fifth floor and as I was bringing them down the elevator, there was a family member of a patient in the elevator. Under HIPAA regulations, I cannot allow others to view the patient confidential information that I had in my hand. As we got to our stop I told the patient to follow me through the mechanical doors. I told the patient to wait in cubical 2 and that the nurse will be with then in a few moments. In addition, I will be getting them a warm blanket once I come back. I headed to leave the binder at the receptionist desk in the OR where they had another patient pick-up waiting for me. Before I left, I went to get the patient a warm blanket from the storage area that had temperature control. I gave it to the patient and left. Ronnie saw me and asked me if I did the patient pick-up alone, I said yes and he was surprised. Usually he needed to teach others in order to know what exactly they had to do. The only reason why I knew that I had to do everything that I did was because Ronnie told me everything verbally. He did not have to show me what to

Answer: Yes, there is a problem with gastric bypass surgery and extended release medications. The absorption of the extended-release medication will decrease after gastric bypass surgery, immediate release form medication should be recommended to this patient. I will recommend bupropion immediate-release tablet, take 100 mg tablet by mouth twice daily for 3 days, and may increase to take 100 mg tablet by mouth three times daily.

On September 14th a child showed up with her mother for an outpatient procedure. The minor was checked in at registration and then proceeded back to prepare for surgery with the pre-op nurse. At this time the mother further explained that she would be leaving the facility but gave contact information to get a hold of her once the procedure was complete. This information was placed on a note pad and note in the patients file. Once pre-op was complete the child was taken back to the OR were she was cared for by the OR nurse. After the procedure was complete the recovery nurse ensured the patient started to wake and then handed off to the discharge nurse. After waiting for the mother to return for about a half hour the patient started to become upset. Looking in the waiting area and not being able to locate the mother the, once the discharge nurse got a call from security that the father had shown up the nurse gave discharge instructions to the father and allowed the father to take the child.

She immediately started to worry and stated “What excuse can I give you so you leave me alone?” I responded that we just needed to get ready for the day and we did not even need to call it therapy. Once she sat up she started hyperventilating. My supervisor was in the room at the time and said this was exactly what would happen the last time she stayed in the TCU. After 45 minutes, lots of encouragement, rest breaks and maximum assistance we finally got her dressed and situated in her recliner. While I was documenting the patient was talking to the nurse about how she did not want to have therapy anymore. The nurse responded to the patient and asked her why she was in the TCU if she did not want therapy. In the same week, this patient declined therapy all together and both physical therapy and occupational therapy had to discharge

The little league event I was working at was very hot day for everyone. I received a call from Helen regarding that she needed scissors to cut off zip-ties that were holding a canopy that she was told to bring back with Bryson. I had not been informed that Mr.Winn told our ambassadors that he had sent them on their own to go pick up the canopy on their own, without supervision. I was currently watching the game, while keeping my eyes on Amber and Dajah who were policing people from coming inside the baseball area with outside food. When I went to give the scissors to Helen and Bryson, I had notice that the gate was shut to enter the dugout area where they were retrieving the canopy. I had asked them how did they get through the closed gate. They had told me that they had climbed over to get to the other side. At that point when they told me, I felt very concerned because they could have gotten hurt and I had not know where they were because Mr.Winn had got out of his way to use his authority to have our ambassadors complete a task without my supervision or by my word. I told Helen and Bryson to climb back over and not to worry about the canopy anymore because it was to complicated for them to retrieve it. The canopy was also broken and they were using sticks to hold it open. That is also an issue because the ambassadors could hurt themselves trying to take down the canopy and no was there their to help them out because they need 4 people taking down a canopy to hold each

Usually, on Thursdays, I’m at my field agency from 8am-3pm, the Career Services from 3-5pm and attend classes afterwards. The front desk at the Health Department called to confirm if I would be at the Agency and I confidently responded “Yes”. She said she was just making sure because I’m usually early so she was wondering what the problem was since my 8am client was already at the Department waiting. I checked my schedule and wished I could fly to the Agency as soon as possible. I felt so awful about this honest mistake because that has never happened to me before. I told the front desk person to tell my client’s mother that I would be at the agency as soon as possible since I was already on my way. When she got the phone, the client’s mother said she could not wait because she was already running late for work so she reschedule instead.

For clinic in Dental Hygiene, we have to call our patients on our own time to confirm that they will be at their appointment, because we also have to find our own patients on our own time. If they do not honor their appointment, we get a zero for that clinic period so it is rather important to assure that they come when they have been scheduled. I was calling a patient to confirm their appointment and when they did not answer, I left a voicemail, as dictated by social norm. In the message, I wrongfullly and unknowingly called the patient (a Ms.) Mr.

The data collected suggests that there is evidence to support the working hypothesis that Bariatric surgery may be more effective in maintaining normal glycemic control in patients with T2DM compared to standard therapy.

I was working PRN at my local skilled nursing facility. Not having worked for a few weeks this elderly man I was receiving report on was new to me. I was told in report he had slept all night and was doing well. After getting my patients organized for the day I was called into my elderly man room. He was lying in bed having shortness of breath and was very pale in the face. After assessing him I notice blood in his brief. His blood pressure was low, heart rate was rapid and oxygen saturation was low. After speaking with the physician we decided to send him to the emergency. I called 911 and gave them a brief assessment of his condition. When I got off the phone I went back into the room to comfort the wife and daughter. I then explain to them what to expect when they arrive at the hospital. When the emergency responder arrive I gave them report of his condition. I went over his vital signs, current medication list, recent lab work, current diagnosis, and what he was doing prior to his change of condition. After he was transported to the hospital I called and spoke with the nurse in the emergency room that would be taken him. I gave her a detail report of his current health conditions. After a few hours I called to speak with the nurse to check his condition and at that time he was stable and was being admitted to the hospital. After a few days in the hospital he returned to the skilled nursing facility and is still doing well. As a registered nurse I was able to use my scope and standards of practice to recognize there was a change with him and was able to get him assessed quickly and transported to

During my first day at clinical placements, I was quite nervous. I performed slowly due to my anxiety and required assistance, from a health care aide, to fully complete morning care for the resident. After receiving my report to perform a bed bath for the resident, I began searching for the equipment required. I felt pressured locating supplies in an unfamiliar environment, especially under time constraints. After a time consuming process, of gathering supplies, a health care aide came in the room. She was displeased with how long I was taking mentioning that I needed to hurry, to allow the resident to be ready for breakfast at 8:00 A.M. She instructed me to watch, while she sped up the process. I apologized for taking long, explained how

Participated in safety management for bariatric patients. Advocated for bariatric patients in regards to installing special devices that would increase the weight limit on toilets to increase safety for this population. Due to limited resources, in conjunction with the staff we decided the number of devices that were needed and if the hospital had the money to make those purchases.

Whilst on duty on a general ward I was asked by my senior nurse, if I could go down to the pharmacy to pick up some new medication for a new client, who would be needing them at lunch time. On my way to get them, I was approached by another health care assistant who requested my help with a client, who was lying in their own faeces. I therefore felt that the medication could wait, and that my main

During my clinical competency placement, I was working on a surgical ward when a registered nurse on duty asked me to assist Mr. A with his shower. This incident happened on the fifth day of my clinical practice. He was a dementia patient and had undergone right knee total joint replacement. She also informed me that the patient did not like too many people in his room because of his dementia. When I went into his room, his wife was there with him. I talked to the patient about having a shower and getting dressed to look smart and he agreed to have a shower. The patient got out of the bed and walked to the bathroom and sat on the shower chair to have his shower. Then I asked his wife if I needs to stay with him to assist with shower, she said she can help him as she was taking care for him at home since he has been diagnosed with dementia. Therefore, I left the patient with his wife to help with his shower and told her to ring the bell if she needs any help. After some time I left the room, the wife rang the bell. As soon as I entered the room, I heard him shouting at his wife and she started crying and left the hospital. So I had to stay with him. He was very capable of washing himself and I just had to help him wash his back as he requested. After he had washed, I asked him if he was ready to get out of the bath, he started shouting at me.