Case Study: Brookdale Mirage Inn

The district nursing team were now to be responsible for the wound care of an ulcer on the sole of her right foot on her impending discharge. She had previously attended the practice nurse and a podiatry service based within her local clinic. Due to a change in circumstances, she was now clearly housebound for the near future due to mobility issues. Prior to an arranged visit, the patient had called the nurse to advise her that she was pyrexial and was experiencing a pain in her right foot that was different from her normal neuropathic pain, which was often problematic. She was also finding it difficult to mobilise and was disinclined for diet but was taking oral fluids.

Hypothesis 2: It might be that Boston Pine Street Inn housing the chronically homeless for a longer period of time than need be, which caused Pine Street Inn to use more services helping them to sustain a functioning life.

Maria Niceforo, a 75-year-old woman receiving in-home nursing care, had died of infection due to numerous pressure wounds (Le May, 2016). She was admitted to the hospital presenting with a bleeding pressure wound across her back and legs that had penetrated through the bone (Le May, 2016). It was also observed that the wounds were soiled with urine and dried faeces (Le May, 2016). She was receiving in-home support from registered nurses, who according to her son, were not consistent nor reliable in their care of Mrs. Niceforo (Le May, 2016). Another contributing factor to her death was inadequate communication and documentation of her treatment (Menagh, 2016). For example, one of the nurses had reported not providing treatment to Mrs. Niceforo's bottom as she was not aware of it (Menagh, 2016). I was quite

In Bangkok, Thailand, a group of financial investors invested in a hotel called The Regency Grand Hotel. This hotel is the most cherished hotel in town, where the employees and guests enjoy spending time at this five-star hotel. This place hosts approximate 700 employees that give fantastic benefits, year-end bonuses and ensures job security.

HISTORY AND PHYSICAL EXAMINATION_______________________ Patient Name: Chapman Robert Kinsey Patient ID: 110589 Room No.: 322-B Date of Admission: 23 February ---Admitting Physician: Martha C. Eaton, MD, Geriatrics Chief Complaint: Admitted from Dr. Max Hirsch’s office due to deep ulcer on left toe. Admitting Diagnoses 1. Severe peripheral vascular disease, status post deep ulcer on left toe. Rule out thrombolysis. The patient was admitted to a regular floor. Condition is serious. 2. ALLERGY TO PENICILLIN, which puts patient into anaphylactic shock. 3. Continue with home medications. DETAILS OF PRESENT ILLNESS: Mr. Kinsey is an 87-year-old white gentleman with history of (1) Chronic atrial fibrillation, on Coumadin. (2) Chronic deafness,

Ms. Sunshine recently had a myocardial infarction, with 90% of her one main artery occluded. She is a 54-year-old African American female who decided to travel from Denver to Boston to visit her son and new grandson. Prior to leaving Denver, Ms. Sunshine has been experiencing chest discomfort, dyspnea, fatigue, anxiety, and flu like symptoms. Her son Mitchell noticed his mother was in distress, he called for an ambulance and Ms. Sunshine was immediately taken to the local emergency room department.

The healthcare team honored the patients’ wishes as best as possible; the only time we bothered the patient was when we changed the dressings on the pressure ulcers located on the anterior portion of the left foot and right buttocks and when we provided the patient with PRN pain medications. Since this is a Medical Surgical floor, we were required to do one assessment, and that occurred during the time the health care team went in as a group to clump all of the care up and do it at one time. The only negative experience that had occurred was when the patient was expressing non-verbal signs of pain – and from that point, we worked quickly to give him his PRN pain medications to manage it.

The Department of Human Resources received a report on Ms. Sue Salter on 9/17/14 alleging Ms. Salter a paraplegic who is paralyzed on her left side was living in a home with no water, power, and had an inadequate caregiver. During investigation, utilities were reconnected and Hospice service provided. Hospice stated Ms. Salter was losing notable weight and found lying in urine during visits. Due to this, several bedsores increased and the doctor ordered a catheter and low air mattress. Ms. Harville, the caregiver was educated on wound care numerous times and demonstrated a working knowledge but choose not to administer wound care.

Reporting party (RP) stated that when resident Nancy Leonard (DOB: 1/14/26) moved in the facility on 7/28/14. Resident's husband, Dick Leonard, was told that the facility that the facility was in the process of "deep cleaning" and that the facility would possibly be fumigated. Facility accepted resident and placed her clothing in a bag and sealed it. RP stated that the facility had an outbreak of scabies. Resident was visited by her primary care physician, Dr. Rudich, who prescribed cream for the resident. RP stated that the facility failed to quarantine the residents and allowed visitors to enter the facility. RP stated that the family was not notified that there was an outbreak of scabies. RP stated that the facility had another outbreak

Mr. J.’s daughter noticed a red mark on her father who then reported this to the nursing assistant and her concerns were immediately dismissed. If the nursing assistant was properly trained in the use of restraints and had knowledge of patient outcomes, this patient would not have developed a pressure ulcer. The nursing assistant should have immediately informed the nurse and measurements should have been taken to prevent further breakdown of the patient’s skin which was not done. It is evident in reading this case that Mr. J developed a Stage I pressure ulcer from being retrained in one position with no assessment or release for an undetermined amount of time.

Rachel was observed at 2030 on 2/22/17 to have soiled herself. Rachel was given a bed bath and changed by Melanie Laub, RN, Johanna E., RN, and Shatalya Sharp, BHT. They also assisted her with ambulation. Later in the evening, the night nurse, Linda Pickens found medications and some food in the back of Rachel's mouth. This morning Lacy Garth, RN, Nicole Dabbs, BHT, and Sheila Braxton, program coordinator, assisted Rachel to the restroom. She was entirely unable to ambulate and was primarily supported through staff support. She was assisted in drinking water and ensure. Sherri Martin, NP was informed of her medical concerns and total care requirements and determined she needed medical evaluation. PMT was called and arrived at 1200. Report was

In the year 2000, The Ritz-Carlton Hotel Company paired with luxury real estate developer Millennium Partners to build a $225 million hospitality complex in the heart of Washington DC. This 300-room hotel was set to be the first out of a six-hotel deal between these two companies. The structure of the deal was that Millennium Partners would be the owners of the properties and The Ritz-Carlton would manage them.

This paper describe Stamford Plaza Hotel Auckland. It is a five star hotel located in Auckland City center. Stamford Plaza as a multinational company owned by Stamford Land Corporation Limited, has strong market position in New Zealand and Australia. Its target market focus on luxury and top level travelers. By using effective 4P’s marketing instruments, Stamford Plaza Auckland attracts loyalty customers and develop new potential guests. We also use SWOT analysis to demonstrate the competitive advantages and disadvantages the hotel is facing with. Via analyzing threats and opportunities, we can give some recommendations on hotel market strategies. Finally, we get the conclusion on hotel outlook.

During the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy-three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was “hurting” and she rated her pain an 8 on a scale of 1 to 10. She also had some “swelling” that she could not “get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around.” She told the nurse that she had been to see the doctor “yesterday” and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to

Cultural Heritage: A Comparison of Cultural Values in Hong Kong, Taiwan, and the People’s Republic of China, Journal of Asia-Pacific Business, Vol. 2(4).