Case Study: Direct Services Client

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.

While appealing to the Court of Criminal Appeals of Texas, the petitioner argued, “that the trial court erred in failing to disregard the jury’s answer to the mental-retardation special issue and in denying the appellant’s motion for judgment notwithstanding the verdict.” 270 S.W3d 13 (Tex. Cr. App. 2010). The petitioner argued that “because he introduced expert witnesses to demonstrate mental retardation and the State did not introduce its own expert witnesses in rebuttal, the trial court should have disregarded the jury’s answer to the mental-retardation special issue or granted his motion for judgment notwithstanding the verdict.” 270 S.W.3d 13 (Tex. Cr. App. 2010). The Texas court found that the burden of proof to determine intellectual disability fell to the petitioner and that there was “no authority,

Leave things as they are do not touch anything. Do not clean or wash what the service user is wearing. Do not handle service users’ clothes or bedding. Keep the area safe; do not let anyone enter the area. Keep any

On 6/11/15 at 2:00 pm, I called Dr. McClain at his listed home number to confirm he was still in the area and to inquire if he would be available for an interview at some point. Dr. McClain began explaining that to his knowledge all of the complaints had been “kicked out” except for one case involving an ileostomy reversal. That complaint resulted from him being told not to have contact with patients since he was under investigation. The patient was upset because they could no longer see him, McClain stated.

When dealing with a defendant with questionable competency you have to take the case and the circumstances into question. There are many people in the world with mental disabilities and some even

I am a second year nursing student in my third week of the practicum placement on a surgical ward with my co-student and the morning shift registered nurses. We had just finished analysing the patients handover report (Levett-Jones & Bourgeois, 2015) and I had been assigned to work with the registered nurse. I was looking after Mrs. Brown (pseudonym) is 82 years old New Zealander was admitted to surgical ward on the 08/06/16 for multiple SCC removals from L) hand and L) foot with skin grafts.

The RP stated she asked a nurse regarding how the resident could have acquired gangrene in such a short time; the nurse believe it was due to the resident sitting for an extended period of time with her shoes

Your role in the In-Service will be more discussion-oriented. The itinerary I have for the In-Service will feature 8 different activities (mostly video-based) that help other student advisors and ProStaff members familiarize themselves with different concepts of diversity and intersectionality such how white people discuss race, racism within the gay community, male body image issues, etc (I can send you the itinerary I have, if you want). Then you and various other members apart of the Truman community who apart of the panel will share their knowledge and experience about concepts of diversity, factors they related to or wanted to expand on that were featured in the videos or their own personal experience with how they balance intersectionality of their identities. The whole In-Service should last about an hour to an hour and a half, depending on the audience response (which will other student advisors and ProStaff of Residence Life) with the material. If you have any more questions/concerns. Please let me know. Thank you.

Ms. Castellano denies mental health. Client denies any in-patient psychiatric hospitalization or out-patient treatment. Client denies history of homicidal or suicidal ideation or behavior. Client denies history of Alcohol Abuse and Substance Abuse.

The case arises from the alleged negligence of Dr. George Paltrow the Chief of Surgery of Bright Road Health System. On November 28, 2012, Mrs. Smith, after undergoing surgery was placed in the post-surgery care unit along with four other patients. The plaintiff claims Dr. Paltrow and numerous hospital residents came in and performed routine examinations on all four of patients inside the care unit without changing gloves or washing their hands. This statement is corroborated by the account of Jennifer Brainard one of the nurses on duty during the incident. Ms. Brainard further cites that Dr. Paltrow and other residents performed a dressing change and examination on the patient that was diagnosed with staph infection first before moving on

The problem: University of Nevada Cooperative Extension (UNCE), ALL4Kids and Little Cooks & Little Books, are funded by Supplemental Nutrient Assistance Program Education (SNAP-Ed). SNAP-ED, has imposed a new policy that there are no reoccurring services allowed at the SNAP-Ed school sites. The policy created more community based instructors (CBI) then SNAP-Ed available school sites, because of the new policy both programs are struggling. On the structural totem pole shareholders and the community can dictate what can happen with SNAP-Ed funded programs. UNCE teams are strong, and ALL4KIDS, and Little Books & Little Cooks teams are have experience and education people and their focus is finding new sites to serve.

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.

This is a great case study. There are many different types of diagnoses that could be wrong with Amanda’s skin and with it being such a large organ it may be hard to identify the proper one. The use of tanning beds can increase a patient’s exposure to contact dermatitis and should be included in the assessment. Agents used to clean these devices after each use may have caused an irritation on her skin if in fact Amanda was going to a tanning salon.

Entered Ms. Dubbins room and she was coverd by her bedspread and sheets. I attempted to set up diathermy machine to R hip and pulled bed spread away and . Pt pushed machine away. Then I pulled back sheets and noted L side of depends unvelcored with pt scratching her genatila areapants off and by her feet edmea to her BLE making her skin taughnt and apprx 2cm by 2 cm skin tear with clear fluid seeping. Notified nurisng Carlos LPN. Contuied with therapy with BLE supine exercisese. Pt conituied to screatch trunk and face throught out treatment.

Direct service—doing something that’ll meet the immediate needs of the people—does a lot of good for the world around you; however, I feel that people believe that it’s a permanent solution for all the world’s problems. For example, in the ‘Saving Babies Lesson’, everyone kept jumping into the river to save the babies. Everyone except that one person who decided to head upstream. At first, the ‘saviors’ accused them of being selfish and cruel. He appeared to show no interest in saving the babies, but it is later revealed that they were just walking away to stop it from happening anymore. Most of the people were providing a direct service by saving the babies as soon as they had seen them. That single person who walked away, however, was doing