The resident was uncivil by calling the patient a “She-Male.” It is possible for the patient to delay seeking testing and treatment due to insensitivity among health care professionals.
Alexis met a male online a month ago, and had sex with him. Law Enforcement was not contacted at the time of intake. The father (Jason) just found out about the allegations, and took the child to the hospital to get checked for STD's. It was unknown at the time of intake how Jason found out about the information. It was also unknown where the allegations took place. Alexis is getting a psych eval, per the
On that same day, the patient’s wife stated that her neighbor phoned the hospital to get information on her husband and information was given out. It is clear that the nurse who gave out information regarding the patient was in violation of 3.1, privacy and 3.2, confidentiality of provision 3 of the ANA Code of Ethics. It is the nurse’s duty to maintain all confidentiality and privacy of all patient information. (Nursing World, 2012) Information regarding a patient should only be given out to those who are dealing with the direct care of the patient. It is important for nurses to be aware of those who are not involved with the care of the patient.
D- The patient arrived on time for her session and reports being stable on dose and haven't used any illicit drugs. This writer advised the patient that this writer was in fact in receipt of missed phone call about coming to the session at 10:30 am rather than 10 am due to her mother in the process of selling the house. This writer addressed with the patient about letter from CHR from her counselor, Jade Bray stating about the patient non-compliance with her appointment due transportation barrier. According to the patient, she is going through hardship as her mother is no longer taking her to her appointment as the patient says, " She's tired of bringing me everyone, Charlene. She complains about bringing me here and does not understand why I can't even get a bottle...:Like c'mon. What do I have to do?" This writer explained to the patient about TEAM decision, at which the patient disagree with the decision. This writer asked the patient about her "judgement." According to the patient, she feels she is making judgement by not engaging any further altercation with patient at the clinic, dosing daily, coming to her counseling session, and trying to get help from Chrysalis for
Around 3am in the morning during the hourly rounds to check the patients, Mrs. Keller was found by two carers on her bed doubly incontinent. When asked by the carers if they could wash and dress her in clean nightclothes, Mrs. Keller refused and started to be agitated but the care workers insisted. Mrs. Keller was uncooperative and very aggressive during personal care, she showed superfluous challenging behavior during care, but the carers did not listen to Mrs. Keller and yet stay composed, while focusing on their duties of care. Mrs. Keller remained in an agitated state but feels more comfortable and appeased as shown in her behavior after the care was given.
Counselor flagged Pt. on the AMS computer system to meet with this writer before dosing. Pt. met with counselor discussed and completed an AMS Dose evaluation to increase her dosage of methadone because she isn’t feeling well and experiencing side effects. Counselor prompted Pt. to talk about her pregnancy, medical appointment and to schedule her monthly therapy session with this writer. Pt. reported that her pregnancy is going well and she is having a lot of appointments at the Bay health hospital in Dover, DE. Pt. stated that they can’t determine the baby sex because her baby has the legs cross. Counselor told pt. that the Bay Health Hospital has a good nicu care unit and professional doctors. Counselor asked Pt.is
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.
Nunn during today's visit Mr. Higgins was clean but his dressing had not been changed since his last visit on Tuesday. Apparently, Ms. Griffith has been shown wound care but refuses to assists. New Beacon ships all supplies needed for wound care except saline solution directly to the residence by UPS and Ms. Griffith will not pick up the solution. Due to not receiving wound care, appropriately, Mr. Higgins has developed multiply sores on his backside and one is beginning to tunnel. Recently Mr. Higgins developed a "wet cough" and was prescribed some medication. When Mr. Nunn questioned Ms. Griffith about this, she stated she gave it to him one time. According to Mr. Nunn, the medication was PRN but Mr. Higgins had needed it more than one time due to the cough getting worse. Mr. Nunn stated Mr. Higgins has missed visits due to no one coming to the
The patient expressed about feeling that she is self-sabatoge her recovery for no apparent reason and currently thinking about going into an inpatient treatment- more so, a treatment that is spiritual. The patient shared that lately she's been feeling down and haven't been to going to church for the past two weeks. In addition, the patient shared about having homocidial thoughts with regards to her daughter's DCF case as she expressed frustration with the custody battle. This writer advises the patient about this writer's role as a mandated reporter and based on the patient comment of having homocidal thoughts, she recanted her statement and says," So, you are telling me that I cannot vent and express how I feel.....I am going to keep my mouth
It is June of 1789. Nearly a year has passed since the ratification of the Constitution. Imagine your children and wife waking you up and asking you what is for dinner. You are not sure what to say because you lost your farm due to paying off debts. This endures and then something tragic transpires. Your youngest child perishes. In the 1780s there were two diverse types of people with dissimilar lifestyles. These encompassed Federalists and Anti-Federalists. Federalists were the minority of the population at the time and are on behalf of making a stronger unified government by making a new structure of government. Anti-Federalists make up the majority of the population and want to
You are a nurse on an inpatient psychiatric unit. J.M., a 23-year-old woman, was admitted to the psychiatric unit last night after assessment and treatment at a local hospital emergency department (ED) for “blacking out at school.” She has been given a preliminary diagnosis of anorexia nervosa. As you begin to assess her, you notice that she has very loose clothing, she is wrapped in a blanket, and her extremities are very thin. She tells you, “I don't know why I'm here. They're making a big deal about nothing.” She appears to be extremely thin and pale, with dry and brittle hair, which is very thin and patchy, and she constantly complains about being cold. As you ask questions pertaining to weight and nutrition, she
The patient then began to vent about her PCP and her Nursing staff as to how they are treating her. The only reason, the patient continues to see this PCP due to seeing this provider for a length of time and this PCP has completed her medical protection prior. The patient then made a comment to this writer, ": If I do not dose for a couple of days, you will know why.....I might admit myself to New Britain General Hospital......I really got to go.......I just want you know, I am dirty. I did use last night as I am stress...you can see that right. I want to be honest with you." When asked by this writer as to what she used, her response was crack cocaine by smoking the substance. The substance was given to her by a friend. This writer was clearly concern about the patient's well-being and the patient replied with a smile, " I will be alright....I just want to share this with
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