Contemporary Issues in Health Care for Children and Young People – Module Four Case Study by Keshia Davis Within this case study, I will discuss the care I gave to a child in an outpatient's clinic. In accordance with the code of conduct (NMC, 2015) the patient will be referred to as ‘Eve' in order to protect confidentiality. Eve has a condition called Bardet-Biedl syndrome (BBS) which can affect many systems in the body. The signs and symptoms of this condition vary among affected individuals, even among members of the same family (Forsythe and Beales, 2013). The contemporary issues I wish to discuss are Learning Disability and Obesity, which are common characteristics of BBS (Forsythe and Beales, 2013). Eve is 10 years old and also suffers from anxiety and fear of hospitals. Eve has only recently been diagnosed with BBS; her parents have never heard of this condition so they have been finding it hard to cope with Eve's change in behaviour. Eve is required to come to the outpatient clinic every six months for follow up appointments to see different multidisciplinary teams who help with her condition. Eve's anxiety and fear of hospitals make it hard for her to comply with treatment. Eve attended her appointment with her parents, brother and sister. Although BBS is genetic, Eve's siblings are not affected by this condition. This case study will also discuss how I worked as part of the multi-disciplinary team (MDT) in order to deliver holistic and family centred care to Eve.
According to the Federal Bureau of Investigation (FBI) “health care fraud costs the country an estimated $80 billion dollars a year” ("Health Care Fraud," n.d., p. 1). Because health care costs continue to rise more rapidly than the rate of inflation the threat of health care fraud continues to rise. The Affordable Health Care Act has put new policies in place to identify and stop health care fraud. The FBI along with other government, insurance, and public agencies have joined together to combat fraud at every level. New rules in identifying, investigating, and prosecuting fraud before payments are made to medical providers could save billions of
My Recommendation for Frankie would be to continue treatment for a week to look for signs of improvement and then reassess the options again. This option gives the family more time to decide how to precede with the situation. If Frankie regains conciseness with in the week then he may be able to make the decision for himself depending on if he has decisional capacity. If he does not regain conciseness than Frankie’s family should consider the pros and cons of continuing treatment. When explaining this recommendation to Frankie’s father, mother, and sister I would recommend them carefully considering all the options and then coming to a mutual agreement. Disagreeing on a decision as big as Frankie’s life can create problems with in the family. It would be a good idea for the family to seek family consoling to help understand everyone’s different opinion and the reasons that they feel that is the best opinion.
My immediate response is to alert my nominated supervisor and once my nominated supervisor is informed I will record what has happened so that there is evidence of the injury that Lucy has faced. Documentation and preserving Lucy’s injury is a very important step. The location and the appearance has to be very well described as well as the date that it was noticed. I will also get a photo taken of the injury to have photographic proof.
I have also gained full consent from the manager at this placement. To protect the patient’s confidentiality and their relatives I have changed their names in this case study. To also make this case study assignment easier to read and understand I have included subheadings for each section.
Throughout the whole visit, BA remained sitting in her reclining chair with both legs elevated. She also had a nasal cannula on which was set at a rate of two liters of oxygen per minute. BA does not have any dentures when asked, but two of her front teeth were missing because someone fell on her “twenty something years ago”. BA had one bowel movement the day before, and the nurse got excited and said “that’s great!” so I assume she was having issues before. The nurse had told me that BA wears adult diapers, so she made sure that BA’s bathroom were stocked in the correct size. BA tells us that she has “no pain” today, and still takes all of her medications as prescribed. She also has an emergency necklace that she wears at all times, in case she falls or feel if something is wrong. Overall, BA’s strengths were cognitive function and nutrition. She was very attentive and shared with us appropriate responses. She also had a great appetite, and was aware of the foods that she needed to cut back on. In terms of functional needs, social support and elimination seem to be of concern. Feeling a sense of loneliness can affect one’s self perception and BA explained to us how she wishes her kids would talk to her more (insert source here). Regarding elimination, BA wears adult diapers and had only had 1 bowel movement the day before. If the diapers are not changed
The American Healthcare System has been the topic lately in the news. This attention comes down to the executive order that President Trump has forwarded to the legislation. However, there is much debate going on about this executive order that has been issued. As stated in The New York Times, (Qiu,L) “Most people think of the term “bailout,” as a political pejorative,”(A17). This is currently one of the competing solutions to the “ObamaCare” or rather the Affordable Healthare Act, where a type of bailout has been placed into order as a solution to the deficit the AHA has had on the economy. Another solution is an executive order from President Trump to repeal and or replace the AHA, which in many views seems to be a desperate measure to
Question 1. Working as a team in the health department is not only critical, but should be considered a high priority. One of the important areas of team work is communication and the priority of keeping everyone on the same page. One of the areas that has been important in our office is cross-training. Having people help teach others in different areas of expertise has made us stronger as a team. One of my primary areas of inspections is with swimming pools. Many of the hotels have both swimming pools as well as serve a continental breakfast. I have been trained by other inspectors to oversee the food areas and the swimming pools at hotels. This would not have happened had we not looked at the bigger picture, with being there to inspect pools
My client’s, Miles Meredith, goals are to decrease disease risk, body fat, as well as improve strength, flexibility, and performance. The physical examination determined that Miles is 5 feet 8 inches tall, weighs 166lbs, and has a waist circumference of 34 inches. That puts him at a BMI of 25.24. According to the skinfold test his body fat percentage is at 15%. His other vitals are all within normal ranges. His resting heart rate is 76 bpm, and he has a resting blood pressure of 78/110 mmHg.
Diabetes in the Native communities is on a raise, their children are obese because the fast foods are readily available and this is cause them to develop Type II diabetes around or after the age of 35.
At 1:30 pm, 9/3/17, dispatch received a 999 call regarding concerns about an individual male at the address of John Foster room 1.57, Liverpool. The caller identified himself as Mark, He rang because he was worried about his ex-partner, a male individual. He advised police handlers that due a recent break up with his ex-partner the male individual had been rather sad, Mark has attempted to contact his ex-partner but despite attempts Mark has had no contact with the male individual.
1. Prepare a brief situational analysis of LMF for Dr. Townsend, identifying at least 3 internal issues and 3 external issue/competitive issues that are affecting LMF.
All personal information has been changed and there are no identifiers that could reveal the location of the two hospitals and the staff that took care of this patient to protect the confidentiality of all involved. Adele is a seventy-two year old wife, mother of five, and grandmother of ten. Adele is happily retired and lives on a large acreage with her husband Ron and their dog Perky. Adele
Century Health is a faith based healthcare organization formed in 1996 by sponsors Adventist Health System and Catholic Health Initiatives. Centura alone currently employs 21,000 people and 6,000 physician partners across Colorado and Western Kansas. The network is made up of 17 hospitals, hundreds of of clinics, urgent cares, physician practices, senior living etc, with Net Operating Revenue of 3,443,658,000. This non-profit healthcare organization specializes in cardiac, trauma, oncology, neuroscience, pediatric, and senior service network (Centura Health, 2017). In 2009 Centura started its journey to transform the future of today’s health care for not only patients, but the communities as well. They created the foundation based on their
US health care expenditures have been rising quickly over the past few years; it has risen more than the national financial system. Nonetheless a number of citizens in the US still lack appropriate health care. If the truth be told, health care expenditures are going to continue to increase; in addition numerous individuals will possibly have to make difficult choices pertaining to their health care. Our health system has grave problems that require reform, through reforming, there is optimism that there will be an increase in affordable health care and high-quality of care for America. Medicaid, Medicare and private sector insurances are all going through trials and tribulations because of
UnitedHealth Care Group is the most expanded health care business in the U.S and reflected as a universal leader in serving people live better lives and facilitating to create the health system work well for everybody. They are committed to hosting new methods, supplies and services that can increase individual health and promote healthier people in local societies. It was formed in 1977 as UnitedHealth Care Corporation and was renamed in 1998 (UnitedHealth Care, 2016). This group is known as a frontrunner in the arena of health and wellbeing with firm determination to deliver top quality health care and easy admittance to health benefits to all Americans. It also creates health care reasonably priced, including technical developments to make