Dr. Tiffany Hall Case Study

In health care, the nurse holds many responsibilities. The nurse must care for a patient by following the physician’s orders, assessing labs and objective data, in addition to discerning needs for the patient discharge plan. The discharge plan should be initiated soon after the patient is admitted to the hospital. The nurse, along with the interdisciplinary team, will assess the patient needs for returning home, with the nurse providing much of the discharge education. The purpose of this discussion is to choose two learning objectives for the Shadow Health patient Tina Jones. I will describe the teaching methods I would use, discuss how I would evaluate Tina’s learning, and list any possible barriers to learning. I will also relate this to

R/s Ms. Brenda Gasque is in a wheel chair, she is paralyzed from the waist down due to her having meningitis years ago. R/s Ms. Gasque suffers from high blood pressure, COPD, Congestive heart failure, and stage 2 pressure ulcer. R/s Ms. Gasque’s COPD is very severe she has to use a nebulizer. R/s Ms. Gasque wears a diaper and she has a suprapubic catheter. R/s Ms. Gasque needs assistance going to the bathroom and bathing. R/s Ms. Gasque can feed herself and she can use her hands. R/s it was reported that Ms. Gasque is being abused physically and verbally by her children. R/s Ms. Gasque is never happy because she lives at several different places with her children.

On this date worker received a call from Ms. Val Wilson, RN at Alacare HH. Ms. Wilson has been Mrs. Brown’s nurse and been in the home multiple times. During Ms. Tara Brown time as caregiver the home was clean, food cooked, and Ms. Brown received her medication. According to Ms. Wilson Tara moved in during the summer after Larry Brown, son of Ms. Brown locked Ms. Brown out of her home. Tara told Ms. Wilson that her father, Larry Brown was MR and suffered from Schizophrenia. She also reported seeing bruises on Mrs. Brown’s arm where Mr. Brown would grab her. According to Tara Mrs. Brown received money after the passing of her husband Mr. Brown. However, Mr. Larry Brown got the money, spent it, and is now talking about filing bankruptcy. Due

Mrs. Patterson is a 72 year old female who presented to the ED with complaints of ringing in ear and some sores in her nose. Per documentation Her son, however reported Mrs. Patterson has expressed repeated threats of suicidality and has said she is going to overdose on medication and has overdosed in the past. He reports she also threaten to walk into traffic. At the time of the assessment Mrs. Patterson denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She appeared 3X oriented. Mrs. Patterson memory appears recently impaired. She reports a history of 1 attempted suicide years ago. Mrs. Patterson states when asked suicidal attempt she responded, "Yeah,but I forgot what I done." Her son Jim was contacted for collateral information. Jim reports 6 months ago his mother overdosed and has done so multiple time, however he is unaware if it's intentional with the intent to harm or her memory effecting her actions. He states, "She makes jokes about it (referring to suicidal ideation)." Jim expressed his primary concern with his mother is her not managing medications effectively. Jim reports he has a plan to move his mother into his home and take care of her daily needs and also manage her medications. Additionally, Jim reports her going to Daymark recovery Services. He reports DSS came out to the home today to offer any additional aid to Mrs. Patterson. She reports a history

Mrs. Braxton was referred to Inpatient Alcohol Rehab Center, in Marksville LA. Miss. Braxton is a 40-year-old, African American, single female. She was referred to the clinic on a court order after violating her probation. Before the interview took place, Miss. Braxton and I discuss the importance of confidentiality She lives in an apartment with daughter and a son. She is currently employed at Wal- Mart Super Center, in Marksville, LA. She has been employed for the same company for 15 years. Mrs. Braxton stated that she excessively drinks alcoholic beverages, preferably Gin due to her constant struggle of being a single and trying to make ends meet.

Ms. Lawson’s testimony revealed that back in 1984 her name was Marilyn Anthony. She stated she was divorced on August 17, 1984; in the divorce decree her ex-husband was ordered to pay her $37.50 per week for their minor children; she has not received the support as of this day. She stated that she and her two sons, Antonio Lawson and Donyell Anthony, moved in with her mother, Betty Lawson. Ms. Lawson stated unknown to her, until a relative notified her, there was a court proceeding going on regarding custody and child support of her two children. She stated she began working at the Heritage Health Care Center in Northport, Alabama at the age of 18 and that she did make it to the final court hearing that brought a final judgment against

Mrs. Connie Dacus is a professor in the Health and Physical Education Department at the Alabama State University (ASU) in Montgomery, Alabama. She has been employed at the Alabama State University for nine years and she started her career in August of 2007. Professor Dacus is an alumna of the Alabama State University and she has earned her bachelor’s degree and her master’s degree in Health and Physical Education. Professor Dacus holds many positions in the Health and Physical Education Department. Professor Dacus is an instructor at the Alabama State University, where she teaches a fitness and wellness course, along with an exercise science course, and she also supervises students who are interning for the school year. Her primary job responsibilities include preparing lectures for classes, grading class assignments, preparing and grading exams, and meeting with students outside class who need help with additional problems. Professor Dacus believes that the

Dr. Kimarie Whetstone: Dr. Kimarie Whetstone is the Director of Online Learning at Winthrop University. Dr. Whetstone received her PhD in Education from Capella University. Her academic interests include the accessibility and instructional design for online learning, as well as instructional technology.

Mrs. Meuser is a 25 year old female who presented to the ED experiencing visual and auditory hallucinations. She also endorse suicidal ideation without a plan. Mrs. Meuser has a superficial laceration to her left arm after cutting herself tonight before arrival to the ED. Per documentation Mrs. Meuser presents with pressured speech and very guarded. She has been responding to internal stimuli while in the ED. She reports while in her room a unknown female is standing behind her and telling her to harm herself. Per documentation Mrs. Meuser began to point at a blank spot in the room yelling, "It's all her fault, Mary should burn in hell." Mary was later identified as her biological mother's name. Family at bedside. The family reports Mrs. Meuser

Dr. Sandra Nelson is an Associate Professor of Physical Education in the Spadoni College of Education at Coastal Carolina University. Dr. Nelson is seeking continuation of her status as an Associate Professor with tenure at Coastal Carolina University. Dr. Nelson received tenure in 1998 and was promoted to Associate Professor in 2011. As the Chair of the Department of Graduate and Specialty Studies in the Spadoni College of Education, I have completed my evaluation of Dr. Nelson’s dossier for post tenure review as an Associate Professor, in accordance with the University’s 2013-2014 Faculty Manual Promotion and Tenure Guidelines and the Spadoni College of Education Promotion and Tenure Performance Expectations Elaborations document. Also, the

REPORTER: The reporter (anonymous called with concerns for the victims, Linda. Linda suffers from major depressive disorder, COPD, chronic heart failure, and she’s bipolar. The reporter said Linda ran away from Victoria’s home 1 month ago, and the victim called the reporter everyday until she found her somewhere to go. Victoria Bonflador was the victim’s caretaker, and the victim lived with her for 9 months. Victoria was threatening the victim; she was not feeding the victim, and the victim was losing weight. The victim was admitted into the hospital twice while residing with Victoria. Victoria stopped bringing the victim to the program, and she took the victim’s phone because she was afraid the victim would leave, due to being unhappy. Victoria took the victim’s check and didn’t give her any money or buy her clothes.

-Working with Mary, I feel that one barrier that she is facing in regards to her expressing/accepting her sexual orientation and gender identity is fear of being rejected and shamed by her family. Evidence suggests that for LGBTQ young adults, a heightened level of

❖ Irregular menstrual cycle: Frequently, women suffering from PCOS complaint about low menstrual flow. In other cases, heavy menstruation is observed after a delayed period of missing menstruation.

As we read through the case of Robin Henderson, we can easily understand that this woman had a rough childhood where both parents were abusive against her, both mentally and physically. Various methods of abuse from her family members led Robin’s psychical health to a few disorders, like dependency on alcohol and bulimia nervosa. Together with these disorders she had a suicidal mind and urge for hurting herself. Numerous instances of suicidal gestures and self-inflicting multiple cuts and burns made Robin’s consider her being “too dangerous” to public and herself. Hopefully, her family and husband were supportive and wanted Robin to get well as soon as possible, so Robin’s husband accompanied her to her first meeting

At 47 years of age, women start to enter the time known as perimenopause. Bleeding heavier with irregular periods is typical for this time.