Ear Injustice: A Case Study

Clinical day started slow, I was a bit anxious about waking my patient up that morning but I knew I had to go in. I woke him slowly and took his vitals and proceeded with my assessment. As I assessed my patient, his wife came in to his room and I introduced myself. During the morning I found out that my patient was being discharged. Before discharge, my patient was going to be fitted for a LifeVest.

Side Effects: Frequent urge to urinate, headache (continuing), loss of appetite (continuing), mood or mental changes, muscle pain or twitching, nausea or vomiting, nervousness or restlessness, slow breathing, swelling of feet or lower legs, unpleasant taste, unusual tiredness or weakness

My second patient of the day was D.B.. He was a four year old male admitted to the hospital for pneumonia, bronchiolitis, and respiratory syncytial virus (RSV). On top of being admitted to the hospital for these issues, D.B. also suffered from cerebral palsy and had a thorough medical and surgical history. D.B. was a premature fetus at 34 weeks. When I first walked into the room, I thought that I was in the wrong room or had the wrong patient in the crib since D.B. was said to be four years old but looked like he was about two years old.

DeafHear provides a family support service. It is staffed by social workers and family support workers who are familiar with all aspects of deafness and hearing loss. It provides support to parents of Deaf children, Deaf parents, and people with hearing loss and their family. The service provides social work and counselling; housing and accommodation; support with rights and entitlements and advocacy.

Some Side effects include Gingival Hyperplasia = overgrowth of the gums - good oral hygiene a must! Long term use may elevate blood sugars, blurred vision or increase eye movement. Toxicity associated with the intravenous use of this drug are cardiovascular collapse and/or central nervous system depression. There are a lot of drug interactions that need to be monitored.

Her daughter in law was the first to arrive and she was more anxious than my sweet patient. The three of us accompanied transport down to pre-op.

This Friday at the Cardiac Catheterization Lab was a very productive and eventful one. First thing in the morning I went to watch a procedure, or “case” as they call it that the hospital since there were not any patient files ready to be filed away. When I went to go to the control room with the surgery happening, the patient was already on the surgery bed and the nurses and tech people (I do not know their professional name or title) were preparing the equipment that they needed to perform the surgery. Also, when I walked in I saw one of the traveling tech people that I met a few weeks ago and he said hi to me and explained that he was helping the doctor with the same type of procedure that I watched with him on the first day I met him.

This day was like any other, I got report, grabbed my pager, and then went from room to room introducing myself. This patient was in their 20’s, a car accident victim at that who was just on their way to work before their whole life was changed. Each day at work was filled with tears and laughter, as weeks progressed, the patient went from being bedbound to walking. As this progression happened, they told me that the conversations we had each day kept them sane. They called me

Side effects: nosebleeds, sore throat, headache, constipation, diarrhea, indigestion or flatulence, muscle and joint pain and an increased risk of diabetes.

It was slow on Monday, Tuesday, and Wednesday. There was two surgeries on Monday. It was two kittens getting neutered. On Tuesday, it was regular appointments, such as nail trimming, or cleaning the animal’s ears. On Wednesday, there was an emergency case with a dog that had a heat stroke. He started seizures when he came in. However, the doctor noticed that it wasn’t a heat stroke. They did x-rays on him and there was fluid in his chest. Sadly, the next day he passed away.

Otorhinolaryngological conditions may vary in severity. While some conditions are relatively simple to diagnose and manage, other diseases are complex and have increased mortality rates. Rhinocerebral mucormycosis is an emergent perilous and invasive condition caused by a fungi of the Zygomycetes class (Petrikkos et al., 2012). Mucormycosis is an uncommon but evolving fungal infection that mainly affects immunosuppressed patients. According to Petrikkos et al. (2012), invasive mucormycosis is most commonly reported in sites such as sinuses (39%) and lungs (24%), with an overall mortality rate of 44% in diabetics. Furthermore, rhinocerebral mucormycosis is the principal form of this fungal infection in patients with diabetes mellitus.

Dr. Ward and I discussed a few topics on medications when a patient called and asked for Dr. Ward. I left the doctor’s office allowing them privacy to discuss confidential matters, and walked toward the Team Leader’s office. I asked the Team Leader if I could help while I was here, and she assigned a task to help organize some

My clinical duties performed that day involved practicing many of the skills I have learned throughout this nursing program. Initially, I was responsible for getting a good hand off report during our walking rounds that morning. I utilized the method Filipina had showed me during our first shift together. I went according to systems and this way I began to create a picture of Ms. R condition. She was there because she had a partial colectomy. During this procedure, the surgeons removed parts of her large intestine due to her history of bowel obstruction. She had an ostomy, which required that I put special care towards the newly created stoma. I was responsible for a full head-to-toe assessment. In addition, I was responsible for recording my findings on her chart in the computerized system. I passed her medications and was responsible for explaining what

After a total of three clinical days so far, I have already encountered different situations and gained a great deal of experience. However, one particular event seems to stand out and this event happened on my third clinical day. In this episode, I was trying to get the patient up from bed to get her ready for breakfast but she refused to cooperate.

In my clinic this week I learned how to work with the computer as well as Avanmark computer software. I was taught how to print patient drug and cage labels. This seemed difficult at first due to the fact that there are so many different buttons and ways to do one thing. Hopefully with time and practice I will be skilled at this task and begin to learn a new skill. Another thing I noticed while shadowing my mentor is how to trim a birds feathers. I found out that birds have a thing called a blood feather that you have to watch out for when trimming the wings. If you cut the blood feather there is a chance that they could bleed out which is really nerve wrecking. My mentor showed me what to look for when checking for a blood feather which is a sheath on the individual feather. I even was given the ability to trim them myself which was really exciting. On the last day of this week we had a case where a patient came in for having seizures. I have never been taught about seizure or epilepsy so this was something new for me. This particular patient was very old and had multiple seizures within the day. The owner had decided that she wanted the patient to be watched over and if he had another episode she felt it was necessary to euthanize him. During lunch break changes I was standing near the dog while the doctor was busy talking to the technician about what to do if an episode had happened. I looked over to check on him and he seemed to be flicking his head so I immediately