Ectopic Currency: A Case Study

This adverse event should be escalated properly so that the administration and other doctors are aware of the outcome. This death could have been prevented, and others should be able to learn from this. We don’t know the full story from this short problem described in the book, but many questions arise from the situation. Was she completely aware of the risks? Did she know she was not a good candidate for the surgery?

Mr. and Mrs. Trosack have decided to carry their infant to full term and care for their child due to their religious beliefs. At this time the RN would be responsible to clarify and document the parents’ wishes. The RN would be responsible for coordinating appointments with the specialists that

Language is one social and cultural barriers that may have made it difficult for the doctors to communicate with Jessica’s family. It creates the trust that exists between a patient and a doctor and their guardians. When using a translator, meanings may change and the desired communication result may not be achieved. The trust that should exist between the doctor and the patient and the guardians

The client is a well-dressed, well-groomed Palestinian female who present to the clinic dressed appropriately in denim jeans, printed top, head scarf and sandals. The client is alert and oriented to person, place, time and situation. The client appears to be younger than her stated age. She appears visibly anxious, flushing noted to bilateral cheeks and clammy hands. The client appears tired with red and sunken eyes. The client is cooperative during the interview, sitting with her legs crossed but her foot was in constant motion. The client also made very large hand gestures when discussing her reason for evaluation. The client reports being very anxious and states “I considered checking myself in the hospital…I know I need help.” The client’s speech is rapid and pressured with a foreign accent. The client’s tone of voice is appropriate with trembling, but fluctuates at times. The client frequently looks for the correct English translation of words

I feel that the communicating between Patient A and myself worked well during this event. I noticed that she was uncomfortable by her body language and I picked up quickly which method was best to

It’s also important to consider the perspectives of the physicians involved with the decision making process in this dilemma. From the perspective of Dr. Shephard, the patient is her sole obligation and helping a patient get what they wish is important. On the other hand, her associate Alex Karev is against tying the woman’s tubes. He

My insurance company doesn’t open until 8 and while I knew for a fact that Tubal Ligations were covered, I was worried that maybe the hospital wasn’t in my plan. I tell Michelle, that I would like to wait until 8 to call my insurance. She understands. At 8 am, I am dialing my insurance company when Michelle calls me up to the desk. She informs me that Dr. Gutierrez says she was already expecting me up there and since I am not she is canceling the surgery and leaving because she is very busy. I stammer that my surgery is scheduled for 9:30. Michelle shrugs. At this moment I experience a full anxiety attack. I tell her I would be back and try to collect myself. As my husband assists me with breathing exercises, I finally compose myself to call my insurance.

For the purpose of this assignment the patient will be given the pseudonym Susan to protect her privacy and confidentiality in line with the guidelines set out by the Nursing and Midwifery Council (NMC) (2015).

The staff person did not take the correct approach in trying to communicate with the patient. The staff person should have made an effort to obtain a trained interpreter to speak with the patient. If unable to do this, the staff person could have sought to find a staff member who spoke Spanish. However, after touching basis on what the patient is seeking care for, a trained interpreter should be obtained. It is not appropriate to use family members as interpreters since this can result in a breach of confidentiality and misunderstanding of information. The patient son is also a minor, which is another reason he should not be used as an interpreter. This situation was not an emergency that required immediate need of a translator, thus an appropriate interpreter would have been the best approach.

The purpose of effective communication in healthcare is to provide first-class medical care, minimal to no medical errors and have precision; and without it there is room for medical errors, poor patient care and an ineffective team that produces undesired outcome. In the professional and patient relationship, the lack of good communication causes the patient to be apprehensive in asking questions, to worry about being bothersome because they feel other patients are sicker, and there is an assumption that the patient does not have any concerns. There are barriers to communication that include only one between the sender and receiver of the message understands the message, cultural differences, and lack of education. In sending the message it is essential that the message is received with clarity, it is concise and complete. If the patient has a language barrier, it can be masked by the patient not responding to information and it is detected as a result of poor or no compliance. In literacy concerns, all information should be presented on a 5th grade level to aid in the comprehension of the information. The care of the patient should be patient/family centered which helps in detecting any language, cultural or literacy barriers (Schyve, 2007). For example, a 46 year old single male patient that is functionally literate is admitted with a diagnosis of acute angina. During the

9. A 72-year-old patient with a history of breast cancer has a suspicious mass in her uterus. A biopsy was done. The determination was that the patient had a carcinoma in situ of the uterus. The physician who conducted the surgery called a face-to-face meeting with his fellow surgeons, the patient and the patient's family and discussed the case and the patient's outcome for 30 minutes.

Hello my precious unborn child. I am not really sure where to begin. The doctor is saying that I might not make it through this pregnancy but they will make sure you live to see this crazy world that we live in. I want to make sure that you understand your history and where you come from!

Patient’s often try to pretend they understand for fear of minor embarrassment. This is easily solved with repeating the instructions and making the language simpler, avoiding miscommunication.

This patient needs an interpreter for Spanish to assist with discharge instructions. He needs to be informed of the medications the MD discontinued, new meds that are ready to pick up at his pharmacy, the co-pay involved for those medications, proper administration of the medications, side effects and when to call the doctor if there are any adverse effects. He also needs to be taught the importance of fluid restriction to 1500mL/day. This includes water, ice, gravy, soup, ice cream, dairy, soda or other fluids. He needs to be shown an example of how much 1500mL of fluid looks like and taught the importance of daily weights. This patient did not have a scale at home, so he needs to be informed that there are scales available for low cost at a local store. Dietary restrictions of potassium, calcium, phosphorus and protein should also be addressed. He

After I got the assignment, I met my nurse, introduced myself and took the report of the patient. I went in my patient room and introduced myself. I took patient vitals and documented it. With Professor Zentis I did physical assessment. Her fundus was firm and midline 2 fingers below the umbilicus. The patient had scent lochia rubra. Mrs. M has 6year old daughter and concerned that she is not sure the right positions to feed baby. She also had incision pain