Shydae was talking to staff about an incident that happened early today with Jessica. Shydae became agitated with Jessica when she began to bang her head on the wall. Staff attempted to redirect Shydae several times. Shydae went into her bedroom and grab a weighted vest and removed a weight from it and throw the weight at Jessica . Staff encourages Jessica to go to her room but she refused and return to the milieu. Shydae became aggressive towards Jessica ; staff intervenes quickly to avoid any physical altercations. Shydae became combative and aggressive towards staff. Staff called for additional staff for support. Shydae was placed into a standing to seated restrain (6:40 pm to 7:05 pm). Shydae was able to return to baseline ,nursing was
This episode of care occurred in a community setting. Sara has a diagnosis of Alzheimer's disease. She live alone, has no children and is a diabetic. Sara does not speak English and her first language is Polish. Sara support worker developed a close relationship with Sara but said recently her dementia as gotten wrong and she sometimes does not remember who she is. Sara has cellulitis on her legs and was refusing to let the support worker change her dressing. She kept saying it was ok and she didn't want it to be changed. The student nurse and the district nurse tried reassuring Sara and explaining why it was importance to treat her leg but she just became more agitated and aggressive. The district nurse and support worker knew it was important
On Thursday, August 27,2015, @ 5:29 pm ,Tyneice Daishae' Key( DJS Youth ) was redirected by Dennis Thomas ( Senior Residential Staff) to return to Tours Unit. Tyneice Daishae' Key( DJS Youth ) became verbally aggressive towards Telethia Menefee ( Residential Staff). Tyneice Daishae' Key ( DJS Youth) also began to curse and threaten to hit April Smith ( Supervisor of Tour Unit). Tyneice Daishae' Key( DJS Youth ) was redirected to her room to take time away. Tyneice Daishae' Key( DJS Youth ) was able to return to the unit and go to her room. Once in her room Tyneice Daishae' Key (DJS Youth) began to use her chair to hit the door with. Dennis Thomas ( Senior Residential Staff) was able to open the door and remove the chair. Tyneice Daishae'Key
The facts of this case are that Dr. Guiles who is self-conscious of his prostate cancer diagnosis is treated horrendously when he finally decides to have surgery ( Buchbinder, Shanks & Buchbinder, 2014). Considering that Dr. Guiles is already sensitive about his condition, his unbearable symptoms are not helping matters (Buchbinder et al, 2014). Upon arrival at the hospital, he is treated subpar. The admitting clerk is rude and unbecoming to a patient who isn’t feeling well and who is embarrassed about his sickness (Buchbinder et al., 2014). To make matters worse, he has to find his own way up to the floor by walking, which causes him to be even later in checking in because of the need to stop frequently to urinate as well as having difficulty in walking (Buchbinder et al., 2014). Once he arrives on the floor, the charge nurse is not welcoming and unprofessional (Buchbinder et al., 2014). After figuring out what to do with the paperwork; and the nurse aide delivers Dr. Guiles to his room, the nurse aide does not offer to help settle him in (Buchbinder et al., 2014). Therefore, Dr. Guiles is faced with battling obnoxious family members who are on his bed and to make matters worse someone is in the bathroom which doesn’t help his need of having to frequently urinate (Buchbinder et al., 2014). When the issues are brought up to the charge nurse, the charge nurse accuses Dr. Guiles of wanting preferential treatment
Quinn Hogan was sitting in the living room during his 5 minutes break. When the timer went off, staff Augustine Oloyede prompted Quinn Hogan to the gym for his exercise block. Quinn Hogan started to engaged in property destruction; banging on wall,window, flipping the table and attempting to pass through the living room window. Staff Augustine Oloyede blocked Quinn Hogan from passing through the window. Quinn Hogan then attempted to dart through the main door, and staff Augustine Oloyede called for assistance. When Martin N arrived, Martin N attempted to block Quinn Hogan from darting out of the house. Quinn Hogan started to engage in aggression (pushing, grabbing, hitting and scratching) towards staffs Augustine Oloyede and Martin Nganga.
Hospital data on the use of restraint can also be analyzed to improve patient outcomes and satisfaction. This information could be scrutinized to determine if restraints were truly warranted in that particular situation, or if another method could have or should have been utilized first. Documentation should also be examined to determine if the patient was adequately cared for during this time period. In my hospital, the patient must be released from the restraints at least every two hours, and must be toileted at that time. The nurse must also do range of motion exercises with the extremities affected by the restraints. The skin and circulation should be assessed at this time. Every hour, the nurse is required to check the pulses in the extremity affected by the restraint. The nurse’s documentation should reflect that all of these assessments were performed and the appropriate precautions were taken.
PER REPORTER: Perryman is in the custody of Forrest County DHS. Perryman made allegations that the staff member (Bruce) grabbed his arm and pushed him and said "this is what you want me to do". This incident happened last night around 7:30 p.m. Per reporter, the patient said they started arguing The patient was breaking rules and was redirected for walking out of his assigned area in the community. The patient approached a girl which isn't allowed. The nurse did an assessment. There is a red mark and scratch on his left upper arm. There are some pictures being taken. This is the first time this has happened. Perryman is afraid of Bruce. Perryman has an IQ of 86. He is alert and verbal. He has a diagnosis of cyclothlymic disorder, ADHD, ODD,
Patient satisfaction is a big nursing-sensitive indicator that has a lot of room for improvement within this patient scenario. Patient satisfaction can also refer to patient’s family satisfaction in most cases because they are both the customer. The certified nursing assistant taking care of Mr. J could have approached the daughters concerns in a more appropriate and professional manner. She could have begun by validating the daughters concerns followed by notifying the RN, who in turn could have implemented certain interventions to prevent further harm. Honesty and better communication could have resulted in improved patient satisfaction in the last part of this scenario. If the staff would have been honest with Mr. J’s daughter by communicating the mistake and given her an action plan as to what they are going to do in order to never allow this to happen again, she may not have complained to the hospital administration. Nursing can improve patient safety and outcomes by better understanding and incorporating nursing-sensitive indicators such as restraint prevalence,
On January 19th, 2009, Ian Andrews was given a seven-month suspension from the nursing profession. A year prior, Andrews was working as a full-time practical nurse at a mental health and addictions hospital located in Ontario. The client affected by Andrews ' actions was an elderly individual, who was diagnosed with autism and presented occasional periods of rage and fury. The client’s care plan involved managing periods of aggressiveness through staff support and the use of restraints, as necessary. On the day of the incident, staff nurses noticed that upon the client’s grunt, Andrews punched the client in the face several times, as the client tried to cover his face. Andrews then took the client into the bathroom where thudding noises were heard. Upon arrival, the nurses noticed Andrews standing over the client uninjured, with the wall covered with traces of blood and a broken faucet resting in the sink. Later in the evening, Andrews ' left a progress note within the client 's chart which described that the client had injured himself due to a period of restlessness. Upon patient assessment, a wound was noted on the client’s bottom lip along with minor lacerations present at the back of the client’s head.
. Staff may physically restrain a child if in doing so they are protecting others from harm but not in a way that would be used to humiliate or punish a child.
Yes, Tavion’s mother’s statement of concern about the suspicion of abuse should warrant a valid reason to lunch investigation in the child injury. Moreover, the emergency department staff had suspicion about the Tavion’s injury due to the fact injury is not consistence with an injury sustained in park playground. Hospitals are mandate by law to report any suspicion of child abuse; the Child Abuse Prevention and Treatment Act enacted in 1974 was designed to encourage the reporting of child abuse cases, and prevention. In addition, most states have enacted laws to further protect abuse children, and most states protect the individual required to report cases of suspected child abuse; the following individual are eligible to report suspected cases of abuse include healthcare administrators, physicians, interns, registered nurse, chiropractors, social service workers, psychologists, dentists, osteopaths, optometrists, podiatrists, mental health professionals, and volunteer in healthcare facilities (Pozgar, 2014).
In the 25th week of her pregnancy, the mother was advised by the nurse to remain on bed rest to avoid further complications and potentially hurting her unborn baby. The mother continued to work from the hospital placing additional stress on the baby despite the nurse’s appeal that such stress can cause the baby harm. Attempts to stop premature delivery were made but failed, the mother asked the medical team not to take any extraordinary measure to save the baby. The premature baby lived but the mother showed little interest in his health and wellness. The nurse tried to the best of her ability to spark
Background: Two staff are seen carrying the old woman and throwing her onto her bed. (YouTube) A nursing home along Braddell Road has been suspended from admitting new patients with effect from 12 April after a patient was reported to have been mistreated. The incident at Nightingale Nursing Home came to light after a video of a patient being mistreated was sent to local broadcaster Mediacorp. The footage was shot by a hidden camera on a patient's bedside. In the video, an elderly woman patient is seen sitting stark naked beside a bed with the room ceiling fans on. She is then picked up by two hospital staff and thrown onto a bed, before a staff is shown slapping her on her mouth when she wailed in pain. Reports say the patient has been a resident there for four years and is suffering from stroke. The Ministry of Health (MOH) said it has suspended the nursing home from admitting new patients from 12 April until further notice. The nursing home has also disciplined the staff involved and put in place additional measures such as ward rounds by senior staff, regular meetings with patients and their family members, and management check on staff conduct and patients In a statement to Yahoo! Singapore, a MOH spokesperson said, investigations into the video recording show "significant lapses in the care standards" to the patient in question. "This should not have happened. There should have been tighter supervision of staff rendering care to vulnerable patients. Patient's dignity
The reporting party (RP) stated resident Arev Dabbagh DOB: 12/27/00 disclosed on 4/15/16 she inappropriately touched by a male peer. According to the Arev on 4/14/16 a peer Ibraheem Mamoori DOB: 9/2/98) placed his hand on her shoulder and continued downwards towards her breast. The peer touched her breast over he clothing. The resident was distraught while she recounted the incident. Arev alluded to their being other incidents with the peer and other unknown males. Arev didn't disclose details or clarification. Arev was placed voluntarily in the facility by her mother and will continue her placement for a few more weeks. The peer is currently placed on a 5150 hold and will not have access to Arev in the future.
Malik and Andrew got into a verbal altercation. Staff attempted to redirect both students and suggesting to them to go to their room, both students refused. Malik began to punch Andrew, and the students were engaged into a physical altercation exchanging punches. Additional staff was called and the students were separated and Andrew was able to walk to his room. Nursing was able to come to the unit and complete an assessment; there were no injuries to
During my clinical competency placement, I was working on a surgical ward when a registered nurse on duty asked me to assist Mr. A with his shower. This incident happened on the fifth day of my clinical practice. He was a dementia patient and had undergone right knee total joint replacement. She also informed me that the patient did not like too many people in his room because of his dementia. When I went into his room, his wife was there with him. I talked to the patient about having a shower and getting dressed to look smart and he agreed to have a shower. The patient got out of the bed and walked to the bathroom and sat on the shower chair to have his shower. Then I asked his wife if I needs to stay with him to assist with shower, she said she can help him as she was taking care for him at home since he has been diagnosed with dementia. Therefore, I left the patient with his wife to help with his shower and told her to ring the bell if she needs any help. After some time I left the room, the wife rang the bell. As soon as I entered the room, I heard him shouting at his wife and she started crying and left the hospital. So I had to stay with him. He was very capable of washing himself and I just had to help him wash his back as he requested. After he had washed, I asked him if he was ready to get out of the bath, he started shouting at me.