How To Write A Case Study Of Rachel Tabulation

The district nursing team were now to be responsible for the wound care of an ulcer on the sole of her right foot on her impending discharge. She had previously attended the practice nurse and a podiatry service based within her local clinic. Due to a change in circumstances, she was now clearly housebound for the near future due to mobility issues. Prior to an arranged visit, the patient had called the nurse to advise her that she was pyrexial and was experiencing a pain in her right foot that was different from her normal neuropathic pain, which was often problematic. She was also finding it difficult to mobilise and was disinclined for diet but was taking oral fluids.

Maria Niceforo, a 75-year-old woman receiving in-home nursing care, had died of infection due to numerous pressure wounds (Le May, 2016). She was admitted to the hospital presenting with a bleeding pressure wound across her back and legs that had penetrated through the bone (Le May, 2016). It was also observed that the wounds were soiled with urine and dried faeces (Le May, 2016). She was receiving in-home support from registered nurses, who according to her son, were not consistent nor reliable in their care of Mrs. Niceforo (Le May, 2016). Another contributing factor to her death was inadequate communication and documentation of her treatment (Menagh, 2016). For example, one of the nurses had reported not providing treatment to Mrs. Niceforo's bottom as she was not aware of it (Menagh, 2016). I was quite

8. Dr. Williams treated a 9-month-old new female patient in the office for diaper rash. An expanded problem focused history and exam were performed, and MDM was straightforward.

Around 3am in the morning during the hourly rounds to check the patients, Mrs. Keller was found by two carers on her bed doubly incontinent. When asked by the carers if they could wash and dress her in clean nightclothes, Mrs. Keller refused and started to be agitated but the care workers insisted. Mrs. Keller was uncooperative and very aggressive during personal care, she showed superfluous challenging behavior during care, but the carers did not listen to Mrs. Keller and yet stay composed, while focusing on their duties of care. Mrs. Keller remained in an agitated state but feels more comfortable and appeased as shown in her behavior after the care was given.

Meanwhile, elsewhere in Habersham County, Tom was feeling slightly nervous as he exited the staff lounge and entered the hustle and bustle of County Hospital’s ER to begin his first shift as an RN. The first few hours of his shift passed slowly as Tom mostly checked vital signs and listened to patients complain about various aches, pains, coughs, and sniffles. He realized that the attending physician, Dr. Greene, who was rather “old school” in general about how he interacted with nursing staff, wanted to start him out slowly. Tom knew, though, that the paramedics could bring in a trauma patient at any time.

The RP stated she asked a nurse regarding how the resident could have acquired gangrene in such a short time; the nurse believe it was due to the resident sitting for an extended period of time with her shoes

On Thursday 07/21/2016 at approximately 2223 hours, Security Supervisor Steven Evans was contacted by Assistant Nurse Manager Robbie Philips via landline and asked to conduct a (44V) Enforcement Escort Visitor Off Property for the discharged female patient in E.D. #48. The patient, Susan Harris (DOB: 03/22/1952), had been quarrelsome and refusing to leave. SOs Christopher Paz and Ariel Weiland responded to the scene. Upon arrival, we observed the patient laying down on her bed, we approached the discharged patient and spoke with her. Mrs. Harris agreed to leave without further incident. Security staff escorted Mrs. Harris outside of the E.D. lobby at which time she requested to stay in the lobby till 0530 hours. No incident occurred during

is very pleased with the quality of care she recived during her stay, after further conversation with her I noticed a couple of things that would have improved the quality of care. there was a dicrepancy in the care she received in two different units. while in delivery unit all the call bells were answered on time and the nurses checked on her frequently, same couldn't be said about the nursing care in the recovery unit. A couple of incidences stood out that could have been handeled in a different manner. First one was that when S.D. received her meal and she wanted to confirm that it was a vegetarian meal. The nurse said that she was sure the meal ddn't have any meat in it because that’s what her chart said. but this response didn't satisfy the ptient and she decided not to eat the meal. Second incident was more of a safety concern compared to the first one. S.D. was advised to call for help before going to the bathroom because of pain and swelling around her stiches. But during one instnace while she rang the bell, a nurse came in and told the patient that because her husband was sleeping in the room he could help her to get to the bathroom. This incidence raises a serious safety concern for the pateint. If an untrained healthcare professional such as her husband helped her get in and out of the bed, he could have pulled on the stiches and caused a potential

Ms. Burrell – Karriem stated that on Monday, April 17, 2017 at approximately 8:30 pm she arrived in the emergency department for treatment. She was transported by Ambulate and with her was a private nurse aide named Tracey Feels.

One FNP, in which the author has had the pleasure to work beside with, is an exceptional staff nurse, clinical instructor, and mentor. As a FNP in Emergency Department Observation Unit (EDOU) and Short Stay Unit (SSU) of MGH, Sheila Young is responsible for the treating emergency department patients with a variety of health issues. This paper will examine Shelia’s role and practice

Nethania would like to attend a two-year college or training school after high school to pursue a career in caretaking for the elder. Also, Nethania would like to look into the childcare program offered through the LakeShore Compact. Nethania would like to live in the Cleveland area after graduation and participate in community recreational activities. She will use a car as her main means of transportation and exercise her political rights by voting. During high school, Nethania would like to investigate the following: Driver Education, Job Shadowing, Career Exploration, Vocational Education, and College Experience. She would like to take classes in the areas of cooking & nutrition and first aide & health. Nethania's favorite school subject

According to a recent audit conducted by Nightingale personnel, it was determined that several critical mistakes were made regarding Mrs. Doe’s admittance to Nightingale, threatening the patient’s safety and wellbeing, as well as exposing Nightingale to a possible lawsuit. The Nightingale personnel who audited Mrs. Doe’s medical records determined that the patient, who was not only at risk for sepsis and hemorrhage, but also other surgical complications due to a postoperative infection, was not assessed within the first twenty-four hours of her admission. As a matter of fact, Mrs. Doe was not assessed until seventy-two hours after admitting her, a violation of Nightingale policy and the joint commission. According to the Nightingale policy, as well as joint commission standards, Ms. Doe should have been assessed by nursing staff within 24 hours, if not then at the time of admission ("The Joint

Uniqua’s left cheek was served nerves on Uniqua’s face causing permanent paralysis of the left side. Also, she developed a permanent 3 inch scar on her face. By relating the damages to that of Bates (Guardian of) v. Horkoff 4, defendant will have to pay for general damages of approximately $8,500 for permanent scar on the face and the loss of sensation and movement of left side. Bob will also pay for the underwent extensive physiotherapy.

Around 12:30 a.m. Alexis Murray reported that her roommate Trimere Venning posted a status on Facebook stating that Alexis was unclean. The post stemmed from a disagreement Alexis and Trimere had earlier tonight about missing toothpaste. I talked both Alexis and Trimere about the situation and the situation was controlled. Alexis notified her guardian about the post as well as the disagreement with Trimere. Alexis and her guardian would like to talk to Dr. Durant tomorrow morning. I advised Alexis to talk to Ms. Thomas

Using what she coined as the IPH model, she researched on problems associated with care in the critical care unit with a focus on bathing, incontinence, and mobility. Data suggests 63% of preventable errors in nursing are related to problems within the scope of practice such as interventional hygiene which includes prevention of skin injury, post-operative respiratory complications and failure to rescue (Vollman, 2013). Referencing Carr & Bennoit’s ( 2009) study on evidence-based bathing and incontinence care; and their effects on incidents of hospital-acquired pressure ulcers and impaired skin integrity. Vollman wrote that after a 4month intervention period in which licensed and unlicensed staff within a hospital were educated on the IPH model which incorporates evidence-based incontinence management, and comprehensive bathing, a decrease of pressure ulcer from 7.14% to 0% was noted at the end of the study. This shows that nurse sensitive care practice can influence patient outcome