Mr. Yoder’s has several needs that should be addressed. His drinking, lack of socialization, nutritional status, hyperglycemia and his lack of understanding on how to manage it, along with the infection in his foot and his noncompliance in taking his antibiotics. According to the BMI calculator from CDC, Mr. Yoder’s BMI is 32.6 placing him in the obese category for his height.
Due to the impact of the overall aging process of the body, Mr. Yoder’s age increases his risk of potential complications.
With his foot infection, uncontrolled DM, poor eating habits, and lack of understanding his risk of readmission is extremely high.
Some of the measures needed to reduce the risk of readmission are diabetes, nutritional, and wound care
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Initially, I would start with Media audiovisual presentations such as videos or in some cases, many hospitals have select channels and programs designated for patient education. It would also be beneficial to have his son watch these presentations with him. These presentation would include information regarding diabetes management, wound care, and importance of proper nutrition.
Once the patient and son have seen the presentations it would be important to take time out over the course of the hospital stay to have one on one discussions. The nurse could provide some of the education however, some hospitals have diabetes educators, dieticians, and wound care nurses that can be consulted and assist with the one on one discussion. Starting with the audiovisual aids provides visual and comprehensive overview of the patient’s disease process.
Providing the patient and family with one on one discussion time allows them to ask questions for clarification and it provides the nurse or healthcare team information in terms of the patient’s comprehension of information presented and identifies further educational needs.
Including Mr. Yoder’s son in the discharge planning increase Mr. Yoder’s support. His son should be included in all aspects of the discharge plan.
Mr. Yoder clearly does not have an understanding of diabetes management. He appears forgetful and somewhat unconcerned about his illness as demonstrated by his
acutely ill patients. The nurse should allow the family to observe care and explain the
Over this last week, I have received a patient named Sherman “Red” Yoder. He is an 80-year-old male farmer, who lives alone in the farmhouse that he had grown up in. Red was married for 50 years and has been a widow now for 10 years. Red has one son, Jon, who takes care of the farmhouse and the land. He has one daughter-in-law, Judy, who is in involved with his care. Red was diagnosed with diabetes six months ago. Diabetes mellitus is a chronic condition that affects your body 's ability to use the energy found in food. As of only a few weeks ago, Red has been managing his diabetes with insulin. Insulin is a hormone that controls blood sugar. Before he began using insulin, he managed his diabetes with oral medication. After carefully assessing Red’s chronic illness, diabetes, many red flags were presented that could interfere with his management. In turn, this would cause further complications.
In Harper Lee’s historical fiction novel, To Kill a Mockingbird, Atticus shows the children that Maycomb is prejudice, teaches them courage, and the children show maturity. Scout and Jem are children of Atticus who's assigned to defend Tom Robinson is his case and throughout this case Scout’s summer neighbor and friend, Dill, Jem, Atticus, and Scout exuberate of these themes in their actions .Prejudice is when one pre-judges another based on their race, gender, age, or sexuality which one don’t understand and one hates the unknown of another. Courage is doing something without the fear of being judged or fearing the unknown. Maturity is learning lessons and applying them to oneself where one start to display adult characteristics. These
Hospital readmission rates are thought to be a representation of poor quality and efficient care. Readmissions have become recognized as an emerging concern as they place a financial burden on the system as well as a personal burden on the patient and their family. Of patients that are discharged from hospitals, 19.4% will be readmitted within thirty days and 51.6% will be readmitted within one year (Roberts & Robinson, 2014). Reducing readmissions is very important to decrease costs for the patient and the facility, ensure hospitals are providing quality care, and decreasing the risk of the patient suffering from a secondary infection or injury. Every discipline plays a vital role in reducing readmission rates, including therapists and health
Further statistics have revealed around 20 percent of Medicare recipients released from hospitals were rehospitalized within thirty days and that 34 percent were readmitted within ninety days of being discharged ( Jencks, Williams, & Coleman, 2009). Additionally, Medicare will now penalize hospitals for patients who were readmitted within 30 days (Stone & Hoffman, 2010). Jenny Minott from Academy Health (2008) asserts “The transition from the inpatient to the outpatient setting is a critical point along the care continuum in which there is a real opportunity to prevent readmissions” (p. 5). Many believe that some hospital readmissions are avoidable and could be thwarted with fairly uncomplicated methods (Alper, O’Malley, & Greenwald, 2016; Anthony, Chetty, Kartha, McKenna, DePaoli, & Jack, 2005; Jacks, et al., 2009; Minott, 2008; Stone & Hoffman, 2010). Therefore, reducing hospital readmissions has been the center point of attention among hospitals, but the challenge has been identifying those components that are directly responsible for, including the quality of care during the hospitalization and the discharge planning (CDC, 2016). Wherefore, an area that needs considerable attention is the hospital discharge
The difference between a successful discharge and an avoidable readmission comes down many times to poor care coordination on
teaching is a very important aspect to nursing. It is vital to provide the patient with knowledge and information. Educating the patient and family with help with anxiety and ensure the patient receives the best care. The teaching process should be continued and constant throughout the patient’s entire stay. You should educate them on medications, diet, positioning, signs and symptoms of infection, incision care etc. Keeping the patient updated on plan of care will help the patient and nurse to achieve the overall goals.
Ensuring that all people that come in contact with patients is informed on the topic could help a patient or family when they are facing a difficult time. Patients and families come in contact with many caregivers and may feel comfortable with someone other than their nurse. This is why I have decided that all staff members need to be educated.
Patients have needs unrelated to their illness or injury. Having spent my entire career in pediatrics, often my focus is on developmental needs and what activities can be provided that support normal development. Some needs, however, seem to be universal. The need for play, learning, and social contact are not restricted to children. Meeting the emotional and psychosocial needs of the patient without compromising the physical needs demanded by the illness or injury is occasionally a delicate balancing act, and is where the art of nursing meets the science of nursing. By collaborating with our patients and families and respecting their values, a plan can be reached that both supports their needs and involves them in their own care.
Today I was assigned with the wound care nurse. She taught about the importance of repositioning patients at least every two hours to prevent pressure sores from happening. She also taught me how to do dressing while explaining what type of dressing should be applied to a specific wound. We did a lot of patient care teachings regarding pressure sore prevention such as offloading the patient’s feet when they’re lying supine. We used therapeutic communication when explaining to the nursing assistants the effective ways to promote a good circulation to patient’s extremities as
Today, Times Square Church embarks on a 3-day fasting and prayer for the teenagers and youths of this generation. And what a time it is for us to come together as a body to pray. The devil has been roaming about targeting teens and youths, and it's time to stop him in his tracks. All too often, we are busy focusing on other things that we turn a blind eye to what the devil is doing in the lives of some of our young ones.
Dale Gordon has been a patient in the ICU for 6 days after developing complications after open heart surgery. He is an 82-year-old African American who is disoriented to place and time. He lives with his daughter Claudia in her home. Claudia and her two brothers visit Mr. Gordon daily since he has been hospitalized. Mr. Gordon has not been eating well since the surgery and has lost 3 pounds. Mr. Gordon has type 2 diabetes and is on oral antihyperglycemic medication. Before he came to the hospital, Mr. Gordon was able to only ambulate for short distances. He has orders to get up in a chair twice a day. Joan, a student nurse, is caring for Mr. Gordon this morning. She has reviewed his medical record and is now ready to start caring for him.
You can’t be certain of the events or tomorrow or the next 30 seconds. In the bible, “ whereas you do not know what will happen tomorrow. For what is your life(James 4:14)”. In Hamlet, certainty is a tremendous concern. In the beginning, were the guards sure of seeing Old Hamlet’s ghost, or so they thought? Could Hamlet truly draw from the expressions of Claudius during the play that he killed his father? Did Claudius or the audience know that Hamlet was truly mad? Did they know their actions would lead to their deaths? In the play, Hamlet, the uncertainty of your actions can lead to madness.
There are many tools you can use to aide in education. You may use pamphlets, DVD’s, audio tapes, charts, models and other tool you can think of, depending on the age and mental capabilities of the patient.
Physicians like pharmacists for example, can take a minute or two with the patient and verbally explain