Madelyn Ramirez Case Report

When Daniel was eight months old he was taken to A&E with a laceration above his left eye. His mother explained this by claiming she had been changing his nappy on her lap when he had rolled off and hit his head. No concerns were raised about the incident although the health visitor had been advised.

The possible physical abuse section includes the assessment of bruising that appeared on several places on the patient’s body including right periorbital area and right maxilla along with swelling, redness and warmth. There was

An emergency call came in at 9:45 am made by Doug Greene who is a neighbor of the victim Anna Garcia claiming that he had not seen Anna Garcia since her normal morning walk at 6:30 am the previous morning and that the dog had been barking for 2 hours, he had also mentioned that Anna Garcia was wearing a sweater when he had seen her the previous morning while experiencing a 92 degree heat wave. Mr.Greene had called Anna’s telephone with no answer, and had also rang the doorbell with no answer. The EMT and local police had arrived to the scene at 9:56 am, needing to break the door down. EMS discovered Anna Garcia laying face down, dead.

This case involves Mr. Horton, his wife, and his mother in law. While Mr. Horton was a patient at Niagara fall memorial medical center the nurses noted in his medical records that he was dizzy, confused and unable to focus. Horton was in a two story private room with a window

As noted, on February 29, 2016, the patient was nonetheless admitted to the UCR hospitalist. This was a senior member of the UCR hospitalist team who knew or should have known all of the policies and procedures for admission, and should never have admitted the patient as an attending to the hospital. In so doing, he was directly and deliberately interfering with the doctor patient relationship.

We know that he had sustained an at home fall. We learn that he has a history of pain and a prescription for oxycodone for back pain. We know that his vital signs on admission appear stable; he was not showing any signs of respiratory distress. As we look at the staff that was listed that day we do get the sense the hospital may have been short staffed. Staffing report shows there was one MD, one RN and one LPN managing at least 4 patients including- one patient was a child. Evidence based research has proven that the nurse to patient ratio is directly related to the patient outcomes (Stanton, 2004). It is important that we consider the staffing level that this rural ED as we know short staffing can be blamed for not being able to take the full amount of time needed to do a proper health history. A detailed health history is an imperative part of the care process; it is used by the staff to accurately assess any acute changes that may take place in the patient throughout their stay.

On August 15 at 9:45 am Anna Garcia´s neighbor, Doug Jung, contacted the police and informed them about Anna because he was worried about her. He told them that the previous morning he saw her walking her dog at around 6:00 am and that she was wearing a sweatshirt even though it was humid outside. After hearing from Doug, the 911 operators informed the local police and the EMT. Both the police and the EMT arrived at the crime scene at 9:56 am. The EMT declared that Ms. Garcia was dead and her autopsy was performed by Dr.King at 11:00 am. Ms. Garcia was five foot four inches and 165 pounds. She came from Hispanic heritage and was of age 38. Ms. Garcia was found surrounded by a pool of blood and there was an injury to the head. A table was by Ms. Garcia´s head and there were white pills lying by her as well. There were no signs of weapons and a pool of vomit was found at the crime scene. The police identified four possible suspects: Alex Garcia (Ms. Garcia´s ex-husband), Erica Piedmont (Alex´s new wife), Lucy Leffingwell (Ms, Garcia´s partner in business and best friend), and Doug Greene (Ms. Garcia´s neighbor and ex-boyfriend). There was a team working on finding out if any of the suspects were involved or not. The main problem/question was whether Ms.Garcia's death

Pt is seen in the ER room and states that he is tired and had tremors so he came to the ER to be on the safe side. Daughter also states that he had tremors in the morning and. Patient's CC is that was tired and had tremors in the morning. States that he stays alone, was worried, and has no past history. Assessment of the head shows no sign of deformities or trauma. Neck shows no sign of deformities or trauma. Chest shows no sign of

If this scenario happened in an outpatient clinic or urgent care center and there were physicians who were more dedicated to patient safety a report to child protective services may have been made regarding the child’s injuries. This child deserves to have her rights observed and

This paper explores the issues of Hector Sanchez and Celia Sanchez. Hector Sanchez is the patriarch of the Sanchez Family, who is struggling with various issues such as his health as well as employment and financial instability. Celia Sanchez is the wife of Hector and the matriarch of the Sanchez Family. Celia is struggling to provide for her family in lieu of their financial troubles as well as her husband’s ailing health which caring for his needs as well as her own. The goal of this paper is to analyze the issues affecting Hector and Celia Sanchez through the Person-in-Environment

Another day of my clinical placement 420 in orthopaedic unit began on July 4, 2015. I received my patient and started to research a patient history and medications. At 0700 a shift report started, I received information that my patient had fall at night shift without witnesses. By the policy of Providence Healthcare a patient who had fall without witnesses should be automatically monitored for head injury therefore, a Glasgow Coma Scale was initiated by previous nurse: every 15 minutes, then every hour, every two hours, and every 4 hours. This scale is to check and monitor level of consciousness which possibly may decline after head injury. At this day we had a student as a "nurse in charge", she volunteered to come with me to patient room and to supervise my work. For this particular patient close monitoring of vital signs and neurologic assessment required. I explained to the patient the purpose of frequent health assessment and started to work. Close patient monitoring in addition to all daily routine activities was challenging to me because I never had a patient with this diagnosis. Despite my explanation of the purpose of frequent assessments patient stated that "I am fine, do not feel any discomfort, there is no need for that". While assessing patient she keep asking a lot of questions such as why so many time why do I need to drink more than one mouthful of water with my tablets, what these tablets for, why do I need to wait few minutes after

During handover of the patient the paramedic received criticism from a doctor implying unnecessary immobilisation of the patient. The immobilisation equipment was removed in the Emergency Department and the patient subsequently began complaining of cervical spine tenderness.

him, I found that he was very pale and had an unusual bruise that suggested

Case Description: A 25 year old healthy male who is a very active running back in the sport of football came to the emergency room. The patient has a history of previous

Joanna is an experienced nurse taking care of Mrs. Kelly, who was Joanna’s patient many times in the past for her primary problem which is COPD. This time Mrs. Kelly was admitted with complaints of abdominal pain what was different from her primary diagnoses. Her vital signs were with normal limits and no significant changes from privies results, but for the nurse she looks sick, and Joanna know that something is wrong. She calls the resident doctor, but he tell her to watches and calls back with series changes. Joanna multiple attempts to report that something needs to be done to evaluate the cause of Mrs. Kelly pain was ask to calm down. However nobody took patient symptoms series and the next day patient died.