Maya's Infection: A Case Study

Melvin Fuller is a patient on the medical-surgical unit who was admitted during the previous evening for exacerbation of chronic obstructive pulmonary disease (COPD). He is an 83-year-old widower with two children who both live an hour away. He lives in a small house and is independent in his care. He has a housekeeper who comes in once a week to clean and fix some meals for him. He was brought to the hospital by his son who was visiting. His children visit him at least once a month. Mr. Fuller has COPD and type 2 diabetes. Alicia Brown is a 19-year-old nursing student in her first clinical rotation. She has been assigned to Mr. Fuller for morning care. Alicia enters Mr. Fuller’s room and notices that coffee has been spilled on his bed and

My work day began the night before my shift started, as I received an email from my supervisor and was pleased to see my favorite patients on my list. Anna was scheduled first on my itinerary. She had become a quadriplegic after a serious fall down a flight of steps. Next was Mr. William, who was dying of a brain tumor. This man had the best attitude towards life, and always kept me laughing. My last patient of the day was Mrs. Patsy. She was very dear to my heart, and I had grown very close to the family, because I had been seeing her for over six months. Every time I walked into Mrs. Patsy house, she wanted an update and recent pictures of my children. It is unusual to have everyone agree on the scheduled time, but this warm summer evening was the exception. Tomorrow’s schedule was looking great and I was ready to get some rest.

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?

“No! Stop! That makes the pain worse. Have you found a doctor yet?” In the waiting room of a crowded and noisy hospital in China, the sound of English easily stood out. Shifting my eyes towards where the voices came from, I saw a young couple. She was clenching her stomach in pain and he was frantically looking around. As I approached the couple and introduced myself in English and the relief on their faces was palpable. Annie and John were on their honeymoon. The night before, Annie suddenly felt a dull pain in her stomach and began throwing up.When the pain didn’t go away, they rushed to the hospital in the morning and have been waiting for hours. All the nurses they had spoken with simply dismissed it as stomach flu. With Annie running a fever and her pain getting worse by the minute, I was worried that it might be something more serious. As I watched Annie traced how her pain shifted, from her navel to her right abdomen, it suddenly hit me that her symptoms resemble that of appendicitis. I was far from certain, but I knew she needed to see a physician right away. Unable to convince the emergency room nurses to admit Annie, I made the decision to find a physician instead. As a volunteer at the hospital, I had access to the surgical wing where I quickly track down the gastrointestinal surgeon

For the next three months, she was very sick. She lived off a steady diet of saltine crackers and water which made her nauseous, but she never threw up. In her second trimester, she felt fantastic; her

Having gone under the knife for a breast reduction, tummy-tuck, and liposuction, Donda West’s desire to soon relish the results of her newly reconstructed middle-aged body was short-lived. To confirm or deny the many speculations of why she died so suddenly after her procedure, the family and Dr. Adams awaited the coroner’s report. In the meantime, Dr. Adams denied having any part in her death, suggesting that she could have died from “heart attack, pulmonary embolism, or accidental overdose of painkillers prescribed after the cosmetic surgery.” He also stated, “When she left my office, there was no problem whatsoever.” However, between then and in the hours leading up to Donda

She asked them to complete a really tough task, she asked them to find a way to create a new passage from the heart to the lungs which had never successfully been done before. This is called blue baby syndrome. Blue baby syndrome is something that happens to some babies when they are born which doesn’t allow enough air to get to parts of your body in which, they turn blue. So the task they were given was to create a new blood way from your heart to your lungs. Thomas worked 16 hours each day trying to find a way to create a procedure, he would take a stack of medical books home each night study. Vivien finally found a procedure, but he needed to try it on something besides a person first, so he tested it on

Writer called Constance to find out if she has heard from the Visiting Nurse Association (VNA). Constance said yes and that they scheduled to meet on the 9th of this month. Constance said she will be seeing her pain managing doctor on the 8th. Also Constance said Medicaid approved for her to use long term care. Care manager was glad to hear that. Constance promised to update care manager after the

This family felt that their mom still had a good amount of life in her and were concerned that the physicians were prematurely encouraging them towards a path of comfort care. Psychologically this was distressing to the family, especially Dale who felt that he was not being heard. He was becoming suspicious that what is behind the push to change code status for his mom was regarding money since his mom was on Medicare. This felt wrong to him and it was causing him distress. The social issues were that because Dale was retired and was the main support person for his mom and her care, he physically can spend more time in the hospital than his sister who is currently working full-time. Dale is feeling overwhelmed with the situation

On Monday January 30th, 2017 Sarahnell was not feeling well after completing her shift. Tamika Johnson was here designated carpool driver. Tamika took her to the Emergency Room to make sure everything was ok. She was diagnosed with pneumonia. The hospital that was treating Sarahnell was unable to treat her pneumonia. She was transferred to the University of Kentucky. It was later reported that she coded twice later that night. The following morning, she was heavily sedated and on 100% ventilation. Wednesday February 1st Sarahnell condition slightly improved she was still heavily sedated, but was on 60% ventilation. Sarahnell family flew into Kentucky that Tuesday morning. Jeff Zamor drove to the hospital to check on Sarahnell condition. He

As Chloe has been admitted for an emergency appendectomy she has had a limited amount of time to process her surgery. As a result, she may require more reassurance and psychological preparation.

Tina's mother informed the operations nurse that once Tina had been taken to the operating room, she would go run an errand involving Tina's older sibling and that she would be back to pick Tina after recovering from the surgery. Tina's mother then issued the pre operation nurse with her cell phone number instructing her to call her as soon as Tina was discharged from the hospital.

The disease that is plaguing Carmen is caused by the microorganism Vibreo cholera. V. cholerae is a gram-negative, curved-shaped rod bacterium with a single flagellum. Naturally waterborne, V. cholerae is highly motile which likely enhances its high pathogenicity.1 In 1833, Robert Koch was the first to isolate V. cholerae and explain its transmission.2

     My mom drove me to what would become my last visit to the doctor’s office before giving birth to my daughter. Dr. Dermer observed me and then told me to be at the hospital around six thirty that evening. He advised me to eat a good dinner before departing for the hospital. Dr. Dermer had decided to induce my labor, due to the fact that I was two weeks past my due date.

The statement the doctor made really upset Meagan. While I wasn’t disturbed or frustrated by the special attention and treatment this family was getting, I could not help but find it extremely interesting. I watched as Meagan went out of her way to be extra nice and respectful when she spoke to the patient and her family, the way her needs seemed to be priority over all out other patients, and the way it even shifted the whole atmosphere of the floor in a way. This is the main event I will be discussing for the remainder of this journal.