Medical Case Study: Dan Goes Home

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.

A behavioral health physician statement completed by Victorino De Jesus, MD (Internal Medicine), dated 05/10/2017, indicated that the claimant was incapacitated for a single continuous period of time due to her medical condition, including any time for treatment and recovery from 05/09/2017 - 07/09/2017. The claimant had impaired concentration and train of thought that affect work performance. She also had osteoarthritis of the bilateral elbow, hands, fingers, and feet.

Additionally, there is concern that Mr. X’s current 504 is not being followed or taken seriously. Certain situations have arisen, especially within her teaching construct that have made both the student and family feel as if Mr. X’s injury is “not real.” As such, a great deal of energy is expended by both the family and Mr. Xin the constant persuasion of Mr. X’s condition. As a result, Mr. X often will hide her symptoms or not ask to receive care during school hours because she doesn’t want her teaching team think poorly of her.

Mr. P is an 88-year-old man who was admitted to hospital after falling outside his home on an uneven sidewalk. He underwent a successful hip replacement surgery and has begun his rehabilitation on an acute care surgical unit. Mr. P’s 61-year-old son and daughter-in-law visit him frequently while he has been hospitalized, but they are unable to care for him after his discharge from the hospital. The physical therapist feels that Mr. P cannot adequately care for himself at home. (Fero, Herrick, & Hu, 2011, p. 113)

D- The patient arrived on time for her session and reports being stable on dose and haven't used any illicit drugs. This writer advised the patient that this writer was in fact in receipt of missed phone call about coming to the session at 10:30 am rather than 10 am due to her mother in the process of selling the house. This writer addressed with the patient about letter from CHR from her counselor, Jade Bray stating about the patient non-compliance with her appointment due transportation barrier. According to the patient, she is going through hardship as her mother is no longer taking her to her appointment as the patient says, " She's tired of bringing me everyone, Charlene. She complains about bringing me here and does not understand why I can't even get a bottle...:Like c'mon. What do I have to do?" This writer explained to the patient about TEAM decision, at which the patient disagree with the decision. This writer asked the patient about her "judgement." According to the patient, she feels she is making judgement by not engaging any further altercation with patient at the clinic, dosing daily, coming to her counseling session, and trying to get help from Chrysalis for

Rademeyer as well as others in the profession can influence the decisions of their patients by helping them to make the right choices in managing their lives on a physical basis, by helping them to modify their jobs, sports and other activities and by helping to ensure they follow the rehabilitation process laid out by their physicians (Rademeyer, 2015). Also by listening and educating the patients she can help patients better manage and control their conditions.

Ronald X is a self-sufficient man who values his liberty. After he broke his leg, everything changed. The free and autonomous life that he was enjoying was now going to change. His medical comorbidity of artheriosclerosis causes him to be confused at times. The doctor and his children did not want him to be discharged home until they found an appropriate nursing home. Ronald X is aware of his problems and

As Mrs. Who said, “For that he was a spirit too delicate To act their earthy and abhorr’d commands, Refusing their grand hests” The story I will be talking about is called A Wrinkle in time and it is about a girl named Meg her brother Charles and a friend named Calvin. They decide to go find megs dad who had been missing for years with the help of Mrs. Who, Whatsit and Which who were warriors who helped the universe. I believe the book is more powerful because first it has better descriptive words and that helps you visualize it unlike a movie also the book is longer and has more in it than the movie.

Mrs Smith, 5 days prior to visiting hospital tripped and fell, her injury’s prevented her from standing up. At hospital she was diagnosed with a left fractured neck of the femur (L NOF) and required an immediate left total hip replacement surgery. Mrs Smith is 85 years old, lives with her husband at home, has no children however has a strong social support network through her church. She is involved in her community and continues to teach piano. Mrs Smith only known medicine issue is urinary incontinence. 10 days’ post-surgery Mrs Smith developed a urinary tract infection increasing her length of stay in the hospital. This led to the diagnosis of delirium, worsening of her continence issues impacting negatively on her mental health. This has resulted in slow progress in mobility and delay of her rehabilitation plan. Mrs Smith’s anxiety levels are heightened as she is fearful of falling again and is concerned whether she will be able to return home as her mother passed away shortly after she broke her hip. This case study will examine if Mrs Smith will be able to return home with an effective management & discharge plan based on a multidisciplinary team using a person centred approach. The treatment plan will endeavour to assist Mrs Smith to return home. A full health, coordination and function analysis is scheduled to assess to identify any underlying medical condition and possible risk factors for further falls.

The 1960’s was a very hard time. Their was so much segregation and violence, it was uncontrollable. Until one day a man named Martin Luther King Jr. wrote his, “I Have a Dream Speech”. That changed everything. But it really didn’t. In both stories, “A Letter Home” and “Waiting for Dan” it shows how segregation was still going on. Both stories take place in the 70’s and 60’s and have a big impact on segregation. Both these stories have a lot in common. They both show how segregation was back then and they both have 2 people who want to do something right.

Mr. Trosack is a 72 year old man who fell down a long flight of stairs a month ago, underwent a total hip replacement and is in need of a discharge plan. He completed two weeks of rehabilitation in the hospital for his hip as well as diabetic teaching for his new onset of Diabetes. It was also discovered during this hospitalization that he needed to start taking medication for hypertension. Both he and his family are in denial about what it will take to get him home and deliver the care that is needed.

The multidisciplinary team (MDT) meeting that the author attended was regarding Laura 's case, a 62 year old lady that lives alone and had a fall followed by knee surgery on her right leg which now needed rehabilitation. Laura also has Hypertension, arthritis and was recently diagnosed with Parkinsons Disease, which is managed with medication.

(AGG) During the book the Giver Jonas’s relationships with people changed how he thought of the society.(BS-1) At the beginning of the book Jonas wanted to continue his friendships with people he was friends with before the ceremony of 12. He also wanted to fit into his family watching over the new child Gabriel.(BS-2) Once Jonas became the receiver of memories he started to question what was happening, to his society that he didn't know before and that the relationships he had were full of lies. (BS-3)

If asked, many may describe education as the imparting of knowledge onto the less knowledgeable. However, in his “Allegory of the Cave”, Greek philosopher Plato proposes that rather than education being “putting knowledge into souls that lack it”(5), it is the beginning of a journey in which the newly educated begin to break free of their ignorance and turn towards the discovery of new knowledge; Plato believed education was the beginning of the quest for new ideas, rather than the end of a process in which we learn the bare minimum.

This case study and the following questions pertain to Mr. Londborg, who came into the hospital with trouble breathing. Through his health history, they found out that he has a history of seizures, hypertension, and chronic obstructive pulmonary disease (COPD). His stay was extended in the hospital due to a respiratory tract infection, decreased kidney function, a blood clot in his leg, and a fall that could have been fatal. The following questions addressed throughout this paper will discuss what happened, why it happened and how it should now be prevented.