Notting Hill Interview

This episode of care occurred in a community setting. Sara has a diagnosis of Alzheimer's disease. She live alone, has no children and is a diabetic. Sara does not speak English and her first language is Polish. Sara support worker developed a close relationship with Sara but said recently her dementia as gotten wrong and she sometimes does not remember who she is. Sara has cellulitis on her legs and was refusing to let the support worker change her dressing. She kept saying it was ok and she didn't want it to be changed. The student nurse and the district nurse tried reassuring Sara and explaining why it was importance to treat her leg but she just became more agitated and aggressive. The district nurse and support worker knew it was important

In a profession where others' health and well-being are priority, there leaves room for neglect of those who are delegated to care for these people. As a professional nurse, there are many obstacles that arise and affect the care provided to a patient, as well as the livelihood of the nurse. The current deteriorating and unsafe staffing conditions in hospitals and other institutions prompts workplace advocacy as the universally appropriate concept for maintaining professional nursing practice.  Common

When you hear the words, “Nursing Home”, what comes to mind? Sad, helpless, elderly individuals? The smell of urine? An overall, unpleasant place to reside in? Unfortunately, this generic description is accurate amongst majority of the nursing home facilities across the United States. More often than not, the elderly suffer from inhumane living conditions while residing in a nursing facility. Quite often we hear stories on the news about cases of elder abuse in the nursing home and we automatically think physical, mental, or emotional abuse from caregivers. However, the fact that these individuals are also living amongst unsanitary, inhumane conditions, and ran by a staff that includes

Team B chose to cover Emeritus at Harbour of Pointe Shores, a senior community located in Ocean Shores, Washington. The team was interested in learning more about an assisted living and rehabilitation facility. It is also an opportunity to uncover the differences from an assisted living community and a skilled nursing facility. Emeritus at Harbour of Pointe Shores provides retirement and assisted living, respite services, and on-site rehabilitation. Similar to other long-term care facilities, the facility and staff are required to follow specific guidelines and regulations to maintain licensing and accreditation. However, these

There were small sheets of paper in each resident’s room, saying what their favourite things are, what they used to do, about their family and life, which was very touching for me to see the preservation of dignity throughout the facility. Although these write-ups were in everyone’s room it was as if there was not a human laying in that bed. It was like they were all mannequins and there was an indiscernible race, the focus was shifted from the individual to the completion of task at hand. Many care aides would have conversations about their weekend, or talk about the resident right in front of them. Some residents could hear and some could not, never the less,

Like demonstrated in chapter four of the book, they lose all sense of independence and privacy, and are forced to get dressed, take their medicine or do activities when told to instead of being able to decide for themselves. With the idea of assisted living, Keren Wilson will allow her mother to “be Jesse again, a person living in a apartment instead of a patient in a bed.”(Gawande, 2014, p. 89). I feel it is important to treat those with serious infirmities, like physical or mental weakness, with respect and independence because many of them don’t have a say or voice on where they are placed. They are unable to live on their own so they are forced to be put in nursing homes, where they become sheltered, abandoned, and sadly sometimes forgotten. This is why showing them respect, dignity, and giving them some independence will go a long way.

No caretaker would leave their loved one in a facility with rude, unqualified, untrained, or even outnumbered staff members. This consideration is something Superior Residences of Brandon prides itself on, and with good reason to. The training of the staff at Superior Residences is top notch – the employees must undergo 16 hours of training prior to employment, obtain a certification in CPR, participate in monthly employee meanings, obtain certification in Alzheimer’s Level 1 and 2, and continuing education courses provided by the state. Also unique to this facility, all employees are cross-trained and are certified Resident Aides (RA’s), which means they can approach any worker, for example a janitor, with a question or need and that employee would be able to assist (Andrew, J., personal communication, October 28th, 2016). As Jill Andrew’s stated, there are at least 4 RA’s in the building at all times for 70 residents, and although there are no nurses required under the license, they do have 5 nurses on staff. Another principle unique to Superior Residences was their dual licenses, having both an Extended Congregate Care license, which allows residents to age in place (Andrew, J., personal communication, October 28th, 2016) and a Limited Nursing Services license, which enables the facility to provide a select number of nursing services.

The article I read this week was written by Jonathan Jones. He explained the lack of care for seniors in elderly homes. One person who lived through the experience was George McAfee. George McAfee was a former player for the Chicago Bears. In the late 1990’s McAfee started showing symptoms for Dementia, a brain disorder marked by memory loss and impaired judgement. After his wife had passed away his family moved him to a facility specialized for Alzheimer's. At first, his daughters were satisfied with Cypress Court's level of care. However, it all changed when Emeritus purchased the facility. His daughters started to take note of the the lack cleanliness. Often times, McAfee daughters has noticed a difference in their father's appearance.

Both of the gentlemen stated they had been in other homes and that this was the nicest home they had been in. Kenneth complained of his first home ¡°smelling more like a zoo than a nursing home.¡± John told me that his last home was on the South Side and that the neighborhood was filled with gang bangers and hoodlums. When his family visits here though, they wheel him through the Lincoln Park neighborhoods and it¡¯s nice. For all of the questions that I asked these two men, they had just as many questions for me. Heading in to this assignment, I hadn¡¯t really considered that someone would be asking ME questions. In the midst of all that happens in nursing homes, it¡¯s important to remember that these residents aren¡¯t just dependent, older people, but that they are still people just like you and I.

Because there is such a drive for profit from the executives of the facilities, there is less workers overall to work causing the facilities to be less secure. When a facility is less secure, accidents are more likely to happen as shown in the film. If an accident happens, the punishment is less severe as most would seem fit. A lingering dying trajectory also affects how a resident is cared for. A lingering dying trajectory means that the resident will stay in the facility longer so the facility gains more profit.

Instead of providing the care they thought they would be providing, they were reigning in members to a program with the promise of improved health while they felt their own health was being neglected or jeopardized due to added stress, no time for breaks or guaranteed family time. Corporate compliance was called anonymously with complaints of working conditions and a state wide meeting was held with the RN case managers to gather information. Staff was assured that their concerns were being heard and efforts would be made to improve the current state of affairs.

Patient falls occurs frequently in the hospital setting due to various reasons such as a patient being confused, starting a new medication, and impaired gait. The incident of the fall I will describe occurred around 2:15 P.M. in the evening and the unit had five registered nurses and two certified nursing assistants. I was making my hourly rounds on my patient’s to check to see if they needed anything. When I entered the room I found the elderly client on the floor moaning and screaming for help. I remained with the client and call for help from the staff on the unit. When the patient’s nurse arrived to the room she did a physical assessment and asked the patient questions. The patient was a self-care patient and very independent. She had on her non-skid socks and shoes from home. The patient stated, “ I was on my way to the restroom, while walking I begin to feel dizzy and light headed and before I knew it, I was falling to the floor and screaming for help, hoping someone would hear me to come and help me.” The injuries the patient sustained from the fall were a broken right hip and bruises on her arms. This incident is critical to me because my passion for nursing is helping others and preventing other injuries that cause bodily harms such as falls. When patients’ who are independent and use to doing things on their own at home are admitted to the hospital they feel helping them is like handicapping them. My concerns at the time of the incident were was the patient

The lack of attention to the aesthetics of the facility not only created a depressive feel, but also created sanitation issues. Caroline described the staff often placing soiled linens and used bed pans out in the hall for hours without being attended to. For Caroline, this exacerbated the painfulness of this already emotional transition for her when she first arrived. And even though Caroline’s room was cleaned by the staff prior to moving in, it still presented as dirty and with a foul order. The food at the nursing home was unappealing and often leads to the decrease in appetite of most of the residents. In addition, the fact that Caroline was the only female client posed a threat to her development of a support system and created an uncomfortable environment.

During the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy-three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was “hurting” and she rated her pain an 8 on a scale of 1 to 10. She also had some “swelling” that she could not “get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around.” She told the nurse that she had been to see the doctor “yesterday” and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to

Notting Hill is a cosmopolitan neighborhood in West London, England. It has no official boundaries. The average temperature is 19 degrees Celsius with light rain throughout the year. Origin of the name, "Nott" is derived from the old English personal name “Cnotta”, the "ing" is generally accepted as coming for a settlement of people and the “Hill” represents about its geography. Formerly, most people were farmers and potters, so the main product of Notting Hill were pigs and pots. But nowadays, Notting Hill is known for the Notting Hill carnival, an annual event in August, which was the largest street party in Europe and the Portobello Road Market, one of the most popular market in London, containing colorful townhouses, antique stores, clothing