Nursing Case Study: Kacie's Case

For this interview I had the opportunity to speak to Vicky Ronald, RN, BSN, OCN. She has been working as a nurse for 20 years now and stated that she loves what she does because it is a gift and a blessing to contribute in healing patients. This interview is a brief history and description of how Vicky made it to the top of the Nursing ladder, her roles, past experience and how she integrates HIPAA to maintain patient confidentiality.

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act.

On Tuesday July 7, 2015, at approximately 3:01 PM, Kiana Beekman, (MFCU Investigator) (Beekman) received a call on the state office telephone from HILL, Lucy (Service Facilitator of Lucy Hill Services (LHS). During the conversation, Beekman asked HILL to clarify her role and responsibilities as a service facilitator, in addition to the role and responsibilities of HARRIS, LaFrance as the Employer of Records (EOR) for Medicaid Recipient DANIEL, Rose and MCGHEE, Inocencia as DANIEL’s aide. She was also asked to provide any documentation of training on timesheet submission and approvals that she provided HARRIS and MCGHEE under the Department of Medicaid Services (DMAS) Consumer-Directed care aide program.

DADDY-S HOME, INC., (DHI) is a not-for-profit organization that was established in July 2011. We provide independent services such as housing, financial education and continuing educational assistance to foster children that have aged out of the state foster-care system. Each state has money allotted that is mandated to assist foster care children that have aged out of the system successful. The law incorporated is, “The Foster Care Independence Act of 1999 (Pub.L. 106–169, 113 Stat. 1882, enacted December 14, 1999) aims to assist youth aging out

Hello, I am Angeline S. Bernard, licensed practical nurse, with Aetna’s utilization management department for long-term care. I am a 20 year veteran in the health care industry, primarily in the field of nursing, interested in pursuing a management role. With 15 years spent in the acute hospital environment, as a nurse, I have also practiced in other settings. School nursing, occupational nursing, quality management, and utilization management, are all additional areas of practice.

I arrived to work well rested and ready to start the day. I had just returned after a two week long vacation. Because of the time off, I arrived to 7 East to find that the assortment of patients was not familiar at all. As I began getting reports on my patients, one in particular I started to feel a little anxious and stressed. At first glance I could tell I would be busy for the next twelve hours. Lynda was a 45 year old woman that was admitted almost a week ago after having an emergent tracheostomy placed. Lynda was newly diagnosed with laryngeal cancer with already having several other diagnoses including: seizure disorders, mild mental retardation, behavioral issues, and was legally

Working at a nursing home as a certified nurse assistant, Katrina not only has to work long, tiring hours, but also has to find childcare for her three young children while she’s gone during the day. Thanks to the Chambliss Center for Children, which provides affordable, round-the-clock childcare for working parents living in poverty, Katrina is able to go to work knowing her children are safe, cared for, and learning. The expected difficulty of motherhood is only further intensified for working single mothers like Katrina, who have to make sacrifices like choosing between paying the bills and getting birthday gifts for their children. Moreover, these sacrifices are imperative because as a certified nurse assistant, Katrina does not have a college degree.

CHIEF COMPLAINT: This is a post op note from a procedure performed July 21, 2015 by David Lin, MD.

Naomi Louise Lungstrom, is a 59 year old nurse. She is married and has 3 sons. She has a great husband and works at Washington State University school of Nursing. Both her husband and colleagues act as a great support system. Her religion is Lutheran and would like a Chaplin regardless if they are a priest or not.

Client Contact: A HV was conducted by the Housing Specialist. The Housing Specialist gave Ms. Sims information about the free online writing course that she could attend at her local library. Ms. Sims seemed excited to enroll into the program and was very thankful for the information. Her home needed to be deep cleaned. All of her utilities were on and functioning. There were no needed home repairs and no record of destruction of the property. The visited went well.

I'm Maria Guadalupe Garcia, and a mother of four, the youngest having ASD. I tried to find a logical reason behind the diagnosis.Was it the Diet Coke I drank when I was pregnant of him or the coke we gave him to drink when he was a baby? Whose side of the family did it come from? How was his birth different than that of his brother’s? All of these questions, left unanswered, only increased my tension. I'm more at home on social care issues, and as a parent quite involved in issues around transition. I'm also an ABA technician for Centria Healthcare. Each and every time I worked with a new client, my son comes to mind. He may not had received the needed services. My family may not have been provided with the necessary support and information.

Nurse’s Aide: The patient was confused and got tangled in the IV tubes.- This is an opinion. There is no actual facts that can confirm the reason the patient was tangled by the IV tubes was due to confusion.

Throughout the year she has advocated on her clients behalf by finding community and economic resources for her client. Bianca works hard in planning effective and educational activities for the quarterly Parent Aide events. She has reached out to numerous organizations in order to help parents bridge the gap between racial minorities and the unemployment rate by helping them find jobs, apply for the jobs, and preparing giving them advice on the application and interview process. Bianca has created effective lessons for her client educating her on different styles of parenting attacking many social norms especially in the African-American community. In Shelby County the majority of children in the system are African-American and Parent Aides help combat this effort by teaching parents nurturing skills, finding resources, and helping them significantly improve their way of life. Bianca exemplifies this mission by being her client’s biggest cheerleaders and assessing her needs to provide her with appropriate resources. Many of the Parent Aide program participants are unaware of the resources provided to them. For example, Bianca’s client was unaware of the many different organizations that could help her family struggling economically as well as programs that can get her oldest son into college. Bianca not only located these resources for the client, but also reached out to them as an advocate for her client. Bianca also helped her client gain social competence when dealing with her children’s school, people who she was receiving services from, and others in her

Kathy and Raymond have visits one day per week for two hours per day. Worker supervises these visits once per month. The first visit this worker will be supervising is on November 23, 2016. These visits occur at the Godfrey, Illinois McDonalds play place, but were taking place outside in the community prior to this when the weather is nicer. During the last supervised visit the case assistant observed Raymond reading the newspaper. The tried children interact with the case assistant; the case assistant redirects the children to interact with Kathy and Raymond. Johnathan spent most of the visit in the play place and Zoey spent most of the visit on the tablet. Raymond left the visit and returned 20 minutes later telling Kathy “they (the children)