Nursing Home Care Case Studies

February 16th, 2018 approximately 1302 CSW Anderson arrived at the residence of 2149 Farmcrest Drive, Arnold and met with two female occupants later identified has Angela Whitter and Judy Laube. The home belongs to Judy Laube where Judy Laube said she lives there with her daughter, Angela Whitter, and Judy Laube’s’ friend, Denise Barnett. Judy Laube said she is currently receiving food stamps and other benefits from the state where she does not have financial difficult to aid with Mrs. Whitter if Tyler were to move in. Mrs. Whitter too, receiving other benefits from the state and does not have a financial concern to place Tyler in their care. Mrs. Whitter added that she can enroll Tyler in the Fox School District where the bus is accessible and the school only two blocks away. CSW Anderson inquires the separation of Mrs. Whitter and Tyler; Mrs. Whitter specified that the day after the wedding her ex-husband (Carl Whitter) move to Ohio and left her to stay with her in-laws (Diana & Alan Whitter) and Tyler. Subsequently, Mrs. Whitter and the in-laws have an argument where Mrs. Whitter moved out and left Tyler with the in-laws. Mrs. Whitter then added, due to her mental and physical disabilities at the time, it was best for her to leave Tyler with the

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.

R/s last week, Craig (grandfather) slapped Bayden (9) in the face and knocked the child’s tooth loose. R/s Craig is always cursing and hitting the children. R/s Kristine (mom) is not able to protect the children from Craig. R/s on many occasions the dog in the home has bitten the children and others. R/s Craig has guns and knives in his bedroom that are secured. R/s Eliha (8) and Haley (16) are in the home.

It is assumed that Arryel is prostituting. On 11/26/17, Arryel and her brother (Andre) had a physical altercation because he was trying to force her to allow him to care for the children. Andre pushed Arryel against the cabinet. The children witnessed the incident. Then after, Arryel and the children left going to a motel. Arryel went to the motel with JW because her house was not clean. Per Lanette, Arryel told JW that they could go to her house and get in the bed, but decided to go to the motel because it was already paid for. The children did not attend school 11/27/17; however, they did attend school 11/28/17. The paternal grandfather (unknown) picked the children up from school (11/28/17) and returned them to school 11/29/17. The children mentioned that they picked Arryel up from a Dollar General and took her back, but she did not stay with them (11/28/17). Arryel have not been seen since then. The children are scheduled to return home with the paternal grandparents (Pam & unknown grandfather) after school 11/29/17. The basic needs for the children are being met when they are in the grandparent’s

Howard Terry Newman is 67 year old retired printer who suffered from Parkinson’s disease as well as arthritis, voice impairment, hiatal hernia, and heart trouble. Mr. Newman, the appellee, is contesting his stay between September 19, 1968 and November 11, 1968 at the appellant’s facility, Big Town Nursing Home. The plaintiff was admitted voluntarily by his nephew to the facility with the ability to leave as he pleased. However, on September 22nd, when Mr. Newman attempted to leave the facility, he was told that he could not use the phone or entertain visitors without the administrator’s permission. He proceeded to walk out; he was brought back and restrained on Wing 3 with “senile patients, drug addicts, alcoholics, mentally disturbed, incorrigibles and uncontrollables” according to the administrator testimony.

Joan’s family was selected for this because she has experienced parenting, marriage, and divorced at the tender age of twenty-five. She has also taken on other significant responsibilities such as purchasing a home and a vehicle in addition to raising two children solely on her income. Joan is driven and motivated to pursue and finish her education; rear her children in a stable home environment, despite facing the challenges of single parenting. She does not receive any type of financial spousal or child support from her ex-husband. Joan’s ex-husband is currently employed as a police officer and lives with another woman. The ex-husband rarely interacts with the children; he sees them only when his mother keeps them for Joan. Joan heavily relies on her parents and other family members to assist her with finances and childcare.

The Williams are an African American family. Audrey is a 45 year old female who is currently a housewife. She has a bachelor degree in English. Ronald is 47 and works with the mayor as a member of his campaign team. Ronald and Audrey have been married for 15 years. The couple has been experiencing problem because Ronald has been working a great deal lately. Ronald and Audrey have one son Michael. Michael is a 21 year old male. He attended college for one year but dropped out because he wanted to travel. The Williams are wealthy which is evident by their neighborhood and residence. According to Audrey, the family used to go on trips, vacations, and spent quality time together. The family reported no history of abuse, violence,

Contact was made by phone with Debra Desantis, James Rusk’s other sister. James Rusk said she could be a potential support system. When speaking with Mrs. Desantis she said helping her brother is fine. However, she stated she does not want James Rusk’s children living with her at the moment. She is currently working with us here at Erie County OCY. She and her daughter are in ongoing having resources provided for her daughter. Ms. Desantis stated it just would not be a good time for James Rusk’s kids to come to her house during this time.

Ms. Bandy reports she lives with her two sons Major Wilson (D.O.B. 11/01/2001) age 11 and Elijah Bandy (D.O.B. 05/19/2010) age 5. She repots Armun has an older brother from another father who does not reside with them. Armun reportedly gets along well with his siblings without issue. Ms. Bandy indicates the family has maintained regular visitation and passes with Armun every Sunday since his placement at C.A. Dillon Youth Development Center. There are no at-risk family members who dwell in the home. Ms. Bandy reports she is single and not currently dating anyone. She is supportive of her son’s return to her home and feels her relocation will provide her son with more structure than his previous living situation with his grand other and biological

R/s on yesterday Marion threaten to kill Brandy. R/s Brandy’s grandmother asked the caregiver to talk to Brandy because she needs help. R/s the caregiver reported that Brandy seems fearful of Marion when he is home, she is anxious and on edge. R/s Marion calls Brandy stupid and Brandy is happy when Marion is not home. R/s after the caregiver left the residence the family called and said they don’t want agency in their home. R/s today Brandy called requesting a new provider. R/s Brandy and Marion’s four-year-old son PJ is in the custody of Brandy’s father. R/s the family is reporting the child is being around high powered weapons.

R/s on 04/23/2016, there was a domestic dispute between Catherine and Stephen, which lead to Catherine being forced out of the home. R/s minor children Justin (17) and Jessica (17) were left in the home with their stepfather, Stephen. R/s Justin has lupus and needs someone in the home take care of him. R/s Stephen is not providing food for the children.

CM telephoned Alisa MaCarthy regarding the family functioning of Victoria Biascoehea. Alisa reported that Victoria is her aunt, and she has known her all her life. She reported that she normally sees them every day. She reported that she doesn’t have any concerns regarding the home or the children. Alisa reported that the children are always well taken care of, the Victoria normally puts the children’s needs before her own. She reported that she was aware that Victoria had involvement with DFCS. Alisa reported that she has never seen any marks or bruises on the children. Alisa reported when she sees the children, they are always well dressed, and she reported her daughter normally takes about two hours in the restroom getting dressed. She

Jane and John are two 25 year old individuals who live together with two children, Nancy; 4 years old, and David; 2 years old. Jane denies using drugs during her pregnancy, however, she does admit to using drugs, e.g. marijuana, methamphetamine, and cocaine, prior to her pregnancy. Both proudly reveal they do not drink alcohol. John and Jane state that they very rarely use methamphetamine, 4 to 5 times a month, and that they are very sure they are not addicted. Both state they have not used methamphetamine in three months. Jane and John have no family support as they are both former foster youth and have been part of the Department and Children and Family Services. Currently, they run the risk of being evicted from their current apartment. John recently lost his job due to lay offs. Jane works for full time for minimum wage with WalMart. Jane has expressed concerns because her son, David, struggles with crawling and has not started walking. Jane states that he tends to

Inclusion of the 674 patients who completed a HCCA into these data, gives a slightly different perspective into the variables. Appendix~\ref{AppendixB} further shows the R output of the Cox-PH model in the data set for patients with a CA and HCCA. After using the stepAIC function (as discussed in Chapter~\ref{Chapter3}) and manually removing variables with coefficients between -1 and 1, only 10 variables are chosen, namely; Meds to be initiated, Expected living arrangement, self-rated health, Urgency for comprehensive, face-to-face assessment, Urgency - Nursing, Urgency - Physiotherapy, Urgency - Occupational therapy, Service urgency and Client Group\footnote{These variables are coded iA32ba, iA33, iA34, iJ7, iNN4, iNN5a, iNN5c, iNN5d',

In the given case study the patient presented with complaints of nausea, vomiting, severe dehydration and syncope .Nausea and vomiting are not diseases they are symptoms caused by many conditions such as motion sickness, gastrointestinal diseases, circulatory diseases such as congestive heart failure, central nerve system disorders such as meningitis, brain tumor or injury, or it could be due to metabolic disorders like uremia (McCance & Huether, 2014, Chapter 3). Conditions like early pregnancy, food poisoning, infections, bulimia, over eating also causes nausea and vomiting .Side effects of most medications includes nausea and vomiting. Most times timing of the nausea and vomiting could indicate the cause. In order to rule out the causative factors for nausea and vomiting a thorough assessment, and review of most of the