Patient A Case Study

Within this case study I am going to use two of the Chapelhow et al. (2005) enablers to discuss and reflect on the care of a patient I have been involved with on placement over a period of 5 weeks. ‘Enablers are the essential and underpinning skills that come together to provide expert professional practice’ (Chapelhow, C et al. 2005, p.2). These include; assessment, communication, documentation, risk, professional decision making and managing uncertainty. The enablers work together to provide a holistic approach to the care of patients in health care settings. I am going to focus on and discuss two of the enablers, linking them both together, which will be assessment and communication as I believe these two enablers can be related most to my patient.

On Tuesday 06/27/2017, veteran Mr. Saenz walked very angrily in my office with his wife about 11:00 AM. I greeted them and offered to sit down; Mr. Saenz and Mrs. Saenz were very upset and asked me where they need to go as they have VA examination, they both said “nobody tells them anything; they have been sitting in waiting room”. They told me that the lady on the desk told them to come to me.

Hi, Karen, I attempted to send the invite again for patient 326270. I checked our email server to see if it was delivered and it shows an immediate block on her side as rejecting this our invitation email. I understand that her coworker is using the same domain but each email setting(s) can be individual. The message we are getting back on our email servers when trying to send her an invite to this email address is:

In this assignment I am going to deliberate the care of a patient that I have looked after when working in placement on a hospital ward .I will use the Chapelhow framework to discuss two of the perspectives in relation to the patients care needs. In the Chapelhow framework there are six perspectives that are used to help reflect and discuss patient care. These six perspectives are assessment, communication, documentation, risk management, professional decision making and managing uncertainty(Chapelhow, 2005).The two perspectives I am going to use in this assignment are assessment and communication.

Jose Diaz D) Client met with his counselor for his 1x1 session to discuss his treatment plan and any other issues that he may have that is of concern. There is three issues that client is concern with 1) his reported that he wants to work on his self-esteem

Then plaintiff realized that on January 03 2017, she suffered a minor stroke due to exposure to CO poisoning and as of result lack of oxygen to her brain, stroke is a disease when the brain is robbed of oxygen. It was approximately 700 over-flights from January 01, 2017 through the early morning of January 03, 2017 and at that time plaintiff’s heart and breathing condition were in a very bad shape.

DOI: 5/11/2015. The patient is a 39-year-old right hand dominant female x-ray technician who sustained a work-related injury to her right shoulder when she was checking a patient's height. As per OMNI, the patient was diagnosed with right shoulder bicipital tendinitis and impingement syndrome.

Defendant to assist them with meeting the financial obligations of Physician’s new practice in the Community. Specifically, Hospital agreed to advance a sign-on bonus and a commencement bonus, and to reimburse certain expenses, including relocation expenses, marketing expenses, and continuing medical education expenses. Ex. A at Cover Sheet, §§ D.3-7.

Damian is 18-year-old Hispanic male arrived at CRU 2 via ambo from UPC. Patient is NCOT, he was escorted to UPC voluntary by police. He is restless, agitated and uncooperative with the intake assessment. He started crying uncontrollably, stating, "I want a joint, I want marijuana." He denies DTO/DTS. Patient appears to be responding to internal stimuli and scanning the room. His vital signs are within normal limits. He is alert and oriented to time and place. Patient will benefit from meeting provider and access to an outpatient treatment.

The purpose of this paper is to assess Patient X’s oral health and systemic health to determine how both affect the oral cavity. Patient X has a limited medical history, however, the patient does use tobacco products and consumes alcohol. It is important to identify the link between tobacco use and alcohol consumption to systemic diseases and oral health effects. Patient X also exhibits prehypertension and seasonal allergies. The medications for seasonal allergies can potentially increase the chance of xerostomia. Hypertension is important to identify in order to discuss the risk factors and the importance of seeing a physician. The dental hygienist will gather all of this information in order to properly develop a treatment plan for patient

When a patient is no longer or unable to feed themselves orally a feeding tube must be ordered. Specifically, when a patient has prolonged bleeding, facial trauma, upper GI blockage and cancer. An enteral tube feeding can be placed nasally for a short period of time. The NG tube catheter tip normally resides inside the stomach or in the small intestine past the pylorus. The number one complication involved with the use of NG tube feeding is incorrect placement. A nurse can unintentionally place an NG catheter into the lungs, most notably when a patient has little to no gag reflex. Completing a test for gastric contents, pH or performing a chest x-ray after inserting an NG tube for confirmation of proper insertion. Another major complication when using NG tubal feeding is aspiration within the lungs due to gastric substances enter the trachea and into the bronchial spaces of the lungs. Keeping the head of the bed elevated greater than 30 degrees will reduce aspiration to least possibility. Applying a gastrostomy or jejunostomy tube for enteral feedings when NG tube has interference with therapy or ensues intolerance. The gastrostomy tube, PEG, tip situated in the stomach and exits the body through the left upper quadrant of the abdomen where a bumper holds it into location. Internally positioned by a doctor during an endoscopy, radiology or surgery. A jejunostomy tube is set while in surgery, radiology or endoscopic. If done endoscopic, the PEJ tube goes

Type two diabetes is a huge problem in the pacifica institution, as early studies have shown that while diabetes was virtually non-existent in populations aboriginal to the Pacific, maintaining a traditional lifestyle, this position was true for the metropolitan pacific population. Statistics show that over time type two diabetes prevalence has rapidly increased indigenously over time within the pacifica community. There was also epidemiological evidence which indicates that prevalence is generally lowest in traditional Pacific environment 's or in other words type two diabetes is most commonly found within the pacifica community this is because of two main reasons which are genetics and lifestyle. It is proven that Pacific people experience greater morbidity and more complications than white people diagnosed with type two diabetes. Genetic factor alone cannot yet prove or explain reasons to these patterns or as to why pacifica people diagnosed with type two diabetes suffer more , or a more likely to have type two diabetes than white people. Which are also due to rapid changes in lifestyle and risk factors, such as unhealthy diets, obesity and physical inactivity that have become widespread within the region. We now know that type two diabetes epidemic is a big risk factor for our pacifica community, this leads to bad health habits and issues which means genetically this could be

While attending a typical pharmacy setting. I observed several pharmacists and patient interaction cases, focusing on the counseling and communication aspects. I am going to reflect on one of these cases, which was about worried and distracted old man who has been diagnosed with congestion on the heart and need to leave as soon as possible.

A total of 100 subjects were included in this study, including 50 patients presenting with B-CLL, and 50 healthy subjects as a control group matched in age and sex.

Mrs. J. arrives at the emergency department with her 6 year old son, PJ, who has a history of Cystic Fibrosis (CF). He is febrile (101.7° F orally), BP 98/66, HR 122, RR 32 with the use of accessory muscles. Mother states PJ has, for the last five days, exhibited signs and symptoms of upper respiratory infection, runny nose, low grade fever, cough, and fatigue. He has lost 2 pounds over the past 5 days due to anorexia though he has not had vomiting. He weighs 36 pounds and height is 3’2”. Today, PJ became more lethargic and his fever was difficult to control with pyretics.