Patient Care Scenarios

As many of us know today Baby Boomers and some of Generation X’s are coming to the age of retirement. Many of them have learned that just finding a place for them to retire or a great nursing home difficult. Many times, we find out too late that the place we chose is not the place we would like to be. All too often the people don't care how they treat people or their belongings because the people or item don't belong to them. We may want to stay in a place that we built and know better, or where we raised our love ones. To many times we have to fight our loved ones to go somewhere like nursing homes, but this way everyone wins.

In our nursing practice, the nurse is required to hold essential skills of clinical judgment and be a patient advocate to ensure the safety and the well-being of the patient we care for. Patient safety can be compromised if nurses are not able to identify potential issues thru assessment of the patient's sign and symptoms. Patient safety can also be compromised if nurses are afraid to speak up for our patient and question what we think or feel are unsafe acts or orders.

Dr. Haviland requested a status check to determine need for IVC and inpatient hospitalization. Patient presents today with appropriate appearance, minimal eye contact, slurred speech, appropriate affect, minimal anxiety, coherent/relevant thoughts, fair judgment, fair impulse control, good insight, oriented x4, normal concentration, no changes in sleep, and a good appetite. Patient denies current suicidal ideation with a plan. Patient engaged in crisis planning. The patient grandmother, Mrs. Miller, was contacted for collateral information. Mrs. Miller reports last night she called the police due to her grandson becoming angry and throwing things in the home. She states, " He almost hit me with a telephone." She reports he has a history of

I completely agreed with you about the safety issues that are encountered daily in the surgical areas. There has been implementation of safety intervention to remedy these concerns on patient safety. In most cases, nurses are rushed with the consequences that patients are not properly prepped in the pre-op areas prior to the surgical procedures. Personally I have been in same problem of being rushed to bring the patient in the room. In this particular incident, I just finished a case in another room and have not interviewed this particular patient. I informed the Anesthesiologist and the surgeon to give me few minutes to interview the patient prior to transfer to the operating room. To everybody’s surprise the surgeon wheeled the patient

We currently have 3 positions open that we have been recruiting for over the past several months. These are key leadership positions that have resigned or terminated. Heather Rogers, our Compliance/Risk manager resigned and her family moved to Oxford, Ms to take advantage of the Oxford public school system and a more lucrative job market. Our director of nursing position is still open, since Pat left in December. Holly Sparks has been absorbing a lot of those responsibilities, however sustaining these responsibilities has slowed down our operational growth opportunities in quality and performance. Currently we do not and have not had a Central Supply manager capable of moving our operations to the next level, which is to establish a

One component of the reading that surprised me was staff relationship and conflicts. We I hear the term medical professionals, I think of a team of people who work flawlessly together without issues until the read chapter eight in Caring For Patients from Different Cultures. "Problems frequently stem from the differing status of both women and nurses in the United States and other countries. In many countries, particularly those of the middle east and Asia, men have much higher status than women. In general, women are expected to obey men" (Galanti, 2015, p148). In the United States, the Social structure is Egalitarian, which in theory means that everyone is equal. Status and power come from an individuals' achievements rather than from age,

Just want to bring to your attention, some patient complaints that I’ve been getting about Dr. Beaulieu over the last two days.

In this article, researchers explored the different ways nursing students learn in a clinical setting. Nursing students reflected on certain learning opportunities that were significant to them in their first year of clinical practice. Students indicated that participating in complex tasks, being emotionally invested in the work they were all doing and finding an experienced nurse to be their role model were among the most important learning opportunities they experienced in their first year. Researchers found that students felt their learning was more meaningful when they were actively engaging in their learning. The article was harder for me to relate to as it only drew from experiences of first-year nurses in a clinical setting; as a second

We are taught all the time to see the patient as a person not a disease. And yet when we do meet people with certain, often rare, conditions we are genuinely excited. It seems wrong to be excited at what is someone else’s misfortune, but there is something about finally meeting the ‘disease’ you have heard about, but never witnessed, that truly is exciting. What is more important though, and should be considered exciting, is when you finally meet the person with the exciting disease you have been learning about. Not only do we then get to understand the disease better from a biomedical prospective but we can also see the impact it has on the person. Such that went we meet the ‘disease’ a second time we can compare how differently it has

It is crucial that patients experience the best quality care and services that a hospital has to offer because their approval matters the most. Patients should always be put first because they are the center of a hospital setting and essentially the reason why hospitals exist. Therefore, in order to improve patient experience in a hospital, I will use my role as PreStep-Health Care Scholar to treat patients as individuals, be respectful and civil, as well as be responsible as a caretaker for them.

First of all, I do not think so nursing students allowed to provide safe patient care in the hospital because they are still students. Also, professional nurse or RN might not trust that nursing students can provide care to the patients. Nursing students can take case study from patients and learn about learning environment during clinical experience, but I never see nursing students provide care to the patient in the clinical setting. However, the nursing system here might be different from in my country.

it also helps the patient healing for his disease. Because when they feel comfortable and relax it may cure faster. Furthermore, curing the psychological health is the first step to curing the Physical

At the Veteran Affairs (VA) Hospital, assessing the quality of food and patient acceptance is vital for patient satisfaction and safety of the hospital. The 11th floor of the VA hospital serves patients who are recuperating from a surgical procedure or are being monitored for an acute condition. By conducting meal rounds the dietitian can ensure the patient has a good appetite and is consuming 75% of his meal was consumed along. Patient reported he is not receiving enough food and remains hungry throughout the day. Patient was asked if he would like an additional snack between his meals. Patient was given snack options to be added so, he wouldn’t feel so hungry while in the hospital.

In this scenario I would have to enlist the help of my client’s health care providers. Her case is based on a form of emotional attachment as well as many other mental health concerns. This client has a long history of dependency problems. My suggestions to the hospice agency would be to confer with this client’s health care providers as well and to keep me updated on their concerns and plans.

On this date worker spoke with Ms. Cynthia Pearson, social worker at Mt. Royal Towers, for the purpose of gathering information on Mr. Upton's current placement. Ms. Pearson stated Mr. Upton is admitted to the hospital often because he complains about chest pain. Due to diagnoses of CHF and COPD, the nursing home sends him out. She stated Mr. Upton is manipulative and drug seeking. He does not interact with other residence and expresses a desire to go home. Worker explained no court order is on Mr. Upton and he is free to leave. when released from the NH he will be homeless because no family or friends willing to assist him. According to Ms. Pearson his mental and physical health has not declined since placement. He is currently happy because