Patient Observation Paper

As a clinical requirement for my Adult 1: Medical-Surgical course, I had the opportunity to observe a patient in the Operating Room and in the Post Anesthesia Unit of Advocate Good Samaritan Hospital. The procedure that I observed was a left total knee replacement. The patient needed this surgery because she was experiencing osteoarthritis, and this surgery could alleviate her pain and discomfort. I was with the patient from the end of her stay in the pre-operative holding area to the Operating Room, and then to the Post Anesthesia Care Unit. This paper will include background inquiry, preoperative and operative

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.

A couple of years ago, my mom got a bellybutton pain in her lower-right side of the abdomen. It was an intense pain which moved all around her belly. She decided to ignore the pain, thinking it could be something temporary. Days went through and nothing could relieve the discomfort she felt. My dad decided to take her to a private doctor right away. The doctor had her do some blood tests accompanied by some others. When the results were ready the doctor asked us to take mom immediately to the hospital. He said something related to surgery and I lose control on myself. We had never been as scared of surgery as this day. We knew this kind of surgery was not as risky as others. The problem was hospitals in Honduras. Doctors back then did not care about the patient. Patients in the hospitals would get their wounds infected and they would die. I lacked trust in the abilities of the doctors. Not because they missed the knowledge required in doing this, but their interest in the patient was none. They knew the government was going to pay them either way. Therefore, they mistreated some patients. My mom received a

Throughout the interview, Xavier’s mother answered the majority of the questions and expressed the difficulties she faces daily while taking care of her son. She also talks about the process of receiving the diagnosis of ASD, as well as a previous diagnosis that was incorrect. Xavier’s mother first noticed something different while comparing his development, mainly his speech, to that of her nephew who was around the same age as her son. She claims that he wasn’t talking at all at the age of 1 ½ and that concerned her. Xavier’s doctor said his speech was probably delayed and suggested a speech therapist as early intervention. His mother claims that he didn’t outwardly appear Autistic to her because he wasn’t withdrawn. She also claims that

The psychiatric clinical rotation at Clinch Mountain House was a very prodigious experience. This facility is unique because of the role it plays in the community; it serves to provide daily recreation for the members of the community who suffer from mental illnesses. This facility focuses on providing essential social skills to this community and accomplishes this goal by providing social interaction, a structured schedule, and daily assignments for each member.

At the providence hospital I observed at the two different setting. First I observed at the St. Catherine's rehabilitation center which provide long-term rehabilitation care. The physical therapist at the sub-acute care provide treatment to the chronic ill patient and geriatric patients. The goal of the sub-acute physical therapist is to restore basic mobility and movements.

My participant observation research project is on sex offenders. A few topics I would be interested in is different type of offenders, such as pedophilic and non-pedophilic. I know sex offending is horrible all together but I really hate when I hear about children and teens being hurt. My questions would be what causes their urge to offend children? How do they know the victim? How to help the offender?

The last visit I had with the patient on June 7th, I elected to start him on antihypertensive therapy. He was given a prescription for Zestoretic 10/12.5 mg one p.o. to take daily. He says that he did take one as recommended. That same day in the afternoon, he noted that he was short of breath in the afternoon. He says that he attributed it to the work that he was doing out in the yard and later that day, it seemed to resolve. A few days later, he had the same thing happen again. He eventually went on to see Dr. Lilly on June 25th. Please see that note for complete details. She did have him go through a series of testing, including laboratory studies, which were normal

“Come on in ma’am” I uttered in Spanish to the women clad in a colorful Mayan dress near the entrance of the clinic. It was my first day as a medical volunteer in Guatemala and I had been assigned the duty of interviewing patients and formulating differential diagnoses under the supervision of Dr. Reyes, the clinics' head physician. “Tell me about your headache” I said to the patient as she took her seat. She professed that her headache, which had bothered her for two weeks, was intermittent, diffuse and of moderate intensity. Her headache was often associated with a dry mouth and bouts of fatigue, especially after long days of working under the hot Guatemalan sun. Having neither a pharmacy within walking distance nor money to spare, she had resorted to using cold compresses to aid with her discomfort.

In the medical office, there are several types of occurrences that may require immediate invention by the medical assistant. A few examples include:

magine taking your child to a doctor for their physical, and they state that your child has risk factors for autism. This statement can be devastating but a parent, but it’s possible that it could be incorrect. Not only are some of the behaviors from mental disorders be identical, but there are government commissioned reports that state that many Americans will receive “at least one false diagnosis” during their lifetime (Mundell). While behavioral factors are currently considered when diagnosing someone with autism, a patient’s genetic information deserves a key role in the diagnosis. This will assist in reducing the risk of false diagnoses. It’s important for Doctors to analyze a patient’s risk for unintentional genome replication, the ratio

While PSC staff is scheduling appointments, staff members should be entering an email address for the patient to receive appointment reminder and link to complete Digital Registration prior to arriving for the appointment.

Developing educational goals that can improved patient centered care after being discharged from the hospital is challenging. Our curriculum has to be designed from an understanding of adult learning needs. It has to be based on their cultural background and languages barriers. The medical staffs, who will be working in the simulation center, have to be properly train to deliver the course.

There are 11 hospitals located within 25 miles of my house, which is rather astounding considering I live in rural Pennsylvania. Hospital compare only allows you to compare 3 facilities at a time. I chose to look the Hospital where I work. Our major competitor and a tertiary hospital to which we refer our trauma cases 20 miles away. It is interesting that several of the facilities listed are not really hospitals at all. The website is deceiving and includes surgery centers. You can only tell they are not Hospitals because they are listed as having no emergency services. Under general information all 3 hospitals were similar. Our hospital and our competitor carries a 3 star rating. I was surprised the tertiary hospital only had a one

On Thursday 10/06/2015 at approximately 0201 hours, I, Steven Evans Security Shift Supervisor at FHEO was contacted by E.D. Nurse Kristal Boston at the EMS off load area in reference to a (27C) Found Contraband in Patient room. I spoke with Nurse Boston and she stated that patient, Franco Garcia (FIN #86274611) was brought in unresponsive by Orange County EMS. When she inventoried patient belongings, she found a medicine vial containing what appears to be contraband. Nurse Boston handed to me the medicine vial, I examined the container and found 2 small bags with a white powder inside. I made contact with E.D. Charge Nurse Robbie Philips and around 0204 hours I contacted Orange County Sheriff’s Office so that the drugs could be picked up for