Rp Case Study Sample

The facts of this case are that Dr. Guiles who is self-conscious of his prostate cancer diagnosis is treated horrendously when he finally decides to have surgery ( Buchbinder, Shanks & Buchbinder, 2014). Considering that Dr. Guiles is already sensitive about his condition, his unbearable symptoms are not helping matters (Buchbinder et al, 2014). Upon arrival at the hospital, he is treated subpar. The admitting clerk is rude and unbecoming to a patient who isn’t feeling well and who is embarrassed about his sickness (Buchbinder et al., 2014). To make matters worse, he has to find his own way up to the floor by walking, which causes him to be even later in checking in because of the need to stop frequently to urinate as well as having difficulty in walking (Buchbinder et al., 2014). Once he arrives on the floor, the charge nurse is not welcoming and unprofessional (Buchbinder et al., 2014). After figuring out what to do with the paperwork; and the nurse aide delivers Dr. Guiles to his room, the nurse aide does not offer to help settle him in (Buchbinder et al., 2014). Therefore, Dr. Guiles is faced with battling obnoxious family members who are on his bed and to make matters worse someone is in the bathroom which doesn’t help his need of having to frequently urinate (Buchbinder et al., 2014). When the issues are brought up to the charge nurse, the charge nurse accuses Dr. Guiles of wanting preferential treatment

The reporting party (RP) stated that 92 year old resident Delora Lovelock DOB: 1/15/24 was residing in the facility from 5/15/2015 to 6/4/2015. Prior to admission the facility was informed that the resident had a broken femur and could not bear weight. The resident required two caregivers to transfer. Initially the facility assessed the resident and accepted her into the facility. Subsequently the resident was not provided the care necessary. The resident was transferred by one caregiver that resulted in the resident's trip to the emergency room where she was diagnosed with contusions to her ribs. The RP stated that prior to admission that the caregivers were trained in transferring resident however the caregiver had no idea how to transfer a resident from bed to

Background- The scenario in question involves a 77 year old widowed woman, Mrs. Zwick. Mrs. Zwick had a mild stroke, and was admitted and hospitalized as a inpatient for five days to ensure her condition was mitigated. After the five days, Mrs. Zwick was transferred to a skilled nursing facility for rehabilitation. However, Mrs. Zwick was uncomfortable, and tests revealed that she had manifested a hospital-acquired urinary tract infection. This infection was serious enough to require IV antibiotics and extended care for an addition forty days in the nursing facility. Upon discharge, Mrs. Zwick was prescribed several medications and had to get a walker. Due to her age and circumstances, Mrs. Zwick is enrolled in Medicare A, B and D she is not able to handle her bills and paperwork, so her daughter helps out. Mrs. Zwick and her daughter both were unaware that the urinary tract infection was considered a hospital-acquired condition all the nursing staff told them was that it had to be medicated.

He reports the patient’s roommate was subsequently evicted from his home after the landlord inquired about the ambulance visiting. He reports he contacted her father concerning the patient residing within the family home, but the father has said no. In addition, he reports he has attempted to contact her uncle but has been unable to make contact with him. He reports he has attempted to make contact with her said friend who is considering allowing her the opportunity to reside with her but she has not answered her phone and he has been unable to leave a voice message. He reports no one wants her in their home, and the patient has “burned her bridges” with family members. He reports her family would benefit from counseling. In addition, he reports her family has high expectations of CPS. He reports her current case was not going to close within 12 days of 06/30/2017. In addition, the case will not

The Department of Human Resources received a report on Ms. Sue Salter on 9/17/14 alleging Ms. Salter a paraplegic who is paralyzed on her left side was living in a home with no water, power, and had an inadequate caregiver. During investigation, utilities were reconnected and Hospice service provided. Hospice stated Ms. Salter was losing notable weight and found lying in urine during visits. Due to this, several bedsores increased and the doctor ordered a catheter and low air mattress. Ms. Harville, the caregiver was educated on wound care numerous times and demonstrated a working knowledge but choose not to administer wound care.

while warming trays/burners were on. Also, facility staff failed to ensure the safety of a resident

Reporting party (RP) called CCIB to cross report that resident Gerald Gilliland (DOB: 4/22/41) reported that while he resided at this facility, unknown male staff locked him in a room against his will. It is unclear what room the resident was locked in because resident was unable to convey any details about the room. Resident then stated that it was all of the nursing staff who locked him in the room. Resident was hospitalized at Kaiser South Sacramento on 9/18/16 through 9/22/16 and is currently residing at Eskaton Greenhaven. RP stated that it is unclear if the resident has Alzheimer's or not. RP stated that the original reporting party is Sacramento Sheriff's Department (Report#16-286176) and RP will forward the SOC 341 to CCIB.

The RP stated she asked a nurse regarding how the resident could have acquired gangrene in such a short time; the nurse believe it was due to the resident sitting for an extended period of time with her shoes

On 03/11/2016 SC met with Pa in her apartment for a RA visit. Pa 's Agency Model PAS aide was not present while SC was there. The Pa appeared poorly groomed and dressed in dark color clothes. The apartment was dirty and cat litter and feces on the table and floor. All utilities are in working order. The Pa reported numerous hospitalizations between Temple University and Episcopal University. The Pa did know the exact dates of admission and/or discharge. However, the Pa stated that reasons for admission were either asthma exacerbation; COPD and/or fluid around the Lungs. The SC placed call to Temple University Hospital medical records department and inquiries about Pa admission and discharges. The SC was placed on hold for a long time and when the SC did speak with the receptionist she stated that most of the Pa admission was at Episcopal Hospital Temple University and she did not have the time to go over every admission she provided the SC with the medical records department telephone number for Episcopal. The SC thanks her for her time and end call. The dates of ER visits and hospital admissions are as follows: 11/2015, 12/2015, 3/1/2016-3/4/2016, 3/5/2016-3/6/2016; and two ER visits 2/29/2016 and 3/7/2016 at Temple University. SC reviewed Pa’s services and per Pa he is receiving services in the type, scope, amount, frequency and duration as specified in the ISP. But the SC reasons to doubt that the Pa is receiving service according to the ISP. The SC arrived at the Pa’s

In March 2015, RP overheard one of the caregivers state that one of the residents had scabies but facility never notified the families. RP stated that an order for Benadryl was made for the resident on 7/12/16 but the resident never received the medication because it was reported that the order was not signed. Staff never contact the physician to request a signed order so the resident was without the medication for 16 days. Resident's husband contacted RP on 9/9/16 and said that he had a confirmed case of scabies. On 9/10/16, RP spoke with administrator who disclosed that there has been confirmed cases of scabies. Administrator stated that due to the resident and resident's family members contracting scabies, Terminex was at the facility on 9/12/16 to treat residents room. RP also mentioned that on one occassion she visited the resident and the room "reeked" of urine and the resident's Depends was on the floor. RP stated that there is not enough staff to handle the amount of residents in the facility. RP stated that on one of her visitis, there were residents sitting in the living room for over 2 hours before anyone was able to check on

The reporting party (RP) stated there are two residents who are not receiving their medications as prescribed by their physicians. According to the RP Marymay in apartment #120 has a medication that has not been ordered or filled by the pharmacy. The RP disclosed that Marymay has been hospitalized twice and her medication still has not been given which is reflected on the Medication Administration Record (MAR). The RP is concerned for Marymay's health and well-being due to her lack of medication. Subsequently there is another resident residing in apartment #111 named Gene Bryan (?) which dosage of thyroid medication was changed. However, the change was not made and the resident continued to receive the old dosage until the daughter called to

The reporting party (RP) stated the foster child arrived to the hospital via ambulance on 9/21/15 at 7PM due to seizure disorder. The foster parents were not present during the transport to the hospital. The RP was concern regarding no bedside presence from foster parents. The foster child was a drug baby resulting in seizure disorder and withdraws. The RP stated the foster child was placed in the home on 9/10/15. The foster mother delayed her arrival to the hospital due to being tired. The foster mother did arrive at 8:40PM and informed the RN at 9:34PM that she wanted to go home. According to the RP the foster mother stated she had no legal right to the child. The RP spoke with Dr. Suzette Mohammed with the FFA who stated it was the hospital's

The reporting party (RP) stated resident Jennifer Carpenter has extreme mental illness. The RP stated the resident has examined by her physician who stated the resident needs a higher level of care. According to the RP the resident does not bath and her hair is matted to her head. The RP states the resident leaves the facility late at night without notification and is returned by the local police. The RP stated the resident gave her notice to vacate during a manic episode. According to the RP the resident stated she was being poisoned by the facility. When the RP asked the resident about the notice the resident did not remember giving notice. The RP stated the resident was given notice she need to vacate the facility by 8/21/15. The RP stated

The reporting party (RP) stated on 11/16/16 at approximately 9:30AM a visit was made to the facility to visit resident Noel Cua DOB: 3/5/52. According to the RP Mr. Cua is the brother of owner/administrator Arcely Pua. During the visit Mr. Cua was observed wearing oven mitts on his hands and tied to the side rails of his bed. The RP stated the administrator disclosed the resident would pull out his feeding tube. Subsequently the resident has a feeding tube and a Foley catheter. The RP stated the administrator indicated she was a Registered Nurse. The RP was informed the facility is non-medical therefore feeding tubes are prohibited. The RP stated the resident requires a higher level of care and should be placed in a skilled nursing

Reporting party (RP) stated that he has been residing at this facility for the past 5 days. RP stated that he fills out a food request form for the next day, but he is not served anything that he has requested. RP stated that he is a diabetic and he is vegetarian. RP stated that he requested a meatless chef salad with eggs and a grilled cheese sandwich for dinner. RP was served lettuce and cantaloupe for dinner. When RP asked the server (unknown, Asian woman) what happened to his meal, the server told him that if he does not like it he can leave. RP stated that this is the answer for all of his complaints. RP stated that other residents enter his room and go through his drawers at night. RP stated that he had some nuts on top of his dresser