Summary Of Rebecca's Case Study

Presenting Problem: She has a hx of multiple failed placements and relates being placed in the programs for her substance abuse, anger and aggression. She has 2 past suicide attempmts one from an attempted hanging and the other from attempting to jump off a building. She reported feeling homicidal 7-8 times against her stepfather. Rhonda reported physical and emotional abuse from maternal uncle and incidents of sexual assault btwn the ages of 6 and 12.

Nearing the end of my shift in the Emergency Department, I was requested to accompany a patient while the nurse readied the discharge papers. Upon entering the bay, I met a very small and fragile patient who was anxious to go home. Conflicted between my primary duties and responsibilities to complete training for two inexperienced volunteers, I decided to put forth my interests in teaching by demonstrating compassionate care to my trainees. Although the patient repeatedly refused my assistance, I gave my best effort to calm her as I cloaked a warm blanket around her. As I listened to her confide in me of all of her hospital anxieties, I was shocked from the lack of quality care she had received which made her feel more sick after the first

A good point that arose from the situation was that Mrs Clarke did not injure herself and that her severe reduced mobility was now recognised and respected due to this incident. Mrs Clarke seemed to recover quickly from the incident. Although she was initially distressed this was short lived. There were several bad points that should be acknowledged. Firstly, I think it would have been beneficial if a second opinion from a qualified member of staff was sought, this possibly would have prevented the situation from occurring. Secondly, Mrs Clarkes’ wishes were not respected, she was in a very vulnerable position and this I felt contributed to her being persuaded to mobilise against her will and better judgement. Mrs Clarke also ended up in a very awkward and exposed position on the floor and the way in which she was manually handled meant her dignity had been considerably compromised. Finally, Mrs Clarke was manually lifted back onto the bed which again potentially put her and the staff involved at further risk of injury. In addition to this, to my knowledge the incident was not reported.

For years, women have always been dealt the short hand or always have pulled the short stick.Women have never been treated fairly and even to this day we are not seen as equal to a man.I could have chose any woman but I chose one woman in particular who has had this experience first hand, Rebecca Lee Crumpler. Rebecca Lee Crumpler, unlike most, was born a “free” slave. Raised under the care of her aunt, who had medical training herself.She learned some of the ins and outs of the medical field. Crumpler later relocated to Charleston, North Carolina, and became a nurse because there were not many female doctors, let alone an African American one, but that was all about to change. Since she worked so well with the doctors and excelled at her job,

The physician began screaming and cursing in the middle of the unit. He questioned her education by stating, “where did you go to medical school”. The nurse became really upset and began to cry. The behavior exhibited by the physician iss a textbook example of horizontal violence.

On January 19th, 2009, Ian Andrews was given a seven-month suspension from the nursing profession. A year prior, Andrews was working as a full-time practical nurse at a mental health and addictions hospital located in Ontario. The client affected by Andrews ' actions was an elderly individual, who was diagnosed with autism and presented occasional periods of rage and fury. The client’s care plan involved managing periods of aggressiveness through staff support and the use of restraints, as necessary. On the day of the incident, staff nurses noticed that upon the client’s grunt, Andrews punched the client in the face several times, as the client tried to cover his face. Andrews then took the client into the bathroom where thudding noises were heard. Upon arrival, the nurses noticed Andrews standing over the client uninjured, with the wall covered with traces of blood and a broken faucet resting in the sink. Later in the evening, Andrews ' left a progress note within the client 's chart which described that the client had injured himself due to a period of restlessness. Upon patient assessment, a wound was noted on the client’s bottom lip along with minor lacerations present at the back of the client’s head.

Meanwhile, elsewhere in Habersham County, Tom was feeling slightly nervous as he exited the staff lounge and entered the hustle and bustle of County Hospital’s ER to begin his first shift as an RN. The first few hours of his shift passed slowly as Tom mostly checked vital signs and listened to patients complain about various aches, pains, coughs, and sniffles. He realized that the attending physician, Dr. Greene, who was rather “old school” in general about how he interacted with nursing staff, wanted to start him out slowly. Tom knew, though, that the paramedics could bring in a trauma patient at any time.

When Henrietta Lacks found a lump in her cervix; she went to Johns Hopkins Hospital in Baltimore, Maryland to sought for help. Doctor Howard Jones did a biopsy on the mass that was taken from Henrietta’s cervix, and he diagnosed her with stage one cervix cancer. Her cell culture and tumor was used for growing human cells outside of the body in Gey’s lab and the HeLa specimen is the one and only that work. This experiment has changed history forever and her cells was sent to labs around the world without Henrietta’s consent. It is unacceptable and unethical for them to use patients for research without their permission. The actions of George Gey’s and Johns Hopkins Hospital make us question their professional ethics which is also the reoccurring

On Thursday, August 27,2015, @ 5:29 pm ,Tyneice Daishae' Key( DJS Youth ) was redirected by Dennis Thomas ( Senior Residential Staff) to return to Tours Unit. Tyneice Daishae' Key( DJS Youth ) became verbally aggressive towards Telethia Menefee ( Residential Staff). Tyneice Daishae' Key ( DJS Youth) also began to curse and threaten to hit April Smith ( Supervisor of Tour Unit). Tyneice Daishae' Key( DJS Youth ) was redirected to her room to take time away. Tyneice Daishae' Key( DJS Youth ) was able to return to the unit and go to her room. Once in her room Tyneice Daishae' Key (DJS Youth) began to use her chair to hit the door with. Dennis Thomas ( Senior Residential Staff) was able to open the door and remove the chair. Tyneice Daishae'Key

Equally important the nurse indicated that she was in a hurry and unable to sit down, choosing rather to stand while she talks to the patient. What the nurse did not realise was that she had assumed a power stance and had failed to create an environment that was holistic, conducive and

I was assisting Mrs x who was not too well but Mrs x was fully mobile and only required assistance of one staff while walking Mrs x to the lavatory she felt dizzy and was about to fall I grabbed hold of her at once I shouted for more help.

The nurse was asked what was hurting and "she replied that she was having head pain and a server headache", the next question which was asked what time the incident happened, and "she replied to it that it had happened around 16:30 hours and has been sitting here to see if the pain would go away", the next question which was asked if she wanted to go to the hospital, "she replied that she wants to go", The EMS crew then told the nurse to get up and move over to the stretcher located along the side of her and,"she replied that she did not want to go by a stretcher and, but she would prefer to walk out to the

Another day of my clinical placement 420 in orthopaedic unit began on July 4, 2015. I received my patient and started to research a patient history and medications. At 0700 a shift report started, I received information that my patient had fall at night shift without witnesses. By the policy of Providence Healthcare a patient who had fall without witnesses should be automatically monitored for head injury therefore, a Glasgow Coma Scale was initiated by previous nurse: every 15 minutes, then every hour, every two hours, and every 4 hours. This scale is to check and monitor level of consciousness which possibly may decline after head injury. At this day we had a student as a "nurse in charge", she volunteered to come with me to patient room and to supervise my work. For this particular patient close monitoring of vital signs and neurologic assessment required. I explained to the patient the purpose of frequent health assessment and started to work. Close patient monitoring in addition to all daily routine activities was challenging to me because I never had a patient with this diagnosis. Despite my explanation of the purpose of frequent assessments patient stated that "I am fine, do not feel any discomfort, there is no need for that". While assessing patient she keep asking a lot of questions such as why so many time why do I need to drink more than one mouthful of water with my tablets, what these tablets for, why do I need to wait few minutes after

-Working with Mary, I feel that one barrier that she is facing in regards to her expressing/accepting her sexual orientation and gender identity is fear of being rejected and shamed by her family. Evidence suggests that for LGBTQ young adults, a heightened level of

This paper will reflect upon and explore a critical incident which occurred whilst attending a clinical placement.