The Care Of A Patient

This case study aims to critically analyse an episode of care in relation to a patient suffering from complex health care needs. The focus of the assignment includes three aspects of care: depression, malnutrition and their relationship to lung cancer.

For the purpose of this assignment the patient will be given the pseudonym Susan to protect her privacy and confidentiality in line with the guidelines set out by the Nursing and Midwifery Council (NMC) (2015).

In this assignment I will be exploring the issues around communication and assessment in relation to the care given to the patient. I will look at how care was delivered and how successful it was. The NMC (2008) states that healthcare professionals must respect a person’s right to confidentiality; to ensure this I will be using pseudonyms for the service users mentioned in this assignment. I will be referring to the patient as ‘John’ and his wife as ‘Brenda’. I have gained consent from Brenda to talk about her husband’s situation in this assignment, as he did not have capacity to grant consent himself due to dementia.

Jenny is an patient advocate" "Always verifies medication orders" "Always performs double checks and is conscious" "Never afraid to speak up, does what is right for the patients needs, attentive to her patients" "Repeats verbal orders, always verifies med dosages, asks improtant questions" "Alerts MD, CN and team leader of critical patients, always supporting new hires as well as nursing students by answering questions" "Anticipates patients and family needs" "helpful to peers" "always leadning a hand" "constiently checking on patients Qhr/VS, Throuogh documation" "Curteous to patient and family" "always addresing patients needs" "Actively checks on patients" "Always addressing patients concerns" "Answering any questions thoroughly" "Gives accurate/detailed report" "Asks patients if they needs anything before leaving patients rooms" "Patience" "Great bedside manner" "Jenny uses theraputic communication" ' Actively listens and addressess patients concerns" "Jenny is always paying attn to detail, she always thinking and acting in ways of safety (for patients and staff)."

The patient that will be discussed is going to be referred to as “Ms. W.” She is a forty nine year old woman who is divorced, has three children, and does not work due to her behavior. Twelve years ago she began thinking she had a bug infestation in her skin. She says that although she has never actually seen the bugs, she can feel them under her skin. Ms. W claims that, they also cause her pain. She was referred by a dermatologist after there was no physical evidence of a medical skin condition.

In order to increase the quality of patient care, Medication Therapy Management or MTM continues to expand as some medical insurance, such as Medicaid and Medicare Part D plans, will now pay for the service. MTM is a medical care implemented by pharmacists whose goal is to optimize the drug therapy and therapeutic outcomes for the patients. With the addition to the MTM, the pharmacists can help reduce the readmission of hospitalizations, inappropriate medication use, and emergency department visits. This will help reduce the costs that patients and insurance companies spend on and increase the quality of care. MTM services are additional to provision of a drug product and include a broad range of pharmacist’s activities within the scope of

When arrive to room patient was agitated, refusing services from Sitter Jorge Reyes. Patient stated that days ago Reyes refused to give him a white blanket. Reyes explained that was only white and blue blankets available at that time on the floor, that unfortunately on the last couple of days we had limited resources on regard to linen. Patient stated that he was the patient and Reyes was the server and he had to provide whatever he wanted, Reyes answered that he will provide him with whatever he needed, that he had to understand that this was a community hospital, that the linen department works limited hours and was not like a hotel where he was able to request

This request from Ron rises a lot of issues related to privacy and confidentiality. The Privacy Amendment Act 2012 (SA), refers to what information is collected and how it is managed in a secure matter in a healthcare setting. Nurses have to comply with confidentiality rights to a patient. This means they cannot disclose information about patients to anyone that isn’t authorised to have that information (Nursing and Midwifery Board of Australia, 2013). According to legal and ethical rights, this a very unreasonable request from Ron as it breaches rules and puts the patient’s safety at risk. Jess has acted inappropriately and could be prosecuted for her actions. Information about a patient and their healthcare needs is only available to medical

Piscotty, R. J., Kalisch, B., Gracey-Thomas, A. (2015). Impact of healthcare information technology on nursing practice. Journal of Nursing Scholarship, 47(4), 287-293. Retrieved 10 September 2015. doi: 10.1111/j.1475-6773.2010.01233.x

Client was observed coloring only one sheet and started moving around the office. Client switched chairs several times. He sat on the chair with wheels and started swirling it around for a period of time. He then sit backward with his knees on the seat while hold the back of the chair with his two hands and started rocking the chair back and forth for a period of time. He rocked the chair to the point that the chair's two wheels came off the floor. He moved the chair closer to the clinician's desk and picked up a pen and started throwing the pen on the table. He picked up the pen and threw it on the table about 6 times. Clinician eventually came to the client and asked him to sit on a chair without wheels. Client then crawled under his chair.

According to the article, “Noncaring and Caring in the Clinical Setting: Patients’ Descriptions”, “Presence is something which reveals itself immediately and unmistakably in a look, a smile, an intonation, or a handshake” (Riemen). The concept of nursing presence may sound similar to the nurse simply caring for the patient. However, nursing presence is much more complex; then simply administering the patient’s insulin before every meal. A nurse being present with the patient is actively advocating for the patient. They’re working with the patient to ensure they’re receiving the best care. If the patient needs pain medication, but doesn’t have any ordered, the nurse is calling the doctor and advocating for this patient’s pain. Comforting,

Evidence-based practice uses current research and clinical judgment to provide interventions and care for patients (Kelly, 2012). It is important for nurses and all healthcare team members to be up to date on current practices so patients can receive evidence-based interventions that improve clinical outcomes. According to Kelly (2012), almost half of patients that receive care, receive interventions that are not based on evidence which can ultimately compromise the safety of patients and their health outcomes. Peripheral intravenous therapy (PIV) is a common practice in the acute care setting and evidence-based practices have been established to drive appropriate care for this intervention.

On Saturday, May 14, 2016 at approximately 0031 hours, Security Officer Omar Alonso along with Supervisor Steven Evans were dispatched to the 1st floor East tower next to elevator Cart # B for a (53S) Patient Standby In Medical Unit. We arrived at 0033 hours and made contact with Patient Transporter Joel Velasco and Transporter Supervisor Robert Cherry who stated that the patient, Marybel Santiago (DOB: 02/16/1964; FIN: #85636515) had been screaming and yelling that someone was trying to kidnap her. The patient was being transferred from E.D. room #41 to room #208 bed 2 when suddenly she became irate, wanted to get out the stretcher and screaming she was being kidnap by people. Security spoke with patient and escorted her to her destination.

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,

possible health the patient could be in. Lastly, the patient was in the health restoration phase. This means the whole patient is evaluated to determine underlying causes for the hospitalization of hyperkalemia. The patient has a goal to restore back to the best possible health he can be in with better skills to maintain better health for himself.