As a home care nurse, I am designated to care for a 56-year old female patient that presents with lymphoma which has metastasized to her spine, and is presently in quest for chemotherapy treatment. Proceeding admission to home health care, the nurse establishes services including nursing care, physical and occupational therapy, home health aide, social work, and other medical assistances. The goals of home health care services are to help individuals to improve their function and live with greater independence, to promote the client’s optimal level of comfort, and to assist the patient to remain at home, avoiding hospitalization or admission to long-term care institutions. Medical History Patient also, has history of hypertension, GERD, morbid obesity, anemia, and depression. She reported that the past few months, she has been feeling very weak and overall generalized deconditioning. Her ability to care for herself including her activities of daily living (ADLs), and her basic physical needs (like bathing, grooming, ambulation, meal preparation, transportation, errands, and housekeeping), had decreased, and cannot consistently carry them out. Patient has also been having problems with functional urinary incontinence because of her inability to get to the bathroom in time. Her oral intake had decreased and she has lost 10 pounds in the last six months. Her baseline weight is 230 pounds. She ambulates with the walker, but only when she must go to the bathroom.
Click here to unlock this and over one million essaysGet Access
2. Think of an example of a time you have received feedback from others than has improved your knowledge, skills and understanding. This may have been from your assessor, tutor, a supervisor or line manager, or individuals using the service. Description of experience How did this experience improve your knowledge, skills and understanding?
Alongside these nursing aids, our organization offers health concierge services to clients in their own comforts at home. Among the services we provide to our clients include Companion Care, which is designed to meet the needs of the elderly, Respite Care for patients recovering from illness, Jet Care geared towards the traveling customers, and Home Care that is focused on home-based care delivery. I have served in Home Care of La Jolla since its creation in 2002. The interest to offer a more customized and a need-based service to special groups in the society is the main reason for concentrating in the long-term care industry.
She converses appropriately. Blood pressure 92/60 supine. Blood pressure decreased to 72/50 standing. Pulse is 90 and regular. Weight 113 pounds. She has a normal appearance of her face and does not have a masked appearance of her face. She has good strength throughout her face. She has good strength of her extremities. She has only minimal cogwheel rigidity at the left wrist, but no cogwheel rigidity at the right wrist. She has no tremor of her hands. She moves her extremities freely and with normal speed. She is able to rise on her own from a sitting to a standing position, only minimal bradykinesia of standing. She walks fairly freely and there is a normal cadence of her gait. She did not have dyskinetic movements of her extremities. She is able to walk, including turning without losing her balance. She does not shuffle her feet when walking. She does not have en bloc turning. She has good posture stability
This unit develops understanding of the values and principles that underpin the practice of all those who work in health and social care. The essay consider theories and policies that underpin health and social care practice and explore formal and informal mechanisms required to promote good practice by individuals in the workforce, including strategies that can influence the performance of others. The first part of this essay will consider how principles of support are implemented by using Overton house residential care home to evaluate and explain how principles of support are applied. Key concepts such as person-centred approach and dilemmas and conflicts arising from the
A checklist can be used either on a regular basis or as and when difficult issues have been dealt with. This checklist can be used to monitor approach, effect the approach had. An honest assessment requires honest reflection.
Many seniors live in areas where cold weather is a way of life, especially in winter. These are not the chilly breezes that come off the water in Florida, these are freezing temperatures that can cause severe hardships, loss of power and electricity, frozen pipes, and loss of services. In-home care personnel can help your senior loved ones prepare for the cold weather.
A review of her medical record indicates that she has a history of functional decline, dementia, weakness, MRSA, cognitive communication deficit, presence of right artificial hip joint and HTN.
Member experienced moderate pain due Dx. Osteoarthritis, have an unsteady gait, experiences dizziness (new medication Flomax 0.4 milligram) and is a risk of falling (score 11). He needs assistance of daily living. Goes to bathroom frequently due to Enlarged prostate.
Millions of people today want to recuperate from an illness or medical procedure in the comfort of his or her home. They desire to be independent while staying linked to their health care provider to feel confident in the quality and continuous care after discharge. With the help of a home health aide one can receive complete, cost-effective, quality care services within the comfort of one’s own home. The subjects addressed in this paper are few services and products offered from a home health aide, the workforce roles of the services, and how the workforce roles impact a health care organization. In closing, figure 1-1 will
Blood pressure -138/88, HR 71, Lung sounds –clear, temperature 98.8 F, radial pulse and pedal pulses +1 bi-laterally, normoactive bowel sounds. No history of smoking, drugs, alcohol use or diabetes; takes no daily medications. Surgical history: Hernia surgery September 2016 and cataract surgery September 2013. Moderately active, walks every day, sometime incorporating hand weights. Patient presents with minimal trembling unilaterally, (left side) when fingers stretched out, reports movements have been slower than normal. Patient’s wife reports “He’s been eating more slowly and it has been taking longer for him to get dressed in the morning.”. Upon examination it was determined that patient has reduced arm swing, slight stiffness in neck, difficulty rising from sitting position in the chair, masked facial features and deteriorated balance. No signs or symptoms of stroke.
At today’s visit she is accompanied by her husband and private aide. Her husband reports that she is doing much better. He states that her pain has improved and she has not taken her pain medication since last visit. He states that her anxiety had improved extremely with the recent change in her Xanax. He states that he has hired 24 help for the patient and since she has not fallen. She reports that she is feeling well. The caregiver reports that the patient continue to suffers from hypotension and hypertension with variation in blood pressure. The patient also continues to suffer from chronic tremors as a result of her Parkinson.
Throughout the whole visit, BA remained sitting in her reclining chair with both legs elevated. She also had a nasal cannula on which was set at a rate of two liters of oxygen per minute. BA does not have any dentures when asked, but two of her front teeth were missing because someone fell on her “twenty something years ago”. BA had one bowel movement the day before, and the nurse got excited and said “that’s great!” so I assume she was having issues before. The nurse had told me that BA wears adult diapers, so she made sure that BA’s bathroom were stocked in the correct size. BA tells us that she has “no pain” today, and still takes all of her medications as prescribed. She also has an emergency necklace that she wears at all times, in case she falls or feel if something is wrong. Overall, BA’s strengths were cognitive function and nutrition. She was very attentive and shared with us appropriate responses. She also had a great appetite, and was aware of the foods that she needed to cut back on. In terms of functional needs, social support and elimination seem to be of concern. Feeling a sense of loneliness can affect one’s self perception and BA explained to us how she wishes her kids would talk to her more (insert source here). Regarding elimination, BA wears adult diapers and had only had 1 bowel movement the day before. If the diapers are not changed
Home health care has become an increasingly acceptable and popular form of health care provided to patients for acute, chronic, and terminal illnesses. Home health continues to rise in demand for a variety of reasons. Home health is a cost effective method of providing patients with the care that they require (Phipps, Monahan, Sands, Marek, & Neighbors, 2003, p.154). Patients can receive needed care without the added cost of a hospital stay or an extended hospital stay. This helps to lower the cost for hospitals, insurance companies, public assistance, and the patient. Other added benefits to patients receiving home health care are a decrease in nosocomial (hospital acquired) infections, improved nutritional status, personalization of