The Tragedy Of Miss X

Inquiring about the feelings and behavior of each individual in the family around the last hospital admission for Jean and considering their feedback might help to explore each individual’s understanding of the situation.

She was a happy teen who shared pictures of her baby shower and also some pictures of the baby’s room. She was accompanied by her mother and her boyfriend who was not the father of her child. Both of them were very supportive during labor and everything progressed smoothly. Once the she delivered the baby, we saw that the baby was born with a cleft lip. The mood in the room changed completely and the patient’s family was distraught by the baby’s deformity. The patient’s boyfriend left without saying anything to her. The patient refused to hold the baby and give her new baby girl skin-to-skin touch. The patient’s mother was holding the baby in her arms with tears in her eyes. Without drawing any conclusion we talked to her about the situation. Although it was hard to get her to share her feelings, we waited patiently while we did the routine assessments on the mother and the baby. This enabled us to connect with our patient to better understand her feelings. After about an hour after our persistent effort the patient wept and told us that she was more disappointed that her boyfriend had left after seeing the baby. This had in turn created an aversion towards the baby. Later, I was able to find the boyfriend in the waiting area. I explained to him the patient’s feelings and he later decided to join the patient in her room. The patient felt much better seeing her boyfriend and

Another big role in a pediatric nurse’s job is telling the parents disturbing news when it is necessary. Telling the family any bad news is more of a process than anyone might think. The pediatric nurse responsible for this task must first think ahead, plan for the worse, and plan for the reaction of the family. The pediatric nurse must set time apart from their busy day to be able to spend it with the family of the patient. One is never sure how the family will react or how long it will take to explain all the details and answer all the family’s questions. , According to Crawford in his journal “It is also helpful in many cases to have a witness to what was actually said as sometimes, despite all the care and attention to detail, mixed messages can be conveyed” (Crawford 3). In the article, it also states that the pediatric nurse should give open and honest information to the family. The nurse should start the conversation off letting the family know that they are here to support and encourage. The nurse should be straight forward from there on out and should refrain from using elaborate or confusing words with the child’s family. The nurse should avoid not only confusing the family but also excuses, jargon, elaborate reasoning, and the temptation to speed through the bad news without making 100 percent positive the family understands what they are being told. When the nurse has properly told the family the bad news, he or she must

As noted, on February 29, 2016, the patient was nonetheless admitted to the UCR hospitalist. This was a senior member of the UCR hospitalist team who knew or should have known all of the policies and procedures for admission, and should never have admitted the patient as an attending to the hospital. In so doing, he was directly and deliberately interfering with the doctor patient relationship.

What social and cultural barriers may have made it difficult for the doctors to communicate with Jessica’s family? What might have the doctors done to increase the chances that Jessica’s family understood the true nature of the problems in this terrible circumstance?

The nurse would have arranged for Mr. Thomas to receive training, so that he is able to transfer his wife safety from the bed to a chair. Educating Mr. Thomas to safely participate in his wife’s care will prevent caregiver and patient injuries and will help Mr. Thomas not rely on paid staff to

Philly should have knocked on the door, before entering into patient`s room. She should have then greeted and introduced herself and the student nurse to Rudd. She should have then started the conversation by addressing him by his name. She should have also enquired about his pain. Philly should have finished her shift assessment and should have assured him that she will come back with the morning medications and then left the room. The behavior was very unprofessional.

a. The LPN was engaged in caring for the emergency transport patient along with the RN and was also in the process of discharging the other two patients. 3. Why did the LPN not notify the RN of the alarm and reading? a. With the information provided, it appears that the LPN was distracted as well as did not follow her scope of practice.

Kit sat in a corner chair, during one of her mother’s doctor appointments. Her mother was perched on the center exam table. Kit pointed out to the doctor that her mother was acting odd, belligerent, even though she was snippy before, her mother, was acting more childlike sticking out her tongue when the doctor tuned his back, becoming angry when she was asked questions. If the conversation wasn’t about her, she became angry and demanded they spoke only about her.

As a health community nurse, I will host a meeting with Mrs. Thomas family including their children, discuss the current situation and possible situation in the future, encourage everyone express their opinions, concern, feeling of frustration, wishes, beliefs and work with them to find out the ways to challenge the problems they already encountered and will face. Communication among the family member is very important to reduce the stress for each other. Let the whole family members, community and society share their emotion affection and stress, this way can also improve the quality of life for Mrs. Thomas and her family.

Patient A was assigned several nurses during her three days stay at the hospital. Everything went well until the second night at the hospital room. A new nurse was

Flowers’ room, we were quickly met with her daughter who impatiently wanted to discuss her mother’s discharge plan. Before we could even discuss our assessment and what the plan was for Mrs. Flowers, her daughter informed us that no one would be cutting on her mother, that she was makes the final decision, and that we should clean her mother’s foot so they could go home. That was it. To me, I thought it was clear that Mrs. Flowers either couldn’t make her own decisions or was simply agreeing with her daughter because that was all she knew. Thinking about it now, I realize how angry that first interaction with Mrs. Flowers had made me. I was angry at Mrs. Flowers’ daughter for treating her mother with what I thought was obvious neglect. I was also upset with the attending physician for not being more direct with Mrs. Flowers’ daughter. I understand now arguing with the daughter would have only made this situation

Imagine, you just had a child and your husband got a new house. A huge house and you can’t wait to move in. The house is gorgeous and you want a bedroom with large windows, but instead your husband outs you in a room where the bed is nailed to the floor and there are bars on the windows. This is how the wife must have felt in this story, she must have been so confused but since it was her husband, the doctor, she went with it.

Duty owed patient – As a nurse we have a duty to provide the best possible care to all of our patients within our scope of practice. Providing best care requires assessing our patients and reporting any abnormalities to the health care team so further action can be taken. It is not within the nurses scope of practice to make medical diagnosis or to initiate interventions in which they do not have physician orders for. For this reason it is essential for the nurses to communicate to the doctor when further evaluation and interventions are needed for the patient. The two nurses failed to do so.

Moreover, the family understands the specifics about the individual's condition and their daily routines. This can help health care professionals to decide if the person is following the proper steps in their therapy. Once this takes place, is the point that health care professionals can make adjustments to reflect changing realities. Those patients, who have their families involved, will be able to receive better care by ensuring that nothing is overlooked. This is the point that physicians will have a more complete picture surrounding their underlying levels of health. (Saleeba, 2009)