The patient knew this colleague worked at the hospital. Over the next six weeks, the patient noticed an increase in cancelations of appointments with his patients. The dentist called a few of his long term patients and they explained that though the sympathized with him, they no longer feel safe in his care. Within two months after, the dentist’s practice virtually collapsed. The colleague, who the dentist knew, signed an affidavit stating that the nurse’s aide in the radiology holding area called him the day of the biopsy and informed him of the dentist’s HIV status.
REFLECTION: Communication with Dementia Patient During my rotation in Care of Elderly on Sarratt Ward, WGH, we once had a patient with severe dementia. She came in with a chest infection and had been unwell for two weeks and therefore not mobilized during that period of time. Previously she was walking with supervision of one. She was living in a residential home and for her to be able to go back there she was expected to be able to walk again with minimum assistance of one. The nursing staff reported that her chest infection had resolved and she was now more alert.
As a health care professional trained in different approach, I assessed my client based on the theory and learning experience that I have had. The client was been diagnosed with dementia, limited mobility, and inadequate verbal communication. I undertook a full assessment to a client with a sacral pressure sore. Assessment using observation was been completed to the sacral area, and graded the level of pressure ulcer using the Braden scale. The nurse mentor was been informed about the type of dressing and intervention that should be provided to the client, along with the explanation with the rationale to the procedure that I have decided to use.
Then when they show signs of mental stability send them back. Another soldier had said in this article that after being severely traumatized while in battle he was diagnosed with PTSD. After his tour was finished he was given sleeping pills and anti-depressants, then several months later he sought some mental health care. They had forced him back into battle stating that “...his problem wasn’t serious enough.” When he returned, he was referred to a hospital for mental care twice, each time with more medication, and finally without his weapon. “I stopped running missions, and I
I would do the Beck’s Depression Inventory with her to determine the severity of the problem. I would do a mental exam on her to determine the severity of the Alzheimer’s. - Clinician Characteristics To be best able to work with Mrs. Sanders I would have to show her that I cared, show empathy, as well as a desire to help her. I would have to be able to motivate her and promote her continued independence. I would need to be structured, creative, and positive to help her find ways to deal with the Alzheimer’s.
“Hospice care is a form of palliative care that is given to a person when cancer therapies are no longer controlling the disease. It focuses on caring, not curing. When a person has a terminal diagnosis (usually defined as having a life expectancy of 6 months or less) and is approaching the end of life, he or she might be eligible to receive hospice care” ( Author Unknown, 2010). “The goal of hospice is to enable patients to continue an alert, pain-free life and to manage other symptoms so that their last days may be spent with dignity and quality, surrounded by their loved ones. Hospice affirms life and does not hasten or postpone death” (Author Unknown, 2012).
The average patient is in hospice 59 days. Hospice is for those who are terminally ill, who can no longer take care of themselves and their families are unable to help, and it is also for the cancer patients when chemotherapy and other drugs are at its end and are enable to fight the disease. The decision of hospice is decided by the patient, family and physician. Hospice services are provided by a group of professionals who works as a team to develop the best care plan for the patients as well as their families; those professionals include: Nursing services, physician participation, medical social services, counseling, Pastoral or spiritual bereavement counseling (for family up to one year after patients death), dietary, home health aide services, medications, medical equipment, other medical supplies, laboratory and other diagnostic studies related to terminal illness. Therapy (physical, speech,
The patient made it very clear that she did not want the phlebotomist to draw her blood (Finnegan, 2013).This same phlebotomist has drawn her for several days for a Prothrombin Time (PT) and Activated Thromboplastic Time (aPTT) without incident, so he reports this situation to the nurse. The nurse informs the phlebotomist that the patient has formed a complaint against him and did not want him, in particular, to draw her blood. The blood had been drawn from the dorsal side of her hand for several days, which was now bruised and swollen. The patient complained of moderate pain, especially when she moved her fingers. Upon observation there was a diffuse ecchymosis over the dorsal side of the hand that extends up the forearm to the elbow.
eWinterbourne View was a hospital in Bristol that treated people with leaning difficulties and autism. Terry Bryan , a 35 year experienced nurse turned to the BBC Panorama programme after his complaints to the management and The CQC were ignored. An undercover reporter took a job there as a support worker, first he had training to show him how to reduce the chance of them getting violent and posing a risk to themselves. The message was all other options should be explored before resorting to holding someone down. During the reporters first days there he found that some of the staff ,as a first resort restrained the patients.
Do not change or stop taking any of your medications without consulting your doctor. Adults who are so severely depressed that they are unable to care for themselves, and cannot be safely cared for at home should be treated in a psychiatric unit. Most people benefit from antidepressant drug therapy, along with psychotherapy. It takes time to feel better, but there are usually day-to-day improvements. Some people with major depression may feel better after taking antidepressants for a few weeks.