Healthcare Issues As the discharge planner for Mr. Trosack, I will need to address several issues before I can safely send him home. He has had several new diagnoses while in the hospital for a fractured hip, and the hip fracture will be the first issue I will address. He will not have the mobility he had before his fall and even though he wants to be independent, he will continue to have issues at home that needs to be addressed. Second, he has been diagnosed with diabetes, and he is in denial about this. He and his family feel that he will be able to control his blood sugar level with diet alone.
Each service user is different and they all like/ dislike different foods. Some service users are able to tell staff as to what they do and don’t like. As for some individuals have difficulties explaining things, but some information like this will more than likely be found on their own care plan. Also some service users may have other things to be aware of such as diabetes eating less sugary things or bad oral hygiene not allowing them to eat solid foods. In this case I would seek guidance for their care plan and GP as to what is acceptable for them to be having.
Interdisciplinary Case Management Amy E Plott RN Western Governors University Healthcare Issues and Their Importance Mr. Trosack has several healthcare issues that must be reviewed and addressed prior to discharge from the hospital. The case manager, and chosen interdisciplinary team, should evaluate and prioritize the issues found when providing a discharge plan of care. Mr. Trosack’s most pressing health issue is his recent hip fracture and subsequent total hip replacement (THR). Mr. Trosack is accustomed to being self-sufficient and will now have difficulty with mobility. This will affect his activities of daily living (ADL’s) therefore making it more difficult for him to care for himself without some type of assistance.
ETHICS CASE STUDY BRANDI M C UNIVERSITY OF PHOENIX In healthcare many things go off of ethics, every healthcare worker has to understand that. In this case study Jerry Mccall has to decide whether to call in a medication refill without consulting the doctor first. Many things need to be considered like legal consequences, patient complications, consequences for Dr. Williams. All of these could have grave consequences for Jerry. In this case study Jerry Mccall takes a call asking for a prescription refill, the person requesting the refill isn’t a normal patient of Dr. Williams he states he is a close friend.
LD 206 – Principles of supporting an individual to maintain personal hygiene Most people will maintain personal hygiene except in illness, substance abuse, or dementia. Dementia can cause a change in personal hygiene habits. People may forget to wash or change their clothes, or they may forget how to keep clean. Carers may find these stressful but different strategies can help. A person with dementia may need help with going to the toilet, getting dressed, brushing their teeth and grooming hair and nails.
Unit 57- Support individuals to eat and drink 1. Describe ways to resolve any difficulties or dilemmas about the choice of food and drink (1.1.3) Some people might refuse to eat the food that have been given to them. They may have difficulty in eating and may be given food in a liquidised form or soft diet as this could be what it states in their care plan. If someone is on one of these diets then they may not be able to choose what they want to eat, this can cause problems between the service user and supporting staff members. This can be resolved by reporting the issue to your senior member of staff on shift or your manager.
The strained relationship with his only child could isolate Mr. Trosack and could lead to depression. The nurses and doctors on the team has to work with Mr. Trosack regarding health education. The importance of regular check-ups needs to be stressed, because Mr. Trosack hadn’t had a physical exam in ten years and he had expired medications in his medicine cabinet. He was diagnosed with hypertension and non-insulin-dependent diabetes and will need to further education. Mr. Trosack will need to know how to manage hypertension and diabetes through medication, diet, and exercise.
Therefore, due to poor evidence and support stroke patients are rarely referred for surgical options. Some patients could be considered for technological gait analysis, and these patients would even benefit from a simple surgery. A lot of times gait abnormalities are very subtle and very difficult to diagnose. Sometimes they happen months after the initial event, making it even more difficult to notice the gait abnormality. A suggestive approach to help with these difficulties of treating gait abnormality have been suggested: 1.
St. Johns is in a very tourist heavy area. Each patient who comes to the hospital is questioned in regard to having traveled in certain parts around the world. The hospital has to be constant alert to make sure that the disease doesn’t continue to spread. Another threat to St. John’s has been the recent change in health care laws. Some of the services that the hospital provides are not covered.
An example, would be a person whose job causes them a lot of stress, or an individual that does not have the means to eat healthy. For a person with a stressful job, looking for a new position with less stress is an option but if that is not possible, then incorporating stress relieving techniques such as walking or practicing yoga daily will help. For individuals that struggle with access to healthy food, they can check if there is assistance available in their area. There are two medications that are made specifically for people with IBS. One is for people with diarrhea predominant IBS and the other is for people that suffer from serious constipation.