At all times her support plans where updated regularly about changes in her health conditions. Her husband BM was admitted to us as a nursing case towards the end of last year as his health was deteriorating fast he still liked to see JM on a daily basis and although they had separate rooms they spent a lot of time together. His support plan was regularly updated. Over the last few weeks JM was quickly deteriorating going of her food and refusing to take her medication staff spoke to BM and discussed how much information he would like to be told his family were also informed as he too was going downhill quickly.in JM support plan it was stated that no medical intervention was wanted and that she wanted to go as peacefully as possible, in her last few days she spent her final days in her room staff would constantly keep BM updated on her condition and would offer to take him up to visit her, on a few occasions he declined but as she deteriorated staff informed BM that they didn’t think she had very long left he chose to visit her, staff asked if he would like to spend time alone with his wife or if he would like a carer to stay with him, he chose to be alone but stated that he only wanted to spend half an hour with her and to say goodbye, her family were also informed of the situation and they also visited. JM passed away few
| Expressed feelings of abilities to cope reduce stress. (Nanda, 2012). | Nursing Intervention 2 | Desired Outcome 1 | Desired Outcome 2 | Evaluation Method | Rationale | The nurse will assist the patient in being co-manager of treatment plan (Nanda, 2012). | Patient will gain control over the situation X 30 days. | Patient will become educated about treatment plan and possible side effects X 30 days.
I am responsible for the discharge planning of the patients when they are ready to leave the hospital. I assist patients and family members in their process of establishing and understanding Advanced Directives. I review the care assessments for patients newly admitted to nursing homes and I am also responsible for seeing that patients receive the added care here at the hospital through the Swingbed Program and that they have enough days available before I have to discuss things further financial options with the patient or family. As far as educational preparation I really didn’t have much, most of it was on the job training. I do have a masters in community health and gerontology and I am a member of the American Case Management
The committee came to the conclusions that the existing policies were not sufficient to address the circumstances that lead to Mr. B’s demise. The professional nurse will lead this team through the process. The nurse will ensure, via CNO, that the clinical managers of the nursing units as well as department heads of non-nursing units, address this process at weekly unit meetings. The nurse will be testing awareness of the process by performing a random sampling questionnaire one time in one month. The nurse will also increase awareness by speaking to the process in Shared Governance meetings.
The patient is assessed by the Killard staff to see if they are appropriate, have adequate support and a safe place to reside for the duration of the detoxification process. If this is the case Dr Bills supplies a reducing regime of diazepam and they are monitored daily by the Registered Nurse at the Killard Centre. An example of an Ambulatory withdrawal regime is as follows: “Day 1 diazepam 10mg 6 hourly, Day 2-3 diazepam 5-10mg 8 hourly, Day 4 diazepam 5 mg morning and night. Tapering doses may be required over the next 2 days” NSW Department of Health (2007). The medication is dispensed either by a responsible support person such as a relative, or the local pharmacy on a daily basis.
Please remember to send a thank-you note to the nurse leader you interview. The date and time of my meeting with the Director of Nursing will be Wednesday, April 16, 2014 @ 1pm. Learn what reports she has to submit out to the corporate office either on a daily, weekly, and monthly basis. Gather information on how the Director of Nursing structure staffing to maintain appropriate staffing for the facility with nurses and certified nursing assistance to patient ratio. The process that has to be done when she has to report to the state Department of Health and Senior Services, when there is a possible case of abuse or neglect with one of the within the facility.
Brandi Rees tries to figure out Jane’s mindset and the background of her behavior including her “physical, cognitive, emotional, and social aspects.” (Intro. To Human Services Chapter 6) *Psychologist Brandi Rees counsels with Jane and helps her make goals to get better adjusted to life and deal with the problems she has through talk
Hospice Organization Lisa Harris SS368 December 11, 2012 Douglas McCoy Hospice Organization I Interviewed After careful thought and consideration of all the organization that I could interview for this assignment and given what is going on in my personal life with my mom’s current health I chose to interview someone from Faith Hospice of Oklahoma. About the Interviewee I interviewed Charlene Killgore she is the Volunteer Coordinator of Faith Hospice of Oklahoma, she handles the Norman and Oklahoma City location. Due to time constraints for both of us we were not able to meet in person, so our conversation took place over the phone it really turned out to be a phone conversation where I asked the first question about what she
Another type of family based therapy is Maudsley family based therapy (FBT). This program is also divided in to three phases: re-feeding the patient, negotiating for a new pattern of relationships, and adolescent issues and termination. Treatment is provided by a mental health physician in conjunction with a pediatrician who monitors the adolescent medically. The patient is weighed at the beginning of every session. Sessions last for one hour with the exception of the family meal session which lasts 90 minutes over the course of twelve
Then, for three months, the nurses were evaluated by an independent team member using abbreviated critical competency checklist created specifically for the study. In addition to the program, weekly patient screenings and results of infection or colonization were debriefed amongst essential staff. Health technicians were constantly reminded of how to correctly transport specimen and janitors on how to properly clean the