The nursing staff reported that her chest infection had resolved and she was now more alert. They did get her out of bed but with lot of difficulty, as she would not follow any instructions or commands. The first time I saw her I had the rehab assistant with me. We were going to assess her ability to walk. I together with the rehab assistant tried to get her to walk, but we were not able to convince her to even stand from sitting in the chair.
White cap: Information Marianne is a 79-year-old woman with hemorrhagic stroke. She has been placed on a respirator, unresponsive, pupils dilated and non-responsive to light. Physician recommends surgery to remove blood clot but does not offer much reassurance that she would recover function. She has no advance directives. Husband wants to try everything, but children believe she would not want the surgery and a poor quality of life, which they agree is the likely outcome.
Then, her Doctor, and her power of attorney were contacted due to the refusal of medication. Mrs. H died five days after she refused the antibiotic because of infection to her brain. Though patient made wrong decision, nurses must be safeguard for their autonomy, and their decision did not influence by
Daphne had been written up and reported several times for having to leave the job to get to her kids for whatever reasons. Being recognized for the positive was something she lacked in her 17 years of licensure. Along with negative recognition and false accusations, Daphne began to feel unappreciated for her day to day work. To top all the disadvantages, Daphne lost the lead nursing position due to having to be out of work several times due to breast cancer
There was no on-going monitoring of nutritional needs, and no clear care planning towards this either. In may 2011, a lady whose mother stayed in Ipswich Hospital for a month two years ago, wasn't surprised by the CQC's critical report. She stated that she had raised concerns at the time of her mothers stay, saying that her mother was not fed properly, her glass of water was out of reach. Her mother was also given nappies to wear, rather than staff having to help her out of bed to use a commode. In November 2011, CQC released another report saying that improvements in using call bells, and help with meals had improved.
Those conflicts may include: refusing a meal, type of activity, refusing medication or a treatment. For example: My client Molly (with serious dementia) decide not to take her blood pressure medication, she needs that medication to take every day. For me as a carer have the duty of care to make sure she takes her medication, but then again she has the right to refuse her
Many issues can arise that potentially effect one or all of a group if their leader does not follow proper ethical guidelines. Issues such as boundaries, confidentiality, cohesiveness, personal growth, dual relationships, proper knowledge, exercises used during groups, group therapy verses individual therapy, and informing group members about group specifics can all play a part in how effective the group will be on a long term basis. Ethical boundaries are there for very specific purposes. According to the National Ethics Committee, ethics "define the professional relationship as fundamentally respectful and protective of the patient and as dedicated to the patient’s well being and best interests" (National Assoc. of Social Workers, 2003).
Explanation why person - centred values are important and how they influence social care work. A care worker need to be able to understans the importance of promoting the following values at all times and these values underpin the whole of health adn social care. Individuality Everybody involved in the care of individuals need to get to know about the needs of people from different ethnic and religious groups and also about people's beliefs and preferences. This value is important because by paying attention to these things, we can show respect and preserve individuals dignity. It influences social care work, because when we are caring for someone we have to be able to recognise that everybody is different and we must not impose our preferences to them.
The parent of the child should always be present should anything happen and the parent needs to be contacted. The parent must take some of the blame in not calling the hospital once she was told the procedure would be only 45 minutes. She was gone for 2 ½ hours before she returned back to the hospital. The Doctor-Dr. Munoz stated that he has all the pertinent patient information but did not make sure that his office had communicated this information to the hospital admissions staff The Pre-OP Nurse-Ms. Doppke failed to properly document the mother’s cell phone number in the patient’s medical chart. Therefore, during the post-op care, the mother could have been reached and notified the procedure was finished.
“Mom, I really don’t want to talk about it.” Throughout the night her mom checked up on her to see if she was ok. Tears began to fall down her eyes onto her cheeks, when she decided to call Jordan for comfort. Jordan gave Mariah advice just to leave him alone and focus on school. Mariah couldn’t understand why this was happening to her. The next morning, Mariah gets up for school and gets 3 missed calls from Daniel. Her heart almost jumped out of her chest.