Case Study 1: Patient Admission Concepts related to HLTEN512B Topic 1 Mrs. Gwen Jones is a 70 year old woman who has been admitted to your ward after arriving from her doctor’s surgery. Her GP has included a letter stating that he has assessed Mrs. Jones and requests she is admitted. She is feeling very unwell, with a high temperature, frequency of urination and burning when urinating. She appears slightly confused. She complains of back pain.
Why? d. What teaching interventions would you provide to the client after the change in prescriptions you recommended? (List at least 3 interventions) 2. Mary S. is an attorney (who is 48 years old) who has suffered from epilepsy for about 25 years and is taking the medication phenytoin. You are looking at her electronic medical record and note she has missed several of her quarterly MD appointments.
Throughout this assignment I will be using a pseudonym to maintain patient confidentiality in order to conform to ‘The Nursing and Midwifery Code’ (NMC, 2008). Harry Jones is an 82 year old male who was transferred to the ward with a left fractured neck of femur, following a fall in his home. As a result he was due to have a hemiartroplasty that day. Harry lived at home with his 79 year old wife and his dog. He has been retired from the police force for 21 years.
Scenario The wife of C.W., a 70-year-old man, brought him to the emergency department (ED) at 0430 this morning. She told the ED triage nurse that he had had dysentery for the past 3 days and last night he had a lot of “dark red” diarrhea. When he became very dizzy, disoriented, and weak this morning, she decided to bring him to the hospital. C.W.’s vital signs (VS) were 70/- (systolic blood pressure [BP] 70 mm Hg, diastolic BP inaudible), 110, 20. A 16-gauge IV catheter was inserted, and a lactated Ringer’s (LR) infusion was started.
CONNECTING Sunita a 25year old mother has attend the walk-in centre accompanied by her husband. She has recently come from Pakistan and hardly speaks or understands English. She has brought in her husband to interpret for her. Both were greeted and offered seats.Lymn et al (2010) states that the first impressions are important to put the patient at ease in order to get a detailed history of the patient’s problems. By greeting and offering seats to Sunita and her husband we were developing a rapport with the patient and being professionally friendly.
Prior to seeing the nurse practitioner, he fills out a history form which elicits a family history and review of systems. His father died of a heart attack at age 72. His mother is alive and well at age 76. He has a 44-year-old sister who recently had a hysterectomy and has been treated several times in the past for depression. He has a 22-year-old son and an 18-year-old daughter who are in good health.
She wants you to explain what must be done to treat the disease because her sister did not understand the doctor’s explanation. Complete the interview and case study below. Post your response to the Assignment link. Part 1: Interview Form Cardiovascular Disease Interview |Checklist for Symptoms and Signs of Cardiovascular Disease | |□ |1. Are you lightheaded?
Last year, the patient was hospitalized more than 4 months total for the problem. He is from Atlanta. He is coming to visit his aunt accompanied with his mom and his sister. Patient states “he has to go to University Hospital Emergency Room for cyclic vomiting syndrome on Sunday 7/15/12 at 1pm. 2.
In adherence to paragraph five of the NMC code of professional Conduct (2008) which requires nurses to maintain anonymity and confidentiality, a pseudonym is used in this critical incident for the identity of the patient. The patient will be called John. I was a novice in my last placement in a dementia ward. It was a Monday morning, all the patients were having their breakfast in the lounge .It was my second week of placement where I was asked by a nurse to go and observe a suicidal patient suffering from anorexia nervosa. The patient was a 37 year old male named John.
Assignment #1: My Family Communication Rosalinda M. Wollin Portland State University Abstract The following pages represent a description of what constitutes some families, along with what my family represents today. This manuscript will provide some examples of how members of my actual family communicate and facilitate ease of communication. In conclusion, I will attempt to describe the best working communication theoretical fit at this point in my academic career. My Definition of Family A family can consist of two or more people cohabitating with or without children. There can be blended, interracial, mixed families, as well as extended families.