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.
I was in a double room and my roommate, Marie, a heavy girl, had jumped off the roof of her house and shattered her knee. She was there almost as long as I was and I later saw her at physical therapy. She never walked the same again and experienced several complications while in the hospital. What seemed like a simple fracture turned into a nightmare for her, and what seemed like a hopeless situation for me turned out alright. I couldn’t help but wonder why I was so lucky.
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.
The child’s mother and father are divorced, and the mother has sole custody of the child. A “code pink” child abduction was called, and local law enforcement notified. The child was found unharmed thirty minutes later at the home of the child’s father. The mother brought the child to the hospital for outpatient surgery that was to take approximately 45 minutes with a period of recovery of one hour. The mother requested that the nurse call her on her phone should the child get out of surgery early, and she left her cell phone number with the nurse.
She start complaining to her mom about pain in her hip, next day took her to the hospital where they said she had symptom of a virus but days after the pain spread and the fever got worse. Addie been diagnosis with spread of MRSA, a staph bacteria that cause infections resistant to many antibiotics. Second case, David Ricci, 19 years old American face another threat in India. David been run over by a train and dragged underneath it. Lucky to be alive, he was rush to the hospital, where they cut of his leg.
Along with previous scenario stated, let’s review another case: A phlebotomist from a contracted lab begins his daily rounds of blood collections for the day in a long term care facility. He enters room 201 to draw a 85-year-old woman who was admitted for atrial fibrillation. When he introduces himself and asks for consent to draw her blood, she shouts, "No!" and asks you to leave and not come back. 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.
She was in the hospital, lying in bed but still so full of hope, faith and life. My brother, mom, cousin, aunt and I had gone to spend the day with her at the hospital and she said something that I will never forget. I knew that she was very sick and that there was no cure to what she had been diagnosed with but she still had faith like I could never imagine. Even though I knew and I’m pretty sure she also knew she still looked at me and said “When I get out of here and all these cords are off of me, I want you to come down here to Lexington and spend the day with me, we will go out to eat, to your favorite restaurant, like always, Golden Corral and eat some lunch and then go see a movie, I should be out of here soon so be ready” After hearing her say this, a few tears built up in my eyes but I knew I was stronger than that so I didn’t let them go I just looked back at her and said “Ok.” Before her stay at the hospital I remember her best as a vivacious, strong willed active woman. She got up every morning before work and walked 3 miles just because the doctor said it would be good for her.
Unfortunately my bladder was full of blood. One of the many cysts on my kidneys had ruptured and filling my bladder with blood. I was immediately admitted into the hospital which left me no choice but to call my kids, my mom and my dad who came to the hospital within the hour. It seemed like they were by my bedside within
Four years later, she was admitted to the school clinic, supposedly to have her appendix removed. It was years later that Muir learned that she had been sterilized.” (Unknown, The Sterilization of the Intellectually Challenged) The Famous Five are supposed to be a group that supports and aids others; ironically the Alberta Sexual Sterilization Act, that they helped to pass, was hurting others. If history books do not record everything, both negative and positive, the suffering and agony felt by Muir and others like her, will be forgotten. In doing so, everyone would live a lie; that all famous figures were and are perfect. Plus, Members of the Eugenics Movement saw themselves as nation-builders.
Of course, this is a strange pursuit because it requires searching for a propensity while at the same time it has always being inside me. One evening, when I returned from school I found out that my Aunt had gone through Uterine artery embolization. She was lying in bed with severe pain, prescribed with a couple of narcotics to control it. Despite being warned by the doctor of the pain she will go through if she lives the hospital after the procedure, she was forced to leave for the fear of how much it will cost her to stay overnight. I tended to the needs of my ill aunt and during this period of time, the idea of playing nurse never crossed my mind; rather, care giving was a way of life.