Picoult continues on this theme of “saving” by using Suzanne as Sara’s crutch, as she makes her coffee each morning and informs her of any missed phone calls. While in the hospital, Sara receives a call from Jesse’s principal informing her of Jesse’s suspension. On the car ride home she notices a bruise on his arm from a needle and assumes he has been using drugs. Jesse angrily explains how he has been donating blood that gave Kate platelets behind the family’s back, in order to “save” his sister. After two weeks in the hospital, Kate developed an infection that placed her in a coma on a respirator, which is “saving” her for the time being.
A Patient’s Bill of Rights was adopted in 1973 by the American Hospital Association in order to be able to provide effective health care services that are fair to both patient and medical personnel. June was hospitalized for severe anorexia and she initially agreed to have a feeding tube placed to save her life. I am sure her physicians informed her of the pros and cons of the placement of the feeding tube. According to the summary of the Florida Patient’s Bill of Rights and Responsibilities within our textbook “a patient has the right to refuse treatment” (Showalter, p. 272). When she was in her right state of mind she consented to treatment.
Denial Denial is usually the first of the five stages, everyone deals with loss differently but the basic processing of the stages remain the same. In this stage people often become “numb” and wonder how they are going to go on. Denial and shock are a natural survival reaction, allowing the person to only take in as much reality as they can handle (Kessler 2012). As healthcare professionals we can empathize with the patient and family and help them with the “get through the day” stage of their grief. Being available to listen to concerns, answering questions and providing guidance on end-of-life matters that may need to be addressed such as; living wills and power of attorney for healthcare.
Of course you can many people go without complications, there is little change before conceiving. The main problem includes, stopping certain powerful medications may affect the fetus while in uterus, such as steroids. You can also be pregnant and develop the disease, signs and symptoms include fluctuation in hormones, inflammation that results from discontinuing certain medications. Women that are pregnant, are tended to be monitored closely. Hormonal factors include a high prevalence in women, sex hormones, and estrogen.
Regulatory Audit/Compliance Current Compliance As the director of accreditation, preparing for Joint Commission Survey is tedious and preparation is ongoing. After looking at the provided data, it appears that Nightingale Community Hospital will be able to prove compliance in some area and will still need some improvement in other areas. The areas of compliance, as evidenced by the graphs provided, show compliance in pain assessment and pain reassessment in PACU and 3E but noncompliance in the ED. In the endoscopy area, moderate sedation is often used, and most areas show compliance, but there is an obvious trend of noncompliance with some pre procedure documentation that is required such as Mallampati classification, determination of ASA, sedation plan, and
Patient feels improved, colour returns to face. Analysis: nursing interventions can help in an acute clinical situation. Although the anaesthetist was informed, several things had been initiated by me prior to him being notified: A manual BP was taken to confirm what the autocuff was reading, Head was lowered, and pillow under feet to improve the venous return Fluids were speeded up to increase the circulating volume ( stroke volume X resistance= HR ) after confirming no obvious CVS problems. This is important because increasing fluids and overloading a known weakened heart, could possibly lead to right cardiac failure or pulmonary hypertension. Increasing a patients IV drip rate without a medical order, can be reckless.
Taking a clients peak will depend on their age, height and gender, so everybody’s peak will vary from person to person, as nobodies peak will same as each other they will only be similar. A nurse or a GP will ask their client to take their peak flow because they can know how well their lungs are working not just by how they feel, also the GP or nurse will check to see if the treatment is taking any effect on them. Also to know if the client will need any chance in their treatment. For example, someone whom has asthma they would have to go their GP or nurse for a regular check up on their peak for, this is for to see if their asthma is getting better or worse, if the treatment helping them at all. The char above show what an adult’s normal peak flow should be.
. (Lippincott Williams &Wilkins, Psychiatric nursing made Incredibly Easy,2004,p.153 Many medications are in the market such as antipsychotic/antidepressants drugs clozaril, thorazine, haldol etc see exhibit A for a list of medications. Like many medications it has adverse affects but people must take medication for life. Besides medications schizophrenics’ also need support such as psychosocial therapy. And family support not only for emotional support but to ensure treatment compliance to avoid hospital or relapse in symptoms.
Common treatments known to science are; Chlorpromazine, Haloperidol, Perphenazine, Fluphenazine. These medications are antiphicotics, all of which help patients endure their symptoms. The common side effects vary between but are not limited to restlessness, dizziness, tremors, and rapid heartbeat. Though there is not cure for schizophrenia, a cure is still being researched. People that suffer from this illness are medicated to help them live successful independents lives, in serious cases patients are taken care of in specialized facilities or treatment
This essay, using a case from my practice, will explore negligence and the issues surrounding consent, analyse the ethical implications and propose possible risk management strategies that would minimise the potential of future negligence in similar situations. The clinical situation chosen for examination is drawn from Staunton & Whyburn’s (1997) Nursing and the Law text. The case is known as Rogers v Whitaker (1992) 109 ALR 625. In this situation Mrs Whitaker was a 47-year-old married mother of four who was almost totally blind in the right eye as a result of an accident when she was 9 years old. This woman was educated, worked in a variety of jobs, married and had four children without problems.