Secondly, balance in the monitoring of high-risk patients was inadequate. Staff failed to implement additional monitoring for Mr. B. The patient needed extra monitoring due to had an increased dosage due to high tolerance to the prescribed sedatives. Leaving an untrained family member to attend to a patient in respiratory crisis was not only unsafe; it was in violation of established conscious-sedation protocol. Mr. B. was vulnerable when he was left unattended.
Instead of trying to understand why Dax was acting the way he was, the doctors instead insisted that he was acting like a child and was unable to make the decision for himself. Even Dr. Larson went against Dax’s psychiatrist Dr. White in his words stating that Dax was sane in his judgments. They lacked any morality and the main focus of this relationship was not to adhere to Dax’s needs. These among other reasons that I have previously stated are factors as to why the treatment given to Dax was not ethically permissible in the sense of Dax’s autonomy. The patient’s beliefs and values should never come into question with this mutual relationship, which is exactly the opposite of what happened
As a health care professional trained in different approach, I assessed my client based on the theory and learning experience that I have had. The client was been diagnosed with dementia, limited mobility, and inadequate verbal communication. I undertook a full assessment to a client with a sacral pressure sore. Assessment using observation was been completed to the sacral area, and graded the level of pressure ulcer using the Braden scale. The nurse mentor was been informed about the type of dressing and intervention that should be provided to the client, along with the explanation with the rationale to the procedure that I have decided to use.
The patient presented to her physician’s office with shortness of breath, chest pain, excessive coughing, and excessive fatigue and states that, “she has fainted on occasion before”. The patient looks very weak and flushed. Her son accompanied her to the doctor’s appointment. After diagnostic testing, the patient was diagnosed with Cor pulmonale. Risk Factors The inability of the right ventricle to properly pump blood in the arteries leading to these abnormally high pressures is known as cor pulmonale.
Biopsychosocial Impact In this reflective account I will demonstrate the knowledge and understanding I gained from working with a service user in the community mental health setting where I had been based. The service user in question had a diagnosed of depression which was due to a stressful period in his life which had resulted in changes he was experiencing difficulties For this purpose I have chosen Gibbs (1988) reflective cycle (www.ahot) In compliance with the Nursing and Midwifery Council (2008) ( www.NMC) and the General Social Care Council code of conduct relating to client confidentiality (www.GSCC) I have changed the service users name and for the purpose of this reflective account I will refer to him as Albert. I was allocated the case of a gentleman of 72 who had previously been diagnosed with depression by his GP who had prescribed him anti depressants. Depression can be described as a range of symptoms and behaviours (Freeman, Gilliam, Shearin, Plamping 1997 page 15) which can indicate a mild to severe form of the illness which is usually expressed as sadness or worry and can affect an individuals daily activities (Freeman, Gilliam, Shearin, Plamping 1997 page 14). The symptoms include low or depressed mood, for the same two week period (Freeman, Gilliam, Shearin, Plamping 1997 page 14) which is accompanied by at least five other symptoms ranging from loss of interest or pleasure in normal activities, inability to concentrate, disturbed sleep, poor appetite, self hate and suicidal tendencies (Freeman, Gilliam, Shearin, Plamping 1997 page 14).
Introduction In this account I will concentrate on an established clinical skill that I have been practicing for many years. Presenting this assignment reflects the assessment and care delivered to a patient within my working practice. Using Gibbs model (Gibbs, 1988) as a working model will allow my thoughts / feelings, evaluation, analysis, conclusion and action plan to be deduced. I will apply critical thinking and underpinning knowledge to evidence based practice and thus concludes with an evaluation of increased clinical competency and personal development. Reflection as a learning tool allows me to identify the positive and negative aspects of my practice and to draw upon previous experiences and apply them to new situations “Reflective practice has, however, the potential to help practitioners in all fields unlock the tacit knowledge and understanding that they have of their practice and use this to generate knowledge for future practice”.
Are patients conscious during a stroke? How do people recover from stroke? Although we consider stroke a scientifically well-studied condition, communicating what it is like to experience a stroke is markedly more contentious. Jill Bolte Taylor is a neuroscientist, who at age 37 suffered a stroke in the left hemisphere of her brain from an arteriovenous malformation (Taylor, 2006a). After allowing herself eight years to fully recover, Dr. Taylor wrote a book about her stroke and stroke recovery experience entitled My Stroke of Insight: A Brain Scientist’s Personal Journey.
The average patient is in hospice 59 days. Hospice is for those who are terminally ill, who can no longer take care of themselves and their families are unable to help, and it is also for the cancer patients when chemotherapy and other drugs are at its end and are enable to fight the disease. The decision of hospice is decided by the patient, family and physician. Hospice services are provided by a group of professionals who works as a team to develop the best care plan for the patients as well as their families; those professionals include: Nursing services, physician participation, medical social services, counseling, Pastoral or spiritual bereavement counseling (for family up to one year after patients death), dietary, home health aide services, medications, medical equipment, other medical supplies, laboratory and other diagnostic studies related to terminal illness. Therapy (physical, speech,
Recently Mrs A mobility needs have changed due to her Arthritis which has developed more causing pain in her legs, arms and hands. Mrs A Dementia has also deteriorated as she will now very often be sleeping and conversations have become less, Mrs A can answer questions if asked but does not generally initiate conversations like she used to. Due to the deterioration of Mrs A health needs the doctor examined Mrs A and a Palliative care plan was put into place with the agreement of Mrs A and her family, NCS Care homes for older people 17.2 “You know that the staff will explain, justify and record any limits on your independence in your personal plan and know that these will be reviewed regularly” you can relate to the National care standards here for involved in her care needs. The palliative care plan and risk assessments now consist of Mrs A needs to have 2 carers to assist her in most daily activities of her daily living such as attending to her personal hygiene, supporting Mrs A with her daily meals and supporting her with her mobility NCS Care homes for older people 13.9 “ You must be able to eat and enjoy your food. If you need any help to do so (for example, a liquidised diet, adapted cutlery or crockery,
Sarah Klein states in her article "In cases of surgery patients, some have been known to lose lung function after developing pneumonia due to shallow breathing after anesthesia." Expressing that with the shallow breaking often comes the yawn. That could be the reason we yawn when we get tired. It's