Overview Patient is a 83 year-old female‚ presented to the ED on 7/2/13 with complaints of chest pain caused by what family believed to be aspiration pneumonia‚ also with worsening stage 4 sacral wound. Patient has a past medical history of a subdural hematoma secondary to a fall from a ladder‚ IDDM‚ bleeding gastric ulcer‚ and aspiration pneumonia. EKG and cardiac enzymes were ordered in the ED‚ EKG was unremarkable with a normal sinus rate and rhythm‚ enzymes within acceptable range. Patient sacral
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Patient Teaching J. D. is a 3 yr old boy with West Syndrome‚ absence of the corpus callosum‚ and developmentally delayed with controlled spasms since 10/2012 until recently when J.D. presented to Miller Children’s emergency department with several episodes of spasm-like activity and vomiting up his keppra. Mom describes the episodes a 5-10 seconds in duration‚ with upward and outward jerking of his arms. The learner‚ which will be the mother‚ speaks English as her first language‚ she has a
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interventions and outcomes Initiates communication with patients before screening and diagnostic procedures/treatments Informs patients of services and resources Increases health awareness in individuals The Patient Navigator will establish early contact with cancer patients within the community to eliminate the barriers to timely diagnosis and treatment. This position will compassionately provide patients with resources‚ support programs and services available through
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Preventing Patient Falls in Inpatient Hospital Settings Introduction For the most part‚ hospitals are places where one comes for healing and it is place where our clients should feel safe and away from harm. Nurses have an important role as a patient advocate and are to provide all clients with safe‚ compassionate‚ and quality care at all times. Nonetheless‚ the hospital can also be a dangerous place for inpatients. It is a foreign environment to clients and there may be alterations in their
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hospitals‚ nursing homes‚ and physicians’ offices that their staff would appropriately deny patient information to an unknown caller? Too often‚ unauthorized people succeed in extracting protected information from health care providers. Invasion of privacy also affects noncelebrities‚ when anyone seeks health information the patient has not chosen to share. More often‚ though‚ scam artists seek patients’ billing information for financial gain. The patient’s insurance identifier is then used by an
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man burnt beyond recognition‚ meet in the last moments of the Second World War. The identity of the patient is the heart of the story as he tells his memories of a doomed love affair in the North African desert. Love and passion are set against the devastation of war in this inspired novel by Canadian writer Michael Ondaatje. It is a novel of revelation‚ and just as the identity of the English patient is slowly revealed as the novel progresses‚ so are the inner selves and spiritual identities of the
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From a nurse’s perspective‚ it is effortless to say that the Patient Portability and Accountability Act is a topic that is very controversial. Although the Affordable Care Act is supported by the American Nurses Association‚ not all nurses are individually supporting it. There are a number of reasons for this divide. Many nurses are concerned about the strain that the Affordable Care Act is putting on their workplace. Through the Affordable Care Act‚ many people who did not have access to health
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Maintaining Patient Safety When working in an acute care setting such as a hospital‚ safety is the number one priority. A safe environment greatly reduces the risk for illness or injury. It’s not only for the patient; it’s also for the healthcare provider. For a nurse‚ it begins when she/he meets the patient. She must assess the room and make sure there is no debris littered on the floor‚ that all IV tubing is untangled and not on the floor‚ and that the patient’s bed is down in the lowest position
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A patient experience that stands out as significant is the day I had an exchanged patient from a different country. This patient came in because part of her tooth fell out. When she pointed to the tooth‚ I saw she had a huge carious lesion. I told her to get a dental exam so the dentist can diagnose the suspicious disease. She refused to get a dental exam because the dentist was not going to fix her tooth that same day. I told her about Open Door and she agreed to a call them. During that visit‚
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Patient Confidentiality: Ethical Implications to Nursing Practice Patient Confidentiality: Ethical Implications to Nursing Practice Patient confidentiality is a fundamental practice in healthcare and it is integral part of healthcare ethical standards (Purtilo & Dougherty‚ 2010). According to the American Nurses Association (ANA) code of ethics “the nurse has a duty to maintain confidentiality of all patient information” (Nursing world‚ p.6). Also‚ when a patient confidentiality
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