This past December I observed the discharge of a patient from the Emergency Department that never should have taken place. The patient was a senior citizen who suffered a fall injury‚ and was diagnosed with bilateral humerus fractures. Her injuries did not require immediate surgical intervention and her pain was relatively well controlled. Therefore‚ the physician caring for her did not find it medically necessary to admit her. Unfortunately‚ the decision to discharge then resulted in a total lack of
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Reflective Practice Portfolio Q1: Recall a situation in your clinical experiences in which an ethical decision was being made. If you have not been involved in this process yet‚ ask your preceptor to share an experience with you. Be sure only to discuss the situation as a case scenario without use of names of persons involved. Which ethical decision-making principles came into play? What impact did the ANA and/or ICN codes of ethics have on the decision that was made? Answer A 48 year old African-American
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Discharge Planning Task 724.2.4-01-07 Western Governors University Discharge Planning Task 724.2.4-01-07 Successful discharge planning is not something that should be initiated when the patient is ready to go home‚ but should be discussed prior to the surgery being performed if possible. The total hip replacement that Mr. Trosack is recovering from was not a planned surgery so case management should have begun working on this once he was admitted to the floor postoperatively. Healthcare
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Reflective Practice Reflection: Reflecting on the experience of a person who is incontinent. Time and date: May 5th 2012 Pat is a patient where I am doing my work experience in a nursing home. I introduced myself as one of his carers sat down beside him I made sure he was comfortable I introduced myself and asked was it ok to sit down beside him maintaining good eye contact and speaking in a low friendly tone of voice. Thinking and feeling: I felt that I was able to talk to Pat and I made
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statement‚ philosophy‚ vision‚ objectives and core values as it pertains to nursing services; • discuss the elements/ components of planning; • enumerate the types and phases of strategic planning; • understand the importance of formulating mission‚ vision‚ value statements‚ objectives and philosophy act as a basis for any organization; and • understand the purposes and benefits of strategic planning. Elements/ Components of planning Forecasting or Estimate the future Set Objectives/Goals and Determine
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REQUEST‚ ISSUES‚ BOARD TYPE‚ AND DECISION: The applicant requests an upgrade of his general (under honorable conditions) discharge to honorable and a change to the narrative reason for his separation. The applicant seeks relief‚ contending‚ in effect‚ that his discharge should be upgraded to honorable because he realizes what he did was wrong. He was going through bad financial problems. His pay was garnished for child support and he had not received any guidance from his leadership. He states
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Chapter 22 Performance and Discharge Laura Westensee Edited by Nikki Meltabarger I. Conditions in Contracts Under Common Law‚ a contract is an agreement involving a promise or set of promises enforceable by law. The Uniform Commercial Code uses this same definition of contract‚ but in a more limited sense pertaining to the sale of goods. A person who makes an offer is the offeror‚ while the person to whom the offer is made is the offeree. The offeree is given the power to create a legally
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DISCHARGE SUMMARY Patient Name: Benjamin Engelhart Patient ID: 112592 DOB: 10/05/1967 Age: 46 Sex: M Date of Admission: 11/14/2013 Date of Discharge: 11/17/2013 Admitting Physician: Bernard Kester‚ MD General Surgery Consultations: Procedures Performed: Laparoscopic Appendectomy with placement of RLQ drain 11/14/2013 Complications: None Discharge Diagnosis: Acute Superative Appendicitis; perforated Diagnostic Lab/Imaging: Lab results at the time of admission showed
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The aim of this assignment is to review a reflective account of events that occurred during a clinical placement‚ whilst on operational practice in an out of hospital environment. This incident involved a physical assault on a young woman. Siviter (2004) defines reflection as gaining self-confidence‚ identifying when to improve‚ learning from good or bad mistakes and behaviour‚ being self-aware and improving the future by learning the past. Therefore reflection can enable the Paramedic to use
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I believe that implementing strategies to promote‚ maintain‚ and restore health is key to the nursing career; the main goal of nursing is to improve an individual’s health. In my clinical experience‚ it’s to maintain the individual’s health issues or diseases. An example of using teaching/learning principles is when taking a resident’s blood glucose a family member asked me what the normal range for blood glucose is. I explained that a blood glucose level between 70-100mg/dL is desired. Then I went
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