Nursing Care Case Summary

Mr. S is a 25 year old male of Haitian descent, who was diagnosed with schizophrenia and assigned to the FEPP (First Episode Psychosis Program) after a two month stay in the inpatient unit. Mr. S was first admitted to the ER after being brought in by police for “bizarre” behavior, which included walking the streets responding to auditory and visual hallucinations; unable to concentrate or pay attention, while denying any hallucinations, but still accepting the treatment. Mrs. S kept to himself throughout the hospital stay, being very socially isolative. Mr. S had been living on the streets for 4 years prior to admission, receiving his meals from organizations such as “dans la rue” or “chez pops”. Mr. S’ roommate had originally kicked Mr. S

DOI: 9/30/2011. Patient is a 41-year-old male information technology computer support specialist who sustained injury while he was walking through a lobby when he slipped and fell. Per OMNI, he was initially diagnosed with lumbar intervertebral disc syndrome, myofasciitis and right arm strain. He underwent a right shoulder surgery on 07/16/13 and 12/22/15.

R.O. is a 43-year-old female Latino patient who has been living at home alone since she got divorced three months ago. She does not have any living or available family in the United States. She is the oldest of three children. Her parents died of an accident when she was little. Two of her sisters live in Mexico. She has lost contact with her family in Mexico when she got married and move to the United States. She also has stopped communicating with her ex husband since they got divorced. Although she does not have any support from her family, she states that her church member has been very supportive. Moreover, R.O. states she was a homemaker until the divorce. Currently, she has been working as a dishwasher near her house.

D.D is a 16 yr old male who was in his usually state of health until he developed right-sided abdominal pain approximately 5 days prior to arriving at the hospital. His pain progressively worsened and spread throughout his abdomen. He also had nausea non-bloody, non-bilious vomiting, some diarrhea, as well as fevers, when pain did not improve he presented to ER. He was admitted and diagnosed with sepsis and perforated appendicitis. He had a laparoscopic appendectomy and a central venous catheter was placed. Following surgery he was then transferred to the med-surg floor. His parents are both Spanish speaking and at the bedside.

Mrs. Wilson is seen in her room at Glenbridge Nursing Home on 02/28/2018. She had an episode last night of chest pain. She is so ebullient and distracted that it is hard to get a straight history, it came on when she was asleep but she may been sitting up. She was seen by a nurse, a sat was taken. I am not sure if there were other orders taken, but there is none on the chart. She says that she spent most of this morning in the bed and still feels tired, but she does not think she broke out in a sweat. She was more short of breath. She is calling it is a "stroke." I had tried to begin tapering her diazepam by discontinuing the morning dose and apparently all daytime clorazepate was discontinued by error and she gets it only at night.

Due to delay in meeting with Mr. Reid, the adjuster approved submitting the report after our initial meeting.

Case Scenario Ms. C was a case manager at an outpatient clinic that provided a variety of services. One of her clients was Ms. R, who was receiving services as a result of a recent divorce. Ms. C had also experienced a divorce in her past and thought she had effectively dealt with that experience, but found herself identifying with many comments made by Ms. R. Through their work together, the two women realized they shared many common interests. They often found themselves talking about these shared interests in their time together and eventually began meeting for coffee after their sessions. Ms. R soon suggested they begin spending additional time together socially and Ms. C agreed.

HISTORY OF PRESENT ILLNESS: Ruby Pearce follows up today for reevaluation of her left proximal humerus fracture sustained secondary to a fall on July 9, 2015. She was seen in the office on July 15, 2015 and a course of nonoperative treatment for proximal humerus fracture was begun. She was given a prescription for physical therapy and instructed on home exercise program including pendulum motions and wall walking. She has not attended physical therapy, but has been diligent with her home exercise program. Her pain is intermittent and sometimes sharp, but is easily controlled with medications. She states she has a 5-6/10 at times. She takes Tylenol to control these symptoms. She notes no neurovascular

She said, she fell last night while playing volley ball. She landed on her right shoulder and heard a pop sound, too. She did not take any pain medicines. She applied icepack and felt burning pain. This was an interesting musculoskeletal assessment case. We assessed her right shoulder and compared with the left one. We found slight dislocation of the shoulder joint. She had good circulation in her right arm, no swelling noted in the right hand and the capillary refill was < 2 secs. Mary said, since she had burning pain, it could be a nerve injury, too. We also noted a slight swelling of her trapezius muscle on the right side. She complained of pain on palpation. Mary applied a sling to her right arm to keep it elevated. She may need an MRI to see the damage. Mary sent her to the urgent care. She told her that, since she heard the popped sound, the ER or Urgent care doctor can replace it. It will be a painful procedure, and she will need a strong pain medicine. She gave her the note for her teacher and asked her friend to drive her to the urgent

1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act.

Expressway Nursing care company is experiencing extreme circumstances right now. with the steadily expanding requirement for better patient care benefits on the planet, the association has battled with serving the expanded number of individuals (Hayes et al., 2013). therefore, the association has likewise been battling with change. since there has been an expanded enthusiasm by the administration in the documentation and the nature of administration being given by these human services establishments. the level of execution has since expanded and will keep expanding despite the work stretch that the representatives in such associations like turnpike nursing care involvement. the report underneath will concentrate on the sort of changes that

One the most important issues facing nursing these days is the changing healthcare insurance industry. I saw how these changes affected staff firsthand. I worked at Quincy Medical Center for three years until it closed in December of 2014. The Affordable Care Act led to cuts to Medicaid supplemental payments for the uninsured and has forced many hospitals to reduce staff or close like Quincy Medical Center. This is a concern for nurses because under current federal regulations there are no specific requirements for nurse to patient ratios. Multiple research studies demonstrate that lower nurse-patient ratios save both lives and money long term. For example, hospitals that routinely staff with 1-to-8 nurse-to-patient ratios experience five additional deaths per 1,000 patients than those staffing with 1-to-4 ratios, according to the Journal of the American Medical Association. Higher nurse to patient traditions lead to higher burnout

I enjoyed my time shadowing in the ICU, there was a lot going on even though the patient load was only two. Unlike the patient assignments on Med-Surg, the ICU nurses work out whom they’ll be caring for during morning report. Generally each nurse will have 2 –sometimes 3- patients. However, the nurses need to collaborate with each other when someone is going on lunch break or needs to accompany a patient off the floor for imaging. During this time their patient load will then increase to incorporate the other’s. Additionally, this includes the tele-tech’s breaks. Which is a little more difficult, as one person must be supervising the telemetry monitors.

CHIEF COMPLAINT: This is a post op note from a procedure performed July 21, 2015 by David Lin, MD.

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.