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- How would you as the support worker communicate with an angry client in the situation given. Situation: Mr. Wong, 74, needs home support. He has difficulty expressing himself in English. He has had a number of changes in his support staff as many have refused, due to his bursts of anger and uncooperative attitude. He is frightened he may not get further help if you too refuse. 2. Read Supporting Mr. Reyes, on page 72. Assessing the differing messages showing in Mr. Reyes’s verbal and nonverbal behaviours, write out your conversation, reassuring him. How can you get him smiling again, and looking forward to the change, without apprehension?An elderly man presents himself to the ER. He has contractures and paralysis of his let hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating She asks if someone is accompanying him, He shakes his head. The nurse asks him how he came to the hospital. He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. 1. What are the ethical implications in this situation? 2 What ethical principles are involved? 3. Should the nurse locate the patient and ensure that he is not endangering himself or others by driving? Would this be a breach of contidentiality? Autonomy? 4. How does the nurse express fidelity in this situation?Mohammed is a 46-year-old man with a diagnosis of high blood pressure. He works night shifts in a local supermarket and find it hard to sleep in the daytime. He struggles with anxiety and has been referred to the local Integrating access to Psychological Services (IaPT) service by his GP. a. Explain why Jimmy’s mental and physical health may impact on each other and why this is important to consider? b. What interventions would you suggest(please provide a rationale)?
- Mr. James is 72 and has paraplegia because of an accident that occurred several years ago. His caregivers report that recently he has begun to make sexually suggestive remarks. While you are giving him his a.m. care, he keeps touching you in private areas and makes frequent sexually suggestive remarks. The other support workers tell you that they just ignore him or joke around with him about his actions. What would you say to Mr. James when he touches you in private areas? How would you respond to his suggestive remarks? What would you say to your colleagues who suggest that you ignore or joke with Mr. James? Has this type of situation ever occurred to you? How did you handle it then? What would you do differently after studying this chapter? If your answer to first question is “NO”. Explain what you have learned something valuable in this chapter that you could use in the future.It is four months after Ertha's transfer to the long-term care facility. She is even more confused, going into other patient's rooms looking for Henry and stealing items. She recently began striking out at other residents, and staff finds food stashed under her mattress. She has been taking two antidepressant medications, an anti-anxiety agent and Aricept for the past four months but there has been no improvement. Brief Description of Client Name: Ertha Williams Date of Birth: 01/19/xx Gender: F Age: 74 Weight: 124 lb (63.5 kg) Height: 64 in Race: (Faculty can select) Religion: (Faculty can select) Major Support: Betty Williams (daughter-in-law) Support Phone: 320-222-1111 Allergies: none known Immunizations: up to date Attending Provider/Team: Joan Rivers, MD, and Mary Lake, MS, APRN/Geriatric Nurse Practitioner Past Medical History: Hypertension, depression, hyperlipidemia, arthritis History of Present Illness:…It is four months after Ertha's transfer to the long-term care facility. She is even more confused, going into other patient's rooms looking for Henry and stealing items. She recently began striking out at other residents, and staff finds food stashed under her mattress. She has been taking two antidepressant medications, an anti-anxiety agent and Aricept for the past four months but there has been no improvement. Brief Description of Client Name: Ertha Williams Date of Birth: 01/19/xx Gender: F Age: 74 Weight: 124 lb (63.5 kg) Height: 64 in Race: (Faculty can select) Religion: (Faculty can select) Major Support: Betty Williams (daughter-in-law) Support Phone: 320-222-1111 Allergies: none known Immunizations: up to date Attending Provider/Team: Joan Rivers, MD, and Mary Lake, MS, APRN/Geriatric Nurse Practitioner Past Medical History: Hypertension, depression, hyperlipidemia, arthritis History of Present Illness:…
- It is four months after Ertha's transfer to the long-term care facility. She is even more confused, going into other patient's rooms looking for Henry and stealing items. She recently began striking out at other residents, and staff finds food stashed under her mattress. She has been taking two antidepressant medications, an anti-anxiety agent and Aricept for the past four months but there has been no improvement. Brief Description of Client Name: Ertha Williams Date of Birth: 01/19/xx Gender: F Age: 74 Weight: 124 lb (63.5 kg) Height: 64 in Race: (Faculty can select) Religion: (Faculty can select) Major Support: Betty Williams (daughter-in-law) Support Phone: 320-222-1111 Allergies: none known Immunizations: up to date Attending Provider/Team: Joan Rivers, MD, and Mary Lake, MS, APRN/Geriatric Nurse Practitioner Past Medical History: Hypertension, depression, hyperlipidemia, arthritis History of Present Illness:…Patient is a 38 year old female indicating to her psychiatrist feelings of: emptiness, helplessness, hopelessness, and a deep sense of guilt for no apparent reason. She also mentioned having low energy, (not wanting to cook for her family or wanting to be intimate with her husband). The patient indicated not caring for any of her regular hobbies or anything pleasurable, difficult concentrating, and even not remembering details. She is having problems sleeping and even contemplated going to bed and overdosing (just once)An elderly man presents himself to the ER. He has contractures and paralysis of his left hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating She asks if someone is accompanying him. He shakes his head. The nurse asks him how he came to the hospital. He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. QUESTION: What is the beneficent action?
- an afternoon shift. Patient informationName: Irene Smith Age / Sex: 16 years 10 months / femaleAccompanied by: Taylor Smith (Brother, 20 years/Male)Present Medical HistoryIrene presented to the PED with her brother Taylor, following a fall around 3 hours ago. Irene was riding abike in in the street in front of her home and bumped into a parked car on the street, fell and hit her head.She was not wearing a helmet during the incident. There was no loss of consciousness noted at the time.However, she started having headache after half an hour of injury. There were multiple abrasions on elbowand knee and swelling on her left forehead.Past Medical/ Surgical HistoryAcne Vulgaris, Depression, Anxiety, and attempts of self-harm multiple timesCurrent medications: Roaccutane, Olanzapine (poor concordance- she misses to take medicationsregularly as prescribed)Allergies: Pea nuts (Anaphylaxis)Perinatal historyVaginal birth, other details are not availableImmunisation history? Incomplete. Irene…an afternoon shift. Patient informationName: Irene Smith Age / Sex: 16 years 10 months / femaleAccompanied by: Taylor Smith (Brother, 20 years/Male)Present Medical HistoryIrene presented to the PED with her brother Taylor, following a fall around 3 hours ago. Irene was riding abike in in the street in front of her home and bumped into a parked car on the street, fell and hit her head.She was not wearing a helmet during the incident. There was no loss of consciousness noted at the time.However, she started having headache after half an hour of injury. There were multiple abrasions on elbowand knee and swelling on her left forehead.Past Medical/ Surgical HistoryAcne Vulgaris, Depression, Anxiety, and attempts of self-harm multiple timesCurrent medications: Roaccutane, Olanzapine (poor concordance- she misses to take medicationsregularly as prescribed)Allergies: Pea nuts (Anaphylaxis)Perinatal historyVaginal birth, other details are not availableImmunisation history? Incomplete. Irene…an afternoon shift. Patient informationName: Irene Smith Age / Sex: 16 years 10 months / femaleAccompanied by: Taylor Smith (Brother, 20 years/Male)Present Medical HistoryIrene presented to the PED with her brother Taylor, following a fall around 3 hours ago. Irene was riding abike in in the street in front of her home and bumped into a parked car on the street, fell and hit her head.She was not wearing a helmet during the incident. There was no loss of consciousness noted at the time.However, she started having headache after half an hour of injury. There were multiple abrasions on elbowand knee and swelling on her left forehead.Past Medical/ Surgical HistoryAcne Vulgaris, Depression, Anxiety, and attempts of self-harm multiple timesCurrent medications: Roaccutane, Olanzapine (poor concordance- she misses to take medicationsregularly as prescribed)Allergies: Pea nuts (Anaphylaxis)Perinatal historyVaginal birth, other details are not availableImmunisation history? Incomplete. Irene…