Overview The case study was about Mr. Kirby, a seventy-two year old widow male with type 2 diabetes who wife died a couple of months ago, and has been living by himself. He has become dependent, and struggles with his self-caring needs. He had a stroke and it resulted in a left-sided weakness. He fell a couple of months ago and fractured his arm bone, which was repaired and he was discharged home. Two weeks later, he was not coping well at home and was admitted to an acute hospital because of heart failure and poor mobility. He was recommended for rehabilitation due to his inability to become motivated and lack of interest in doing everyday tasks for himself. Communication Patterns Communication throughout the case study was sometimes clear and positive, and other times unclear and negative. In Part one (in the Acute Hospital), communication between the ward nurse and the junior nurse at the community hospital was unclear. The transfer for Mr. Kirby was not …show more content…
The role of the social worker entailed finding out if Mr. Kirby would have family support before he is discharged, and to find resources to assist Mr. Kirby with all his needs along with getting the family extra support as caregivers. Working with the patient/family, the social worker was professional and nonjudgmental. She also exhibited compassion and empathy. She took responsibility in not releasing Mr. Kirby due to a high risk of him falling again. Although I feel she did a good job, she could have been more resourceful in catering to Mr. Kirby needs such as, making sure professionals he was receiving resources from were staying on top of their jobs. Furthermore, I feel she could have tried harder to find extra care to provide the family with more support, and she could have found insurance such as Medicare to help Mr. Kirby and his family afford extra care. She stated what was available to help Mr. Kirby, but never put anything in
Resident E.V. has demonstrated the ability to cope by displaying effective coping patterns. She has the desire to become both healthier and live a healthier life style. Her goal is to gain recovery so she can walk on her own again and eventually move back into her house to help take care of her husband, whom has dementia. She is willing to modify her lifestyle accordingly if she is unable to gain complete recovery. However, she would like to be as independent as possible.
The main aim of every study is to find solutions to a certain problem in the society. It is through the understanding of certain challenges in the nursing profession and society in general that long lasting solutions can be realized. The purpose of this paper is to critically analyze and summarize the results of a qualitative and quantitative peer reviewed articles discussing the issue of hospital readmission and patient education. Qualitative study Congestive Heart Failure (CHF) is a chronic, serious and pricey health condition with a huge medical, social and economic impact. Caring for patients with heart failure is not only about treating the disease’s physical symptoms; it involves educational, supportive, emotional, and cooperative care
The Enrolled Nurse working with the Registered Nurse may coordinate a family case conference, with the aim of encouraging the family to assist Harold. The case conference would discuss Harold’s condition and the impact on daily life, treatment that Harold will be receiving and how the family may be able to assist Harold with his mobility through encouragement and providing social support for Harold. The social support may include the family offering to do the shopping, paying bills and taking the Smith’s out for a social outing such as lunch or
The primary function of the social worker is to “provide the patient/ family with information and referrals to appropriate community resources as well as serves (sic) as an advocate on their behalf when accessing additional services that they may need.” (Kindred, 2016) Additionally, the social worker assists with psychosocial aspects of care and provides in-service training for hospice volunteers. For practical purposes, this means that the social worker’s daily activities could range from referring a client to a mental health professional to training a new volunteer to watch for signs of depression in
Nursing Bedside Reporting, Patient Safety, And Satisfaction Scores The American Nurses Association estimates that up to 80% of serious medical errors involve miscommunication between caregivers when patients are transferred or handed off during shift report (ANA 2012). In the nursing profession change of shifts require the successful transfer of information from nurse to nurse to prevent medical errors and adverse events (Sullivan, 2010). Research shows that when patients are included and engaged in their health care there is greater potential to lead to measurable improvements in safety and quality of care.
Clinical Microsystem Throughout the daily health care facility, microsystem is continuously at play. At my time in the hospital I observed register nurses, CNAs, physical therapist, and dietician come together effectively to help assist the patients overall safety and health concerns of the patient needs. I spent the day shadowing a nurse and observed the element of the microsystem at work. During this time, I recorded my observations of the nurse throughout the day such as patient care, tasks, medications, charting, and other duties.
Social workers have several responsibilities. They have to provide service, justice, and dignity to a client. They have to possess integrity, competence, and patience. Social workers need to possess knowledge of human rights, and how to perform scientific inquiry. Social workers occasionally have cases in which problems ensue and a solution is not found within a certain time frame.
A was mobilised by the physiotherapists the day after her operation with a zimmer frame and assistance of two. As Mrs. A was previously independent with no aids to help her walk she would need intensive physiotherapy to get her back to her baseline. Mrs. A was discharged to a community hospital on a rehabilitation ward five days are being admitted, (Ojomo,2004) defines communication as the process of sharing ideas, feeling thoughts and messages with others. Good communication skills is a key Part of nursing, it helps to keep the patient safe and to deliver appropriate care to the patient. Without good communication skills could mean to cause harm to the patient unintentionally.
For the purpose of this assignment two audio-visuals have been watched regarding the care of Joe (NMC Videos., 2010a; NMC Videos., 2010b). For the first part of the assignment the problem solving approach, A.P.I.E (Assess, Plan, Implement and Evaluate) will be used to discuss behaviours regarding Joes care. The main behaviours will then be identified and examined using material learnt during the programme, and explanations will be offered to try and understand the behaviours displayed. The second part of the assignment will be a reflection regarding my development as a result of analysing Joe’s experience.
Researchers, have found that self-management is recognized as an important concept, when it comes to rehabilitation of those who have suffered from a stroke. It allows patients to manage their own lives, while also giving themselves a meaningful life post stroke. Self-management is defined as an ‘individual’s ability to connect with their familiar social settings, while also incorporating their illness into their social life. Furthermore, understanding how post-stroke patients managed after being discharged, was studied in settings that familiar to the patient (Healthcare settings, work, etc.). Although, this study has been more interactive than the previous, it should be mentioned not all patients had the success of transitioning from the hospice care, back into their familiar environment with a new illness.
Mr. Z is 86-years-old, Caucasian male that lives with his wife of 56 years. He values his independence, but recently he been struggling to care for himself. He has a long-standing history of diabetes mellitus, hypertension, and chronic kidney disease. His wife was concerned because she noticed her husband can no longer drive, is having difficulty walking, and managing his own care and daily medication. She explained that her husband is lethargic, sleepless, having poor appetite and difficulty maintaining his weight.
In caring for this patient, Orem’s self-care deficit theory was used to direct treatment. The theory includes the three interrelated parts of theory of self-care, theory of self-care deficit, and the theory of nursing system. The theory of self-care focuses on the patient’s ability to perform activities to maintain well-being, life, and health by themself. The theory of self-care deficit recognizes when nursing interventions are needed, and the theory of nursing system defines how the patient's needs will be met by the patient, the nurse, or both (Petiprin, 2015). The factors of J.D.’s recent financial situation along with her history of diabetes were used to guide her treatment plan and education.
She was fifty - three years old. A vast remainder of her life stood in front of her that should have been fulfilled with watching her children prosper, retirement and blissful moment. That was only fair. She had strived through poverty when she was younger, lost her husband at thirty - six, giving her the emotional and financial burden to raise three children on her own, aided others as a CNA for most of her career hood and never succumbed to any of it. So shouldn’t life have been easier for her now?
Some positives that occurred in this case study were Cecilia, advocating for Medicaid services for Mr. Brown. In addition, she was pro-active in addressing her concerns about the way Mr. Brown was treated by her supervisor, and some of the hospital staff members. Cecilia, demonstrated a caring and respectful attitude for Mr. Brown, that showed a perfect example of dignity and worth of a person. This core value of social work allows “Social workers seek to enhance clients' capacity and opportunity to change and to address their own needs. Social workers are cognizant of their dual responsibility to clients and to the broader society.
She gave full attention to him and kept his mind away from the pain and got to know him personally. Thus this indepth communications and care is a great facilitator. Key barriers for Mr. Taylor’s health care