A better way to ask would be, “how are you taking your medications?”, and allowing the patient to explain how in their own terms. After asking this question it would also be a good follow up point to ask what issues they may be having with their medications. In practice we would be able to pull up that patents medication fill history and see how often they are picking up their medications at the right times and we would be able to discuss any further issues with that patient at that
Limitations recognised throughout the SDM process were related to risk of further deterioration in the Consumer’s mental state. As the Consumer was slowly taken off his medications, in a safe clinical manner, his presentation deteriorated. The Consumer’s sleep pattern worsened due to the elevation in his mood, there was a noted increase in impulsivity and poor boundaries with others on the inpatient unit, leading to the Consumer becoming vulnerable. There was a prominent increase in erratic and aggressive towards others, leading to the assault of a staff member on the inpatient unit and subsequently required the use of restrictive interventions. The decline in mental state resulted in the Consumer’s father, case manager and treating team coming together for a family meeting with the Consumer present in which the previous medications the Consumer had been previously prescribed were recommenced in an attempt to re-stabilise his presentation, unfortunately this was a substituted decision made by the consumer’s father and treating tream.
D-The patient was placed on HOLD to address her no show for last week. This writer asked the patient if she was okay with tomorrow 's appointment based on her appointment letter. The patient to do the session today since she 's already present and waited for this counselor. This writer agreed to conduct the session. Reports stable on her dose and deny the need for a dose decrease as she denies any cravings/withdrawals.
The patient is a 52 year old female who presented to the ED via EMS with bizarre behaviors. Per documentation neighbors found the patient screaming in her house. Per documentation LEO found the patient attempting to drink a closed bottle of alcohol hand sanitizer fluid. Patient presents with disorganized thoughts and irrelevant subject matter when asked questions about behavior upon arrival. Nursing staff was asked about status before the assessment and reports improvements in the patient bizarre behavior.
Pharmacists are in a unique position to help. They have the ability and knowledge to implement programs as part of their daily practice to ensure that patients are adherent to their medications. As the medication experts, pharmacists should lead the way to improving medication adherence and providing optimal patient care. The provisions of this bill do not pose a mandate but where appropriate would require the proration of prescriptions, related cost sharing, and dispensing costs in order to conform the patient to one monthly refill that occurs on the same date each month.
G. addressed the Board first and provided them with a chronological file of the incidences that occurred. He stated he felt the outpatient program website was very misleading. R.G. believed he was attending a nationally recognized program with licensed professionals, and individualized treatment. He reported feeling the staff was rude, under qualified, and unprofessional. R.G. stated he was not given a proper evaluation upon entry of the program.
Medication use is potentially dangerous. Polypharmacy is increasing, and makes it harder to keep track of side effects and interactions and of potentially inappropriate drug combinations. “The risk of serious consequences, hospitalization, and death due to medication errors increases with patients’ age and number of medications (Scand J Prim Health Care, 2012)”. For example, the GP is supposed to monitor the patient's regular medication, but does not always do so. Lack of monitoring and keeping track of patients’ medication use is a main cause when a patient is given inappropriate drugs.
On October 30th, 2015 at 2116 hours, Florida Hospital Security Operation Command (SOC) radioed FHEO Security for a Disorderly Patient ED (51D). Officers Omar Alonso-420, Steven Evans-407 and Carlos Ayuso-415 responded to the call. Upon arrival, Security staff observed Nurse Traci Davila and Dr. William Kotler in Room ED #39 talking and advising patient, Christopher Sheets (MRN: 3028388/Fin: 84773293) about the risk he takes without seeking medical attention. The patient, Mr. Kolter wasn't combative, was just anxious and wanting to leave because he didn't know what happened and also because he didn't have insurance.
Based on this case the cost driver is to properly distribute the direct cost among the different divisions. Dr. Julian would like to control her departments costs by having them distributed fairly among the divisions without affecting the hospital’s reimbursement/revenue. Carroll University Hospital is currently using the standard costing unit, which is based on the cost of bed/day for inpatients. Currently the present cost accounting system that is being used at CUH takes the total direct cost of the departments, then allocates the indirect costs and distributes it among the departments evenly regardless of the actual resources being used in those departments, and without considering that there may be some patients in these divisions that may require more resources than others, this method does not seem to recognize the different activities,
Liability Issues Primarily, Caring Memorial Hospital will be held liable in this malpractice case under the premise of respondeat superior. “Under respondeat superior an employer is liable for the negligent act or omission of any employee acting within the course and scope of his employment” (Thornton, 2010, para. 2). The risk manager Susan Post, JD and the quality assurance director Amy Green were both aware of the potential for increased risk on the Oncology unit. They had been making observations several months prior to incident that related to deficiencies in staffing and safety standards. Per, ASCO and ONS (2012) new staff are required to demonstrate competency and receive comprehensive chemotherapy education.
In 2005, a family friend by the name of Randy Birdsong was a patient at Audie L. Murphy Memorial VA Hospital located in San Antonio, Texas. The Veteran Affairs (VA) medical staff was performing surgery on his abdomen. After the surgery, he was notified that there was insufficient space to accommodate his continued care. The V.A. advised him to keep his wound clean with a fresh roll of gauze, and sent him on his merry way. A few days later, Randy was back at the V.A. hospital with a noticeable infection taken place in his abdominal region. This prompted an additional surgery to clean the infected tissue. The V.A release Randy from the hospital once again for insufficient space and advised him to do his best to keep the sizeable hole in his abdomen
The Sky Lakes Medical Center chart note from February 2, 2014 (an ER note). It states that Ms. Harris was restrained front seat passenger in a vehicle traveling at an estimated 25 mph when it was struck on the front driver’s side by a vehicle traveling at an estimated 40 mpg. It was described as a somewhat glancing blow, not a head on collision. Ms. Harris was restrained with lap and shoulder belts, no airbags deployed and she was not thrown from the vehicle. She did extract herself from the vehicle and she was not knocked unconscious. She remembers pushing the door open with her feet and she remembers getting out of the car. When she got out she was in some bushes and she was helped out of that. At that point she noticed she was having severe
Introduction Massachusetts General Hospital is ranked as second in the United States in 2013 by U.S. News & World Report (2013). This hospital is a 999-bed facility in the center of Boston and is known for providing sophisticated diagnostic and therapeutic maintenance in almost every speciality of medicine and surgery. Massachusetts General Hospital (MGH) provides healthcare at local, national and global levels (About MGH, nd, World-class patient care). Impact of a social event on the growth of MGH Prior to the MGH inception, there were marine hospital and Boston dispensary to attend to the healthcare needs of the local people. The chaplain of Almshouse in Boston, Rev. John Bartlett planned for providing state-of-the-art health care to the