When writing her personal essay “In Bed”, author Joan Didion intended it for an audience very familiar with migraines, however, it has the potential to be written for an audience of people just beginning to experience migraines. Didion’s use of personal anecdotes, factual information, and inspiring acceptance are all points that can be altered for this new audience. Didion begins her essay with personal accounts of her experiences with migraines, setting the stage for an introduction that relates to newcomers. She describes the suffering in which she endures during her migrains, composed of imagery that brings the reader into her situation. Where she begins with stating that she “spend[s] the day in bed with a migraine”, she could instead present this as a question to the reader.
The study was conducted at two community health centers in Ohio (USA), one of which used strengths based case management (SBCM) and the other one used the generalist case management approach. Both, the control group and the experimental group consisted of patients who were severely mentally disabled and had a DSM IIIR Axis I diagnosis of Schizophrenia, Schizoaffective or a major mood disorder and had one or more psychiatric hospitalizations, or one or more admissions to a crisis stabilization unit within 3 years before the study began. The case managers at the experimental site were trained by the researcher in SBCM. At the experimental site, 29 respondents completed the intervention, while at the generalist site, 15 respondents did so. At both the community health centers, the respondents had to fill out measures related to Quality of Life, Residential living and Vocational/Educational Status (developed during the study), Symptoms and Hospitalization Rate and number of Hospital days.
Ad hoc and weekly audit were conducted to measure compliance and the effectiveness of health education of fall prevention by registered nurses to patients. During the audit, one or two patients were interviewed to check whether the registered nurses has orientate them regarding fall prevention. Registered nurses also were interviewed and observed on how they perform orientation for patient. The final audit is on the documentation. For example, how the registered nurses do the scoring for high risk patient and how do they fill up the fall assessment form.
She is married with John A. McCallum, a hearing man and they have four children’s. She lost her hearing when she was just eighteen months after she was rushed to the hospital with a dangerous high fever, which was later identifying as the Haemophilus influenzae virus. The doctors administer her two powerful antibiotics that reduced her fever and saved her life because she was only hours from death when she arrived in the hospital.
Investing my time in the care of my patient gives the opportunity to not only assist them in a difficult situation, but also to learn more about their diagnosis and the treatment, while comparing it to what we have learned in class. For example, I had a patient that suffered from Sickle Cell Disease and came to the ER during a crisis. Correlating this case to the books and the content learned in class, these patients receive at least 1000 mL of fluids, pain medication, and oxygen. Additionally, I had a patient with meningitis. This individual presented with common symptoms such as nuchal rigidity, muscle pain, fever, and chills.
After careful consideration of the information that has been presented for Ellen Waters, I have decided that she meets the criteria for (F34.1) Persistent Depressive Disorder Severe with atypical features: Early onset. I have come to this conclusion after considering the following information. The synopsis states that Ellen has been referred for a medication consultation by her Psychotherapist whom she has been seeing for the last two years. Criteria A states that the depressed mood has to be present for most of the day, for most days and that this depression must be indicated by “subjective account” or observed by others for at least two years. The observers in this case would be the Psychotherapist that Ellen has been working with and her current boyfriend.
This critical incident involved a first time mother who gave birth at pre temp- 35weeks. Baby stayed in hospital for two weeks before being discharged home. After about two days of being home, mother called her health visitor, the student‘s practice teacher to inform her that baby was having breathing difficulties. Health visitor advised Lilly take the baby to A&E straight away which she did. Baby stayed in hospital for a further 7days before being discharged.
She makes sure she is specific on what the clinician has done correct. She also introduces her clinicians to services the company provides through job shadowing. She believes in written supervision so there is no miscommunication and the employee understand what was discussed. The next question was about what clinical consultation means to her and she said “Clinical case consultation, to me, would be the staffing of a clinical case to discuss diagnostic criteria and modalities of treatment (A. Tuggle, personal communication, December 2, 2015).” The next question was about clinical consultation and she said she does not have one theory to clinical consultation. Another question I asked was what model of clinical consultation do you use or identify with in your supervisory experience and she responded with the same answer as “clinical case consultation, to me, would be the staffing of a clinical case to discuss diagnostic criteria and modalities of treatment (A. Tuggle, personal communication, December 2, 2015).” The last three questions is about emergency management system (EMS).
Sharing of the Birth Story through a Parent Interview The purpose of this paper is to correlate the information gathered from interviewing my mother, Suzanna, about her first birth experience and the knowledge I have gained in my Maternal/Newborn class. Unfolding the story behind my birth, will help me, as a student nurse, understand the problems, emotions, and experiences that arise when giving birth. Knowing the stories behind women’s birth is beneficial to nurses and families. For nurses, it will help provide personalized care by knowing what information and care to provide. For families, it can provide insight to the mother you have never known and provide knowledge and inspiration in birthing our own children.
Name: E.L. Occupation: Registered Nurse Source of History: Patient Reliability of Historian: Reliable Age: 59 Date of birth: 1/15/1955 Race: Filipino Religion: Christian Subjective Data: Chief complaint: E.L. is in her usual state of good health until 5 days ago when she felt pain and swelling of right leg. Patient states that the swelling is more prominent after her work with pain mostly in her right groin. History of Present Illness: 59 y/o Filipino female with Type II Diabetes diagnosed in 1998. She noticed slight swelling of her right lower extremity about one month ago after prolonged standing.
This is a needs assessment analysis that targeted an old model of issuing identification cards to abuse victims trying to leave their abuser, which was problematic because of the time it took to issue the cards and the methods it employed requiring the victims to prove who they are. This assessment, evaluation of an old government model was to determine if the new model was more effective than the old model for this particular program and if the officials tasked with issuing new and or replacement identification to the women and their families
My role as a patient advisor with Kaiser Permanente began in 2010 after the birth of my daughter. I was induced and spent 6 days in the hospital and during that time my family and I experienced wide fluctuations in the level of care and communication provided by the various healthcare professionals attending to us. At the end of my stay, I shared my observations and perception of the labor & delivery and postpartum hospital experience with the department administrator and ombudsman. Upon providing my feedback I was impressed with the reception I received. My input was welcomed and embraced.
Patient attended AMS Relapse Prevention Group on Wednesday at 6 am. The topic of the group was “Evaluating Strengths and Weakness in your Recovery Program.” Drug Counselor begins the lesson by assessing how he has been doing. Counselor stated, “It’s nice to see you again. How have you been doing since your last group or counseling session? How was your weekend (free time)?