The patient then requested to increase her dose by 5mgs, at which this writer completed the dose change request. During the course of the session, this writer and the patient discussed the patient treatment plan goals as the patient has an upcoming treatment plan for the month of August. Goals created by the patient : 1. Stabilize on dose 2. Continue with mental health services to address anxiety Mental Health Services: This writer advised the patient that this writer haven 't contacted her mental
I have recently interviewed my grandmother, she is the mother of my father her name is Ngawiki Cooper. I asked her what was the first thing that she noticed differently about herself? She responded, Well i was 69 years old when i first notice a change in my breast, then I was advised to by my partner to go to the next screening, and it wasn 't until my breast got very painful till i took his advice, by that time i was 70 years old and i was too late the cancer had already speared into both my breast. I then asked her why she didn 't get her screening earlier when she first notices difference in her breast, and why didn 't she take her partner 's advice when it was he asked her? She replied, Because i didn 't think it was as serious as it ended up to be, I 'm old i get different kinds of pain throughout my whole body and unfortunately i class the pain in my breast as a passing pain where i thought i would never get it
Recognizes professional boundaries within the nurse-client therapeutic relationship 1) In my 2402 clinical placement, one of patient and his partner called me to choose a side because both of them were having a misunderstanding in their personal choices. I told them that I would like to give them privacy to talk things over since I have to refrain from inappropriate involvement in patients’ personal relationships. 2) In my 2402 clinical placement, a patient offered me a Tim Horton five-dollar gift card as a sign of appreciation. Recognizing that collecting it will be a boundary issue I politely told him that I can not accept monetary gifts, but if she wishes she could donate the money. I also told her that the care and support I provide is
As a result of Barbra selling her business, she was forced to conform to these new set of regulations as proposed by Universal, the medical company in which she sold her practice too. Upon reviewing this case it appears that Barbara is mostly frustrated with the decline in patient care. However, I think they’re ways to oblige to the new set of rules while still providing the best patient care possible. For example, every patient is billed for a minimum of an hour, utilize this opportunity by maybe incorporating a modality and/or manual therapeutic techniques as opposed to just providing therapeutic exercises. Home exercise programs may be given to new patients when they are discharged after meeting their insurance limits.
Management Team, As requested I obtained the following information pertaining to ex-employee Samantha Clarke D.O.B 5/2/91. According to HR representative Francisco Hungria Ms. Clarke was terminated on 9/8/15 as a Patient Assistant in GP-3 Recovery. Her mother is an employee at GP-3 and she may have been visiting her after being discharged from the Psych ED. As of now Francisco is not aware if she is allowed on the premises for non-medical purposes. He will gather some information and get back to us.
Recently on the post-surgical unit at Children’s Medical Center of Dallas (CMCD), the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAPHS) scores have declined. It was noted that scores for nurse attentiveness to patient requests and responsiveness to call lights dropped, with an overall decrease in patient satisfaction scores. After careful review of the literature, CMCD plans to implement hourly rounding on the post-surgical unit. Current practice on the post-surgical unit at CMCD is for nurses to check on their patients every two hours. Ethical Dilemma Nurses make a moral commitment to care for all patients and take responsibility for the healthcare environment they work in.
My mother and I started noticing that she was having trouble walking, seeing and she was throwing up. My mom decided to take her to the doctor, and he suggested to have her get an MRI. Today we got phone call from our doctor stating that she had cancer. I was in complete denial, until I realized that I had I stay strong for my best friend and help her through this tough moment in her life. Riley is the spitting image of me.
We had about five minutes before my teacher started name calling. My teacher started calling names and to me it felt like slow motion because I was afraid and I was hoping she wouldn’t call me but what do you know she called me. I was so frightened I started to slowly let a tear drip down my face and my teacher realized so she approached very calmly almost like she was half-expecting this to happen to one of us. She clasped her hand on my shoulder and
One hour there after retractable vomiting appeared but she concealed her suicide attempt so she was treated with probability of Gastroenteritis. About 15 hours thereafter delusion, hallucination, gate disorders and speaking difficulties became apparent and she was referred to a hospital. Emergency room physician during history taking find the truth and the patient referred again to the Sina hospital toxicology center of Tabriz University of medical sciences. The patient had slurred speech, ataxy, vertigo, midsize pupil reactive to light , resting tremor , reduced muscle forces and Deep tendon reflexes were reduced( in addition to initial symptoms and signs).Her vital signs were : BP= 80/50mmHg, PR= 78 beat/min, RR= 18/min and BT=
I told her my pain level was at an 8, even though I and no clue what had happen to my knee. The soft spoken nurse had sent me out to the lobby to wait again to be called. Minutes later my mother and older sister had showed up to the hospital. “James Sanchez” said a male nurse. I had stumbled over to him, when he asked how I was doing?