Mercury Energy Dilemma

After sitting in the hall for five hours, David complained that he needed to lie down. The ER staff, who had been trying to move him to a VA hospital with no luck, finally transferred him by ambulance to a local nursing home. David had a massive stroke shortly after being admitted to the nursing home and died six weeks later (Fremgen, 2016, p. 161). a. Does there appear to be negligence in this case?

This is something I will start to do in the future if the Mom or Dad is unable to provide me with any information. This is important to know, since part of his reason for still being at the hospital is due to weight loss. Mom returned later that afternoon after dealing with another sick kiddo at home. She did inform me that she breast fed around 0730 before she left for about 10 minutes on one

CC Follow up ER visit for back pain. S The patient is a 59-year-old female who tells me in early June she was moving a rolling coffee table at home. She states she felt a twinge in her back and had pain that radiated down into her left leg. She does tell me she had similar symptoms years ago when she was working at a different job. She was diagnosed at that time with a herniated disk and did have steroid injections and was out of work for six months.

Lastly the definition of culturally congruent care. An ethical dilemma I encountered at work was while working as a hospice nurse. I was called by the hospital staff for a Hispanic male in the ICU dying. The wife was quiet and my conversation was with the daughters. The patient had been battling cancer for many years and now was dying in the hospital.

Life changes in the instant. You sit down to dinner and life as you know it ends. The question of self-pity.” (p. 3) These are the first words of the book, and the first words Didion writes after losing her husband, John Gregory Dunne, to a sudden massive coronary event on the evening of December 30, 2003. The couple had just returned to their apartment to have dinner after visiting their daughter, Quintana, in the hospital. Quintana had been unconscious for days and was suffering from pneumonia and septic shock.

This week I have seen a very interesting case at the Vine Clinic. A 17-year-old female who came in with her mother had a chief complain of joint pain and a severe headache uncontrolled by Ibuprofen. She has recently seen in the ER for joint pain. I observed my preceptor conducted a thorough history and physical exam. She started joint pain on the right side of her knee and then the pain migrated to the left side of her body and affecting all the major joints.

A rare cause of Acute Respiratory Distress Syndrome (ARDS) - Mycoplasma pneumonia in a middle aged women Case History A 66-year-old female presented to the Emergency Department of Sri Jayewardenepura General hospital with generalized weakness, faintness, and progressive worsening of difficulty in breathing over a week prior to admission. She also had dry non-productive cough, general malaise with myalgia and a low grade fever. She had consulted a GP and treated with salbutamol and steroid inhalers on outpatient basis. However, since her symptoms became more and more troublesome, she was admitted to the hospital. She is a diagnosed patient with type 2 diabetes mellitus for last 10 years and was taking oral metformin for the control.

In the week 37+2 gestation the woman felt pain and called the community midwife office they took her immediately to the delivery ward in NMH and they found that she has a high blood pressure 142/90, high urate and proteinuria which indicate preeclampsia disease. Preeclampsia is a condition where the pregnant woman has high blood pressure and proteinuria (2). The patient case becomes worse because she developed HELLP syndrome after the delivery of the baby. In order to confirm the preeclampsia multiple tests were carried out. Patient History No previous history Results: Table1: This table shows the results of patient tests Date and Time Test Result Reference Range 19/04/2016 12:08 Week12 gestation Albumin AST ALT Alkaline phosphatase Bilirubin Total 36 g/l 21 IU/I 10 IU/I

A 95-year-old woman while being transferred from her bed to a chair is dropped on her head with a laceration to her scalp and internal bleeding to the right side of her head due to a mechanical device failing. Consequently due to the mechanical failure, the sling that lifted her from her bed to the chair snapped sending her crashing to the floor. She died three months later because of these injuries. The National Ombudsmen Reporting System (NORS) uses a reporting tool to measure abuse and neglect in nursing home facilities. “The Old Americans Act in section 712 requires state long-term care ombudsmen to identify, investigate, and resolve complaints made by or on behalf of residents, and to ensure that residents have regular and timely access to ombudsman services”(Bloeman, Rosen, Clark, Nash, Mielenz, 2015,p.3).

For example, Brittany Maynard (November 19, 1984 – November 1, 2014) was a woman with terminal brain cancer, which cannot be cured. She lived with unbearable pain such as constant headaches everyday of her life. She moved from California to Oregon where Physician-Assisted Suicide (PAS) is legal and began taking prescribed pills from her physician. “My body is young and healthy; I am likely to physically hang on for a long time even though cancer is eating my mind. I probably would have suffered in Hospice care for weeks or even months.

The NCDA Code of Ethics standard E.1.a explains the counselor’s responsibility in explaining the assessments purpose as well as the validity and reliability of the measure (NCDA, 2015). Before I administer the assessment, there are two aspects I need to make sure are functional, which are the environment and the technology. The ACA Code of Ethics, standard E.7.b explains how the counselor must provide an appropriate environment for clients when administering assessments (ACA, 2014). I will provide John with a therapeutic environment where he will feel comfortable in completing the assessment. The ACA Code of Ethics standard E.7.c discusses the counselor’s responsibility in making sure the technology is running and functioning properly in order to take the assessment.

They told her she was fine. She kept retuning to the hospital complaining of pain, and they kept telling her she was fine, this process repeated until they found an enormous tumor in her abdominal region. Henrettas suffering went on for months. She had tumors in most of her major organs, her kidneys were failing and she was swollen. She had so many blood transfusions that the doctors had to cut her off.

This disease is especially concerning for the elderly population. Among those killed was 68 year old mother and grandmother, Bertie Marble. On her second trip to the Flint Medical Center, Marble weakly told her daughter that she “didn 't know what was wrong.” She stayed in the hospital for weeks and died there after her heart had stopped twice. Although her death certificate read “cardiac arrest brought on by septic shock due to pneumonia”, deeper in her medical records legionella is mentioned multiple times. The legionella bacteria made its way into the hospital’s water system and had been infecting patients and others living in Flint.

When will this be done? Cooped up in the hospital, 80 stitches and a foot long scar. How much more can she endure? Did they push her way too far? We left in the fall of 2006 to fix the clonus in her foot.

Scenario: A 13 year old female is admitted to acute care for sickle cell crisis. The patient has an accessed port with maintenance IVF running and has a Dilaudid PCA for pain. The patient develops a fever of 103 and has a white blood cell count of 18 on recent labs. Due to the patient having a central line, fever, and increased WBC the patient triggered a CLABSI score of 3 on the watch list and antibiotics are not ordered. Per protocol, the paramedic notifies the bedside nurse and the attending physician of the CLABSI score so that appropriate antibiotics can be ordered.