Case 3 Part A Mr. Chapman is a forty-six year old man, and he has been receiving home-based hospice care, for the past three weeks. Mr. Chapman is an avid smoker, who has smoked two to three packs of unfiltered cigarettes for thirty years. Currently, he is experiencing wheezing, fatigue, weakness, poor endurance, and frequent coughing spasm. He is consistently losing weight, and he can only swallow clear soup and a few sips of water. To cope with his pain, he takes transdermal fentanyl and an occasional oral morphine. Also, he is on one to two liters of oxygen a day. Recently, Mr. Chapman’s wife asked that he does not smoke because she is worried about starting a fire, and people being hurt; however, Mr. Chapman claims that hospice employees …show more content…
Multiple problems arise with Mr. Chapman’s request. The hospice care team wants to make him feel comfortable at the end of life, but allowing him to smoke is a safety hazard for both him and the people around him. A fact sheet from the NFPA states safety tips including, “Never smoke in a home where oxygen is used, and when more oxygen is present, any fire that starts will burn hotter and faster than usual” (Ahrens, 2008). Possible interventions are the use of a nicotine patch, medication, or counseling to help cope with Mr. Chapman’s anxiety. Anxiety medication can help him relax and is a safe alternative to smoking. A study about terminally ill patients and their anxiety states, “the management of anxiety consists of counseling and supportive therapy. Benzodiazepines are the drugs of choice” (Fine, 2001). The patient, Mr. Chapman, wishes to smoke cigarettes, at the end of his life, so he is not anxious. Right now, Mr. Chapman has a low quality of life, and needs assistance for most activities; however, smoking in the presence of oxygen causes an immediate hazard. The patient lives on a farm with his wife and two kids. Due to a drought last year, the family is struggling financially, but his wife carries insurance
Al Waysmoking was a 72 year-old retired factory worker who was a chain smoker. He is experiencing fatigue, shortness of breath, but continues to smoke. Upon exam his Nurse Practitioner notes that he has a prolonged expiratory phase, expiratory wheezes, and an increased anteroposterior chest diameter. His nail beds were cyanotic and he had moderate pitting edema. Pulmonary Function Testing (PFT) revealed that Al had a decreased VC and an increased RV and FRC.
Matthew Ellegood has shown tremendous growth over the past year. With support Matthew has increased his circle of friends within the community. Matthew through his volunteer activity at the Crossing Thrift Store was introduced to friends that encouraged him to attend the Tim Tebow Prom. Matthew attended the Prom this past February and was partnered with a buddy from the Crossing.
Gatzke worked at Walgreen Company as a district manager. He was called to temporarily relocate to Duluth, Minnesota to supervise the opening and preliminary operations of a Walgreen-owned restaurant. The company was paying for Gatzke to live at an Edgewater Motel, where he set up a temporary workspace. Gatzke and some employees had dinner at the new restaurant and then continued their night to a bar for several drinks while discussing the restaurant. Gatzke went back to his room at the Edgewater motel and began to fill out an expense report.
In February 2014, Steven Farmer was convicted of sexual assault, and various other charges. The charges stemmed from his actions while working at Centennial Hills Hospital in 2008. He was accused of sexually assaulting two patients. He was found guilty of the sexual assault of those two women, as well as indecent exposure and open and gross lewdness for his behavior with three other patients. He was sentenced to 30 years to life, and is currently serving his sentence at Ely State Prison.
This teen had oral cancer and had been fighting for his life for at least 10 months. Using tobacco will cause addiction
In the crime of Steven Harmon you should find the defendant not guilty because there was no solid evidence of Steven Harmon being there at the time of the crime. In the hearing of the case we have all the witness testimonies and stories of what happened that day, what they know, and how they were involved but not once did we hear Mr.Harmon’s name mentioned at a culprit at the scene.
Following a jury trial in the Circuit Court for Baltimore County, appellant, James Davis (“Davis”), was convicted of one count of robbery with a dangerous weapon, three counts of use of a handgun in a felony or crime of violence, three counts of first-degree assault, and one count of first-degree burglary. For his offenses, Davis was sentenced to a total of thirty years’ incarceration. Davis appealed his conviction and the computation of his sentences. We affirmed the judgments in an unreported opinion. Davis v. State, No. 2509, Sep. Term 2003 (Md. Ct.
Baba, You’re a stubborn man. You are dying, and you won’t accept treatment, and you continue to smoke cigarettes. You are a stubborn, stubborn man. I am writing this letter to you, even though you may never read it. When you pass away, I will put this note with you.
At the age of 19, Gregory Parsons life took a dramatic turn by a shocking miscarriage of justice. On February 15, 1994, he was convicted in Newfoundland, of the second-degree murder of his mother Catherine Carroll, and was sentenced to life in prison with no chsnce of parole for 15 years. Parsons’ conviction was based on circumstantial evidence, and his case was closed by the Crown prosecutor just by simply asking the jury,”If Greg Parsons didn’t cause his mother’s death[,] who did?” Parsons’ life was not easy. His parents separated when he was only six, and was sent to live with Carroll.
Throughout the whole investigation of the Gail Miller rape and murder case there were many wrongs committed leading up to the false conviction of David Milgaard. The authorities were pressured by the public and other groups to convict someone of this heinous crime and in doing so this action of theirs put an innocent man behind bars for twenty-three years. Right from the start of the investigation there were faults and incorrect procedures perpetrated by the police. The events that took place leading up to the conviction of Mr. Milgaard demonstrate just how sloppy the investigation took a turn when the police became lax in their investigational procedures.
However, his false bravado and self-created grandiose image, will most likely impede his ability to accept the needed treatment and potentially diminish the likelihood for a positive prognosis. A thorough familiarity with his diagnoses, background, cultural influences, treatment history and motivation to fully engage in the process are needed to develop an effective treatment plan for this young man. II.
• P as arrested twice for two different incident. P alleges excessive force, assault, and false arrest for assault on MOS and obstructing governmental administration. First incident date March 31, 2009: P alleges that he was sleeping inside a vehicle driven by Deval Wilson and woken up when MOS were entering the vehicle. P alleges that Mr. Wilson was attempting to get away from MOS and struck lamp post/street sign then fled the location, however P remained at the scene. P alleges that defendant MOS Robert Mayer arrived and asked P about Mr. Wilson’s whereabouts and struck P across his legs with a foreign object repeatedly.
Due to my grandmother 's decrepit state, much of my father 's time and money is spent. As of result, these are my family 's financial need for
While walking down the sidewalk on a beautiful, sunny day, you walk in front of your favorite bakery which has it’s doors propped open and the gorgeous smells are trolling out of the sweet smelling bakery. You take a deep breathe in and all of a sudden are stopped mid-breathe by the scent of sour skittles. You look to your left and see a guy vaping, and the vapor coming from his device is eliminating the delicious scent of the bakery. Vaping has become a popular product on the market, but some of the effects it has on the body make it a worse choice than smoking. Those who vape are susceptible to bronchitis or severe cough, teary or dry eyes, and lung cancer.
Worldwide, tobacco use causes about 90% of lung cancer deaths, 30% of all cancers, 20-25% of coronary heart diseases and stroke deaths, and more than 80% of chronic bronchitis and emphysema”. (Jordan 1). Secondly not only does it affect smokers but even people who don 't even partake in the activity of smoking cigarettes. Second hand smoke is a serious issue and can cause cancer almost easy as being an actual smoker can.