Case study of Mrs. A thought her admission to a acute ward, demonstrated the skills that are needed to care for her. 21312829 This assignment is a case study looking at a patient who has been admitted to an acute hospital following a fall. It will look at why the patient has been admitted and what skills are needed to deliver appropriate care. To protect the identity of my patient I will be referring to her as "Mrs. A" Mrs. A was admitted to an acute hospital following a fall, she had been walking to the shops near her home when she fell and sustained a suspected broke hip. An X-ray confirmed she had a valgus Impacted right neck of femur fracture. This type of fracture is where the head of the femur is broke and Mrs. A would need surgery …show more content…
A was mobilised by the physiotherapists the day after her operation with a zimmer frame and assistance of two. As Mrs. A was previously independent with no aids to help her walk she would need intensive physiotherapy to get her back to her baseline. Mrs. A was discharged to a community hospital on a rehabilitation ward five days are being admitted, (Ojomo,2004) defines communication as the process of sharing ideas, feeling thoughts and messages with others. Good communication skills is a key Part of nursing, it helps to keep the patient safe and to deliver appropriate care to the patient. Without good communication skills could mean to cause harm to the patient unintentionally. Every patient is handed-over to the next set of clinical staff at the start of every shift. This is to ensure the patient get conternuaty* of care and is always getting the best care possible. It also means everyone understands the plan and end goals for the patient as well as there …show more content…
A would need to be admitted to a acute ward to be monitor before and after the operation. Before Mrs. A was admitted to the ward accident and emergency phoned the ward to give handover of Mrs. A. Handover from ward to ward is helpful as it means you get a basic picture of the patient and what care they will need. It also gives the ward enough time to help get things into place. Mrs. A was a 83 year old lady who lived alone with once daily package of care which is privately funded. Mrs. A has family who lived nearby and knew of her hospital admission. The handover also revealed that Mrs. A is continent and the orthopaedic team was not aware of her admission. Before Mrs. A got onto the ward the orthopaedic team was called to tell them a patient was coming to the ward with a fractured neck of femur and would need a review. As Mrs. A was over the age of 60 and would be in bed for a prolonged amount of time she would need an air mattress which was ordered and put on the bed before she come. This would help prevent pressure damage. Once Mrs. A was on the ward the trust policy says that a number of assessment are to be done within four hours. These include; • Waterlow • MUST assessment • Sepsis
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Circumstance: Ayden will maintain contact with medical team monthly. Ms. Smalls (MHP) and Mrs. Wigfall (MHS) discuss Ayden’s recent medical appointments and therapy. Action: MHS report Ayden will start physical therapy at an outside clinic. MHP and MHS discuss Ayden receiving all therapy at the same clinic to reduce several therapy appointments during the week. MHP and MHS review reports given since last week.
However, she has friends that live nearby and they visit her frequently. Grace recently fell down the stairs at home and needed hospital care because of her injuries. She is now ready to be discharged back home, although she appears frail and slightly confused. Grace is also worried about the stairs at home. She would require a number of services to enable her return home safely.
Although as far as human error is concerned, initially the clerk was not at the desk, and then assumed the nurse's name which resulted in delay in attending to Claudia's call and subsequent injury to her body. 2. How might Claudia’s fall have been avoided? • Her fall could have been avoided through several timely responses to her call such as: • Identification of the assigned nurse • Communication of message to the nurse could have avoided Claudia's fall. 3.
Diana should create a report that clearly and factually describes the event and circumstances surrounding. Any staff members involved should be included in this description and are also advised to write a report of their own, documenting their experience in the event. The time, date and location of occurrence should be documented. The patients status needs to be assessed and documented as well as injuries ensued. All interventions that were completed need to be included and who was notified as a result of the event.
The staff nurse followed all protocols defined by the hospital. When Monroe arrived at the hospital there was no apparent emergency. Moreover, the nurse went above and beyond to provide for her, she gave Monroe information where to get OB services and even offered an ambulance
My resident was an older Caucasian female with diagnosis of dementia, congestive heart failure, iron deficiency, thyroid dysfunction, and several other illnesses. As I arrive to my unit at the start of shift, I had a resident approach me, wanting her medications, while she is standing on her walker, I notice, the resident having some shortness of breath. When obtaining her blood pressure, I remember both numbers, systolic and diastolic, were extremely elevated, I obtain and 02Sat, which seem to improve, after a few minutes of resting. I continued by asking is she had any headache or chest pain? She continued to state, yes for the headache, but no on the chest pain.
This essay will discuss a chosen individual with hip fracture from practise placement and explore the context to which health and social care is administered in the UK. CMOP-E model will be used to examine the theoretical concepts of occupational therapy and the identification of occupational performance needs of the chosen patient. The role of multi disciplinary team participation will be discussed with reference to the patient’s treatment whilst demonstrating safe practise in relation to personal safety and safety of others. An 89 years old lady was admitted to the hospital due to a fall at home and fractures her right hip. Mrs Jones (pseudo name) lives alone in a three - bedroom house privately owned with stair lift, bedrooms and bathroom
At 8:10pm Justine became self injuries by picking at old sores on her arm and banging her head on the wall. Staff intervene by using caring gestures and hurdle help , she became combative and attempt to attack staff and Justine was placed in standing to seated restrain 8:10 Pm – 8:30 pm . Nurse Oscar was present
Although it had only been a day, it seemed a lifetime to Charity before she was released from the spell that had overcome her upon riding into town. Weak, trembling, and chilled to the bone, her teeth began to chatter. Someone said, "She 's coming around." As she struggled to awaken, she remembered the blond headed girl and what Wheeler had done to her; she began to shake violently.
The patient received nursing care from June 23, 2015 to November 5, 2015. Through observation, conversation, physical assessment and nursing activities, there were some major nursing problems including risk for infection, malnutrition and hopelessness being identified. To motivate the patient to think positively to strengthen her adaptation ability, we had applied caring techniques to develop a sound and trusted relationship with her. We had also utilized tools and resources to enhance her self-care awareness and skills.
I will also discuss on how this clinical situation could be done differently. Clinical scenario I was posted to a medical ward in National University Hospital for my clinical posting. There is a particular cubicle allocated for patients with very high risk of fall called the “Green eye cubicle “. Patients in that cubicle are usually confused or not compliant to fall precaution.
The circulating nurse also initiated the time-out. During the time-out, the circulating nurse said the patient’s name, the surgery that the patient was getting, and the limb in which the surgery was being performed on. The other health care professionals agreed that it was the right patient, right site, and right procedure. Throughout the surgery the circulating nurse continued to ensure the safety of the patient by watching the surgical staff and making sure that the sterile field was not contaminated. This nurse’s role also included gathering materials for the surgeon, throwing away trash, and keeping the environment comfortable for the staff.
As the assessment begins for Mrs. Adams there are many things that need to be addressed. Educating the patient on active participation in her healing will be of extreme importance. The interventions are only as good as the patient’s willingness to comply. We would need to begin with gaining control of the cleanliness of the apartment and that of Mrs. Adams. Opening the windows and allowing the sunlight to enter is important along with attempts at fixing the air conditioner.