Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients. In addition, she is most frequently assigned any change of shift admissions.
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.
Imagine that you 're in the hospital, you 're preparing to meet your third child, a daughter, in her first moments in the world. You make that final leap towards meeting your precious bundle of joy, only to see a doctor holding a blueish gray baby. You start to panic thinking, "what is happening to my child?" You see the nurse run out of the room and return with a syringe and ask, "what is that for?" The nurse replies that "this will help counter-react the medicine", the medicine that was killing your child.
Luke did not want anyone to know about him being sick so Julie was supposed to pick him up and then take him to the doctor. When they got to the doctors office the waiting room was full of sniffling kids. Forty minutes went bye and the door to the outside of the office had opened and Luke’s mom rushed in: “Nancy! Why are you here? The doctor told me to come.
In my freshman year of high school my mother was injured in an automobile accident. My mother was always fragile because of her pre-existing heart condition, atrial regurgitation. Due to the accident, she went into congestive heart failure. The only choice for her survival were to perform an open heart surgery. The next 14 hour were the most excruciating hours of my life,I had never been so terrified.
They laid her on my chest for 2 minutes then took her away. She was rushed to the nursery to get put on oxygen. She was having a little trouble. She stayed in the nursery for 2 days, then the nurses finally brought her to me. Those where the hardest 2 days of my life, she was with me for 8 months.
When I first witnessed a social worker, I was getting a treatment in the hospital and saw a social worker working with a family who child had a broken pelvis. This child kept crying even after they nurses gave them medicine for pain. The nurses were concerned about the child always crying and called the social worker to come talk to the parents about the situations. I have tested my interest at Gateway Children’s Advocacy Center under Diane Rodgers. I loved volunteering at Gateway, it’s showing me the bad and the good side of social work.
Month after month she would suffer abdominal pains that were so severe, at times she would have to leave her college classes and go home. Tia suffered with symptoms for many years before she consulted a physician who diagnosed her with something called endometriosis. This was heart wrenching to her as she was told it could affect her ability to have children. She then underwent two laparoscopic surgeries to help manage her condition. After this she decided to take a more wholistic approach and try and modify her diet.
The case study that I chose was from Nursing Ethics Journal is titled, The twins: a case study in ethical deliberation. This case presents a nurses perspective about nine year old, Roman Catholic, Hispanic twins, who survived a very difficult preterm birth and were in a persistent vegetative state since childbirth. The parents took care of the twins along with their four other children, but the growing demand of the twins was starting to take a toll on the parents, so they decided to place the twins in an institution. From the time that the twins were admitted to the institution, they have been frequently admitted to the hospital related to respiratory illnesses and urinary tract infection, which were a result of their deteriorating immune system. The nurse’s role was to obtain a do not resuscitate (DNR) order from the parents due to the doctors stating the twins have less than a year left to live, and “why prolong the inevitable?” (Freysteinson, 2009).
When I was in 6th grade I couldn’t focus in class or focus on really anything. I was constantly moving and had to be active or I’d start getting body shakes just to get energy out. When my parents became aware of this they were immediately concerned and took me to the doctor soon after. I was taken to a testing center where they put a weird looking red hat on my head, put some sort of gel on the top of my head and asked me a bunch of questions. The whole procedure took about an hour and by the end I was diagnosed with ADHD.
Fights and arguments continued to plague the relationship between Sanchez and Buchholz and on July 20, she left him and descended into crisis. Emotional distress often exacerbates postpartum depression and Sanchez soon found herself in the emergency room at Metropolitan Methodist, asking for help. During this visit, Sanchez met with a counselor at the clinic that ushered her through her pregnancy. Upon speaking with the counselor, she stated that she had delusional, paranoid thoughts that other women were trying to breastfeed her baby and hearing voices which said that others would like to take her baby away. She also reported visual images of other children’s faces transposed on her baby’s face.
The focus of this paper is the core concept that traumatic events may cause changes in one’s family life, reminders the traumatic experience, and other adversities in relation to the trauma. Amarika, an 18-month-old girl, was with her mother in the park when a stray bullet from gang violence hit Makisha, Her mother. This initial event caused many changes in Amarika’s life. Makisha had complications from surgery and had to stay in the hospital for an extended period of time. When Makisha was to return home, the family also faced the distress of her rehabilitation.
No big deal. Except it did not go away. Next thing I knew I was at the doctor for stomach pain and chest pain in December. That night I was rushed to Arkansas Children’s Hospital, in fear that I had appendicitis. Once again, I found myself listing off symptoms.
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.
Rotation day five the Minden Lab. Today was a busy day got to draw many people and they were willing to let me. We also had some calls to the ER and drew on a person that was having chest pain we drew a Cardiac tube he told us that he was worried because his nice was going to have surgery. The phlebotomist asked what kind of surgery he’s niece was having he then told us the story of how his niece had been thrown up in the air and that the little girl had fallen and hit her head. He thought he was having chest pain because of how worried he was.