Loss, grief and bereavement is something we all come across within our lifetimes, whether it is in a professional or personal capacity. This discussion will focus on sudden death and the devastating effects it can have on the significant others of the deceased. Theoretical concepts about loss, grief and bereavement will be explored, and the impact that paramedics can have using evidenced based holistic care. “Loss, grief and bereavement are about more than just death and dying” (Nicol, 2017, p.44). All three processes are interlinked together, potentially evoking a highly emotive response whether the death was expected or sudden (Alexander and Klein, 2012).
The case of Riser v. American Medical Int’l, Inc. is about a malpractice action brought on by the children of patient Mrs. Riser claiming that their mothers death was a result of a medical error in which death occurred in performing a procedure on the wrong location. The procedure that should have been performed was a bilateral brachial arteriogram and what was alternately performed was a femoral arteriogram. The patient, Mrs. Riser had many previous health issues which included diabetes, end stage renal failure, and arteriosclerosis. She was experiencing decreased circulation in her lower arms and legs therefore she was admitted to the hospital. Her doctor, Dr. Sottiurai had ordered her to have bilateral arteriograms to see what could be the cause of the poor circulation.
This is proof that Darry got sick and stayed in the hospital for a few days, but was fine eventually. Whereas Johnny, he became VERY sick and fainted after talking too much and ended up, in the quiet hospital, dead. Johnny made this choice because it seems to be a natural instinct to try to save people. Plus, he may have thought that it was his fault the church was on fire and felt bad. The impact on Ponyboy was that when Johnny died, he became a mess.
ARDS is commonly known as acute respiratory distress syndrome. This life-threatening condition was first seen in the 1960s when physicians noticed that twelve people who developed sudden breathing problems and rapid lung failure had similar patches on their lungs. ARDS starts as inflammation, in which then leads to the failure of gas exchanges of the lungs and blood. The blood starts to be deprived of oxygen, which leads to multiple organ failure. The damaged and inflamed small blood vessels will automatically cause people to be admitted to the ICU where there is no specific treatment for ARDS.
The report conducted between 2000 and 2002 found that there were significant medication errors as well as poor staffing (training). Elderly abuse is the abandonment whether financial or emotional abuse or misuse of a patients’ property in an assisted living facility or home. Some of the
It is evident that the mirror is beginning to shatter. That “perfect” image that Leonard see’s in his memory near the beginning of the movie begins to crack near the end. When Teddy tells his that “It was your wife who had diabetes”, it describes Leonard’s confusion. The image of his wife lying on the bed is similar to the image of her lying on the bathroom floor after the accident. Leonard altered his own memory of her to make sense of his condition and situation.
As a nurse working for many years, I have come across many instances where there has been difficult situations in decision making by patients, families and patient care team. One evening, I received an admission from the emergency department for a patient aged 101 year old, who had a fall and fractured her right pelvis and hip and also diagnosed with pneumonia. The patient has a history of Diabetes Mellitus type 2, Congestive Heart failure, and previous fall resulting in compression fracture at T1-T2, which is not treated surgically, blind in both eyes, and Full Code. Patient is alert and disoriented to situation, time and place. She was in severe pain, agitated and restless and being confused trying to get out of bed.
1-800-MALPRACTICE Website Nursing Home Neglect/Abuse Falls (link to Falls in Cases section?) Every second of every day in the United States, an older adult falls, according to statistics from the Centers for Disease Control and Prevention (CDC). This makes falls the number one cause of injuries and deaths from injury among older Americans. With close to 2 million people over 65 living in nursing homes, falls, and the serious consequences that often result, have become a serious problem in these facilities. Falls can result in a variety of critical outcomes that include broken bones, hospitalization, infections, fear of subsequent falls and loss of independence.
Case study: A 75-year-old woman who lives in an apartment building designed for senior living. Recently her neighbors have lodged complaints with the social worker in the building. They state that there are bad odors and roaches migrating to their apartments from her apartment. Her adult son is her primary caregiver and reportedly lives with her but he is not often seen. You are assigned to conduct a comprehensive assessment, make a plan of care and communicate your findings to your supervisor, the physician and those who are authorized to receive information about her care.
Whether you are performing a comprehensive / general survey assessment or a focused assessment, there are four basic tools employed which includes inspection, auscultation, percussion, and palpation (Jarvis, 2008). These methods recommended to be utilized in a well arranged manner from least disturbing or invasive to most invasive to the patient (Jarvis, 2008). Inspection is the first and most commonly used and during this assessment, the provider is striving to identify conditions that can be seen with eyes, ears, or nose such as skin color, bruises or rash, size of body parts, hair, ear, eyes and abnormal findings, sounds, and smell etc (Javier, 2015). For instance, Baid Heather 2006, suggested that if a patient walked into the room or facility, gait maybe observed, if on wheelchair or bed rest, posture issue will be noted while listening to the patient tone of voice or breathing will indicate neurological issues such as dizziness, inability speaking, difficulty swallowing, headache, head injury , vision issue, discharge from ear etc and respiratory issues hence this assessment is vital as it can lead to more evaluation and findings (Jarvis, 2015). Another is Auscultation which succeeds inspection, especially with abdominal assessment which is required to be auscultated prior percussion or palpation to curb production of false bowel sound because the assessment requires quiet to prevent false sounds and done over bare skin, listening to one sound at a time