Skilled Nursing Case Study

This supplement is a record of my actions in cases 16-125169 (April10, 2016) and 16-125698 (April 12, 2016).

Vibrant Communities. Care for All.” At Grace Hospital, the primary goal is to address the medical needs of our patients and continue to these patients in the community for as long as possible. When a patient is admitted to my unit, I am working with the clinical care team including physicians, nurses, physiotherapist, occupational therapist, dietitian, and hospital based care coordinator to ensure that our patients have the resources to help them thrive when they return home to their own community. We are able to achieve this by constantly communicating with one another as well as communicating with our patients and their families to determine which community resources would best suit each specific patient. We have referred our patients to various community programs including the Home Care program, the Geriatric Program Assessment Teams (GPAT) and the Geriatric Mental Health Teams (GMHT) program, and Community Therapy Services. All of these programs are designed to assess the patients in their own homes to determine how the patients are managing at home and determine whether the patients would benefit from additional services and resources. In addition, by partnering up with different community resources, our patients are able to access the help and information that they need from the community rather than be at risk of being readmitted to the hospital due to a lack of

I would agree that, Certified Nurses Assistants are not medically trained to administer medication and that task should be handled by an LPN or an RN. Just for the fact that administering medications involves more than giving the residents their medication, there are tasks, such as, including reviewing the order; confirming that the medication order is correct; reviewing all warnings, interactions, and allergies; evaluating the patient after the medication has been administered.

1.1: Describe the physical, psychological, social and emotional changes that an individual may experience as a result of ageing.

The power to persuade is a valuable tool for everyone on the Earth. It is vital for every leaders, activists and even teachers to know how to sway and individual or audience. The ability to convince is the most important for a parent however, especially as their children grow older. Lord Chesterfield’s letter to his young son is a wonderful example of this. He is trying to tell his son to succeed and make good decisions without coming across as overbearing or domineering. Lord Chesterfield uses a variety to rhetorical strategies to persuade his son to excel abroad.

Like many mentally ill Kentuckians, Morton was neither dangerous enough to be kept in a hospital for long nor healthy enough to care for himself in the community. If successful, House Bill 94 would "keep people out of the revolving door of the hospital," Sheila Schuster of the Kentucky Mental Health Coalition told the committee. Most states have adopted some version of "assisted outpatient treatment" since the 1980s, when families of the mentally ill began to lobby for it. Police or family members can have the mentally ill involuntarily committed to a hospital for treatment once they deteriorate to the point that they pose a threat to themselves or others. First, at a hearing, a judge would decide if the individual met various criteria, including having a severe mental illness, symptoms of anosognosia, a likelihood that he would be a danger to others and a determination that outpatient treatment was the least restrictive alternative available.

What a blessing it is to have the United States Department of Veterans Affairs (VA), Veterans Health Administration (VHA) providing multiple healthcare services to our heroes, our veterans! To be afforded the opportunity for our heroes to attend and be treated, at little to no cost, for a wide range of ailments from the common cold, to a mental health disability, or for the possibility of a healing surgery is a well-deserved and a wonderful privilege. One of the major demographics of care providers within the VHA is the registered nurse. There are over 51,000 registered nurses nationwide, with 60.7% of the total population of providers of healthcare, within the VA hospitals, VA outpatient clinics and VA Patient Care Medical Homes (VHA, Office of Nursing Services, 2012).

The shortage of primary care physicians has been a problem in health care system and will continue to the next decade due to increasing of aging population. According to National Governors Association (NAG) (2012), the growth of the aging population combined with the initiative of the Affordable Care Act, the problem of primary care providers shortage is worsening. Nurse Practitioners (NPs) are educated and prepared to perform primary care services as physicians do. More importantly, studies showed that NPs’ role as primary care providers achieve equal or higher patient satisfaction rates (Evangelista et al., 2011, Albers-Heitner et al., 2013). These studies illustrates that NPs can play a key role in providing services to health care market.

On 11/4/15 Ms. Brittany Terry and her daughter Lundyn met with CM for an ILP. CM introduce herself as the client temporary CM assigned to her case.

Which under the current design addresses long- term care for a limited amount of time, such as for rehabilitation purposes. These services cannot be received outside of a Medicare-approved facility, which means the person cannot reside in their home and receive the long-term care assistance under the current system. Therefore, we propose to amend this portion of the program to extend the funding for long-term care to include home care. Which consist of the relatives receiving monetary compensation for their care. Under the current policy, 41% of the Medicare budget of $50,000,000,000 is being advocated this particular area. We propose taking 8% of this budget and applying it towards long term home based care. Moreover, we are advocating for home based funds to be obtained by amending Medicare part B, which under the current policy only covers extended care in a Medicare-approved establishment. We do not propose totally doing away with the present system because our policy does recognize the need for these facilities to continue to meet individual needs that cannot be met in a home based environment. The proposal adds the additional component of supplemental income for a home-based long-term care of, which covers

In one of the oldest pieces of literature, The Odyssey written by Homer, Odysseus is a heroic and admirable commander that goes beyond his own duties to protect his men and return home to his beloved Ithaca. Although some readers think Odysseus is ignorant and a braggart, I believe he is a strong leader and an admirable wartime hero. Even though he is not flawless, Odysseus preservers through many obstacles and remains determined throughout the book. Odysseus has clearly shown both leadership and tactical thinking for instance when he devised a plan to escape the Cyclopes’ cave, respecting Elpenor’s dying wish, and slaying a stag to feed his men.

Yes, I feel that as long as the nurse participates in a program that includes requirements of regular attendance at support group meetings, personal and active involvement with a 12-step sponsor, and close contact with a case manager or monitor of an alternative program, she should be allowed to return to work. However, the nurse should not be allowed to work in the clinical areas that are deemed the highest stress units for

. Describe the growth and developmental tasks that were displayed by the child you interacted with in this setting (Erikson, Piaget and Freud). Were these tasks age appropriate? Did you assess any developmental challenges in the client that you interacted with? How were they dealt with (by you and by the health care team)?

On 11/12/2015, CM wet to the “A” dorm to locate the client. Client was lying in bed and CM requested for the client to come to the social service office. CM along with the client completed Bi-Weekly ILP Review. Client was alert, satisfactorily groomed, and casually dressed. She was cooperative and appropriate in the meeting. She made eye contact appropriately. Client ambulates with a cane due to injury she sustained at work. She wears thick glasses. Client described her mood as “good” and d her affect was appropriate. Client report a lot of pain in her knee and leg. She was oriented to person, place, time and situation. Client report she does have family member here NYC but she cannot stay with them she also report no community support. CM advises the client to participate in all onsite recreation activities. CM also refers the client to CAMBA Home Health Hart to Hart Adult Recreation Center.

The defense argued that although after Murray gave Jackson his regular prescribed drugs, Jackson was upset because he was not receiving the drugs he wanted, so he lashed out and grabbed another drug that was in reach. The media and the people question this statement mainly because doctors should not leave the room while there are drugs in reach of a patient, especially when he is physically unstable. The defense kept arguing Jacksons unstable voice recording about his upcoming show, but failed to say how he got this sick. Although Jackson constantly used prescript drugs, he was not that ill until Dr. Murray allowed him to take these drugs that had a negative impact on Jackson. To back up this information, “Nutritionist and holistic nurse Cherilyn Lee “tells the court she warned Jackson . . . No one who cared or had your best interest at heart