medically complex: a middle-aged female that presented with chronic diarrhea that severely affected her quality of life, with a long-standing surgical history including small bowel resections, antrectomy due to a perforated ulcer, and a percutaneous endoscopic gastrostomy tube. She was in the hospital for five months at this
I chose to use the Health Belief Model, borrowed from the behavioral sciences, which explain the health behavior of the individuals. According to Rosenstock (1988), Health Belief Model contains six constructs: 1) perceived susceptibility, 2) perceived severity, 3) perceived benefits, 4) perceived barriers, 5) cues to action, and 6) self-efficacy. Rosenstock, Strecher, and Becker (1994) describe perceived susceptibility as whether or not a person regards themselves as being susceptible to an illness
Introduction Your child has received a gastrostomy. A small opening was made through your child’s abdominal wall and into the stomach to insert a gastrostomy button, a device in which will allow your child to receive adequate nutrition. Typical feeding by mouth is sometimes disrupted by problems such as congenital abnormalities of the digestive system, sucking and swallowing disorders, and failure to thrive. A gastrostomy button will ensure that your child receives the proper nutrition needed to
several unmet needs. After meeting with stakeholders, we’ve aligned our departmental goals with those of the cancer center and streamlined assessments and referrals to key providers. Furthermore, we’ve improved the patient experience with percutaneous endoscopic gastrostomy tubes by coordinating interdepartmental staff education and developing a patient resource manual. Through such experiences, I’ve been able to meaningfully impact our patients, but look forward to learning methods to better optimize quality
characteristics of continuously becoming weak and cannot effectively swallow after being affected by the stroke, and so he is very uncooperative when it comes to taking treatment. His power of attorney, who is his son has agreed to a Percutaneous Endoscopic Gastrostomy (PEG) through phone but the man declines the PEG tube insertion because of the health risks posed by these tubes and prefers to have homecare with hospice. He does not want to contract ventilator associated pneumonia as he is well informed
rate is irregular, and she has an episode of unresponsiveness that leads to mechanical ventilation (Prizio, n.d.). Annette has challenges weaning off the mechanical ventilation, which resulted in the placement of a tracheostomy and percutaneous endoscopic gastrostomy tube (Prizio, n.d.). She is transferred to a long-term care facility for intravenous antibiotics, ventilator weaning, and rehabilitation (Prizio, n.d.). Annette’s goals by
The Ethical and Legal Issues of Mrs. McGoldrick’s Case: An Analysis Using the Four-Box Method The case of Mrs. McGoldrick is one related to key ethical issues of dignity in dying, patient refusal of potentially life-sustaining care, and navigating conflicting interests among family members, clinicians, and patients. An analysis of Mrs. McGoldrick’s case, using the four-box method (Medical Indications, Patient Preferences, Quality of Life, and Contextual Features) adapted from Jonsen, Siegler, and