Patient Case Studies Samples For Students

A hospital administrator is tasked with the day to day running of the hospital (Sharma and Goyal, 2013). This means that the administrator bears responsibility for any breach of law that may occur during the discharge of their duties. The administrator must thus be aware of any legal requirements that relate to the hospital. One of the key laws to be aware of is the Emergency Medical Treatment and Active Labor Act (EMTALA). From a general perspective, the law prevents ‘dumping’ of patients out of emergency departments (Pozgar, 2012).

Dumping essentially means transferring patients to another hospital either because ...

Data security for network and health information systems makes patients’ information private. Unauthorized people should not access patients’ information. Kaiser introduced an internet patient portal. This portal was subjected to greater insecurity. People accessed patients’ data. Sometimes, the portal would mix the patient’s information. This was an element of concern to the organization. Breaching internet security occurs when unauthorized persons access data online (Wager, 2013).They can edit it. Others can cause communication to be ineffective.

The e-mail security breach was very serious. The portal was at great insecurity. It concatenated patients’ information. Programmers wrote a flawed script ...

A 10 year old boy with a fever of 39C, severe pain and tenderness in left leg was brought to doctor. The history of his leg injury was unknown. Symptoms have been ongoing for alomst week. His mother was using tylenol in the treatment. A series of tests were performed. X-Ray result of the knee was negative. Fluid aspiation of the knee resulted 3000 leekocytes/mm with 84% netrophill. There was a bone scan done that showed a hot spot in the distal tibea of the left leg. Bacteria cultures from the boy's knee joint fluid, blood, and tibial aspirate were ordered. ...

Analysis

Hospitals worldwide look for ways of improving the quality of care through promoting effective and quality improvement strategies. Various factors contribute to the high-performance of health care centers and improved patient satisfaction. The hospital’s management should focus on improving their services in order to achieve better patient reputation and encourage more people to seek medical assistance from this hospital. The following is a case of delays observed in the hospital’s Emergency Department (ED) where a patient spends almost 12 hours in the hospital. The ED is a crucial department and doctors and other health care providers should ensure patients receive ...

The public healthcare is an integral part of national development.in order for the country to move forward in terms of development the citizenry must be of good health. As a result the public health sector has become the center of debate in terms of patient service and patient safety while visiting these facilities.in a public health facility patient safety is very important. This is because public health facilities tend to get a lot of clientele on a daily basis. As a result accidents incidents of confusion are likely to occur. As such is the case it is very important to ensure that patient safety ...

1. What is the underlying mechanism of M.A.'s asthma? What are the three airway responses that occur during an asthma episode?

An autoimmune response to allergens from cats and plants is the underlying mechanism for the patient’s condition. These allergens, though nonpathogenic, trigger an inflammatory cascade wherein lymphocytes, eosinophils, mast cells, neutrophils, macrophages and dendritic cells exert their effects on the respiratory tract (Linzer 87). As an example, B lymphocytes synthesize immunoglobulin E which helps signal the release of histamine, leukotrienes, prostaglandin and cytokines which are proteins that promote vasodilation and hyperactivity in mucus-producing goblet cells (Murdoch & Lloyd 27). Prostaglandin causes the smooth muscles in the airway to constrict. Along with vasodilation and increased mucus production, bronchial constriction ...

Introduction

Health Care Management affects more than a billion people every day all around the world. Therefore, it is very important to understand how the health units function. The evaluation of the health units is based on mainly three factors-Efficiency, Effectiveness and Equity. A look at the efficiency of Hospital operations will bring to the front the factors that cause a Hospital to fail in providing proper care to its patients. Once the Hospital analyses where it is going wrong, it can adopt some best practices to improve upon its services.

Causal Factors for Health Care Management

Health Care Management is a highly competitive field, and the survival of a ...

Salt intake control is a major issue globally. This needs to be addressed because of the associated consequences especially the high blood pressure. The main view of the paper is the review of the contrasting model of control which is the medical model and public health model of control. High salt intake comes from various sources. One of the main sources noted to be relevant in America is that of the intake from processed and restaurants foods.
The medical model is based on stating the amount of salt the patient needs based on the health condition of such patient. ...

Clinical Diagnosis and Rationale for the Diagnosis

Randle McMurphy is the protagonist in the movie “One Flew over the Cuckoo's Nest”. Although he does not overtly show any mental disorder, he seems to be suffering from narcissistic personality disorder (Zaentz & Forma, 1975). Randle McMurphy suffers from Narcissistic Personality Disorders (in Axis 1), which, as he manifests, is proven by several symptoms. The patient employs humiliation and shame to win over others, exploits the situation to gratify himself and becomes jealous easily. He is also confident, arrogant and contemptuous, living in unrealistic fantasies, beauty, power, intelligence and romance, and appearing less emotional (American Psychiatric Association, 2014).
...

A 36-year-old woman is married and has two adopted children. She is diagnosed with polycystic kidney disease (PKD), and she will soon have to go on dialysis or consent to a renal transplant.
1. What additional data should the nurse collect to help the patient make the best decision for herself?
The nurse would need to collect previous health records of the patient. Gathering information on the cause of kidney failure and the medications used would help the nurse analyze the health issue in a precise manner. Gathering information on the patient’s psychological health and family would help ...

Institutiona Affiliation

Healthcare dilemma:
Among the challenges experienced in healthcare service is the provision of the health services under the limited the funds. There have been many strenuous efforts to remedy the problems, but the business problem has always been a major problem. Financial problems have led to many dilemmas to the service providers the hospital, the service production and also the service delivery to the patients. On the other hand, the issues of inflation, whether it is not even higher, it is a tremendous challenge to the health providers. (Katherine 2005, p. 35) There has been this dilemma in the healthcare ...

Question 1

Alzheimer is a disease that mainly affects the elderly. Individuals who suffer from this ailment usually experience irreversible and progressive brain function impairment. This leads to reduced intellectual ability.
Several signs and symptoms may occur in an individual, and these may lead to a probable diagnosis of Alzheimer’s disease. The most common of these include changes in behavior, mood and memory loss. Apart from there are several other occurrences that may lead to a probable diagnosis. Most of the are cognitive disturbances and include things such as failure to identify and recognize common objects, disturbances in planning, sequencing, organizing and ...

The purpose of creating a database that can maintain records of patients in any given area is so that one can find out which vaccines have been administered to the people and which vaccines still need to be given. One needs to remember that this is a particular schedule which needs to be adhered to in relation to administration of vaccines for children, as well as adults. (Missouri Community Guide State Team Final Report, 2011)
This would be an excellent initiative which would help regularize the administration of vaccines and also help curtail the spread of controllable diseases. However some ...

Asthma is a chronic airway disease that is difficult to manage because of numerous risk factors and complicated by poor self-management. This is a case study of acute severe asthma triggered by viral respiratory infection and exercise in an Aboriginal female with chronic asthma. The discussion will include the diagnostic tests, patient assessment, care and interventions, medications, and nursing care performed or should have been performed. The expected outcomes will also be described.

An arterial blood gas (ABG) analysis was performed showing respiratory acidosis and mild hypoxaemia. Above normal PaCO2 and below normal pH meant the lungs could not eliminate carbon ...

The patient has presented with brain trauma but not brain death. They are unresponsive. Half of the family insists they would not want to live this way and should be taken off of life support while the other half insists that that is inhumane and some family members stand to gain a large inheritance if the patient is deceased.

Ethical Issues

The patient is considered brain dead; parts of the brain responsible for higher thinking are no longer functioning. According to Elizabeth Price-Foley’s article “Blurred Lines: Redefining Life and Death”, published in Brain: A Journal of Neurology, when an individual’s ...

Evidences in recent times have revealed that type 2 Diabetes Mellitus is associated with several forms of microvascular and macrovascular events which occur overtime. These pathophysiologic changes influences the patients vessels and other organs of the body and one of the resultant effects which mostly associates with the condition is that of the cardiovascular system. These in most situations remain a major source of concern to the affected individual. The changes are from the line of thrombotic aftermath is a pathologic problem which caused by accumulation of fatty tissues and cells within the blood vessels.
Once this form of pathologic ...

INITIAL PATIENT REPORT

In this section of the report, the confidential data of the patient “Kate Doe” would be described in detail.
1. Identifying Information -: The patient, Kate Doe, is a Caucasian woman who is lives in a town near north of San Francisco. She was born on January 1, 1980 and is an attorney.
2. Presenting Problem and Behaviors-: Kate had been experiencing “spitting headaches” since seven days (a week), after recently breaking up with her boyfriend. Upon arriving to the office, Kate showed signs of being tired and tearful. In addition, her speech was also slow along with her face ...

- How long should the patient have waited before taking Zoloft?
The physician should have advised the patient to first taper the MAOI Nardil by gradually reducing the amount of its dosage within a period of 4 weeks. The amount of the dosage should have been by 25% in the first week, 50% in the second week, 75% in the third week and finally discontinuing it completely towards the end of the third week. In this way, the patient will evade any possible adverse symptoms that come along with abrupt discontinuation of the depressant. Consequent to the 4 weeks ...

Introduction

The purpose of this paper is to develop a comprehensive nursing care plan in relation to a case study. The nursing care plan is a structural framework that is developed by a health care provider for the purpose of ensuring harmonized communication that will eventually result to secure and valuable care for the patient (Doenges, M. E., Moorhouse, M. F., & Murr, A. C., 2005). Maternal health care is a sensitive area of health care provision as it involves handling two lives at once; that of the mother and the unborn child. In this case, developing a maternal care plan requires adequate familiarization with the psychological, ...

Anaphylaxis: Physiologic Progression and Overview

Anaphylaxis is, by its very nature, a rapid-onset reaction. Patients suffering from an anaphylactic reaction will often go into anaphylactic shock and die if the condition is not quickly reversed. The onset of anaphylaxis is triggered by some outside cause-- common causes for anaphylaxis include bee stings and peanut consumption, for instance (Huether and McCance, 2008). Anaphylaxis can be triggered by both immunologic and nonimmunologic mechanisms (Huether and McCance, 2008). When mediators are released from certain white blood cells that are used in both immunologic and nonimmunologic mechanisms, the body reacts by presenting the symptoms that are commonly associated with a ...

Introduction

According to the American hHeart aAssociation, heart attack or myocardial infarction (MI), is when the heart occurs when one or more of the vessels (coronary arteries) that supply blood to the heart get (Coronary arteries) closedobstructed, and the blood is unable tocan’t reach the heart muscle, causing which cause the muscle to maldysfunction function (AHA, 2007). There are two major risk factors that can cause a patient have two risk factors to cause heart attack; which they are high serum cholesterol level represented also known as as hyperlipidemia and high blood pressure represented also known as hypertension. The Heartheart ...

THROAT DISORDERS

Introduction
The case provided in this paper involves a middle-aged female who was presented to the emergency unit complaining of strep throat (Wilson & Nadol, 2012). Upon assessment, she reported having a history of strep throat, and her condition had started the day before. At night, she felt childish and feverish. During examination, the head, eyes, ears, nose and throat were found to be positive of tonsillar swelling without exudates. Her vital signs revealed; - temperature of 101F, heart rate of 112, respiratory rate of 22, and blood pressure of 96/94 hg/mm (Buttaro et al., 2013). Hence, the focus of this ...

Feigenbaum defines quality as an “excellent-driven” rather than a “defect-driven” process. However, such a definition will depend on the role of people defining it. According to Feigenbaum, there is no system of universally defining quality because some people view quality differently. For instance, some view quality as “fulfilling the customers’ needs” while others view it as “conformance to the standards or specifications set”. In the context of healthcare – particularly the case study – the physicians or doctors will have a slightly different viewpoint regarding quality in the hospital. The nurses too will have their own viewpoint while patients will tend to define quality ...

Introduction

A sentinel event involves the occurrence of an unexpected event that may involve death, a serious physical/psychological harm or a big risk thereof. A serious injury in this case may involve a loss of an organ such as limb, hand or a particular function. A sentinel event may also involve severe temporary injury that may require intervention to sustain life. Such events are referred to as sentinel because their occurrence calls for a quick response as well as investigation.
A wrong sight surgery (WSS) is one of the sentinel events in healthcare. A wrong site surgery refers to a surgery procedure that is carried ...

[Institution Title]

Care Plan Template

Patient Initials: Not Applicable Age: 60 years old Sex: Male
Subjective Data:
Patient was admitted for complaints of decrease urinary flow. In addition, patient also complains that he has been experiencing severe symptoms of what he had been experiencing for more than two years already. Patient complains that for the past 2 weeks he has had increased nocturia, associated with decreased strength of urinary flow and slight terminal dysuria.

HPI (History of Present Illness):

According to the patient he has had the same symptoms for more than two years. However, for the past two weeks, the patient’s symptoms seemed ...

[Institution Title]

Care Plan Template

Patient Initials: N/A Age: 60 years old Sex: Male
Subjective Data:
HPI (History of Present Illness): Patient has already been experiencing similar symptoms for the past two years. Similar symptoms of decrease in urinary flow, however, of a much lesser degree of severity.

PMH (Past Medical History—include current medications, any known allergies, any history of surgery or hospitalizations):

Patient has been previously diagnosed with hypertension and hypercholesterolemia. Client was also hospitalized five years ago for assumed angina but was overruled after. Patient is under maintenance medication of two drugs, specifically Cardizem 240mg and Zocor 20mg both taken once daily. Patient denies any medication allergy.
Significant Family History: Patient has ...

[Institution Title]

Care Plan Template

Patient Initials: Not Applicable Age: 60 y/o Sex: Male
Subjective Data:
HPI (History of Present Illness): Patient said that the abdominal pain started the day before. Although patient admitted to experiencing similar discomfort in the past, patient did not experience this kind of pain which he rated as 10 from last night. In the past, the pain would only last for a couple of hours unlike this time which has not been relieved despite 24 hours had already passed. Patient also admits to experiencing nausea but has not vomited despite feeling nauseous. For the past ...

[Institution Title]

Care Plan Template

Patient Initials: N/A Age: 60 yrs. old Sex: MAle
Subjective Data:
HPI (History of Present Illness): Patient has been experiencing heartburn during the past 2 weeks. Patient said to experience heartburn after eating. It is relieved after a few hour or after taking over the counter antacid. According to patient, the pain seems to progress. It started in the umbilical region and is now diffused. Patient said that he was partly relieved after sitting down. However, the pain has become unbearable that he rated it 10 during the actual attack.
PMH (Past Medical History— ...

[Institution Title]

Care Plan Template

Patient Initials: N/A Age: 65 years old Sex: Female
Subjective Data:
HPI (History of Present Illness): According to the patient her cough started two weeks prior to medical attention. She also mentioned she experienced shortness of breath and feeling tired after physical activity. Two days ago, patient started to develop fever which registered at 101°F.
PMH (Past Medical History—include current medications, any known allergies, any history of surgery or hospitalizations): Patient recalled that as a child she had asthma. She was also initially diagnosed with emphysema, for which she was treated ...

[Institution Title]

Care Plan Template

Patient Initials: N/A Age: 65 years old Sex: Female
Subjective Data:
HPI (History of Present Illness): According to the patient she started experiencing shortness of breath after any kind of activity. In addition, patient started developing dry cough two week prior to seeking medical attention. Two days prior to the history taking, patient had a fever recorded at 101°F.
PMH (Past Medical History—include current medications, any known allergies, any history of surgery or hospitalizations): Patient has bronchial asthma from her childhood. She was also diagnosed and treated for emphysema in the ...

1. What is the definition of domestic violence? (2 points) According to U.S. Department of Justice definition, domestic violence is a pattern of behavior in a relationship that is used by one partner to exert control over another intimate partner. It includes physical assaults, sexual, emotional, economic or psychological actions that influence another person. 90 percent of cases involve women being abused by men (Eisenstat and Bancroft, 1999). Domestic violence is the leading cause of morbidity and mortality for women of childbearing age and the main consequences are from the mental health aspects of abuse (Hegarty, 2011).
2. Identify complaints/psychological ...

[Institution Title]

Patient Initials: Not Applicable Age: 52 yrs. old Sex: Male
Subjective Data:
HPI (History of Present Illness): The patient revealed during the interview that he had been suffering from severe and excruciating chest pain that gradually radiates to his neck. He had been experiencing the symptoms for four days prior to medical consultation. Patient feared that despite the stent placement, he was still experiencing angina symptoms. Patient revealed that the symptoms had appeared six months ago.
PMH (Past Medical History—include current medications, any known allergies, any history of surgery or hospitalizations): ...

[Institution Title]

Patient Initials: _N/A___ Age: ___52 years old_____ Sex: __Male______
Subjective Data:
Patient has been complaining of chest pain. Manifested signed of labored breathing and excessing perspiration suggesting signs of exertion. Chest pains also seems to radiate to neck as it intensifies.

HPI (History of Present Illness):

Patient has reported to have experienced angina symptoms four days prior to hospitalization. Patient defers seeking medical attention in the belief that the physical symptoms were simply the result of stress and would eventually be relieved after bed rest. Patient was not active as a result of non-activity particularly relating to work.

PMH (Past Medical History—include current medications, any known allergies, any history of surgery or hospitalizations):

Patient has no ...

The duty of any medical practitioner is to provide a quality service to the client(s) that is ensuring that the patients’ safety and care come first (Grace & Willis, 2012). However, the clinician has to weigh and judge who need the most attention among the four patients and decide whom to attend to first keeping in mind about the health care ethics. Ms. Cora must work without contravening any legal or practice guidelines. The reasons are because the patients require her.
Because the nurse has a duty to care for patients, Ms. Bingham has to consider some factors like age. ...

Nursing Leadership

Part 1
As a nurse manager in a local hospital setting, I will first start by making Laura accept the new changes. From my perspective, Laura does not have acceptance of the new situation. Therefore, accepting and embracing the new changes will be important. These changes will include variations in payment and diversion in the duties. I will encourage Laura to adapt to the changes by gradually interacting with the staff members. On the part of the staff nurses, I would encourage them to understand that adapting to new changes especially when one had been working for a long time.

Part 2

Professional ...

As a nurse manager I will sensitize Laura on the potency of team work in the nursing profession. Laura must completely understand that when nurses function as a team then nursing duty becomes simple, effective and efficient. Consequently, the patient receives quality health care services due to the mentioned team work. I will bring together all the staff and make them understand that hospital can only attain the set goals and objectives through valuing each other services and embracing team work.
Profession nurse has myriad responsibility in delegation of the duties to both UAP and LPN. The RN must first ...

The Joint Commission on Accreditation of Healthcare Organizations requires the root cause analyses in order to extract detailed information. Root cause analyses aid the need for corrective action, system evaluation and trending and tracking. Trending enables the managers to find out the number of times a particular error occurred and the frequency in which a unit of the hospital is involved. The information obtained provides hints to the main problem.
In this case, the relevant human factors present are a patient from surgery who required medical attention and no one was answering the switchboard. The IV was also beeping as the ...

Questions One

A team that focuses in diabetes management are essential in any hospital where diabetic patients receive treatment. The team is made up of professionals and persons with varying duties. However, their outstanding duties include; formulating blood sugar control protocols used in daily diabetes care, serving as diabetes resource persons, educators for newly diagnosed patients and those who require immediate attention. By ensuring proper care, patient’s infection rate and length of hospital stay go down significantly (Browning, 2010).
Inclusion Staff Nurse’s in the team helps with consulting patients’ case and in turn taking charge of the patient’ ...

- History
- Reason for Visit

Annual Well-woman examination

- Present Medical Status
JA is a new female patient, 52 years of age, of black American descent. Patient has decided to visit the clinic for her annual well-woman examination procedure.
- Family Medical and Health History
Patient’s maternal family has had a history of HTN (hypertension) and DM (Diabetes Mellitus, type unspecified and unrecalled); and a paternal family history of CA (Cancer) of the breast and colon. Both maternal and paternal family has no history of Kidney Diseases, Vascular, and Pulmonary Disorders.
- Diet and Nutritional Assessment
Patient ...

1. What is the definition of domestic violence? (2 points) According to U.S. Department of Justice definition, domestic violence is a pattern of behavior in a relationship that is used by one partner to exert control over another intimate partner. It includes physical assaults, sexual, emotional, economic or psychological actions that influence another person. 90 percent of cases involve women being abused by men (Eisenstat and Bancroft, 1999). Domestic violence is the leading cause of morbidity and mortality for women of childbearing age and the main consequences are from the mental health aspects of abuse (Hegarty, 2011).
2. Identify complaints/psychological ...

The dressing code at the hospital is meant to ensure safety to patients is maximized by reducing or eliminate chances of infection. Additionally, the dress code is a means of projecting professionalism and restoring the patient trust and confidence on the health practitioners attending the patient. Moreover, the dress code is for easy identification and reducing chances of confusion. Hence, patient or any person at hospital should be in a position to distinguish a nurse from other health practitioners. However, the dressing code at times comes into conflict with religious and culture believes. Hence, the hospital management should come into agreement with ...

Introduction

Quality assurance is of utmost importance in the health care sector. The main reason is that this sector deals directly with saving human life. As such, there is adamant pressure that the services that are offered are quality to the extent that they can safeguard human life. As such, hospitals are among the primary facilities that are vital in this sector. Therefore, the report shall evaluate quality assurance as applied by Valley General Hospital, Monroe, Washington.
Quality department is tasked with the responsibility to ensure that the hospital conforms to the best quality expectation. As such, the firm ...

Written Case Study – Pathophysiology II

(Location of the University)
1. Describe the underlying pathology of COPD. What impacts do these pathological changes have on normal physiology? In particular, describe alveolar ventilation in a normal individual and discuss how this might be different in Mr Wenham. (20 marks)
Chronic Obstructive Pulmonary Disease or COPD is touted to be the third leading cause of death in the United States of America. In 2010, it has claimed the lives of 134,676 individuals (CDC 2013). By definition, COPD presents persistent blockage of airflow in the lungs — thus interfering normal breathing. Those afflicted with such condition generally ...

This paper was prepared for Course ________________ for Professor _______________.

BURDITT v US DEPT. OF HEALTH AND HUMAN SERVICES 2
Burditt v US Dept. of Health and Human Services
This case was decided on July 9, 1991 by the United States Court of Appeals, Fifth Circuit. According to 42 U.S.C. § 1395cc, all hospitals must treat all human beings who enter their emergency departments in accordance with the Emergency Medical Treatment and Active Labor Act (EMTALA), 42 U.S.C. § 1395dd. In this case, Mrs. Rose Rivera arrived in the DeTar Hospital in Victoria, Texas at 4:00 pm on December 5, 1986, with her contractions roughly one minute apart for ...

The case clearly presents a number of concerns permeating the ethical, legal and moral boundaries. The situation would inevitably leave any professional disturbed. For starters, it is imperative to appreciate the role of professional nurses in as far as delivering services to clients (read patients) is concerned. It is essential to approach health issues from a dual perspective whereby the patient’s needs equally inform the manner of operations and service delivery. However, the dual approach becomes problematic the moment the demands go against what is commonly referred to as public policy. It is incumbent hence for a professional in such situations ...

- Drowsy with warm, turgor and dry skin and mucous membrane: The skin also has to be checked in order to detect the presence of sweat as well as the degree of elasticity. With dehydration, the skin loses water and becomes less elastic.
- High pulse rate: A person admitting dehydration has an increased pulse rate and the blood pressure drops due to fluid depletion.
- Abnormality in degrees of electrolytes: The admitting chemistries indicate abnormality in the electrolytes such as sodium, potassium and chloride. The blood tests are also carried out in order to assess the ...

Discharge Planning Case Study

Discharge planning is an essential activity in the preparation of consumers for the transition from hospital to home settings. The efficiency of the process for patients living with mental health problems can influence the number of future rehospitalizations in acute-care facilities as well as their quality of life in the community (Nurjannah et al., 2014). This paper will address the discharge planning process for a 48-year old patient called Margaret who had been treated for an anxiety disorder at a local hospital. According to the history, she had been referred for assessment by her general physician due to a history of withdrawal ...

Klebsiella Ozaenae Bacteria

A brief background of Klebsiella ozaenae bacteria; the generic name of Klebsiella is a member of the family of Enterobacteriaceae. Klebsiellae take the shape of the rod and are non-motile but have a polysaccharide capsule. What is the primary work of the encrypting capsule? Firstly, the capsule is responsible for the large appearance for the orgasm. It also provides resistance and immunity to the bacteria against the immune system and the defense mechanism of the host’s body (Goldstein, Lewis, Martin & Edelstein, 1978, p. 415). Members of the genus of Klebsiella typically express types of antigens on their cell surfaces. The ...

A counselor is considered as a professional who have the ability to facilitate an individual to transform his or her character. In the past, most of the people used to assume that counselors should only be visited by persons who are facing many mental challenges. As a result, the majority of the people used to refrain from visiting counselors. Consequently, the society was characterized by a significant population of people who were suffering from psychological illnesses (Lago, 2006). Counselors facilitate individuals to cope or recover from psychological illnesses. There are various factors that counselors need to put into consideration whenever they are ...

A. The nursing topic/area of concern that will be reviewed with respect to competency based learning is caring for the patient with chronic respiratory disease.
B. Develop at least four competency statements based on national competencies and standards.
- Based on Professional practice, every nurse shall carry out their legal duties and responsibilities, and while staying accountable, and compliant to the ethics they will demonstrate a satisfactory knowledge base in nursing.
- Critical thinking and analysis; every nurse will be appraised on the basis of evidence of research and feelings that reflect an individuals’ and or group’ ...

- Is there a moral dilemma? How do we know?
Morals are defined as the rules that govern behavior, they act as a guide in determining what is right and wrong in the society including in the medical field. From the case study above concerning Barbie, there is a moral dilemma. For an individual who has been an alcoholic to qualify for organ allocation they are required to have been sober for at least six months. However, Barbie drinks excessively and when her physician gets to learn of her condition he fails to reveal this information to the organ allocation organization. ...

Age __________________________

Medical Conditions(s): _______________________________________________
Reason for Referral
The patient was experiencing difficulties in getting sleep and was irritable most of the time. The patient constantly sinks into depression and has even in a number of occasions attempted suicide. Furthermore, the patient has lost interest in certain activities, which they used to like such as that of playing with friends.

Tests Administered/Test Scores & Interpretation/Behavioral Observations:

The tests that have been administered are the psychological, brain and the blood tests for bipolar disorder. The psychological test were done through the use of questions involving the level of concentration of the patient while at work ...

Question 1

When it comes to communicating to children about achieving and maintaining good health, nurses should keep in mind that the understanding of children is different from that of adults. In the current case, the nurse should make use various approaches ranging from engagement, empathy, education, and enlistment to develop Brian’s trust in her. The nurse-child communication must entail both verbal and non-verbal communication.
The nurse must ensure that her approach does not make Brian nervous and should encourage Brian to talk freely. With regard to non-verbal communication, the nurse should smile a lot as this would ease any ...

Paul has been feeling very tired and has been having sudden weakness and numbness on one side of his body. He calls the hospital asking if this is anything to be concerned about. How do you respond?
1. What is the neurological problem Paul is most likely encountering?
There are two common neurological problems that are usually associated with the symptoms of sudden weakness and numbness on one side of the body. These two conditions are somewhat related in terms of the mechanism. Stroke is a form of medical emergency simply because it is usually caused by problems ...

Arguably, based on the scenario provided herein, it is evident that several factors can be attributed to the development of urinary calculi. To begin with, there is a high possibility that being sedentary and engaging in long hours of standing while working could have contributed to the development of kidney stones in that, long standing hours fosters the formation of the stone (Dua, 2000). Age is also a possible contributing factor, in essence, though kidney stones may affect anyone, it is normally common among people above the age of 40 (Rodman, et. al, 2010). Other factors that foster the development kidney ...

The patient has been experiencing symptoms of gastritis including loss of appetite and substernal pain which worsens in the morning. The fact that he has been experiencing the pain for about five months suggests that this is a case of chronic gastritis. The clinical definition of gastritis is inflammation of gastric mucosa (Rugge, & Garaham, 2010). The long term alcohol consumption of 12-16 cans of beer per day has been causing inflammatory degeneration in the gastric mucosa of the patient (Bienia, Sodolski, &Luchowska, 2002). However many studies have demonstrated that alcohol is associated with acute, not chronic gastritis. It is possible ...

Based on the level of interaction between the nurse and the patient from the time the patient woke up to the time he fell on the floor I can confidently say that the nurse was fully aware of the patient’s level of alertness. She was fully aware of the extent to which the patient was aware of himself and aware of his surrounding environment. The interactions between the nurse and the patient during the time duration in which the patient had breakfast was sufficient for the nurse to make a full assessment on the level of awareness and alertness ...

After decades of uncontrolled hypertension, Ms. Griffin was diagnosed with left-sided heart failure. Although her heart failure was diagnosed eight years ago, she is currently in nursing care and cannot move from the bed or wheelchair because angina and dyspnea episodes often occur even during periods of rest. Over the past 2 years, she has been losing weight and is currently at 93 pounds, which is a 58 percent reduction compared to her previous weight of 160 pounds, so a percutaneous esophageal gastronomy (PEG) tube was inserted in her.
According to the New York Heart Association (NYHA) functional classification system, ...

Torts Exercise—Fall 2013

1.) Issue: Is Dr. Intenzio liable for selecting Madison Outpatient Pharmacy?
Rule: Under the principle of negligence, the law requires evidence that must show that there was a specific duty on the part of Dr. Intenzio to provide care for Adam and that he breached the duty of care, which resulted to actual and the proximate cause of Adam’s death. As a result, it entitled the estate of the deceased to recover for damages for failure of the parties to present an adequate defense.
Application: In the case of Dr. Intenzio, he has the duty to provide care ...

Comment

The Spiegel article on The Dictionary of Disorder partly discusses the major developments that took place from the moment the earliest version of Robert Spitzer’s Diagnostic and Statistical Manual of Mental Disorders (DSM). He brings forth the major development that DSM has had since its inception. He also talks about the revolution that Spitzer created in the field of psychological disorders but does it mean that Spitzer has exhausted everything that needs to be known in this field. Are his findings final?

Question 1

I do believe that the DSM, more so the early versions did not contain much that ...