1. Medical Conditions/Diagnosis:
Pa has a diagnosis of HTN, CAD, hyperlipidemia, seizures, and ataxia. The Pa suffered a stroke 04/26/2013. Pa experience many residual medical complications following the stroke. These conditions cause pain, weakness, fatigue unsteady gait, agitation, ataxia and aphasia is present due to Pa’s stroke. Pa’s spouse supervises Pa when Pa completes daily ADLs because Pa is a fall risk and is not able to stand for more than a few minutes at a time.
2. Skilled medical care/services- Required:
PCP monitors every first week of the month.
3. Skilled medical care/services- Required:
Pa manages most ADLs independently with supervision and set-up from an informal support (Pa’s spouse). Without Pa's spouse's support, Pa would require high level services and oversight. Pa's spouse is independent and consistently available and able to assist Pa. Pa requires assistance in and out of tub due to fall risk, Pa is able to wash herself in a tub chair and the use of hand help shower, but Pa requires supervision when bathing due to uncoordinated movement from her DX of Ataxia and memory loss from the stroke. Pa reports to dress herself, but Pa’s spouse supervises. Due to Pa's inability to stand for long periods of time, Pa requires hands-on assistance with all IADLs including meal
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Pa’s spouse seems to care and seems to be involved with Pa's care and well-being, as well as monitoring. Pa’s spouse and Pa both expressed a desire to locate more adequate housing, as Pa's current home consists only of a rented room and shared kitchen with three other units. The building has an older wooden staircase to enter their rented room and appears unable to support a stair ride. No obvious hazards or security issues were apparent, but their home is very small space with obvious structural issues for Pa in terms of entry into the home no railing outside and indoor
The patient is a 45 year old male who was in a car accident that
As an Occupational Therapist, it is crucial to consider the wellbeing of Martha as a whole person. She is not merely a stroke patient. She is a homemaker, wife, and game enthusiast. Two conditions hindering her accomplishment of these meaningful occupations are her motor planning deficit and the lack of functionality in her right upper extremity (RUE). Martha has difficulty following multi- step commands, and relies heavily on the assistance of others with mobility, transfers, and activities of daily living (ADLs). Despite these, two of her strengths are her abilities to consistently answer yes/no questions by moving her head, and the mobility of her left upper extremity (LUE). She is alert and oriented to herself, and the strength and sensation in her LUE are within functional limits. These factors shape a client’s Occupational Therapy experience.
Reporting party (RP) is a medical assistant for Dr. Seema Sangwan's office who is the PCP for resident Steven Staub (age 62, DOB: 09/06/54). Resident is a paraplegic and dysphagia. Resident arrived with unknown caregiver to the doctors appointment. Dr. Sangwan spoke with the resident privately and resident disclosed that the caregiver was in love with him and wanted him to move in with her. Caregiver wants resident to discontinue home help services and she would provide the services at a lower cost and pay her out of pocket. When resident declined, the caregiver. The caregiver threatened to break up with resident. Resident is still debating if he is going to move in with caregiver.
A registered nurse (RN) is someone that went through a university or college and studied nursing; and then passed the national licensing exam to obtain a license to practice nursing. The degree earned by an RN at the need of the program is deemed a professional nursing degree. The RN top nursing staff and they usually works independently. On the hand, an LPN only earns a practical nursing degree after completion of the program. LPNs are mostly recognized only in USA and Canada; they are also named as License Vocational Nurse (LVN) in the state of California and Texas. LPN work under the supervisor of an RN or a physician.
The modern nurse has much to be thankful for because of some of the early pioneers of nursing, such as Florence Nightingale and Jensey Snow. However, the scope and influence of professional nursing, as well as the individual nurse, has seen more exponential growth and change in North America since the establishment of the first professional organization for nursing, the Nurses Associated Alumnae of the United States and Canada, which in 1911 came to be known as the American Nurses Association.
“We can’t turn away from a patient’s pain just because it’s difficult” (chapman, 2015, p. 88). I know the path of least resistance is taking a path of ignorance. Easy, is to ignore or neglect the true pain patients experience in times of crisis. As caregivers I believe we all want to heal others or we wouldn’t be in the field of nursing, but there are only handfuls willing to be present during the healing process because sharing one’s pain hurts. As a surgical nurse, I find being genuinely present takes hard work on my behalf, not only mentally but emotionally. On a unit where patient’s needs and conditions are changing at astonishing rates, being present requires mental strength in order slow down enough to recognize the value presence
There are many who believe that the next shortage will be worse and the demand for nurses will increase. There will be more jobs available especially with the baby boomer nurses retiring. Wood believes that when nurses retire, the next shortage could be even worse than the previous shortage. According to Wood this would lead to an “intellectual drain of institutional and professional nursing knowledge” (Wood, 2011, para 15). Staiger agrees as well that a shortage of nurses is expected again when nurses retire and since the economy will be more stable full-time nurses will go back to being part-time (Huston, 2017). Huston expects for the supply of nurses to grow minimally in the next couple of years and for a large number of nurses
Mr. X is 84 years old. He was admitted to the hospital on January 4, 2014, due to hematuria in his urine and a suspected Transient Ischemic Attack (TIA). After the admission, he was sent for a CT scan, which confirmed Mr. X’s TIA in his right hemisphere. On January 5, 2014 Mr. X was transferred to CP1, an acute care stroke unit. His first TIA episode had been on August 28, 2012. His comorbidities include hypertension and type II diabetes. His activities are limited to bed rest as he has risk of falls; also he is on input-output with a Foley catheter. He has left side weakness and mild facial drooping on the left side. He is alert and oriented; however, he has trouble focusing on many people at one time. His care plan state...
BM is a 63-year-old women born in St. Joseph Missouri. She sustained a right cerebrovascular accident 3 years ago responsible for her left hemiplegia. Since her stroke BM has not been able to independently live on her own, work or care for herself. Due to her health condition she is completely wheelchair bound and is dependent on the caregivers at the assisted living facility where she resides. BM feels that she has lost her independence since her stroke and it has greatly impacted her ability to
Previously able to walk to familiar locations and utilize public transportation - Mood appears stable today - Compliant with medications and OT interview today - Client able to demonstrate understanding of reason for receiving treatment - Willingness to attend PHP group sessions - Client socializes with other male clients at PHP ACL 4.4- (Champagne, 2003). Client demonstrates ability to accomplish goal directed actions that are simple and familiar, seems to do well with assistance of visual cues, is able to remain focused on an activity for 1 hour, does best with familiar actions, and is capable of asking for help. KELS- (Tomson, 1992). Self Care: Independent Self Care today based on appearance, self-reports frequent of self-care activities Safety & Health: Demonstrates awareness of dangerous household situations from photographs, Identifies appropriate action if experiencing sickness or if an accident occurs, client demonstrates knowledge of emergency numbers, client is able to locate medical and dental facilities Problem areas (3 points): - Premorbid functioning: Mother did majority of cooking and cleaning - Due to poor health, mother expresses inability to continue allowing client to reside in her household - Multiple hospitalizations for psychotic symptoms - Complains episodically about hearing voices - Responds briefly, difficulty initiating conversation or volunteering information - Needs moderate assistance to participate in group activities ACL 4.4- (Champagne, 2003).
If an older individual is not given the proper care in an assisted living home, it will damage the well being of the individual. “Resident independence with ADLs
Advance directives might have many guidelines for patient’s preferences with regard to any number of life-affecting, or end of life situations, such as chronic disease or accident resulting in traumatic injury. It can include directions for other health situations, such as short-term unconsciousness, impairment by Alzheimer disease or dementia. These guidelines may consider do-not- resuscitate (DNR) orders if the heart or breathing stops, tube-feeding, or organ and tissue donation. The directive might name a specific person, or proxy, to direct care or may be very general with only basic instructions given for treatment in time of the incapacitation of a patient. Some states say that if you do not have a written directive, a spoken directive is acceptable.
Prior to discussing why Advanced Directives are so essential the definition of Advanced Directives is crucial. An Advanced Directive is made up of several legal components which ultimately online the patient’s wishes if one was to be incapacitated or unable to verbally make wishes know regarding healthcare. The understanding of what a living will and a durable power of attorney both need to be discussed before one is able to compare and contrast. A living will ensures that anyone reading this paper will understand how the patient wanted to continue their form of treatment. With a living will anyone ranging from patients to healthcare professions should be able to determine the specific actions the patients would want taken if they are unable to make said wishes known. A
1. What is the difference between a. and a. Which K, S, and A pertain to the care you provided to the patient you have chosen? Why do you need to be a member? K- Describe the limits and boundaries of therapeutic patient-centered care. S- Assess levels of physical and emotional comfort.
Pt. is able to do all his ADL's with limited assistance. He wants to get better and leave the HSP. Pt. Stated' 90 days is to long to be here". Pt. States that he is concerned about caring for his tube site when he goes home and does not feel that his wife can do this for him.