Linda Medina was admitted to Kindred Hospital with a diagnosis of respiratory failure. She came to Kindred intubated and was on a ventilator because she was unable to breathe on her own. Initially, Mrs. Medina was not an appropriate candidate for physical, occupational, or speech therapy due to her respiratory status. With the assistance of the respiratory therapists, Mrs. Medina was successfully weaned from the ventilator and eventually the breathing tube was able to be removed. Now breathing on her own, Mrs. Medina was ready to be assessed for therapy. During the initial assessments, she appeared to be very de-conditioned and required maximum assistance from staff with simple bed mobility and self care tasks. Each day, Mrs. Medina
was able to increase her strength, which allowed her to begin sitting at the edge of the bed, standing up, and transferring to and from a chair very quickly. Upon her discharge, she was able to independently propel herself in a wheelchair approximately 130 feet with supervision. Also, Mrs. Medina was able to walk approximately 160 feet while using a rolling walker with a contact guard provided to her by her therapist. During her time at Kindred, Mrs. Medina required adaptive equipment to assist her with daily activities, such as getting dressed. However upon her discharge, Mrs. Medina was able to independently dress herself and complete other everyday tasks without assistance. After having the breathing tube removed, Mrs. Media was able to begin consuming ice chips in order to improve her swallowing and work towards transitioning her back to a regular diet. During this time, she was being fed through a tube that went through her nose and into her stomach. Mrs. Media’s swallowing quickly improved, she was able to have the feeding tube removed and she was put on a modified diet of soft solids. Upon discharge, she returned to her prior level of functioning and was able to resume a regular diet. Mrs. Medina truly excelled at Kindred, she was discharged to an acute rehab where will begin receiving more intense therapy in order to achieve her goal of being able to return home with her family.
I attended the Saturday Lab 1 session discussing the Denison Specialty Hospital case study. In our session, we had a through discussion into the different budget terminology. I learned about the difference between accrual and cash accounting methods, which is based on the timing of when the revenue and expenses are recognized. I also learned about responsibility centers as an organizational unit under the supervision of a manager, who is responsible for its activities and results. In addition, the manager is accountable for the budget of the department that they head. Therefore, a centralized form of management in developing the budget because it makes easier to because the information for the department budget is located
General Practices Affiliates is considering an offer from Titus Lake Hospital to join under a provider leasing model. Under a provider leasing model, Titus Lake Hospital is purchasing General Practices Affiliates’ services. The practice will retain control of personnel, management, and practice policies. Titus Lake Hospital submitted financial reports to assure transparency during the lease agreement process. The following analysis will discuss whether Titus Lake hospital is a viable financial partner for General Practice Affiliates, possible implications of the lease, and recommendations.
The International Shrine is a brotherhood that is dedicated to having fun with a specific purpose. They are a fraternity based on fellowship and the Masonic principles of brotherly love. The fraternity, which has nearly 200 temples in seven countries and thousands of clubs around the world helps to operate the unique pediatric healthcare system they founded years ago (About Our Fraternity). Through the philanthropic work of International Shriners, transportation and free medical care are provided for those children that meet the qualifications, which in turn remove a huge financial burden from the family.
Tijanee M became self injurious, without warning she went to her room and placed a blanket over the door jamming the door for entry. Staff immediately attempted to open the door and was unable. Tijanee verbalized continuously she is going to kill herself tonight. The staff was able to gain entry to the Tijanee’s room with the use of the screwdriver. Tijanee was sitting on the floor with a sock tied her neck. Staff was able to provide emotional support and retrieve the sock from Tijanee’s neck. Tijanne began to pick at her recent sores until they were bleeding. Staff used kind gestures and hurdle help to calm Tijanee down. Tijanee was able to exit her room willingly and nursing was called for assessment.
Often in rehab facilities, tasks are delegated to nursing assistants, who are not allowed to make assessments, but who also are not educated to be looking for slight changes in patient condition. Increased agitation and confusion can be attributed to lack of sleep, poor nutritional status, or even be considered a normal fluctuation in the patient’s dementia and may not be reported to a nurse. Oliguria and odor of urine may not be noticed by an aid in the event that the patient load was heavy, and is something that an aid may not realize is a critical factor to be reporting to the nurse on. Lastly, when a patient may not be able to express pain verbally, it requires healthcare providers to be familiar with them and make astute judgements based on their behaviors, vital signs, and overall affect/appearance to know that they are in
The situation at the Twin Oaks Hospital is a conundrum that every human resource function would not like to be involved. It is a scenario that has the potential to derail the services of the medical facility. The primary issue, in this case, is remuneration. Employees are demanding an improved wage system that reflects on the services that they offer. In the claims, there appears to be an array of disparities that the line managers must give a response. Seemingly, there have been some grumbles over the wage structure. Employees who give the same value of services are paid varying amounts of money. Ordinarily, if workers discover such a disparity, they are likely to stage a go-slow in protest. There is,
During my morning rounds I began my assessment of Mrs. M., and I noted that she had shortness of breath and she was making gurgling sounds. I immediately auscultated her lungs and noted bilateral wheezing throughout all fields, her heart was irregular and rapid and she had 2plus pitting pedal edema. I noticed she had an IV running at 125ml/hr, which I quickly stopped. The patient did not have orders for IV fluid there was only an order to KVO. I raised the head of the bed and paged respiratory to the floor.
The Hospital provides free services to the clergy and parents of hospitalized children. Hospital provides annual checkups free of charge to its alumni mostly occurred at the time of the annual reunion.
At this stage, I have suggested that Lauris continue with Ultibro but I may look and adding on an inhaled corticosteroid if there is any evidence of bronchodilator reversibility. Her oxygen levels are borderline, and although he is limited by back pain, I have suggested that it would be worthwhile to have an oxygen assessment and I have referred her on The Northern Hospital accordingly. I have also referred her to enrolling her in their pulmonary rehabilitation
Once Mary’s condition begin to make progress, she will then go through long term acute care. Long term acute care is when the process of winging Mary off the mechanical ventilator will start. She will also begin one hour therapy impatient rehabilitation. This therapy session is needed to help Mary adjust to being off the ventilator. The Social Worker will contact Mary’s daughter to discuss the options and resources she has in order to continue receiving the proper care once she is home. Mary’s house is not suitable for her right now so the Social Worker will need to call a family team meeting. In this meeting they may want to discuss Mary being placed in a nursing home or receiving care from a home health aide. Being that Mary’s daughter lives in Atlanta, the home health aide can also ensure Mary gets to her follow up
Therefore, she may find it harder than most of the population to transition into the role of the patient and rely on others to make clinical judgements to promote and protect her recovery. Moreover, she was in a lot of physical pain, with her right leg in a full cast, causing her to be at bed rest. This I believe, as well as the patient being more aware of the inner workings of the hospital compared to other patients without a medical background, may of contributed to her ill ease and need to feel in control of her nursing care, over that of her care plan set by the
I would also have to explain to the informant that their information will have to be passed on in confidence, in order for Linda to receive some help. The information would be shared with the multi-disciplinary team, which in respite care could include the family doctor, public health nurse, social worker and clinical psychologist. They would discuss the best possible ways in which to approach and treat Linda’s problems involving her family and also liaising with her school.
One of the most famous, and popular hospitals around the globe is “The Hospital for sick Children”. The hospital was founded in the spring of 1875, and stands strong till this day. The hospital was established when Elizabeth McMaster rented an 11 room house in downtown, Toronto. She set up six iron cots and declared open a hospital “for the admission and treatment of all sick children”. The hospital rose into high demand and expanded and moved onto University Avenue. Each year, thousands of patients are treated and cured for there (http://www.paeds.utoronto.ca/about/history.htm). The hospital is currently working on many projects, in which most are related to understanding learning disabilities. One of the many projects includes “Exploring the causes of Reading Disabilities”; this is a project that overlooks at genes to understand the causes of certain disabilities. Another research project that the hospital is currently working on is; “Parent Involvement and reading development in the early grades”, this project focuses on the effects of parent’s involvements in their children’s di...
After the handover, I was asked by my mentor to attend to a patient who is bed ridden to have her personal care done with the assistance of one of the health care assistant staff. The patient was recently admitted to the ward and she looks sc...
Hospitals are a necessary part of every individual's life. When one thinks of hospitals, help comes to mind (Hospitals Struggle to Keep Their Promises). Neither a person's age, ethnicity, nor economic background should matter when it relates to access to healthcare. Everyone will need hospital care at one point in their lives, no matter how healthy one may think he or she is. That is the reality. Unfortunately, many of these organizations are in danger. "Hospitals are experiencing a period of financial duress unprecedented in recent history. The number of hospitals that have closed their doors is at an all-time high, and many more might close within the next few years" (Moore et al, 1999). It is ironic to think that the institutions such as Faith Community Hospital that provide healthcare and even save lives, face severe problems. Problems that must be addressed early to avoid jeopardizing an individual's access to healthcare should those same problems lead to the hospital's demise.