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.
During this time the DJS student Raquazia Donyia-Shoalyne Gross was being assessed by the Nurse Carol ; another staff Telethia Menefee (Care Specialist) and April Smith (Residential Unit Supervisor) and Ephraim Okech (Residential Counselor ) was able to calm DJS student Raquazia Donyia-Shoalyne Gross down and the letting go process began. DJS student Raquazia Donyia-Shoalyne Gross was able to spit the screw she was holding in her mouth into a cup when the student was totally back to baseline she agreed to walk out of her room and sat in Gwendolyn Simmons Residential Unit office.
The patient (who now has a name, Sylvia) made an attempt to end her suffering by sticking her head in an oven, while her boyfriend tried to stop her and would take her yelling and struggling (which makes him feels isolated) over her attempted suicide. Sylvia continues to feel pain from not only her bone cancer, but from her emotionally abused past and present as told in the seventh track, “Two”,
Karmen is a 50-year-old married who told her psychiatrist that she was considering suicide through overdosing on Advil. She complains of severe back pain that has left her with a “poor mood”. She talked about the injury for a long period of time. When doctors did not validate her injury, she described feeling abandoned. Karmen had gained weight and was upset about that. She did not take making suicidal comments seriously and often just used them as a threat towards her husband. She craved the attention of the doctors, and was flirtatious with the person who interviewed her. Karmen’s husband said that she talked about suicide on a regular basis. Karmen became sexually active early in life and has always gone for older men.
Introduction: Laura Copeland is a twenty four year old Peace Corp representative in Ethiopia. During her work, her health seemed to be “off” (Magic Foundation 2014). Some of the odd health effects were extreme weight gain, deep purple stretch marks, slow wound healing, hair loss, “severely depressed with suicidal ideation”, and a ceased menstrual cycle. Her manager and the other people involved with her care became severely concerned. She was flown out to Washington D.C. to get a medical evaluation, and was placed on suicide watch in the mental ward.
On May 20th, the patient, Mr. Ard, experienced nausea, shortness of breath, and pain while being treated in the hospital (Pozgar, 2014). The patient’s wife, Mrs. Ard, attempted many times to reach a nurse by pressing the nurse call button (Pozgar, 2014). Once the nurse finally responded, anti-nausea medication was administered (Pozgar, 2014). Mrs. Ard continued to monitor her husband’s situation, and felt as if the nausea and shortness of breath were getting worse (Pozgar, 2014). Mrs. Ard continued to ring the nurse call button for approximately 1.25 hours prior to a response from a nurse (Pozgar, 2014). A code was called, and Mr. Ard did not survive (Pozgar, 2014).
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.
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.
“Code Blue”, that the last thing anyone wants to here at the beginning or end of a shift, or for that matter at any time during their shift. With the development of rapids response teams (RRTs), acute care nurses and ancillary departments have a resource available to their disposal when need in uncertain situations. Many times nurses struggle to maintain a patient deteriorating in front of them all the while make a multitude of calls to the physician for orders or concerns. Having a set of “expert” eyes assisting you in these times helps alleviate stress and encourages collaboration amongst staff. (Parker, 2014)
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
The nurse’s first year of practice is the time to acquire new skills and build knowledge and confidence upon the same. Due to deficiency of skills, practical experience, and conflicts in the theoretical knowledge and practical knowledge during the initial phase of their employment, Registered Nurses (RN) face a lot of problems and challenges. Due to these gaps of knowledge, fresh graduates have a lot of stress to perform equivalent to the experienced nurses, which they find difficult. Due to this self-expectation and the expectation on the part of employers and senior nurses newly qualified nurses feel a lot of stress. Fresh nurses consider themselves ready to perform at the new job placements but find themselves not on par with
A confused man presents into the Emergency Department in a dishevelled and unkempt state, the nurse assigned to this patient recognises the following; the man is in his mid-sixties, confused and disorientate, anxious, has an acetone breath odour, also at examination locates a haematoma on the right side of his forehead while the patient also states repeatedly that he wants to pass urine. As acknowledged previously the nurse responded in an inappropriate manner therefore making a significant impact on the care of this patient for the upcoming shift, the nurse presented signs of neglect thus actions need to be taken to keep the patient safe with the best suitable care possible.
Bethanie is a 32yo, G2 P0100, who is currently 11 weeks 3 days as dated by LMP consistent with a 6-week scan. She is known to our office from her prior pregnancy early in 2016. She was followed in our office for diabetes and had had a normal anatomic survey. About one week later she presented with cramping for a couple of days and on arrival she was noted to be 1 cm dilated and 90% effaced. The bag of os was noted to be at the external os. Because of her cramping an amniocentesis was performed which was negative for overt infection and a rescue cerclage was placed. Unfortunately, about one week later her water broke and she ultimately delivered a nonviable fetus. She did have chorio on placental pathology by the time of delivery. She does report that despite this history of possible type 2 diabetes that she has not required any medication and she had an early 1-hr glucose this pregnancy that was negative. She also has some fairly significant social issues as she is currently in the middle of separating from her husband due to domestic violence. She is here today to discuss her history in her prior pregnancy as well as possible FTS.
Miss M.A. is a 75 years old Hispanic, female with a long history of hypertension and diabetes. Ms. MA is widowed and lives with one of her daughters. She worked as a receptionist at a doctor’s office till the age of 65, and she is now retired. She reports that her highest level of education is high school level. In addition to, she reports that she does not drink alcohol or smoke and she does not follow any special diet (M. Amparo, personal communication, June 11, 2016). She was born in Mexico, and came to New Jersey in 1940. Now she lives in a one-bedroom apartment on the third floor of a building with an elevator. She has a home helper who comes 3 hours a day. Ms. M.A. receives social security and Medicare while also being supported by her
This episode navigates the emotional aftermath of sexual violence while highlighting the trauma experienced by the victim and the challenges faced when seeking justice. The patient in this episode (Abby) was raped when she went to a bar after fighting with her husband over laundry. She came into the hospital with a cheek laceration and bumped into a doctor who helped her find the emergency room. Upon Jo examining Abby’s wound, she noticed that Abby would not let go of Jo’s hand and that Abby was trying to hide abdominal pain. After further questioning, Jo found bruising on Abby's neck and stomach.
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...