Reporting party (RP) stated that on 03/5/18, Captain de Lambert and crew (FD) received a 911 call for shortness of breath for a resident at the facility. When FD arrived at the facility, they found resident Dorothy Kubotacordery (DOB: 04/02/43) presenting with a "Glasgow Corna Scale 3" and in severe respiratory distress. The resident was slumped and tilted backward in a seated walker within a private room. The director stated in from of FD crew that the last time the resident was seen norma was at 1500 hours. The 911 call was initiated at 1513 hours. The resident was transported to Marin General Hospital (MGH) where they were alerted of early stroke according to their assessment. Shortly after arrive to MGH, the resident went to cardiac arrest.
On 3/6/18, the FD responded to a fall at the facility. While assisting another resident in the home, the captain mentioned to staff Cindy Tane how sorry he was about Dorothy grave condition. Staff hesitated then stated, "Dorothy's condition was very different then what was stated to your crews by our director." Staff disclosed that resident was weak and vomited several times in the morning. Staff moved her to the shower to clean the vomit then put her back into her room. The staff notified the director of the resident's condition and she was too weak to walk and short of breath. The director stated that if 911 was called, the medical crew would start an IV, give her fluids and transport her to the hospital. The staff was instructed by the director to let the resident rest. Staff disclosed that the resident was left unattended for the rest of the day
There was probable evidence that Mollie’s caretaker withdrew care without making alternative arrangements (Fulmer, 2008). The findings indicate that Molly remained alone for many hours on end, without food or water and without a method of contacting anyone for assistance. Mollie’s hypertension and diabetes were not monitored. Medications were not administered.
Mrs. Skelt is a 75-year-old female who was admitted to an extended care facility for rehabilitative care following a cerebrovascular accident (CVA). She has right-sided hemiplegia.
Perhaps the greatest problem faced throughout this tale was that of miscommunication. The Merced Community Medical Center or MCMC for short was the place where Lia was being treated. This hospital was the Merced county's only hospital and unlike most rural county hospital it is state of the art, ."..42,000-square foot wing ... that houses coronary care, intensive care, and transitional care units; 154 medical and surgical beds...."3 This was a teaching hospital made up of interns mostly, but also with some great doctors like Peggy Philp and Neil Ernst. Peggy and Neil are married and have children. They graduated together at the top of their class, and have created quite a practice for themselves. Although MCMC is a great rural hospital, it also has the same problems as most rural hospitals do which is the health care crunch, where most of the money goes to the urban hospitals and then the leftover money is spread among th...
Following her passing on Thanksgiving, “Munoz and his wife’s parents told the hospital that Marlise, herself a veteran paramedic, had made it clear to everyone she didn’t want to be kept alive by machines under any circumstances” (Goodwyn).... ... middle of paper ... ... “The Strange Case of Marlise Munoz and John Peter Smith Hospital.”
Dr. Murray, the chief resident who arrived around 8:00pm, charted Lewis’ heart rate as normal and noteds a probable ileus; however, nursing documentation at the same time recorded a heart rate of 126 beats per minute (Monk, 2002). Subsequent heart rates at midnight and 4:00am arewere charted as 142 and 140 beats per minute respectively without documented intervention (Monk, 2002 ). On Monday morning Lewis noted that his pain suddenly stopped after being very constant and staff charted that they were unable to get a blood pressure recording in either arm or leg from 8:30-10:15am despite trying multiple machines (Monk, 2002; Solidline Media, 2010).
In 1983, Nancy Beth Cruzan lapsed into an irreversible coma from an auto accident in Jasper County, Missouri. Cruzan was discovered lying face down in a ditch without detectable respiratory or cardiac function. Paramedics were able to restore her breathing and heartbeat at the accident site, and she was transported to a hospital in an unconscious state. An attending neurosurgeon diagnosed her as having sustained cerebral injuries combined with significant lack of oxygen. The estimated length of the period without oxygen was twelve to fourteen minutes. (Permanent brain damage generally results after six minutes without oxygen.) After the accident Nancy was not breathing on her own and was connected to a machine, five days later she was breathing on her own and the respirator was disconnected. She remained in a coma for approximately three weeks and then progressed to an unconscious state in which she was able to orally ingest some nutrition. She was moved out of ICU into a private room where the family tried on a daily basis to get a response. In order to ease feeding and further the recovery, surgeons implanted a gastrostomy feeding and hydration tube in Cruzan with the consent of her then husband. Nancy's parents Joe (Lester) and Joyce stayed at the hospital around the clock sleeping on couches and chairs. Her sister Chris visited as much as she could while her two daughters Miranda and Angie were in school. Nancy and Chris were be...
Gibb’s model (1988) first describes the event, so my description of the event is: Mr X was admitted to the medical assessment unit (MAU) from the A+E (accident and emergency) department, with a preliminary diagnosis of a T.I.A. (transient ischemic attack) and dysphasia. Ross and Wilson (1996) describe this as, caused by small...
2. Andrews K, Murphy L, Munday R, Littlewood C. Misdiagnosis of the vegetative state: retrospective study in a rehabilitation unit. Brit Med J 1996; 313:13-16.
Client Profile: Lane Bronson is a 55 year old male with a history of angina, hypertension, Type 2 diabetes, COPD, and sleep apnea. He comes to the physican’s office complaining of worsening shortness of breath. His skin tone is grey, and his angina is worsening. Previously stable, he now does not get relief from rest or nitroglycerin. The physician called 911 and had Mr. Bronson directly admitted to the hospital.
Discuss the Kaysen's symptoms that indicated she needed help. Are these severe enough that she needed to be hospitalized?
After review of the timeline of the events surrounding Mr. B, there are several causative factors that led to this sentinel event. These are inappropriate staffing, inability to identify trends of deterioration, policy for conscious sedation was not followed, inadequate observation and monitoring, failure to respond to alarms, inadequate home medication evaluation, medication dosing, appropriate medication administration times, and failure to start cardiopulmonary resuscitation in a timely manner.
Mr. GB is a 78 year old white male admitted to Bay Pines VAMC on 6/18/96. for " atypical chest pain and hemoptysis". V/S BP 114/51, P 84, R 24, T 97.4. He seems alert and oriented x 3 and cheerful. Bowel sounds present x 4. Pt. has a red area on his coccyx. Silvadene treatments have been started. Pt. Has a fungal lung infection with a pleural suction drainage tube inserted in his chest . Pt is extremely thin with poor skin turgor with a diagnosis of cachexia ( wasting) secondary to malnutrition and infection. Patient is no known allergies to drugs but is allergic to aerosol sprays disinfectants and dust.. Advanced directives on chart. Code status DNR. Primary physician Dr. R, Thoracic surgeon Dr. L. Psychology Dr.W. There is PT, OT Dietary and Infectious Disease consults when necessary. He lives with his wife who he has been married to for 56 years. His son and his daughter come to visit him. He does not smoke. He wears dentures but did not bring them. He dose not use a hearing aid but he does have a hearing deficit.
There are thirty-two American football teams in the U.S., and the New Orleans Saints is one of them. A National Football League (NFL) team that originate from New Orleans, Louisiana. New Orleans Saints is a team that fans point at when it comes to unethical decisions. The press and investigators believe that the disputes have been going on a three year span, 2009-2012 (“New Orleans”, n.d.). The title of this uproar that lasted for almost three years is called the ‘Bounty Gate Scandal’. This scandal is known for the New Orleans Saints paying out bonuses to players for taking out opposing players of the game by injuring them (“New Orleans”, n.d.).
D. standing near her room, breathing sharply. While asked what has just happened, she answered, ‘I feel dizzy and can faint!’ Mrs. D. then explained that she rose up from her chair in the television room and felt lightheaded. I decided to bring her to the room hoping she would feel less dizziness if she could sit. After consultation with my mentor and third year unit nursing student, I decided to perform measurement of her vital signs. Since only electronic sphygmomanometer was available for me that time, I had to use it for my procedure. Gladly, I discovered that I have already used such equipment in my previous nursing practice. Using the standard sized calf, I found that her blood pressure was 135/85, respirations were 16, and her pulse was 96 beats per minute (bpm). However, I decided to recheck the pulse manually, founding that it was irregular (78 bpm). The patient stated that she felt better after rest. Immediately after the incident I made a decision to explore carefully the medical chart of Mrs. D., along with her nursing care plan. That helped me to discover multiple medical diagnoses influencing her
public servants. For some, this action is perceived positively because it promotes the public good