Case 2: David is an 80-year-old patient who lives alone, and who wasadmitted to your hospital after a fall left him with a fractured hip. He hashad multiple admissions to Emergency that were the result of mobilityissues, and being able to safely move about in his two-storey home. He iswell aware of the risks of living in his current residence, and is capable ofmaking decisions involving his health care, including discharge. AlthoughDavid no longer requires medical care from your hospital, the team feelsuncomfortable discharging him home, and believes that he wouldbenefit, and be at far less risk of falls in long-term care. Question 1: Doesthe team have an obligation to protect Mr. David from (potentially)avoidable risk? Question 2: Does Mr. David, on the other hand, have aright to live at risk? Question 3: What safeguards are in place to ensureMr. David is making an informed decision? Question 4: What mechanismscan be implemented to address the potential moral distress of staff?

Hip fracture is the breaking of bone on the upper part of the femur i.e. the thigh bone. The injury…

Answered: Case 2: David is an 80-year-old patient…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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A patient tells a nurse that he has no one he trusts to make health care decisions for him should he become incapacitated. What should the nurse suggest he prepare? a. Combination advance medical directive b. Durable power of attorney for health care c. Living will d. Proxy for health care
A healthcare supervisor has become aware of an incident related to a staff member expressing details of a patient visit on a social media network. Which action will reduce the risk of sharing patient information? TIME L Explain which social media networks staff are allowed to use Require staff to disclose which social media networks they are active in Reinforce limited use of social media networks during work hours Enforce a policy that guides staff use of social media networks
Police: Patient was caught in a brothel & they think she is the Madame running the place. There were 2 other buildings with brothels nearby which were also caught in the undercover sting operation. A man is with her, who claims to be her uncle. The patient looked like she was about to faint, so she was brought to the ER. Social Work: Patient came to NYC to study at Columbia University. She escaped the bombing in Kharkiv, to Kiev. But then she decided to study in the US since the war did not stop. She went on a date with a Russian-speaking man she met at the supermarket, since he also had been born in Kharkiv. At the end of their date, he walked her into an alley & took her to dimly lit hotel to meet more "friends." They turned out to be to a group of men who stole her passport & she became trapped in a Russian- & Eastern European-speaking underworld in NYC. They put her in charge of 3 hideaway homes filled with Russian- & Ukrainian-speaking girls, who were…
it is a clinical case history in which you just need to fill this form. you just need to suppose a patient you are suffering from depression or anxiety and accordingly you have to fill this form and answers must be in detailed) Case History Sheet Personal Information: Client’s name: __ gender: ___ religion/sect: __ Date of birth: __ age: _ marital status: ___, Education: __ Family information: Father’s name: ___ alive: ___ age: __ Mothers name: _____ alive: ____ age: _ Presenting Problems ( Nature Of Problems, Precipitating Event, Patient’s Feelings And Thoughts About Problems) __________________________________________________________ History Of Problems (Duration Of Present Problem, Changes In Nature, And/ Or Frequency Of Problem Over Time, Prodromal Manifestations, Other Past Problems Of A Psychological Nature, No. Of Attacks)______________________________________________ Prior Treatment (Details Of Problems Sought For Presenting Problems And For Whom ; When And For What…
Case Scenario/Description Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team…
Maria Russo is a 76 year old woman admitted to the Emergency Department viaambulance. Maria fell when watering her garden and was unable to get up. She waslying in her garden for 3 hours until discovered by her neighbour.Maria's medical history includes osteoporosis, prediabetes and depression. She hasrecently been experiencing some orthostatic hypotension. She has no significantsurgical history. Maria lives alone, her husband died 6 months ago. Her adultchildren live interstate.Maria's current medications include Aspirin 75mgs daily, Citalopram 20mg andAlendronate Sodium 10mg orally daily.She was administered Intravenous Morphine and inhaled Methoxyflurane by theparamedics.Assessment data:Airway: patentRespiratory rate: 18 breaths/min Oxygen saturation: 97% on room airHeart rate: 90 beats/min (irregular) Blood pressure: 104/70 mmHgCapillary refill: 2 secondsRight leg shortened and externally rotated Right hip bruised and oedematousRight foot pink, cool, no paraesthesia or abnormal…
Maria Russo is a 76 year old woman admitted to the Emergency Department viaambulance. Maria fell when watering her garden and was unable to get up. She waslying in her garden for 3 hours until discovered by her neighbour.Maria's medical history includes osteoporosis, prediabetes and depression. She hasrecently been experiencing some orthostatic hypotension. She has no significantsurgical history. Maria lives alone, her husband died 6 months ago. Her adultchildren live interstate.Maria's current medications include Aspirin 75mgs daily, Citalopram 20mg andAlendronate Sodium 10mg orally daily.She was administered Intravenous Morphine and inhaled Methoxyflurane by theparamedics.Assessment data:Airway: patentRespiratory rate: 18 breaths/min Oxygen saturation: 97% on room airHeart rate: 90 beats/min (irregular) Blood pressure: 104/70 mmHgCapillary refill: 2 secondsRight leg shortened and externally rotated Right hip bruised and oedematousRight foot pink, cool, no paraesthesia or abnormal…
Any possible exposure to HBV, HCV, or HIV should be reported at the end of a shift. should be discussed with the staff member’s primary care physician. should be treated with PEP should be reported as soon as possible.
an afternoon shift. Patient informationName: Irene Smith Age / Sex: 16 years 10 months / femaleAccompanied by: Taylor Smith (Brother, 20 years/Male)Present Medical HistoryIrene presented to the PED with her brother Taylor, following a fall around 3 hours ago. Irene was riding abike in in the street in front of her home and bumped into a parked car on the street, fell and hit her head.She was not wearing a helmet during the incident. There was no loss of consciousness noted at the time.However, she started having headache after half an hour of injury. There were multiple abrasions on elbowand knee and swelling on her left forehead.Past Medical/ Surgical HistoryAcne Vulgaris, Depression, Anxiety, and attempts of self-harm multiple timesCurrent medications: Roaccutane, Olanzapine (poor concordance- she misses to take medicationsregularly as prescribed)Allergies: Pea nuts (Anaphylaxis)Perinatal historyVaginal birth, other details are not availableImmunisation history? Incomplete. Irene…
an afternoon shift. Patient informationName: Irene Smith Age / Sex: 16 years 10 months / femaleAccompanied by: Taylor Smith (Brother, 20 years/Male)Present Medical HistoryIrene presented to the PED with her brother Taylor, following a fall around 3 hours ago. Irene was riding abike in in the street in front of her home and bumped into a parked car on the street, fell and hit her head.She was not wearing a helmet during the incident. There was no loss of consciousness noted at the time.However, she started having headache after half an hour of injury. There were multiple abrasions on elbowand knee and swelling on her left forehead.Past Medical/ Surgical HistoryAcne Vulgaris, Depression, Anxiety, and attempts of self-harm multiple timesCurrent medications: Roaccutane, Olanzapine (poor concordance- she misses to take medicationsregularly as prescribed)Allergies: Pea nuts (Anaphylaxis)Perinatal historyVaginal birth, other details are not availableImmunisation history? Incomplete. Irene…
Mr. Caring, a Nursing Home patient was identified at risk for elopementThey were given a wanderguard bracelet, which is connected to the front and stairwell doorsResident has been at facility for 15 years, is alert and oriented x 2-3, smoker, walks a small amount of feet and usually sits in a wheelchair, which they propel.The resident is on 30 minute safety checksAt 7:00 am on Monday, you are at the facility and informed that Mr. Caring's empty wheelchair ws found at the back door a few minutes prior. what root cause analysis will find out what happened develop a corrective action plan tp prevent it from happening again.
an afternoon shift. Patient informationName: Irene Smith Age / Sex: 16 years 10 months / femaleAccompanied by: Taylor Smith (Brother, 20 years/Male)Present Medical HistoryIrene presented to the PED with her brother Taylor, following a fall around 3 hours ago. Irene was riding abike in in the street in front of her home and bumped into a parked car on the street, fell and hit her head.She was not wearing a helmet during the incident. There was no loss of consciousness noted at the time.However, she started having headache after half an hour of injury. There were multiple abrasions on elbowand knee and swelling on her left forehead.Past Medical/ Surgical HistoryAcne Vulgaris, Depression, Anxiety, and attempts of self-harm multiple timesCurrent medications: Roaccutane, Olanzapine (poor concordance- she misses to take medicationsregularly as prescribed)Allergies: Pea nuts (Anaphylaxis)Perinatal historyVaginal birth, other details are not availableImmunisation history? Incomplete. Irene…

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