I responded to 345 County Road 3309 in reference to a suspicious circumstance call. Upon arrival, I made contact with Anita Stamey. Stamey advised that her daughter(Brenda Black) is jealous because Stamey been letting her other daughter and son-in-law come over to eat dinner everynight. Stamey stated that Black has called multiple times stated "I'm going to kill you and the entire family." Black also called approxmiatly 6 times while I was on scene. Stamey requested an extra watch on her reisdence for a week. Lt. Raiti was notifed and approved the extra watch.…
On December 31, 2013, Jeanette Cruthis was on her way to an ordinary basketball practice. It was a cold, snowy day and the roads were very icy. Before leaving her house, her neighbor had warned her to drive safely because the roads were slick. This was the day that Cruthis went through a life changing experience that changed her outlook on family forever.…
The following assignment will discuss essential nursing processes to obtain information from a client to identify health problems or potential health problems and to gather and document information to use in the contribution of care planning for a client in a variety of health care settings. The case study involves Mrs Blow, an elderly patient who has a variety of health issues and requirements, that need to be implemented in hospital and on her return home for optimal health and…
This assignment focuses on a case study taken from the authors own clinical practice. The legal and professional responsibilities related to therapeutic interventions will be critically explored and the underlying pathophysiology and pharmacology related to the case study discussed. Critical appraisal and reflection will be used to discuss the strategies for the decisions made about the patients’ management. This will be related to the development of the role of the Advanced Nurse Practitioner. The first person will be used with this assignment; this is argued as expectable when…
This practice analysis will critically evaluate the work undertaken with Mrs S who was 89, suffered from hypertension, age related frailties and dementia, which had caused her to wander out of her house on two occasions. She experienced a fall and was admitted into hospital. While in hospital she received a formal diagnosis of dementia and was prone to short term memory problems. Following discharge from hospital, she received Reablement for a short period, Mrs S was deemed unsuitable as she did not engage with the service and declined all support geared at maximising her safety and independence at home. Mrs S lived alone and she has a daughter who lived fifty miles away from her and was not able to offer much support due to distance and maintain…
The year is 1909. A lady sits alone at an automat drinking coffee. Her name is Helen Jones. While her husband is away at work, she left the house to treat herself to a coffee. It was something she rarely did, but enjoyed greatly. Most days she would spend at her house, cleaning. Her husband was usually late coming home, but never past dinner time. Helen would almost always finish preparing the meal right as he got home. Life was calm for them.…
Using the strategy of collaborative decision-making, decisions are made in the patient’s best interest based on successive comparisons that place the patient at the centre of the care system (Boykins, 2014). Nurses develop professional relationships as they interact with the patient when gathering relevant information and focus on the patient goals (Politi& Street 2011). Through effective communication during the health interview and physical assessment nurses use an active behaviour for patient and families (Boykin, D. (2014)).The nature of the therapeutic relationship provides comfort and reduces anxiety. Patient participate in many activities when a shared decision–making approach is followed (Donahau et al., 2008).…
Mrs. F. Nowell is a ninety-four year old mother, grandmother and great grandmother living in a skilled nursing facility. She has several co-morbidities which are managed medically and chemically within a detailed nursing care plan. She is diagnosed with type II diabetes, hypertension, coronary artery disease, pedal neuropathy, and arthritis. Within this paper we will explore her age related changes, concept of health and wellness, one chronic disease, diabetes, along with the care and health maintenance associated with this chronic illness, compare and contrast medical/nursing care with current research, health promotion, safety and any special concerns, current resources used and community resources not used, and the clients perspective of her own quality of life.…
Realistic and achievable goals will need to be established, and prioritised, this will help to determine the nursing interventions that will be required to assist the patient to manage their chronic illness. The nurse will have to reassess these goals continuously, to ensure that any new problems are identified early and can be incorporated into the care planning for the patient. A review of the Care Planning for the patient needs to be evaluated to ensure that all nursing interventions are effective. (Rita Funnell, 2005)…
Patients often have a limited knowledge of illness and medicine, yet they desire more control over their healthcare. In many healthcare settings, patient care is inconsistent and "patients' quality of life and right to self-determination tend to be ignored" (Bu & Jezewski, 2006, p. 102). Nurses are in a unique position to "support and thereby advocate the patient's interests in the restoration of their health and well-being" (Marshall, 1994, p. 11). However, this is not always put into practice.…
This model focuses on the needs of the patients and their families as driving factors for nursing skills. These concepts are important in this dilemma because this patient clearly needs a provider that has the skills to navigate complicated situations. Nurses can play a vital role in facilitating communication between providers and assisting the patient with social needs, thereby, improving quality of life. Some appropriate patient characteristics in this situation are resiliency, participation in care, and participation in decision making. Resiliency addresses the ability for a patient to return to baseline functioning after an injury (Brewer et al., 2007). Participation in care, takes into consideration a patient preferences and their belief systems (Brewer et al., 2007). Participation in decision-making engages the patient in determining the most appropriate treatment based on available therapeutic options (Brewer et al., 2007). Nursing competencies appropriate here are advocacy, caring practices, and collaboration (Brewer et al.,…
Explain how the best interests of an individual with dementia must be included when planning and delivering care and support.…
This assignment is an account of a nutritional assessment that I carried out on a patient in the elderly care ward I work on. I did this whilst being observed by my work-based supervisor (WBS). I will describe the tool used; the reasons for the assessment; the results of the assessment and the action taken .I will discuss the importance of nutritional screening of all patients in hospital. Confidentiality of the trust, my patients and my colleagues will be maintained throughout this assignment in accordance with the Nursing and Midwifery Council (NMC) Code of Conduct. Nutritional care is a fundamental aspect of health care yet there are still concerns about the effectiveness of care provided especially for elderly patients who are most vulnerable (Age UK 2010) .Having enough to eat and drink is a basic human right and is essential to life and that Assistant Practioners (AP) have a key role in providing good nutritional care to the patient (Potterton and Thatcher 2012).…
Please list outcomes of any/all drug screens. Please include the date, type, results, and substance (if applicable)…
Thompson C, Dowding D (2002) Clinical Decision Making and Judgement in Nursing 1st Edition. Churchill Livingstone. London…