PHYSICAL EXAMINATION: This is a chronically ill appearing female, alert, oriented, and cooperative. She moves with great difficulty because of fatigue and malaise. VITAL SIGNS: Blood…
On 3/21/17 I met Ms. Melius at the Select Specialty Hospital. After speaking with Michelle internal case manager on 3/20/17 I was advised that doctor appointments outside of the facility would not be taking place. They will make accommodations for any physician to see her in the facility. Ms. Melius continues to need 50 liters of oxygen at rest. With any activity she needs 100liters. Taking her to outside appointments is too difficult. Ms. Meluis diagnosis has been updated to include ARDS and Pulmonary Fibrosis. Ms. Melius is able to walk 10 steps with the increased oxygen need. She sits in a chair at the bedside. Ms. Melius is alert and oriented. Her family has been made aware of her current status. At this point it is unknown if…
John weakness will be denying hospice care services such as counseling and respite services. John stated that he only want medical care not any other services. John’s family strength is John has a supportive and agreeable wife and she agree with every decision he makes. John’s family weakness is John does not have any other supportive family members beside his wife. John stated that his other siblings has resided in another state and live 500 miles away from him. The only family opportunities that John has a wife that is supportive of John’s decision making and he also has the opportunities for hospice program to provide more services to him. John’s threat will be is pulmonologists and oncologists suggested to John that he does not have long time to live and establish a short life expectancy due to his terminal lung cancer. John ‘s physicians stated that they are unsure of his life expectancy but it will not be long until his…
Banner Health is a large organization that started in Phoenix, Arizona and has grown over the last ten years and is serving communities in several states. On Sept. 1, 1999, nonprofit Samaritan Health System and Lutheran Health Systems merged together. Lutheran Health System had history dating from 1938 as a respected health care provider in rural communities located across Western and Midwestern states. Samaritan Health System was formed in 1911 and provided clinical excellence in California and Arizona, primarily in the metro Phoenix area (Banner, 2012). At the time of the merger, Banner Health was in fourteen states, had 22,500 employees, with thirty two hospitals and 2,882 beds, over the years, Banner Health has grown into one of the largest health care systems in the country, and is in seven states and has 35,000 employees, 23 hospitals and 4,330 beds. The seven states are Arizona, Alaska, California, Colorado, Nebraska, Nevada, and Wyoming (Banner, 2012). The organization provides emergency care, hospital care, ambulatory care, which includes Banner Health Centers and Clinics staffed by Banner Medical Group physicians, hospice, long-term/home care, outpatient surgery centers, labs, and rehabilitation services (Banner, 2012).…
She was transferred to the long-term care section of the hospital. Vital signs are: BP 96/62; pulse: 99 to 122 beats per minute and irregular; respirations: 20 breaths per minute. Heart sounds are irregular and distant; peripheral pulses are very weak; dorsalis pedis pulse is present in…
This patient is a very elderly woman and is need of a great deal of support and medical care. For her to achieve a healthy and happy lifestyle she does need these issues to be addressed. It is a lot of work for just one caregiver to manage on their own so family and nursing care should be resourced. Also proper medical care needs to be addressed to assure that her physical and mental needs are assessed and…
Therefore, one function of caregiver is to prevent and, if possible, end suffering. Hence, to achieve such a goal, actions involving assisted suicide and euthanasia would be permissible (Corr, 2013). Not to many of us, especially those who are younger, have a will or power of attorney. Living wills and advance directives are important components of patients’ medical records, which all too often do not indicate the appropriate palliative care measures the patient desires. A review of the current literature indicates that approximately 85% to 95% of the population does not have adequate advance directives or palliative care measures written in their medical record. Furthermore, these orders may not follow the patient when he or she is transferred to other facilities for intermittent care. Unwanted tracheal intubations can be both costly to the facility and distressing to the patient and family members. By instituting a change in policy, organizations can ensure that patients’ wishes for end-of-life care are met appropriately (Alfonso, 2009). It is very important to meet the needs of the patient as well as the family. However it can be troubling when the patient and family’s do not…
The patient we will be discussing is a six year old male boy was being treated for type four attention deficit disorder, sensory dysfunction, milk protein allergies, and also had a learning disability. He appeared world weary, withdrawn, nocturnal enuresia, poor grades, poor social skills, impulsive, and easily agitated. Health care needs comprised of medication management, sensory diet, school assistance, diet control, and counselor. He was the youngest for two children. His mother…
Rather than seeking a cure as with traditional western medical practices, hospice and palliative care puts an emphasis on the quality of life by concentrating on symptom, pain, and stress reduction to alleviate patient suffering through the use of a multidisciplinary approach. This medical approach to patient care is deemed appropriate for patients with acute and chronic diseases, as well as for patients at the end of their life. While the palliative care treatment methodology seeks to relieve symptoms without providing a curative effect on the underlying disease or cause, hospice care addresses only those who are considered terminal, that is, with a life expectancy of less than six months. With respect to advanced disease progression, concerns pertaining to physical, emotional, spiritual, and social issues are addressed with regard to the patient and their loved ones.…
Medical supplies and equipment including medications identified in the plan of care and related to the palliation and management of the patient’s terminal diagnosis and related conditions will be provided by the hospice…
PHYSICAL EXAMINATION: VITAL SIGNS: Show temperature 97 degrees, pulse 53, respirations 22, and blood pressure 108/60. GENERAL: Physical exam reveals a well-developed, well nourished, 35-year-old white female in a moderate…
Priority care needs of the family. It is vital that they contact Lilly’s husband Tom because they need consent from him and have to keep him informed of the wife’s situation. The organization has to communicate the patient’s treatment plan to the spouse just in case Lilly is…
All subjects who had started using the drug around the age of 16 or 17 and had smoked daily for approximately 3 years, although they had been drug-free for 2 years prior to the study. They also had no history of any other drug abuse.…
The patient is a 63 year old Caucasian male. He currently lives over 100 miles away from the hospital on a small ranch. He is married but his wife is in a long term nursing care facility because he is unable to care for her due to her own health issues. He has no children, but he states as having 2 living brothers that check in on him from time to time. He does have a lady that he has personally hired to help him with maintenance and upkeep of his home and another employee to tend to his animals on the ranch. He is solely responsible for his own health care and issues in reference to taking meds, knowing what to do in case of an emergency and driving himself and being able to keep his doctors’ appointments. He is currently status post HeartWare LVAD implantation as bridge to transplant on the 4th of November, 2010.…
The patient chosen for this essay is a sixty year old man. This patient was one of the palliative care patients that the team of district nurses I was allocated to work with in my community placement care for. The patient has terminal liver cancer. The patient lives with his wife whom is his main carer. The district nurses had to visit him every day of the week. The patient had a syringe driver on situ which needed to be filled with a new dose of medication every 24 hours. Also the extension set needed to be changed to the other side of the patient’s body when the side it was on became sore. The main care needs for the patient were to palliate physical symptoms and maintain independence for as long and as comfortably as possible.…