The nursing staff reported that her chest infection had resolved and she was now more alert. They did get her out of bed but with lot of difficulty, as she would not follow any instructions or commands. The first time I saw her I had the rehab assistant with me. We were going to assess her ability to walk. I together with the rehab assistant tried to get her to walk, but we were not able to convince her to even stand from sitting in the chair.
Becoming a CNA was easy for Daphne, but the career had its disadvantages. When after one year as a CNA, in a nursing home, she was accused of an act she did not commit. With an abuse offense behind her license, she was terminated and had to find another job. Always being written up for the negative things that take place on the job is another obstacle Daphne faced. Daphne had been written up and reported several times for having to leave the job to get to her kids for whatever reasons.
Describing the potential effects of discriminatory practice in a health and social care setting I am a partially sighted person and have certain disabilities, such as I suffer from sciatica and back problems. I regularly have to visit my doctor for check-ups and medication. There was one time when I decided I needed to make an appointment to see the doctor at my local health centre and when I approached the receptionist on the desk, the receptionist was very abrupt and unhelpful, I explained my current medical conditions and the troubles I was having but she wouldn’t listen or try to help me in anyway. I feel the receptionist was very unprofessional and wasn’t doing the job she was supposed to be doing. I feel that I have been treat unfairly and due to my current problems I should have been able to have the appointment I needed and also to have been spoken to in an appropriate manner.
It will also critically reflect on the interagency challenges and the range of ethical dilemmas which exist and or can exist in the case. Mrs T is an elderly lady living in an elderly mentally infirm residential unit, which she has lived at for the past four years, her next of kin is her only living relative her son Mr T. Mrs T has a diagnoses of Dementia and is continually reviewed by the community psychiatric nursing team. Mrs T requires assistance from one member of staff with activities of daily living and does not present with any challenging behaviour. She is happy in her mood and enjoys been cared for at the Home. Mrs T suffers from Headaches and is prescribed medication for this on an ‘as and when required basis’.
There was no on-going monitoring of nutritional needs, and no clear care planning towards this either. In may 2011, a lady whose mother stayed in Ipswich Hospital for a month two years ago, wasn't surprised by the CQC's critical report. She stated that she had raised concerns at the time of her mothers stay, saying that her mother was not fed properly, her glass of water was out of reach. Her mother was also given nappies to wear, rather than staff having to help her out of bed to use a commode. In November 2011, CQC released another report saying that improvements in using call bells, and help with meals had improved.
White cap: Information Marianne is a 79-year-old woman with hemorrhagic stroke. She has been placed on a respirator, unresponsive, pupils dilated and non-responsive to light. Physician recommends surgery to remove blood clot but does not offer much reassurance that she would recover function. She has no advance directives. Husband wants to try everything, but children believe she would not want the surgery and a poor quality of life, which they agree is the likely outcome.
Negligence and malpractice are increasing within nursing fields even though nurses and students who will become nurses are educated about their legal and professional responsibilities and limitations. Negligence is a failure of fulfilling the responsibilities that the nurse has which results in malpractice. A nurse can be sued for malpractice when she fails to take care of the patient; it results in patient’s injury, however we should keep in mind that not every case ends with the injury, but still it is a malpractice. Many nurses are not fully committed to perform the skills they should, and they enter the profession only because of benefits. Malpractice can be increasing because of a severe shortage of trained nurses, and it happened because of a few factors: nurses are required to work longer shifts; they can lead to fatigue and increase the risk for an error; also short Nursing courses providing degrees with no sufficient time to train nurses results in malpractice.
Janet had since been released and had re-offended after a period of only a few months. Upon release, Janet was homeless with no support, and stayed with friends who use drugs and drank daily. She attended meetings for a time, but not regularly, and soon stopped going altogether. Janet was in a high-risk atmosphere upon release which made it difficult for her to maintain a crime and drug-free lifestyle, thus resulting in her incarceration
Case Study 1 (expands on a previous scenario) Tina has alleged to a neighbour that her sister, who deals with her finances, has not been paying her contribution for her care and Tina had not been receiving her personal allowance. She has disclosed after her neighbour who came round to have a cup of tea while her sister was out. This neighbour has contacted Adult Services to express her concerns about this and the fact that she had last week seen Tina with a black eye. As a neighbour, she and Tina had been good friends, seeing a lot of one another, until Tina had a bad fall and became dependent on her younger sister for support. She hardly sees Tina now.
Through review of recent literature into the assessment and management of individuals affected by paranoid schizophrenia, this paper will discuss in detail how the nurse goes about assessing the patient, why assessment is vital, common outcomes of the assessment and finally go into detail on how the nurse manages a patient with paranoid schizophrenia. Stein-Parbury (2009) discuss the importance of providing an environment without distractions for an assessment to occur in, as this enhances the ability of both the patient and