RL is currently NPO
RL is currently NPO
There is no lymphadenopathy in the neck and no bruits in his carotids. His anterior chest is free of rash. His heart reveals a regular rhythm with a split first heart sound. There is no murmur appreciated. His lungs are clear to auscultation without wheezes or rhonchi.…
The Department of Human Resources received a report on Ms. Mary McGinnis on 10/7/15 alleging Michael McGinnis, caregiver/son of Ms. McGinnis, had not been giving medication properly. Patient scored a 0 on MMSE and son reported to ER doctor he gave her a dose of his methadone because she was in pain. On 10/13 worker made first victim contact at Senior Care. Ms. McGinnis was alert but unable to answer questions appropriately or aware of surroundings.…
Services that improve caregiver depression, anxiety and anger benefit both the caregiver and the care recipient.31 Evidence also shows that caregiver support delays or prevents nursing home placement; people with moderate dementia have been able to defer placement by nearly 1.5 years when their family members receive caregiver services, including counseling, information and ongoing support.…
Pa made it very clear at the initial interview that she has no need for personal support at this time and her main goal is to get permanent housing with supportive service to help her live independently again. Nevertheless long term care support is not what she desires. SC explains to Pa that she will be close to the Waiver program. SC informed PA that if she wishes to receive service from the Waiver program in the future, she would have to reapply from to PCA or Area Agency on Aging based on county she may be living in. Pa stated that he does not want any service from Waiver program at this time.…
Database and Assessment Table 1 – Physical Nursing Assessment Data GENERAL: Patient is an 88 year-old Caucasian male. Vital signs stable at 97.3°F, 82BPM, 22 breaths/min, 84/54mmHg, 100% on 1.5lL O2, 0/10 pain, patient weight 58kg. SKIN/HAIR/NAILS: Skin was thin and fragile, warm and moist, skin color slightly pale, skin tear on left upper arm measuring 3 inches, no bleeding or pain.…
At today’s visit he is accompanied by his wife, he is awake, alert and oriented. He reports dull, left flank pain, severity 4/10, cancer related, manage with Percocet 10/325 mg. He states that he was talking morphine Er 30 mg, but has stopped the morphine because his pain improved.…
He has not left his room in the last 3 years due what he describes as a fused neck and coccyx pain that makes him unable to sit. The wife reports that the patient has prostates cancer 8 years ago for which he had surgery and radiation. A year after his radiation treatment he developed pain in his coccyx as a result of damage nerves form his radiation…
I have been working in a nursing home for a little over a year as a dietary aide and have witnessed many problems within the dietary department. The root cause to all of the problems in the dietary department is bad management from my former manager, Sara. Sara was the dietary manager whose job was to manage the kitchen staff, order food and supplies, and plan out meals and snacks for special events at the nursing home. Bad management existed in the kitchen because Sara gave overtime to her employees like it was candy. The kitchen was understaffed for the past couple of months and so the only way that Sara resolved this issue was to give out overtime.…
In this study, a 74-year-old man with multiple chronic medical problems was hospitalized for respiratory distress. He experienced recurrent aspiration and required frequent suctioning and endotracheal intubation on several occasions. The patient was deemed competent and steadfastly refused feeding tube placement. The patient demanded that he be allowed to eat a normal diet despite being told that it could lead to his death. The patient wanted to go home, but there was no one there to care for him.…
Elder Mistreatment Case Study This case study was concerning the health and safety of Mr. Edward McKay in his home. Mr. McKay is an 82 year old gentleman who after suffering two cerebral vascular accidents has been left with left sided hemiplegia and is unable to speak. He is bedridden with bilateral lower extremity contractures, incontinent, dysphasic and dysphagic. Mr. McKay’s physical condition alone would require total care on a 24 hour basis to assist with feeding, changing and turning him. He lives with his only daughter and son in law and has no other people who check on him or assist with care in his family.…
Salvatore Giaimo 1380 West Street Rd. , Warminster, Pa. 18974 (215) 674-5550 was advised of the identity of Investigator Sean P. Brennan and of the confidential nature and purpose of the interview, Giaimo, provided the following information: Giaimo is the owner of Giuseppe’s Pizza located at 1380 West Street Rd. , Warminster, Pa. 18974. He has been in business for over 42 years. Giaimo explained he and his family owned at one time a Real Estate business, but he got out of that business years ago.…
Introduction Perfusion is a very important aspect to the human body. Perfusion is defined as the flow of blood through arteries and capillaries that deliver oxygen and nutrients to the cells and removing cellular waste from the body (Giddens, 2013, p. 148). For us to maintain optimal perfusion, we need are heart to generate sufficient cardiac output. This means transporting the blood through patent blood vessels to supply the tissues throughout the body. Impaired perfusion may occur when the blood supply is reduced or completely interrupted (Giddens, 2013, p. 148).…
In regards to my case scenario, the main social problem is elder abuse for my client. Elder abuse can happen to anyone, no matter the person’s age, sex, race, religion, or ethnic or cultural background (National Institute on Aging [NIA], 2015). In addition, abuse can happen in many places, including the older person’s home, a family member’s house, an assisted living facility, or a nursing home (NIA, 2015). In brief, my case scenario will focus on Ahmed he is a 76-years-old male from the Middle-East living in Canada with his oldest son Hassan and family. Ahmed is an active man even at his age, he used to be an elementary school principal back in his hometown and his hobbies are reading newspapers and watching television on what is new in society…
1.Provide a script of a Clinical Psychologist's description to their patient with a trauma disorder (Acute or Post) in terms of the neuroscience features---what changes in their brain functioning may be occurring as a function of the condition. What you are experiencing is called PTSD. When someone suffers a trauma, any type of trauma, the brain and body react. A trauma-related neuropathway is created that can be repeatedly reactivated, for some these changes pass in a few weeks, the disruption in mood or dreams does not last long. For others the symptoms can remain and start to interfere with day to day life.…
Reporter stated the following: The aunt old me she has a history of abusing pain medication. She (Destiny) drives under the influence. It is unknown what the mom drives under the influence of. She drives under the influence with the child in the car and I guess it has been going on for two years.…