Case Study Lanesha's Family And School Situations Have On Her Health

Improved Essays
How would you define the central issue in this case?

The main issue in this case seems to be a lack of communication between Lanesha, her grandma, and the doctor. Each one has a different perspective about why the situation is so strenuous. If they could each understand the other’s perspective, Lanesha would have an easier time accessing medication and following through with treatment.

Looking over the perspectives of Lanesha, her grandmother and the doctor, what do you think the goals are for each of them? Where do these goals overlap? Where do they conflict?

Lanesha just wants to get her medicine and be on her way, Marietta is incredibly stressed with numerous responsibilities, and Dr Rizzo is having difficulty understanding what
…show more content…
Lanesha seems unwilling to talk about her medication and health with her grandmother. She says just wishes she “could run away”. To make matters worse, Marietta doesn’t believe that talking to her granddaughter is going to change the situation.

What impacts do you think Lanesha’s family and school situations have on her health? What is your role as a physician when it comes to addressing these?

Not only is the lack of medication exacerbating her asthma, she has been missing school and failing classes because she is constantly dealing with it. It also must be hard on Lanesha psychologically. She wants to be “a normal kid in a normal family”, which implies that she feels like this situation is very abnormal. As a physician, our role is to get the family to communicate with each other about health, school, etc. If Lanesha feels comfortable asking her grandma to refill her medications, she will be able to use it every day, rather than when she is already to sick to attend school.

Can you identify any common goals for each of the three participants in this case? What might be some strategies you could use as a healthcare provider to help reach those common

Related Documents

  • Decent Essays

    - Planned, organized, and established priorities based on individual patient’s needs and scheduled activities and adjusted priorities and activities in response to unanticipated events. - Delivered care and provided care coordination for patients in an intensive care setting. - Initiated and coordinated interprofessional team assessments and plans of care including physical, spiritual and psychosocial needs of patients across the continuum of care. - Developed plans of care to achieve identified patient goals in an intensive care setting including planning for transitions within and from the hospital setting. - Communicated regularly with the interprofessional team members throughout the patient care experience.…

    • 100 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Hrm 531 Week 3 Quiz

    • 1102 Words
    • 5 Pages

    1) Creation of a 24/7 call roster to provide support for the crisis team and guide decision-making in client disposition and divert to a lesser restrictive level of care, when appropriate (Triaging). a) Met with all prescribers (Doctors, Nurse Practitioners, and a Physician Assistant) to identify those interested and qualified in participating. b) Developed criteria and guidelines to facilitate decision-making on a uniform basis. c) Set regular (at least monthly) meeting with roster participants to ensure uniformity and consensus about best practices in the fulfillment of our roles. d) One on one meetings with roster participants to discuss and address individual concerns and issues of quality of care.…

    • 1102 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Patient Case Study Essay

    • 485 Words
    • 2 Pages

    The patient is a 56 year old Bangladesh male came by ambulance due to sudden onset of shortness of breath at 3 o’clock in the morning when he woke up to go to the washroom. The patient also has chest pain, nausea and vomiting, fever and worsening orthopnea The patient is having dementia, hypertension and ESRF stage 4. However, patient reused HD and was under nephro clinic, but planned for palliative management. The patient had been admitted to the hospital due to the same presenting complaint for several times.…

    • 485 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Phenomenal. Outcasts. Wise. These are words that you can use to describe Phoenix Jackson and Emily Grierson.…

    • 630 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The impact that diabetes can have on someone’s life is truly great. Everyone who has experienced diabetes has a different tale of the hardships that they have endured throughout their lives. As a human being it is important to have an understanding of the feeling of those who suffer around us. All too often we jump at a conclusion without actually putting much thought into the situation before us. As a current student pharmacist one of my goals is to improve my understanding of what it is like to live with a disease.…

    • 849 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Care Conference Case Study

    • 1258 Words
    • 6 Pages

    Care conferences are held for every person receiving health care at home or in a care facility. They help the “care team” ~ everyone involved in the person’s care ~ share information and work together to meet the person’s needs (1). In this case study, I am the LPN who is responsible to organize a care conference for three of the residents in the residential home that I work with. To organize this care conference, it is imperative that I will fully know the goals for each of the resident.…

    • 1258 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    The 1960’s witnessed a sprawling reformation in American society through its treatment of minorities. In the book One Flew Over the Cuckoo’s Nest by Ken Kesey, the author illuminates societies unfair treatment of the mentally ill. Through the perspective of a long time patient, Chief Bromden, the reader becomes a witness to the cruel treatment from the wards controller, Nurse Ratched. Chief Bromden’s meticulous description of each day illustrates the degrading and mechanical power of the ward’s authority as well as the vicious monotony that exploits the patients’ illness or assumption of one. Nurse Ratched employs cold-hearted tactics in order to ensure her reign and force each patient into submission.…

    • 690 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Concepts of Interprofessional Collaboration The concepts of interprofessional collaboration were made to help us all work together through associations to solve compound health complications. Significant ideas with the relationships, that nurses use every day, include sharing information or education, working together in partnerships, authority (who is in charge?), and being able to be accountable independently or in a group. They also utilize the diversity in the patient population and professional people that we work with. Although, there are no strong associations to how the groups work, all are different, but all have a patient focused atmosphere (D 'Amour, et al., 2005) to reduce risk factors for certain populations and to deliver services…

    • 829 Words
    • 4 Pages
    Great Essays
  • Improved Essays

    In the past several years, healthcare reform has changed drastically, and since the presidential election, it will change even more. In other words, applying new laws to healthcare can either make or break the individuals in our country. Therefore, as a policy aide to the local governor, one would properly engage with key stakeholders to determine which reform efforts should be prioritized in the state. The key stakeholders involved with the processes of healthcare reform would be providers, payers, communities, and the local, state and federal healthcare organizations.…

    • 529 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    For this assignment I chose to interview a private duty nurse who only has one patient. Throughout this paper, for the sake of confidentiality I will be referring to the private duty nurse that I interviewed as Danielle, and her patient as Racquel. Danielle is the primary care provider for Racquel who is a critically ill child with special needs. Raquel is a 10 year old girl who was born with spinal bifida and attends school part-time. Some of Danielle's job duties consist of taking care of and attending to most of Racquel's medical needs on a daily basis, providing in-home monitoring and accompanying her at school and during out of town visits.…

    • 768 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Collaborative Practice

    • 683 Words
    • 3 Pages

    Often times our clients require multidisciplinary care through: physicians, nurses, physiotherapy, occupational therapist, pharmacist, mental health worker, social worker…etc. Jeffs et al. (2017) reinforces this when he describes how collaborative practice occurs when “multiple health workers from different professional backgrounds provide comprehensive services by working with patients… to deliver the highest quality of care across settings” (p.40). Thus, collaborative practice enhances our client’s care, as we are able to efficiently access a number of resources that a client may not be aware of. It is the failure of communication, coordination and collaboration within the health care team that often leads to medical errors and negative health…

    • 683 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    She says until that is achieved, we cannot understand their needs (Tye, 2012 p. 108). On the flip side, to maximize a positive attitude, delegation and prioritization are key elements. Although at times I may have up to 6 patients during a shift, I want my patients to feel that each is my top priority. This will be possible with proper delegation and follow-up.…

    • 1128 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    1) Briefly describe your exposure to medicine As the daughter of a pediatrician, the medical field has surrounded me my entire life. However, my familiarity with the details of medicine expanded at age 15 when I began to volunteer at the C.A.R.E. Clinic, which provides medical care for the uninsured. My internship at a medical examiner’s office exposed me to the anatomy and physiology of the human body and the medical causes of death. In college, I explored medicine by volunteering in the emergency department at Children’s Hospital and Clinics of Minnesota in St. Paul and participated in a Global Medical Brigades trip to rural Honduras.…

    • 752 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    This clinical rotation was interesting to find out about the population health and dynamics of Danbury and the surrounding cities. During the past five weeks, I have encountered many different diseases, people, environments, and professions in nursing that gave me a broader idea of what community nursing truly is. I got to experience four weeks first hand with two different visiting nurses in the Fairfield and Danbury area and one week with the Health Department going on health inspections at two different places. With this, I give you my reflection of what my experience has been so far in this semester. My first week with the Western Connecticut Home Care was exciting to be oriented with the administration and getting an overall picture of what to expect in visiting nursing.…

    • 1114 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    To complete this paper, I had the honor of interviewing Dr. Wheaton. She is a pediatric physician at Kaiser Permanente in Hayward. I have always wanted to be a physician and since I love working with kids, I thought interviewing a pediatric physician would be very beneficial because it would give me a lot of insight on a career that I might pursue in the future. Since I volunteer at a hospital, I asked my supervisor if she knows a doctor who would give me few hours of his/her time. She gave me five names…

    • 1081 Words
    • 4 Pages
    Improved Essays