Nursing Practice Case Study

Improved Essays
Show More
Mr. Delk, a stroke rehabilitation patient had the highest risks of falls and injuries and stroke victims also have a high incident of hip fractures. Therefore, the nurse should have a more thoughtful assessment, aggressive safety precautions, monitoring and constant inspection of patient’s surrounding environment. The plan of care should be based on those assessments and inspections, including self-care deficit, balance impairment and hemiparesis with motor impairment and gait impairment. According to Maslow’s Hierarchy of needs safety is identified as one of the significant domains. In this particular case, the risk was clearly involved while two to three persons needed to get involved to transfer the patient with a gait belt with pivot maneuver …show more content…
From legal, ethical and professional point of views, nurses are responsible to meet the standard of care according to individual state nursing practice act. “The nurse practice act of each state protects the public, defines nursing practice, describes the boundaries of practice, establishes standard of nurses, and protect the domain of nursing” (Burkhardt & Nathaniel, 2014, p.140). In this specific case, from legal point of view, the court decided that the primary nurse and the student nurse were not guilty, since they started in a safe and protective way to transfer the patient. Secondly, Mr. Delk was fully aware that if he would get up on his own, he might fell and injured …show more content…
Retrieved from http://www.nursingworld.org/mobile/code-of-ethics
Burkhardt, M. & Nathaniel, A. (2014), Ethics and issues in contemporary nursing, (4th edition). New York, Cengage Learning
Morales, K., (2012), The 4 Elements of Medical Malpractice in Nursing. Retrieved from http://www.nursetogether.com/4-elements-medical-malpractice-nursing
Trujillo, A., (2012), Hospital Falls Are Not Always the Healthcare Provider’s Fault, Or Are They? Nurse-Approved Resources, Retrieved from http://www.nursefriendly.com/nursing/clinical.cases/2012.08.18.hospital.falls.htm
Wagner, L. M., Phillips, V. L., Hunsaker, A. E., & Forducey, P. G. (2009). Falls among community-residing stroke survivors following inpatient rehabilitation: a descriptive analysis of longitudinal data. Biomed Central Geriatrics, 9(1), 46.

Related Documents

  • Improved Essays

    Nurse Practitioners: A Case Study
    • 1013 Words
    • 5 Pages

    Nurse Practitioners: A Case Study

    Shepperd, J. R., & Hale, S. E. (2016). Nurse Practitioners in the World of Pain Management: A Cautionary Tale. The Journal for Nurse Practitioners, 12(2), 102-108. doi:10.1016/j.nurpra.2015.10.006 This work has the purpose of informing Nurse Practitioners of the potential dangers and pitfalls within prescribing pain medication to patients. It uses a methodology of first giving an example of a case where a nurse practitioner was charged with running a pill mill due to her numerous prescriptions for opioid pain medication.…

    • 1013 Words
    • 5 Pages
    Improved Essays
    Read More
  • Improved Essays

    Kamehameha Nursing Home: A Case Study
    • 911 Words
    • 4 Pages

    Kamehameha Nursing Home: A Case Study

    As of year 2015, there were 120 residents in Kamehameha Nursing Home who suffered physical injuries because of falls. This is an alarming rate as the number of falls tremendously increased. Because of the alarming increased rate of fall in Kamehameha Nursing Home, needs assessments were conducted to identify risk factors and ways to address it. The aims of the needs assessment were: a. Determining the causes of falls…

    • 911 Words
    • 4 Pages
    Improved Essays
    Read More
  • Improved Essays

    Elder Loss Research Paper
    • 277 Words
    • 2 Pages

    Elder Loss Research Paper

    About one third of the elder population over the age of 65 falls each year [TPS+01]. The risk of an elderly falling increases with age, which also applies for people with neurodegenerative diseases, dementia, delirium, or psychotropic medication [HA10]. As a result, fall related injuries are the number one reason for emergency room visits, and it is also the leading cause of deaths among adults above the age of 65 [JS06].…

    • 277 Words
    • 2 Pages
    Improved Essays
    Read More
  • Improved Essays

    Never Events (Never Event (NQF)
    • 1446 Words
    • 6 Pages

    Never Events (Never Event (NQF)

    “Never Event” was introduced by Ken Kizer, MD, former CEO of the National Quality Forum (NQF) in 2001 particularly referencing to shocking medical errors such as the wrong-site surgery which should have never occurred (Agency for Health Care Research and Quality, n.d.). American Sentinel University states that the NQF defines never events as “any serious reportable event” (2013). As of 2011, there are 29 events that are grouped into 6 categories: surgical, product or device, patient protection, care management, environmental, radiologic, and criminal (Agency for Health Care Research and Quality, n.d.). These never events should not occur, but can cause serious disability or death, and are usually preventable. Never Events are reported to the public and by having the goal for increasing accountability and improving the quality of care given to the patients.…

    • 1446 Words
    • 6 Pages
    Improved Essays
    Read More
  • Great Essays

    Elderly Falls In Nursing Home
    • 1606 Words
    • 7 Pages

    Elderly Falls In Nursing Home

    Running Head: PICOT and Scholarly Project - Elderly Falls in the Nursing Home 1 PICOT and Scholarly Project - Elderly Falls in the Nursing Home NSG- 603: Application of Nursing Research Maneca Jean-Baptiste, MSN, FNP-C Wilkes University PICOT and Scholarly Project - Elderly Falls in the Nursing Home 2 PICOT and Scholarly Project - Elderly Falls in the Nursing Home Introduction One of the major issues faced by healthcare organizations is elderly falls. They account for the largest number of adverse events reported in various practice care settings and are the second most common cause of harm to patients. A fall is an event that results when an individual inadvertently comes to rest on…

    • 1606 Words
    • 7 Pages
    Great Essays
    Read More
  • Improved Essays

    Ethical Accountability In Nursing
    • 1037 Words
    • 5 Pages

    Ethical Accountability In Nursing

    Nurses are on the frontlines of healthcare delivery and they carry a responsibility for providing care to clients in the most ethical way possible. It is vital for all nurses to possess ethical knowledge so they may conduct their actions appropriately, diffuse tense situations, and give safe and efficient care in today 's changing world. In practical care, the question to answer is: “What can I do?” The answer lies in the context of ethical principles. Ethical care seeks the best way to provide care by using the best nursing function.…

    • 1037 Words
    • 5 Pages
    Improved Essays
    Read More
  • Improved Essays

    Acute Rehab Case Study
    • 1526 Words
    • 6 Pages

    Acute Rehab Case Study

    How Study to be Conducted This study will focus on protecting patients from fall and fall-related injuries after stroke in an Acute Rehab Unit. At first it would identify the patients who are at great risk of fall currently and after going back to the community. The Morse Fall Risk Assessment (MFA) tool will be used to initially identify fall risk patients in the unit. CDC’s Injury Center has created a tool kit, called STEADI (Stopping Elderly Accidents Deaths and Injuries).…

    • 1526 Words
    • 6 Pages
    Improved Essays
    Read More
  • Great Essays

    Hourly Rounding Essay
    • 1419 Words
    • 6 Pages

    Hourly Rounding Essay

    INTRODUCTION Inpatient falls is one of the most devastating problems in the acute care settings. It has estimated that one-third of adult patients, age 65 years and older fall and the injuries related to falls increase with age (Abraham, 2011). Falls not only cause physical harm, but can have lasting psychological consequences for the patient, such as decreased quality of life. Furthermore, Medicare stopped paying reimbursements to hospitals for treating fall-related complications. Improved monitoring by staff is one of the nursing intervention to prevent falls.…

    • 1419 Words
    • 6 Pages
    Great Essays
    Read More
  • Improved Essays

    California Nurse Practice Act
    • 736 Words
    • 3 Pages

    California Nurse Practice Act

    Nurse Practice Act As a registered nurse, the most important responsibility to have is to the patient. The nurse is a trusted advocate, not only providing care, but also education and support that benefits the patient’s overall well-being. There is an obligation that registered nurses must maintain a safe and competent practice for every aspect of nursing and this is how the Nurse Practice Act becomes incorporated into the care. Many possibilities can arise in nursing and situations are never the same, thus, continuously creating new standards produced by laws. These standards are constantly changing due to the growth and demand of society and accomplishes protection for clients and the guidance of nurses in their practice (Russell, 2012,…

    • 736 Words
    • 3 Pages
    Improved Essays
    Read More
  • Improved Essays

    Fall In Nursing Home Essay
    • 591 Words
    • 3 Pages

    Fall In Nursing Home Essay

    There are many various reasons as to why one would be in a Nursing home and because of all the reasons it can lead to causing falls. Many of these falls can lead to injury and even death; there are different measures used and put in place to try to prevent this. Some of the reasons that these falls occur are due to muscle weakness, walking and gait problems, environmental hazards, such as poor lighting or wet floors, medications, and transferring with improper equipment and foot wear (CDC, 2015). According to the CDC in a 100 bed facility, there are reports from 100 to 200 falls per year and still more that go unreported. Injuries that are caused by falls account for approximately 36 percent of possibly preventable visits to the emergency room from nursing home residents (Paul & Perkins, 2015).…

    • 591 Words
    • 3 Pages
    Improved Essays
    Read More
  • Improved Essays

    Henrietta Lacks And Ethics In Health Care
    • 970 Words
    • 4 Pages

    Henrietta Lacks And Ethics In Health Care

    Utilizing The Joint Commission and other national institutions such as the American Nurses Association can help to identify the national standards of care and ethical practice and determine what went wrong in this specific case and determine how to resolve it (Potter, Perry, Stockert, & Hall,…

    • 970 Words
    • 4 Pages
    Improved Essays
    Read More
  • Great Essays

    Importance Of Accountability In Nursing
    • 1814 Words
    • 8 Pages

    Importance Of Accountability In Nursing

    Conclusion Professional nurses are should be able to apply professional judgment into the dynamic medical field. All of them are expected to be accountable in the practice in that any actions and gaps left will be questionable. With all regulatory bodies put in place, they are expected to practice epitomes and excellent decision making in the best interests of the legally entrusted party. This will put to drop in litigation of medical practitioners under common negligence law. References Cox C (2010)…

    • 1814 Words
    • 8 Pages
    Great Essays
    Read More
  • Improved Essays

    Growing Aging In The Elderly: A Literature Review
    • 939 Words
    • 4 Pages

    Growing Aging In The Elderly: A Literature Review

    With the advancement of medicine and technology, it is evident that there is a growing elderly population in the developed countries such as the United States. Perhaps, some casually phrase it as the “baby boomers getting older.” My experience as a nurse taught me that despite developments in modern medicine, there are challenges such as elderly independence and prevention of falls along with the combination of polypharmacy and multiple comorbidities posing as risks. The Center for Disease Control and Prevention (CDC) states that 2.5 million people, with ages 65 and older, are treated in the emergency room for fall injuries (Center for Disease Control and Prevention [CDC], 2013). Additionally, the CDC states that over 700,000 patients a year…

    • 939 Words
    • 4 Pages
    Improved Essays
    Read More
  • Decent Essays

    Gibbs Reflective Cycle In Nursing
    • 777 Words
    • 4 Pages

    Gibbs Reflective Cycle In Nursing

    Safety and welfare of the patients should be my primary concern in taking care of my…

    • 777 Words
    • 4 Pages
    Decent Essays
    Read More
  • Superior Essays

    Inpatient Falls Prevention
    • 1563 Words
    • 7 Pages

    Inpatient Falls Prevention

    Prevention of Inpatient Falls Patient falls remain the most common adverse event in acute care facilities, with 2%-15% of hospitalized patients reported to fall at least once. Falls can lead to pain, loss of function, fear of further falls and even death (Tanaka, Sakuma, Ohtani, Toshiro, Matsumura, & Morimoto, 2012). An increased focus is being placed on inpatient falls because of morbidity, mortality, increased cost of care, and lack of reimbursement (Cumbler, Simpson, Rosenthal, & Likosky, 2013). The National Database of Nursing Quality Indicators (NDNQI) defines a fall as “an unplanned descent to the floor with or without injury to the patient” (Miake-Lye, Hempel, Ganz, & Shekelle, 2013).…

    • 1563 Words
    • 7 Pages
    Superior Essays
    Read More

Related Topics

Ready To Get Started?
Discover
Company
Follow
©2024 Cram.com
Privacy Policy |  About Ads |  Site Map |  Advertise  | 
  • Cookie Settings