NUR 714 Legal Case Study Analysis Paper Dorrough v. Wilkes (2002) No 2001-CA-00117-SCT Jonathan R. Heshler California University of Pennsylvania NUR 714 Legal Case Study Analysis The purpose of this paper is to analyze and review the case of Dorrough v. Wilkes (2002). This civil case involved a female patient (Gwendolyn Wilkes) presenting to the emergency room at Boliver County Hospital, being misdiagnosed and discharged by Dr. Dorrough, dying the next day at another hospital after emergency surgery and the patients husband and son bringing a wrongful death medical malpractice action suit forth.…
Pearce and Nair (2015) agreed that blood pressure is the pressure exerted by blood within the blood vessel. The systolic blood pressure is when the heart contracts and diastolic when the heart relaxes (Timby 2009, p 199). In addition to this, Miller ( 2010, p 4 - 5) states normal systolic blood pressure is 120 mmHg and diastolic 80 mmHg. I placed the cuff above patient's right anti-cubital fossa when I realized I was not supporting her arm; therefore, I made her comfortable by placing a pillow under her arm. Whilst inflating the cuff, the assessor pointed me out I was holding the manometer on my hand; therefore, I rapidly hung it on the upper edge of the cuff where I could see it.…
The patient had laceration and abrasions on both hands, knuckles, knees and a laceration on his head. The patient had some bleeding on his face and the nurse clean it up as we assess him. The patient had some x-rays all over his body for any broken bones and the x-rays detected a fracture on his left side of his head. The nurse also told me to give ventilation to the patient. The vital signs are follow B/P-165/97,149/90,143/87,139/79, RR-10,12,12,13,15, pulse 116,109,105,106.…
I got him a food tray. I needed help to pull the patient up in the bed, no help. This patient is able to walk, but for some reason he refused to cooperate with me. I step out the room for couple minutes to compose myself. I pulled him at the edge of the bed and place the food tray in front of him.…
1. The 48 years old Native American women presenting to the Indian Hospital is taking Lisinopril because of hypertension as one of the conditions documented in her past medical history. Hypertension is supported by the current measurements of the blood pressure readings of 165/100. Lisinopril is an angiotensin –converting enzyme inhibitor (ACE) considered as one of the first line treatment option for hypertension. The pharmacological mechanism of action for Lisinopril is to inhibit the action of angiotensin- converting enzyme by preventing conversion of angiotensin I to angiotensin II which will result in decreased vasoconstriction of the vessels and water reabsorption.…
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.…
The patient is an eighty- five-year-old man by the name of James Williams who is a veteran of the Vietnam War. He is my grandfather’s older twin brother who suffered a stroke a couple years back. Before the stroke he was a normal elderly man with regular speech and movements. One could barely tell the twins apart. Now post trauma, James seemed to have aged a lot faster than his brother.…
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).…
On examination, the patient has normal strength and tone. No involuntary movements are noted. Her movements appear purposeful and normal, specifically there is no tremor or shaking and they are not slow. No fasciculations are noted. Tapping muscle tendons elicits a normal…
This assignment will explore the author’s role as a Cardiothoracic Advanced Nurse Practitioner (ANP) in Pre - admission clinic. The assessment, diagnosis and a recommended treatment of a pre – operative patient with symptomatic Aortic Regurgitation (AR) will be discussed. The Royal College of Nursing (2015) and the Nursing and Midwifery Council (2005) provide guidance for practice within the United Kingdom .Several features of an Advanced Nurse Practitioner’s (ANP) role, such as physical assessment, autonomous decision making, problem solving , differential diagnosis , ordering investigations and treatment , planning care and working collaboratively with the multidisciplinary team, patient and family will be examined throughout the…
Abnormal assessments included respiratory, cardiovascular, peripheral vascular, neurological, urinary, gastrointestinal, musculoskeletal, hematologic, and endocrine. The patient also had an abnormal dietary and eating habits. Objective data was obtained through vital signs and intake and output measurements. Assessment of blood pressures and looking at previously documented blood pressure readings in his chart led to the assumption of hypertension. His primary care physician further confirmed this as a medical diagnosis.…
Today I have the pleasure of working with a client named Mrs. Reyes, a 75-year-old female of Hispanic descent. She is a non-insulin diabetic, who lives alone, but has regular visits from her children and grandchildren. Mrs. Reyes has been admitted as a result of an acute change in mental status, and secondary with a diagnoses of a urinary tract infection and dehydration. Mrs. Reyes has a history of many falls at home previous to being admitted therefore she is a fall risk. I am nervous about how the day will go as this is the first time I will be working with Mrs. Reyes, and from report it appears that she did not have the most pleasant night.…
Critical Reflection - Patient having a stroke and the value of Judgement Core Value as identified using the VIA Strengths Assessment One of my core values that was challenged while on clinical placement was judgement. This value can be defined as the ability to critically think through situations and examine them from all sides, while not jumping to conclusions; being able to change one's mind in light of evidence and weighing all evidence fairly. Awareness and Description of the situation We were called to a woman having a stroke. On arrival patient had a GCS of 11, with a significant right-sided weakness.…
Wilson, a 60-year-old male was admitted to the cardiac care unit (CCU) with agino and a history of hyptertensia. A coronay angogram was immediately conducted and revealed spasm in the left coronary artery that caused acute myocardy ischemia. Gillian, a 23-year-old college student came to the Emergency Room with a deep cough that produced flem, fever, and chest pain when she coughed. The doctor diagnosed Gillian with neumocal nimonia, an illness that is caused by Streptocus neumonie, a common bacterium that can spread through the air from a cough or a sneeze or from close contact with an infected person. Gillian was advised to discontinue all unnecessary activities until she…
The First Clinical Experience It was an early morning in April. My friends and I arrived 45 minutes early to our long term care facility in Scottsdale, Arizona. The three of us sat in my car and anxiously awaited stepping foot into the care facility as we had no idea what to expect. I began to wonder what the patients would be like and how I would care for them.…