Subject: Barnes v. Greater Baltimore Medical Center Inc. Court: In the Court of Special Appeals Justice: Woodward, Zarnoch, Kenny, James A., III Appellee/Cross-Appellant: Greater Baltimore Medical Center, Inc. Appellants/Cross-Appellees: David A Barnes & Laura A. Barnes Court the Case was appealed from: The Circuit Court for Baltimore County Facts: Mr. David Barnes went to see Dr. Allen Halle his Primary Care Physician Care Physician, on January 25 because he having weakness in his right hand grip, numbness, and tingling in his right arm. Dr. Halle advised Mr. Barnes to go the Emergency Room immediately because he was afraid that Mr. Barnes may have been having a transient ischemic attack (mini-stroke). Dr. Halle than called Mrs.…
452-2 he was upset because he did not receive his breakfast try on time. So, I page dietary, they said there was no diet order. I reordered his diet. 15 minutes later I recheck with the patient to see if he got his breakfast tray, they patient said no. consequently, I went to the North side to see if there was any extra tray.…
Pharmacology – Unit 2 Assignment – Rhonda Reed Unit 2 Assignment is worth 50 points You are the billing and coding manager on the Internal Medicine floor at General Hospital. The patient is a 52-year-old woman with diabetes who has cellulitis from a scrape to her right shin. You are visiting the patient before she is discharged and note that an IV dose of penicillin has just begun to be infused. Her chart indicates she is allergic to penicillin.…
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.…
Spoke with the patient about her discharge summary from Hartford Hospital stating there's no record. In addition, this writer addressed with the patient about her shouting at this writer to remove the hold, at which this writer explained to the patient, she was placed on hold to address this issues as she was asked by Nursing on more than one occasion. The patient apologized for her behavior as this writer expressed her demeanor was inappropriate. The patient stated that she may have a copy of the discharge summary in her car. This writer followed the patient to the lobby area as she head towards her car and then handed this writer Hartford discharge summary as the patient was seen to address her Lymphadenitis.…
The patient is currently here to be assessed for sleep apnea. Split night protocol was explained upon arrival. Prior to beginning the hookup process that patient stated that she is "very tired" she remarked that she almost fell asleep at home prior to leaving for tonight's study. Lights off at 2154. Supine quiet 93% 2219…
Blood glucose was 86mg/dL Table 2 – Functional Health Patterns Data NUTRITION METABOLIC (diet, examples of daily food/fluid intake, food preferences, appetite): Patient on a Cardiac/heart healthy diet. States “the food here is very good” but does not eat an adequate amount. Patient was able to eat on his own. ELIMINATION (normal bowel/bladder function, aides): Patient has an indwelling Foley catheter.…
Andrew Rider of Insurance Company referred this file for medical case management. Instructions were given to meet with Karen Hartman and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 11/9/16 I met Ms. Hartman at the office of Dr. McPherson. Ms. Hartman works at this medical office so she was already at work.…
In section I (General Assessment) I found that the clothing aspect was not mentioned however we might assume that since the sheets were dirty and the patient was soiled on each visit, then this could be rated as having poor hygiene. His nutrition status was somewhat difficult to determine as a weight was not provided due to the patient not being able to get on a scale. However, his blood work was taken on the prior visit and his albumin level was 2.8 on a scale of 3.4-5.4 g/dL and his pre albumin was 18 on a scale of 19-38 mg/dL. Though you may not rely solely on these levels to indicate nutritional status, they do tend to indicate that this patient may be malnourished ("," n.d.) The last known weight of 160 at a height of 6 ft.- 3 in.…
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.…
According to Health Professional Council Authority (2015) conduct pathway “allows the council to manage notifications (complaints) that may constitute unsatisfactory professional conduct or professional misconduct”. Furthermore, according to Staunton and Chiarella (2013) “unsatisfactory professional conduct includes conduct that is substantially below the standard reasonably expected of a registered health care practitioner of an equivalent level of training or experience”. Based on the case study of Conyard [2015], the nurse was not able to recognise and respond to the deteriorating condition of the patient when the vital signs were in the red zone, in addition, the nurse was not able to document all the necessary assessments and plan of care. According to the Australian Commission on Safety and Quality in Health Care (2011), recognising and responding to deteriorating patient includes measurement and documentation of observations, escalation of care, activating rapid response system and communicating with the team about the clinical deterioration. The nurse would have recognised, responded and correctly followed the protocols by communicating with the multidisciplinary team immediately without delay.…
Introduction “As defined by The American Nurses Association (ANA), delegation is the transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome” (Kelly, 2012 p. 369) Delegation occurs when a task is assigned based on job description and matching the staff to patient needs (NCSBN, 2005). Decisions on delegation are based on principles according to the individual’s scope of practice. Before any task is delegated, it is important to ensure the education, skill, knowledge, and judgment levels of the personal being assigned the task. The RN is accountable for assessing, diagnosing, implementing, and evaluating the patient’s plan of care (NCSBN, 2005). Nurses are legally…
Headache disorders have affected approximately half of the adults population worldwide1. In particular, headache disorders can be classified as various categories, and two major categories are primary and secondary headache disorders2. While some primary headache disorders such as migraine and tension-type headaches have drawn a lot of attentions from the the public, secondary headaches such as cervicogenic headache (CGH) has drawn less attentions since it is less prevalent than those primary headache disoders3. However, in fact, CGH is continuing to impact patients’ lives as well, and its prevalence is around 2.5%-4.1%4. Consequently, CGH is also need more attentions from the public in order to figure out optimal interventions for CGH patients.…
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.…
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.…