Mrs. Jane La Pagilia Case Study Dementia
Justin is the registered nurse that has been given the handover for Kelly Malone’s postoperative care in the surgical unit. Kelly Malone is a 49 female patient who has had a septoplasty and a right ethmoidectomy. Justin is working with Kelly to identify Kelly’s needs in order for Kelly to be discharged from the hospital. Kelly’s postoperative observations were a temperature of 36.2 degrees celsius; heart rate of 68 beats per minute; respiratory rate of 18 breaths per minute, blood pressure of 111 systolic over 73 diastolic millimetres of mercury; oxygen saturation at 93 percent of room air and a self-rated pain score of two out of ten. Kelly has a history of ‘not being able to breathe well through her nose’ and a history of disturbed sleep.
All the incident and scenario of this case study clearly shows the lack of care and lack of attention towards patient’s condition by the doctors and nurses. According to the case study, when the Ms Young had sent to the Dubbo base hospital for further treatment she was triaged as category 2 patient which means she needs an hourly assessment of her vital signs. But the nurses has taken her observations twice only at 1615 and 1915 on 28 April, 2012 on Emergency Department. Even the Dr Lang did not record the finding of Ms Young’s ECG, chest x-ray and echocardiogram. Followed with the complained of chest pain front and back.
Some safeguarding concerns about Jean might appear in this case and keeping in line with PCF I would need to consider them to protect Jean from serious harm caused by her or others while supporting Jean’s Human Rights. This can make a social worker a lead professional in a discharge process. In this case, it might be unclear whether Jean can make decisions due to her dementia or whether her decisions can be compromised by the influence of others and I would need to assure Jean is protected from possible abuse and neglect. A social worker might decide if the person can make a decision about staying at home or moving to a care home and in this case, I assume that Jean is capable of making these decisions.
My professional history includes positions such as nursing in my country as well as a staff in Hollydale Lodge, a low care nursing house in Melbourne. As a nurse in my country, I can observe the dangerous signals on the patients. When I work in Hollydale Lodge, I understand the procedure of living in a nursing home. Some duties are similar to accomplish as in a high care nursing home. In addition, after the placement of aged care, I can assist the residents successfully.
Describe the case in detail A 51 years old schizophrenic Bert Montoya was placed to live at Dorothea’s home by her social worker, Judy Moise. According to Judy, Dorothea told her that she was in the 70s and she actually was a nurse during WWII. She was known for donate money and cloths to charity and employee people in parole. She welcomed everyone in her home.
Patient is a 51 year old Caucasian female living alone in her own home. The patient has a history and current syntoms of geralized anxity disorder, social phoina and panic attacks, which she takes madications for and sees a psychrist 2-3 times per month in Havasu. Patinets lives with six cats and the house environment is somewhat cluttered. The patinet is orinally from Glendale, CA., has a brother in Palmdale, CA, who is stays in contact with sometimes. Pt has a daughter in Big River, who is not supportive of her, but has three grandchildren who visit her.
As a result, these patients can’t bring the carbon dioxide out, they become retain the carbon dioxide which makes it so hard for them to breathe
I suppose, it is depends on more of a patient to patient demands. Also, it is also based on a physician recommendation according to the patient’s requirement. I was wondering what could be possibly done in situations when the individuals who requires oxygen is not permitted to carry oxygen
Annette’s reason for admittance at the hospital is an overall weakness, flu-like symptoms, and difficulty with breathing (Prizio, n.d.). She is diagnosed with diabetic acidosis, left upper lobe pneumonia, and a bacterial infection (Prizio, n.d.). Unfortunately, her condition becomes worse. Annette’s right lung collapses, her heart rate is irregular, and she has an episode of unresponsiveness that leads to mechanical ventilation (Prizio, n.d.). Annette has challenges weaning off the mechanical ventilation, which resulted in the placement of a tracheostomy and percutaneous endoscopic gastrostomy tube (Prizio, n.d.).
CCIB LPA Perryman-French received a call from Elizabeth. Her mother Lupe DeGennaro (DOB 05/29/34) was in this facility from 08/15/15 to 09/19/15. Elizabeth moved her to another location and the administrator of that location told her to call CCL. The entire time her mother was in this facility she was strapped to her wheelchair with a cloth strap because she would get up and try to walk around the house. (Lupe is a fall risk, so Elizabeth did not know this was not legal).
Have you ever had trouble understanding something? Or even someone? Maybe you didn't have an open mind or you simply just didn't understand. Either way you probably tried your best to understand to your fullest extent. My research on dementia helped broaden my understanding of the short story "Babysitting Helen".
The first essay I chose to read was called I Am in Dementia Prison with My Mom, Janet had no prior knowledge or understanding as to why her mother’s health, mind, and thought process was deteriorating. She couldn’t come to terms with her mom being mental sick and when she did she had help and support from her entire family. The second was titled Transferring Mom was New, But Restlessness and Inactivity Kindled her Agitation. Against her and he husband better judgment she took her mom to the store. I believe she did this because she did not want to tell her mom no, as a caregiver, especially to a loved one sometime following your intuition and saying no can be difficult
Robert had to stay in my ward for two nights. He had difficulty moving his legs, had lots of pressure sores and also suffered from MRSA. He also felt quite lonely since his wife passed away just a year ago. He used to care for her as she suffered with dementia for the 5 years prior to her death. I did the vital signs of all patients on the ward.
With this method, I tried my best to make this interview more meaningful to her while reflecting on her aging process. Her name is Norma C. Padua, a 75 year old, single, and retired woman. The first couple of questions was regarding her life in Canada, and pre-retirement age. Norma was born in Santa Rosa Laguna, Philippines, and moved to Canada when she was 25 years old. Norma has no children, no grandchildren, but one nephew.
A story is a telescope pointed at the night sky; each star a life undiscovered. My story, a mere gleam in the cluster of incandescence, began with my grandfather. All without having to say a word, he taught the power of love and family, how to be strong, and how to dedicate your life to your dreams. A snowball crashes like a meteorite on the pavement, originating from a condescending grin.
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