ipl-logo

Patient Safety Case Study

979 Words4 Pages

Patient Safety

Assignment

Marwa Ghabra U00020161

Patient safety blood transfusion
Assignment

What is patient safety?
Patient safety is defined as a new healthcare discipline that emphasizes the reporting, analysis, and prevention of medical error that often leads to adverse healthcare events
Case:
Subjective: a 35 year old married female comes to the clinic to review her thyroid function tests and CBC that were ordered as part of her routine annual periodic health check-up.
Objective: TFT results were normal.
CBC results though showed a Hg of 6.6. pale skin, lining mucosa, conjunctiva and nail beds. No murmurs heard on auscultation. Rest of cardiovascular system exam normal. Abdominal examination was also normal. On review of symptoms …show more content…

She was prescribed iron tablets which she stopped taking because of the side effects she experienced. She describes her diet as healthy. Her LMP was 3 and a half weeks ago. She says her period is regular, normal flow with heavy 4 days long.
Assessment: Blood results of her CBC point to iron deficiency anemia.
Plan: a repeat CBC was repeated for the patient. Advice that the patient be referred to the hospital for blood transfusion was given but the patient refused. The doctor advised the patient to go for an electrophoresis to see whether the patient has thalassemia or sickle cell trait.
Problem Analysis:
According to American guidelines the threshold for blood transfusion in anemia is a hemoglobin level of 7. This patient has a hg of 6.6. she therefore is a candidate for blood transfusion.
What are the adverse effects that can result from her low hg if it persists without medical treatment?
• Palpitations, angina
• Intermittent claudication of the legs
• Symptoms of heart …show more content…

Although it is the patient’s right to refuse treatment, it is our duty as doctors to educate the patient about her condition, the possible complications, and the benefits of treatment if she agrees to receive any. The doctor should also exlain different management options, blood transfusion or iron supplements. The patient should also understand the risks of her condition in case she decides to get pregnant. Counselling should also be done by asking the patient why she refuses receiv9ing blood transfu=on. The patient for eg may have had a negative experience at a hospital admission and is therefore afraid of the same experience. Reassurance is beneficial when
What are some factors that could have contributed to her neglected treatment?
The patient neglected the fact that her Hg is low. Also, she admitted that she was prescribed iron tablets but stopped taking them after a few days due to the constipation and nausea she experienced.
The patient may also be unaware of the severity iof her condition. It is also obvious from her history that follow up was not recommended by her other dr or was ignored by the patient as her Hemoglobin further detreated since her last blood

Show More
Related

Ms. Cardiello Case Study

295 Words | 2 Pages

Ms. Cardiello reported that she also suffers from moderate to severe anemia. Ms. Cardiello reported that she get IV infusions of iron every 8 to 12 weeks, she indicated when she experiences pain she takes

Read More

Brief Summary Of Antonelli's Awakening

236 Words | 1 Pages

R/s Tracie Antonelli receives hemodialysis. R/s Mrs. Antonelli has hypertension, anemia, iron deficiency, vitamin d deficiency, and a magnesium disorder. R/s Mrs. Antonelli is the primary caregiver for her 16 year-old disabled son, Dominic. R/s there is a concern for Mrs. Antonelli’s overall health if she doesn’t take her treatments. R/s Mrs. Antonelli’s husband, Vincent and other son, Anthony also live in the home.

Read More

Methadone Stabilization Case Study

146 Words | 1 Pages

A- Based on this writer 's assessment, the patient appears to be good-spirited about his recovery, alert, and oriented. There 's no evidence of SI/ HI. P-The patient will continue to attend all scheduled

Read More

Disseminated Intravascular Coagulation (DIC)

521 Words | 3 Pages

Disseminated Intravascular Coagulation (DIC) Disseminated intravascular coagulation (DIC) is a case of uncontrolled activation of proteins that are involved in the clotting process such as thrombin, fibrinolytic proteins, platelets, and coagulation factors. DIC occurs due to inflammation, trauma, infection, and shock. The presence of mucocutaneous bleeding is an evidence of DIC. Disseminated intravascular coagulation has acute and chronic phases. In acute phase, a patient will have severe symptoms while in chronic phase a patient may suffer from inflammation of blood vessels or adenocarcinoma.

Read More

Verbal De-Escalation Case Study

429 Words | 2 Pages

Indeed, this was important in establishing the rapport and the therapeutic alliance. The doctor explained to her about the nature and the course of the illness, the importance to adhere to medications and the anticipated side effects of the medications. The relationship between non-adherence and re-emergence of the symptoms was emphasized multiple times. This was because she had a past history of multiple relapses secondary to treatment non-adherence.

Read More

Case Study: Medical Error Kills Hopkins Cancer Patient

1123 Words | 5 Pages

Start by providing a short 4-6-line synopsis of the key elements of the case – and discuss what kind of incident occurred (week 1). In this case, “Medical error kills Hopkins Cancer Patient” by Erika Niedowski, the error was the failure of a planned action to be completed or intended and the use of a wrong plan for instance overdosage of potassium to achieve an aim. These errors were preventable and may not have caused the harm. Preventable adverse drug events and their causes and contributing factors had caused stopped Brianna Cohen's heart.

Read More

Evidence Based Practice Case Study

1794 Words | 8 Pages

Review of Symptoms General: denies fever, night sweats, significant weight gain or loss, exercise intolerance, depression, sleep disturbances, or fatigue HEENT: denies dry eyes, irritation, vision changes, difficulty hearing, ear pain, sore throat, runny nose, or sinus pressure Neck: denies swollen glands or stiff neck Pulmonary: denies cough, wheezing, or shortness of breath Cardiovascular: denies chest pain or palpitations Gastrointestinal: denies abdominal pain, nausea, vomiting, diarrhea, constipation, acid reflux, or melena Genitourinary: reports dysuria and vaginal itching, denies incontinence, hematuria, increased frequency, abnormal bleeding, or vaginal odor Musculoskeletal: denies muscle aches, weakness, joint pain, back pain, or edema Integumentary: denies any rashes, lesions, or change in hair Neurological: denies numbness, headache, seizures, tingling or sensation changes Endocrine: denies bruising, excessive sweating, thirst, hunger, heat or cold intolerance Objective Data Physical Exam Vitals: blood pressure - 130/77, heart rate - 97, respiratory rate - 17, temperature – 97.9 , oxygen saturation –97% on room air, weight – 183 pounds, height – 5 feet 4 inches, body mass index –

Read More

Patient's Case Study: Syncope

2129 Words | 9 Pages

5. Approach to the diagnosis. 5.1. Is it cardiac or not? 5.2.

Read More

NU 333-01 Physical Assessment

481 Words | 2 Pages

Michaela P. Capulong NU 333-01: Physical Assessment for the Nursing Professional June 29, 2015 Journal 7 When I do my assessment on admission, I always include the assessment findings that I expect to be abnormal if the patient has definite cardiovascular problem. I notify the MD and the nurse practitioner immediately if I find abnormal findings or values. I ensure to chart the education and the correction in response of the abnormal findings. In addition to that, tests and labs should be done to rule out problems. It is essential to know the patient’s health history before conducting the physical exam.

Read More

Nursing Case Study: Elizabeth Means

58 Words | 1 Pages

Elizabeth Means is a 45-year-old female who comes in today with a 2 month history of increasing fatigue. The patient first started feeling tired when she was working for long hours to finish a job at work. The patient has been working her typical 8 hours daily for the past month and she has not recovered her

Read More

Patient/Family Medication Teaching Plan

904 Words | 4 Pages

Patient/Family Medication Teaching Plan Today a 19-year-old patient named Matt presented to the ER with lethargy, excessive thirst, recent unexpected weight loss, fever, and complaints of frequent urination. Upon arrival the patient’s vitals were taken and documented as temperature 101.6, heart rate 99, respiratory 22, blood pressure 119/76 and blood oxygen levels were at 99%. Matt is a healthy young male who is an active athlete on his schools cross-country team. Being a college student he eats the typical college diet of premade food and claims he has a handful of beers each week. After assessing and observing the patient it is documented that the patient is diagnosed with type 1 diabetes and urinary tract infection.

Read More

Rashid Ahmed Case Summary

610 Words | 3 Pages

Rashid Ahmed Guided Reflection Questions Opening Questions How did the simulated experience of Rashid Ahmed’s case make you feel? Overall, the simulation case of Mr. Ahmed was a positive experience that makes me feel in control and challenged by the situation. I perform multiple nursing skills and acknowledge acquired during lectures. For example, in reference to fluid, electrolyte, and acid-base balance information, I was able to identify the needs of a dehydrated patient.

Read More

Argumentative Essay On Medical Malpractice

1414 Words | 6 Pages

The emergency room physician, David C. Lee, M.D., ordered medication, a series of diagnostic tests, and blood cultures, and he admitted Mrs. Adae to the hospital for further observation and testing, in order to rule out myocardial infarction and ACS. Dr. Lee listed "infectious etiology" in his differential diagnoses. Jennifer Bain, M.D., came on duty as an attending physician during the morning of June 29, 2006. Dr. Bain, an employee of UC, recorded her suspicion that Mrs. Adae 's chest pain was musculoskeletal. Dr. Bain noted that Mrs. Adae 's EKG, cardiac enzymes, and blood tests, with the exception of her elevated blood sugar, were normal.

Read More

Blood Transfusion Case Study

959 Words | 4 Pages

Delayed and acute transfusion reactions were observed in most of the cases and some cases of death. Transfusion-related mortality identified transfusion-related acute lung injury (TRALI) is cited by Vamvakas and Blajchman (2009) as the leading cause of mortality among individuals who went through blood transfusion followed by non-ABO and ABO non hemolytic transfusion reactions and sepsis related to transfusion reaction. The establishment of factors that cause transfusion reactions have been studied. In the study of Honig and Bove (2003) on Transfusion-Associated Fatalities they found out that 70 cases of fatalities related to transfusion reaction were caused by incompatibility in ABO grouping and clerical confusion.

Read More

Ectopic Pregnancy Case Studies

1285 Words | 6 Pages

She had been further evaluated with a trans-abdominal and trans-vaginal pelvic ultrasound, which had not demonstrated an intrauterine pregnancy. The patient had been referred for follow up with the gynecology consultancy. Since pain got worsened, she was again admitted to the hospital. Past medical/

Read More

More about Patient Safety Case Study

Related Topics

Open Document