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Exacerbation of copd case study
COPD clinical vignette
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Exacerbation of copd case study
COPD clinical vignette
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Recommended: Exacerbation of copd case study
FACTS: Jenny Stracner an employee of the Laguna Beach Police Department was told by several people that there several vehicles were seen in front of Greenwoods resident and the vehicles were only there for a couple of minutes. Stracner investigated these claims by staking out the residence and witnessing the vehicles at the residence for herself. After staking out the residence, she asked the garbage man to isolate garbage picked up and Greenwoods residence and hand them over to her. While looking through Greenwoods trash, Stracner located evidence that led her to believe Greenwood was involved with drugs. Stracner then received a search warrant and found large amounts of cocaine and other substance in the residence.
Spoke to Vivian Ortiz (DOB 6/20/75) who stated that her juvenile son (16 years old), Elijah Perez (DOB 7/3/99), was being destructive and threw things around the house when she asked him to turn off the oven after he used it. Ortiz stated Perez had been diagnosed with intermittent explosive disorder and he had not been taking his medication or to his therapy. Ortiz also mentioned that she opened the case with DYFS to evaluate him and the case was still opened. Ortiz stated that Perez threw some baseball cards, laundry bin, trashes and made mess inside of the refrigerator. We weren’t able to speak with Perez as he walked out of the house prior to our arrival.
On 7/20/2015 S/O EMT Perez was dispatched to MG-601 regarding a fall. S/O EMT Perez knocked and announced his presence at the door, when there was no answer S/ O EMT Perez annonced his presnece again and began to search the apartment. S/O EMT Perez found the resident, a Mrs. Doris Cotts on her bathroom floor by her toilet. Mrs.Cotts stated that she had slipped from her motorized scooter and fell onto the floor.
On 7/9/15 worker made an unannounced visit to the residence of Ms. Bernice Connell, for the purpose of making first victim contact. Ms. Kayley McKinnon, granddaughter-in-law of Ms. Connell greeted worker at the door and showed worker to Ms. Connell 's room. The room was cluttered but did not present with an odor. Ms. Connell was lying in bed watching TV, she was appropriately dressed with good personal hygiene. Ms. Connell stated she had lived with her son, Earnest McKinnon, and daughter-in-law, Arlinda McKinnon, for two years.
Medication issue: The CP addressed with Mrs. Navarro about the CP conversation with Dr. Freddie Marton with regards to Tyler’s medication regimen. The CP asked Mrs. Navarro if she is providing Tyler’s with his medication and her response was that she needs to do a refill and then she says, “Oh, I cannot find them since we are packing.” However, Tyler intervenes and stated that he knows where the medication is and based on Mrs. Navarro reaction, she appeared stunned. Tyler left the living room and returned with the bottle at which appears to be full. The CP glazed at Mrs. Navarro reaction and she immediately stated that she will start giving him his medication and will also considered the school nurse providing Tyler with his medication at the school.
On 9/25/2015 SO EMT Perez was dispatched to VP-113 regaurding a fall. S/O EMT Perez knocked and announced his presence at the door and was greeted by the residents spouse and introduced to the fallen female resident a, Mrs. Dorothy Gish who was sitting upright on the living room floor by her rollater. Mrs. Dorothy Gish stated that she was sitting on her rollator when she slid onto the floor and was unable to pick herself up on her own strength. S/O EMT Perez performed a pelvic exam on Mrs. Gish which revealed no pain or grimace.
Roberta said on 06/20/2017 Remington called and said he was on his way to Roberta 's home. Roberta said Remington was going to her home because nobody to answer his calls. Roberta said Remington sent a picture of the back porch of her home. Roberta said Remington did not have permission to be at the home. Roberta said a family member went to her home and noticed the door to the kitchen
R/s Ms. Hardee was just released from the hospital on Monday after being there 6 weeks. R/s Ms. Hardee isn’t able to cook nor bathe herself. R/s Ms. Hardee has a little trouble with
Lisa do not take Jackson away from Bonnie and Donald’s home; she’s aware that it’s not safe for Jackson to be around the drug use. Lisa has stolen things from Bonnie and Donald’s home, but has forgotten her behaviors. Lisa has threatened to take Jackson away from Bonnie and Donald, which has prevented Bonnie from reporting the allegations previously. Within the past 6-8 months things has gotten worse with
Jonathan and Brittany Harris took their 23 year old daughter to a cabin in North Carolina for a vacation on break from college. Their daughter Jessica had a bedroom downstairs in the cabin and was preparing a bath and going to drink a glass of wine. A man broke into the cabin and went into the bedroom of Jessica’s where she was at and she bolted to
R/s Ms. Moran stayed with her sister Rhonda Mullinax last night but today she has nowhere to go. ALLEGATIONS: R/s Dale Moran is not taking her medication and she doesn’t has anywhere to stay. R/s Ms. Moran is diagnosed with a mood disorder and she is not taking her medication. Ms. Moran has high blood pressure, congestive heart failure, high cholesterol and diabetes.
R/s Crystal locks her son Jabari (12) out of the home. R/s in the past, Crystal had locked Jabari out of the house at 2 am. R/s Jabari was locked out of the house again this morning at 2 am. R/s Crystal has her boyfriend Parker living in the home. R/s recently, Parker had beaten Jabari and Jabari’s leg was swollen.
This week at coastal hospice I felt more comfortable with the staff and was able to address some of the concerns without hesitation. The only thing I still do not like is how I have not been able to keep one consistent preceptor during my rotation. This would not be an issue if I was being trained to work there. I think it is a great idea to learn from multiple nurses and get an insight of the way everyone does something differently.
The reporter stated she mentioned to the victim about a bong seen on her coffee table and alcohol she's seen
I believe her actions to switch the drugs were intentional, but I do not believe her motive was not to harm him because the medication was switched with over-the-counter pills. It was her drug habit that caused her to lose control of what was more important. I knew that this case was going to call for restoration of health for Mr. B. and planning an intervention for the caregiver. Future Practice Implications