Nursing Facilities Case Summary

Mary’s family should not authorize a hip replacement in her case because it seems as though her quality of life is detreating and that would only make her health worse before it gets better. She would need someone on watch 24/7 to make sure she does not hurt herself. But, if her family is willing to take on the added stress and risk in her condition then it is up to them, to make the decision. Mary is in no shape to make logical decisions on her own and if the family has just given up than the choice is left up to the medical staff and judge. But, on the flip side the family should be obligated to come together to help their mother no matter how hard it is to side by and watch the process take place.

Charlie Gordon is a none smart, caring person, living in New York. He has a desirer to be smart and fit in with the world around him. He is 37 years old, with an IQ of 68. Two doctors get him though a surgery to make him smart. They acted un-ethically toward Charlie while going though this preacher.

As you are aware Barry Staley residing at McLees, ICF CCNS-Services for people with Developmental Disability 112-16, 200 Street, St. Albans, NY 11412, has been transferred to Silver Crest Nursing Home, a Long Term Rehabilitation Nursing Facility. As of 10/24/14 Barry is now residing at the Silver Crest Nursing Long Term Facility located at 144-45 87th Avenue Jamaica, New York 11435. Prior to this move Barry was admitted from (name Hospital) from (date) to (date) receiving treatment for (condition). During hospital stay a discharge meeting was held. Subsequently he was moved to a nursing home.

As per a NY Time article: "Most of the patients got stuck with the bill for the revision surgery to fix their defective hip implant". Implications of DePuy Hip Replacement

The issue is that it is very difficult to assess the overall competence and voluntariness of a patient. CMA mandates that the protection of physicians is a must; and any change in law must legally protect those physicians who choose to participate from criminal, civil, and disciplinary proceedings. No physician should feel compelled to participate, and patients are free to transfer to another hospital if a physician denies a patients

Why does Goldman say that decisions regarding people’s own futures are best left up to them? Goldman believe that decisions regarding people’s own futures are best left up to the person because the person knows best what they want and they know their own interests. The patient has the right to know the truth about their medical condition and then can choose how to deal with the condition from the right to accept or refuse treatment. A patient may look at for themselves better than a doctor may is what Goldman believes may happen.

Oftentimes, grief can be a challenging thing to overcome as a healthcare provider. It not only stymies people from making sound decisions, but it can end up with blame focused in areas where it should not be. This is with particular regard to patient families. In the case of this 72-year-old patient, there are a number of issues in this situation that are both unethical and downright illegal, including the fact that the patient’s living will is not currently being respected. Legal/Ethical issue 1: The legality of the living will parameters Both the legal and ethical issues of this situation have the do with the legality of the living will.

CULTURE AND COMPLEMENTARY THERAPIES Martina Fernandez is a 65-year-old Hispanic woman who has had diabetes for 42 years. She is admitted to the hospital with extreme circulatory deficiency and evidence of early gangrene of the left foot. After speaking with her family members, she decides to go ahead with a below-the knee amputation. Following surgery, she had a stroke and the nurses gave her medications to dissolve the clot. As the day progressed, she got progressively worse; none of the medication seems to be working.

Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.

Case Study Occupational Profile Annette is a 59-year-old female, who was independent with mobility, ADLS, and iADLS before she was admitted to an acute care hospital (Prizio, n.d.). Annette has many roles, including: wife, mother, friend, and museum greeter (Prizio, n.d.). Annette enjoys cooking, cleaning, reading, knitting, and crocheting (Prizio, n.d.). For her social life, Annette spends time with her two grandchildren, dines out with her husband, and watches movies with friends (Prizio, n.d.).

Flowers for Algernon explores themes of ethical dilemmas in scientific research. Charlie Gordon is the first human to undergo an experimental operation to triple his IQ from 68 to 204. His mental capacities dramatically increase, but the consequences are drastic when the operation fails and he regresses. Under Charlie’s circumstances, the operation was unethical. Charlie, mentally disabled, cannot give informed consent.

Overview The case study was about Mr. Kirby, a seventy-two year old widow male with type 2 diabetes who wife died a couple of months ago, and has been living by himself. He has become dependent, and struggles with his self-caring needs. He had a stroke and it resulted in a left-sided weakness. He fell a couple of months ago and fractured his arm bone, which was repaired and he was discharged home.

Mrs Jones physical shows she had a hip operation thereby causing her pain, reducing her mobility and access to her occupation and engagement. Additionally she has difficulty in weight bearing on her right leg due to her operation and experiencing muscle weakness causing her limited endurance and strength when walking and transferring. Cognition: It was documented the patient experienced post-operative confusion, memory loss, difficulty following and understanding post hip surgery caution. Affective (mood): Patient experienced low mood and lacks confidence walking due to her illness, this has impacted on her emotion.

CASE: Mrs Tan, 80 year old Chinese lady admitted to hospital post fall- was found on the bathroom floor and was unable to get up. Before falling, she attempted to get up from toilet bowl after passing motion but her knees buckles after one to two steps. There was no loss of consciousness. As she was unable to get up and did not have a pendent-alarm, she had to wait four hours before daughter come home from work. Ambulance was called and she was brought to accident and emergency unit.

Describe the duties of the professional nurse in this case with Mr. Cole As a nurse we are supposed to have compassion and build a rapport with our patients but we must uphold our ethical principles when it comes to this dilemma. As for analyzing this situation and coming to a decision I would use the nursing process since it provides a helpful mechanism for finding solutions to ethical dilemmas. (Whitehead 2007). I would assess the situation and ask myself about the medical facts, psychosocial facts as well as cultural beliefs, patients’ wishes and what values are in conflict. I would then move on to planning and make sure that everyone is involved during this stage and continue on down the line with the nursing process.