...There are many situations in the case study of Juan Duran that can be compared to the related theories in which were presented this week. The two theories in which will be most useful in meeting the needs for the patient Juan Duran are Dorothea Orem’s Model in which will look at self care as well as Betty Neuman’s Theory in which will present with the stressors in life and their effects. Mr. Duran has many obstacles to overcome including poor vision, loss of a daughter, wife not able to speak fluent English, and a chronic disease of diabetes to manage. In order to manage all of the many stress and obstacles Mr. Duran is currently facing the two theories mentioned will help in planning care and assisting the family. Presented in the case study is Mr. Juan Duran a Mexican American from Chula Vista, California. The patient is married and a navy veteran who has been diagnosed with diabetes. Due to his limited eye sight, Mr. Duran has had a difficult time performing self-care by injecting insulin himself. After meeting with the doctor, Mr. Duran was assigned a diabetic counselor at the VA (Veterans Affair Medical Building) to learn how to give himself the medication. His wife was not present in the case study in which would be necessary if she were going to be the person injecting the medication. Also at home Mr. and Mrs. Duran speak Spanish due to Mrs. Duran’s limited English. If the patient and wife were present and the counselor spoke Spanish or had a medical translator...
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...Case Study 1: Prelude To A Medical Error 1. Background Statement My case study is over chapters 4 and 7. The title is Prelude to a Medical Error. In this case study, Mrs. Bee is an elderly woman who was hospitalized after a bad fall. After her morning physical therapy, Mrs. Bee felt she could not breathe. Mrs. Bee had experienced terrible spasms in her left calf the previous evening and notified Nurse Karing. Nurse Karing proceeded to order a STAT venous Doppler X-ray to rule out thrombosis. She paged Dr. Cural to notify him that Mrs. Bee was having symptoms of thrombosis. Dr. Cural was upset that he was being bothered after a long day of work and shouted at the nurse, telling her he had evaluated Mrs. Bee that morning and to cancel the test. When Nurse Karing returned to the hospital the next day, Mrs. Bee’s symptoms were worse. She ordered the test. After complications, Dr. Krisis from the ER, came immediately to help stabilize Mrs. Bee. Unaware of Nurse Karing’s call to Dr. Cural, Dr. Krisis assumed the nursing staff was at fault for neglecting to notify Dr. Cural of Mrs. Bee’s status change the previous evening. Denying responsibility, Dr. Cural also blames the nursing staff for not contacting him. Not being informed of Mrs. Bee’s status change, her social worker, Mr. Friendly, arrives with the news that her insurance will cover physical therapy for one week at a rehabilitation facility and they will be there in one hour to pick her up. An angry Nurse Karing decides...
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...ukessays.com http://www.ukessays.com/essays/nursing/case-study-of-a-functional-health-pattern-assessment-nursing-essay.php Case Study Of A Functional Health Pattern Assessment Nursing Essay The following Functional Health Pattern assessment is based on a 65 year old Scottish woman who lives independently with her husband in their home at Happy Valley. The purpose of the interview was explained in addition to an outline of the types of questions which would be asked during the interview. A copy of the interview questions were provided prior to the interview (Appendix 1) so the questions would be familiar, and to minimise any embarrassment. The importance of maintaining her privacy and the necessity of choosing a pseudonym was discussed which she perceived as great fun. She chose ‘Patricia’ as she thought it was rather a ‘posh’ sounding name and one which she had always liked. At the beginning of the interview the confidentiality aspects were reiterated to which Patricia indicated verbal permission for her information to be disclosed as applicable and appropriate with due regard to her ethical and legal rights (ANMC 2008, p.4). Patricia was advised any questions which she did not feel happy answering could be skipped in order for her to feel comfortable within the interview environment. That said however, Patricia stated she was happy to discuss anything and was keen to progress the interview. Health perception/health management pattern An outline of the client’s perceived...
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...qualitative research? There are many considerations when dealing with qualitative research. One of the considerations I must take into account is where the information is coming from for the qualitative research (Christensen, Johnson, & Turner, 2010). The information should make sense and contain reputable or honest data. Another consideration is the data should be validated (Christensen, Johnson, & Turner, 2010). This can be done through peer-reviews to see if the data makes sense and has been known in other cases. This can also be done through other resources that have stated and proven similar facts. A third consideration is that the data is non-numerical and exploratory (Christensen, Johnson, & Turner, 2010). Many times there is some confusion between qualitative and quantitative research as qualitative research focuses on narrative or pictures while I would prefer more numerical data. 2. What factors should go into determining the sample size used in a qualitative study? When conducting research, quality sampling may be characterized by the number and selection of subjects or observations. Obtaining a sample size that is appropriate in both regards is critical for many reasons (Patel, Doku, and Tennakoon, 2003. A large sample size is more representative of the population, limiting the influence of outliers or extreme observations. A sufficiently large sample size is also necessary to produce results among variables that are significantly different (Patel, Doku, and Tennakoon...
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...Medicalsurgical nursing courses often require students to learn a large amount of material in a short time. Students frequently are overwhelmed with the amount and complexity of the material that is covered during each class meeting. Consequently, they may resort to memorizing facts instead of comprehending, applying, and transferring knowledge to practice. In addition, students rely on teachers to provide lecture notes and may not be adequately prepared to participate in class discussions. Case studies, which are an effective way of connecting critical thinking, problem solving, and decision-making to practice (Baumberger-Henry, 2003; Campbell, 2004), enhance students’ participation in class discussions. Conceptual models of nursing provide a unique body of knowledge that can be used to guide construction of case studies and enhance application of didactic course content to nursing practice. Students tend to undervalue the contributions of a nursing conceptual model to guide practice. By integrating a nursing conceptual model into the organization of course content and construction of case studies, students are exposed to how conceptual models can guide nursing practice. The purpose of this column is to explore the use of case studies for a senior level medical-surgical nursing course constructed within the context of the Roy adaptation model. Roy Adaptation Model The Roy adaptation model is a conceptual model of nursing that provides a solid foundation for nursing practice (Roy...
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...In: Other Topics Qualitative Research Study Running head: Qualitative Research Study Qualitative Research Study Grand Canyon University NRS433V 5/30/10 Qualitative Research Study Introduction The qualitative research study that I chose to critique is on infections related to Nursing home-acquired pneumonia. Pneumonia care and the nursing home: a qualitative descriptive study of resident and family member perspectives. Soo Chan Carusone,1 Mark Loeb,1,2 and Lynne Lohfeld1,3 1Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada2Department of Pathology and Molecular Medicine, McMaster University, Canada 3Program for Educational Research and Development, McMaster University, Canada Corresponding author. Soo Chan Carusone: chansy@mcmaster.ca; Mark Loeb: loebm@mcmaster.ca; Lynne Lohfeld: lohfeld@mcmaster.ca Received September 19, 2005; Accepted January 23, 2006. Pneumonia is the inflammation of the lung parenchyma, build up fluid in the tissue of the lungs and then this infection spread in to whole body. The causes are mainly by Viruses, Bacteria, often caused by parasites or fungi. Pneumonia is the 5th leading cause of death in elderly. It may be unrecognized due to many factors such as it may be asymptomatic, or may be confused with other medical Pneumonia and other lower respiratory infections occur frequently among older adults residing in long-term care facilities...
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... A critique of a qualitative study focusing on self- efficacy of staff managing people with learning disabilities who have challenging behaviour. This essay discusses in some details a qualitative study that explores the importance of self- efficacy in staff for managing challenging behaviour (Cudre’-Mauroux, 2010). The purpose of this study is to critically evaluate the article titled ‘’Self- efficacy of staff managing people with learning disabilities who have challenging behaviour’’. A framework devised by Cormack (2000) has been used to help the process of critiquing this article. This particular framework had been chosen as it is comprehensive framework covering most points needed in the critiquing process. It will evaluate the strength and weakness of the article in a systematic way discussing the title, abstract, introduction, sampling method, data collection tool, data analysed, literature and ethical issues, result and conclusion. The evidence retrieved will be analytically discussed in regards to the usefulness to clinical practice. The title of the study is ‘’Self- efficacy of staff managing people with learning disabilities who have challenging behaviour (Cudre’-Maurox,2010). According Grinnel and Unrau (2011) a title succinctly conveys the nature of the study. The title includes central phenomenon and group under investigation which is professional caregivers and person with learning disabilities. The title describes the study accurately. The key words challenging...
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...Wk3 case study 1. In your opinion, is there an opportunity for improvement in this system? Why or why not? a. The ABC system seems to be an improvement to the XYZ system so I don’t believe that ABC system could be improved much; what should be improved upon is the education for the ABC system in the department of nursing. 2. If there is room for improvement, is a PI team appropriate in this context? a. Yes, I believe that there is room for improvement and since there is some friction, having a PI team would be appropriate to help determine a long term solutions in fixing the lack of communication/knowledge between nursing and administration. I believe that not all facts are there in order for it to be considered a blitz team. 3. For your knowledge of hospital organizational structure, who should be on the PI team? a. At least one manager from each department and staff that have knowledge of the PI team system 4. What departments should be represented? a. Nursing, admitting and patient accounting, administration departments and IS. 5. What staff position would include? What is your rationale for including each individual? a. I would include one manager from each department, and then some supporting staff who use the ABC system such as the nurse and admissions clerk. The nursing manager and staff are selected because they are actively are using the ABC system and the problem aroused from both the nursing and admitting departments. I would also include the administration dep. Because...
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...Introduction In the current days, the characteristics and needs of the patients in Australia and the rest of the world keep changing. The hospitals have been receiving an increased number of patients with different ailments and sometimes they get more ill during their stay in the health facility. The warning sighs always show on a patient before the adverse events such as unexpected deaths, admission to the ICUs or even cardiac arrests. It has been noted that, these warning signs are sometimes not identified, hence not acted upon (Adam, Odell, & Welch, 2010). This study is meant to discuss the case of Mrs. Jones, a 72 year old lady who has been admitted in the ward with increasing confusion and decreasing mobility. Her recent history suggests that she has had Urinary Tract Infection, and she usually has a GCS of 15. Her normal blood pressure always ranges from 140 to 150. During the primary assessment, it is noted that she is not in danger and she opens her eyes when her name is called. She is able to talk and her airway is patent. Her accessory muscle use is increases; her RR is at 22 and SP02 is at 95% on room air. She is also pale and diaphoretic. Her pulses are weak and thread y with the heart rate of 120 and blood pressure of 95/50, GCS at 13/15, temp at 38.5, BGL at 13.2mmol/L and pain in the lower abdomen. Nurses role in recognizing and responding to clinical deterioration The nurses also have a role of ensuring that the medication that a specific patient...
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...Case study 1 Jeremy, age 17, will be graduating from high school in the spring. His mother, a single parent, tells you that she is concerned because graduation is quickly approaching and Jeremy has made no plans for what he will do with his life after graduation. Whenever Jeremy mentions the topic, his mother tells him, this is what you must do, and begins to outline the steps he must take. Jeremy just walks away. Jeremy's mother comes to the clinic to seek help from the nurse. She asks, 'What should I do?' Discuss the nursing response and interventions for Jeremy and his mother. Case Study 2 A 15-year-old type 1 diabetic girl’s parents are afraid that she misses insulin shots. The girl complains of excess supervision and of not being able to socialize as much she would wish; she says her parents look after her as if she was 9 years old. Case study 3 Julie, 12 years old, is brought to the nurse practitioner's clinic by her mother. Julie has started to develop breast tissue and some pubic hair. Both the mother and daughter are concerned because Julie has been having increased vaginal discharge. Julie tells the nurse, ‘I wash my private area every day, but there is still fluid coming out’. Discuss the nursing response and interventions for Julie. Case Study 4 Cho Chung is a 15 year old girl brought to the clinic by her mother for her annual school check-up. During your assessment, you measure Cho’s weight at 110 pounds and her height at 60 inches. As the...
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...The aim of this assignment is to explore challenging behaviour in the person with dementia. As it is outside the scope of this assignment to explore all the potential reasons for challenging behaviour, the focus of this assignment will be on challenging behaviour in the context of the communication of pain, using a case study to illustrate this. This assignment will describe challenging behaviours, the behaviours associated with pain, and the management strategies employed by nursing staff, using a person-centred approach to care. Finally, ways of improving the care provided will be explored and recommendations made. The rationale for choosing to discuss this issue is that I currently work as a staff nurse on an organic assessment ward, and am frequently involved in caring for people with dementia who present with challenging behaviours that are difficult to manage in the community setting. There are currently 750,000 people with dementia in the UK. As the UK’s population grows, there will be substantial increases, and it is estimated that there will be 940,000 people with dementia by 2021, rising to over 1.7 million by 2051. Alzheimer’s disease is the most common form of dementia (Alzheimer’s Society, 2010). Gogia and Rastogi (2009) describe Alzheimer’s disease as a progressive illness, where there is a decline in almost all functions, including memory, movement, language and communication skills, behaviour, judgement and abstract reasoning, and the ability to carry out...
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...Case Study Carrol Godwin Southern New Hampshire University HCM 500 1. What if the study had shown the emergency department (ED) was implementing a lab information system rather than an EMR, How would that impact patient flow? Explain. 2. What would have changed if the implementation was planned for the early summer or late spring? 3. What elements are needed in order to ensure patient safety? 4. Depending on your discipline, address one of the following questions (you may respond to both, if desired): As a nurse manager, what would you like to have seen done differently with the implementation? As the office manager, you oversee the staffs who admit patients to both the ED and overflow clinic. What could you have done differently to make the implementation go more smoothly? 5. The next phase of the EMR implementation plan involves the ICU and NICU. What recommendations would you make to modify the implementation plan based on the ED experience? Explain. 6. After reading this case, how will you use the lessons learned to implement your group project? In my case study I will discuss the impact on the workflow in the Emergency Room (ER) when lab information system is implemented. I will discuss any impact on the patient flow thru the ER and the turnaround time (TAT) for lab results and any effects on the patient’s length of stay (LOS). I will discuss patient safety issues and what is needed to insure the institutions goals are met. I will look at the implementation...
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...A Case Study by any Other Name Cathy Foster Liberty University A Case Study by any other Name Researchers have different methods of observing their subjects. Among the most popular is the case study. Case studies are used a lot in psychology and one of the most famous psychologists that used case studies to detail the private lives of his patients was Sigmund Freud. What is a Case Study? “A case study is an observational method that provides a description of an individual” (Cozby & Bates, 2012). During a case study the individual is usually a person however that’s not always the situation. The case study can also be a setting, which can include a school, business, or neighborhood. A naturalistic observational study can sometimes be called a case study and these two studies can overlap (Cozby & Bates, 2012). Researchers report information from the individual or other situation, which is from a “real-life context and is in a truthful and unbiased manner” (Amerson, 2011). What are some Reasons for Using a Case Study Approach? There are different types of case studies. One reason to use a case study is when a researcher needs to explain the life of an individual. When an important historical figure’s life needs explaining this is called psychobiography (Cozby & Bates, 2012). The case study approach help answer the “how”, “what”, and “why” questions (Crowe, 2011). What are Some Advantages and Disadvantages to the Case Study Approach? Some advantages...
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...Free Essays, Term Papers & Book Notes Essays Book Notes AP Notes Citation Generator More Case Analysis Of Ann Taylor Survival In Specialty Retail Essays and Term Papers Search Advanced Search Documents 1 - 20 of 1000 Book Review of Business Policy and Strategy: an Action Guide Book Review of Business Policy and Strategy: An Action Guide Submitted in partial fulfillment of B.S. in Business Administration Century University, New Mexico Grade = 95% {A} Business Policy and Strategy: An Action Guide, by Robert Murdick, R. Carl Moor and Richar Premium 4514 Words 19 Pages Burger King and Its Advertising Campaigns Burger King and Its Advertising Campaigns Burger King is a reliable burger company which has had its ups and downs. In 1974, it came out with a slogan of "Have it your way" and at this time it also had a 4 % market share. Burger King's idea was to have the customer have their burger done their w Premium 1694 Words 7 Pages Foreign Aid Foreign Aid There are two words that many politicians like to shy away , and those two words are, "foreign aid." Taking a firm stand on either side of this topic is usually side stepped by decision makers. Their opinions are usually based on a case by case analysis. This extremely controv Premium 1773 Words 8 Pages Rainforest Cafe, Inc: Outline to Rainforest Cafe Research Report Rainforest Cafe, Inc: Outline to Rainforest Cafe Research...
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...attachment[->0] Delegation has always been an important part of nursing. It has also been one of its most challenging aspects. How, as a new supervisor, you approach the subject can be a delicate matter. I would start by having a team meeting with the entire office staff. This approach would allow all of the members of the team to explain their rolls leading to a collaborative effort. In future staff meetings, I would also have follow up discussions in regards to what is working and what is not working within the healthcare team. When people feel that they are part of a team with equally important rolls it leads to greater job satisfaction and productivity. This will also allow everyone to become aware of the important jobs that all of the team members have. Working as a team from the beginning of care through to after the baby is born will lead to improved care and increase patient satisfaction. I would approach Ms. W in a non-threatening manner in a private area where we are not going to be interrupted. I would complement her on her concern for her patients and the individual attention that she pays them. I would explain to her that there are many services available at the clinic to assist her. Delegating some of the work would be beneficial in the overall care of the patient. She would still be responsible for the overall care and evaluating the outcomes of the care provided by others, but she would have some of the case load removed allowing her to concentrate more on the important...
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