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Task 1 Organizational Systems Wgu

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Task 1

Western Governors University
Organizational Systems and Quality Leadership

Task 1
Upon review of the scenario involving Mr. J, a 72 year old retired Rabbi, I can conclude that there were a number of quality nursing indicators that could be addressed to identify issues that would interfere with Mr. J’s care. Mr. J is identified as a fall risk as evidenced by his hospitalization for a fall with injury. Because of this recent fall and his dementia he is quickly labeled as a fall risk while in the hospital. Despite his dementia, Mr. J is able to answer questions appropriately. Mr. J appears to have not been given any alternative to restraints. Alternatives to restraints would include medication to help calm him, bed alarms, and distractions such as games, music, or television. Another alternative would be to offer a sitter at the bedside. Last resort would be to restrain Mr. J. In this case Mr. J appears to have not been offered any alternative to restraints. (Hinshaw, 2010) Another quality nursing indicator is the prevalence of pressure ulcers. He was found to have an area on his lower spine that was reddened and depressed, indicating the development of a possible pressure ulcer. The nurse in this case was not notified by the CNA that found the reddened area and the daughters concern was ignored by the CNA. Assessing skin, especially given Mr. J’s immobility would be a priority for the nursing staff. Developing a turn schedule and making all staff aware of this schedule would also have been helpful in this situation. (Wurster, 2007) In addition to the restraints Mr. J has also been in the hospital for a week which may be a factor in the prevalence of the pressure ulcer. One indicator that may not be immediately apparent would be the risk of a nosocomial infection and development of pneumonia (Duffy, 2002). Mr. J would be at a greater

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