of hepatic encephalopathy requiring intubation. Patient was extubated and re-intubated for hypercapnic respiratory failure after developing stridor treated with racemic epinephrine nebulizer treatments. Hospital course was complicated by acute respiratory distress syndrome (ARDS) versus hospital-acquired pneumonia (HAP), acute
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According to our text, the organization’s mission statement defines their purpose of existence (Parnell, 2014). Methodist Le Bonheur Healthcare or MLH purpose of existence is to be a leader in health through “quality, cost-effective-and family-centered care”. Because the mission of MLH holds all associates accountable for providing quality healthcare to our communities, it has to be concise, clear, and easily remembered. MLH is committed to its mission. In fact, the mission serves as the foundation
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The main roles I will fulfill as Rose’s case manager are to conduct a thorough assessment, work with the client to create a service plan, coordinate services, and organize the documentation of all services. I recommend the following services based on the assessment of Rose’s case: attending an appointment with a physician, enrolling in Life Alert, relocating to a retirement community, discussing the process of aging. Either the professionals I work with on an interdisciplinary team or myself will
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In reviewing Mrs. Miller’s Medicare payments, I noticed that a wound specialist saw her at least 8 times. I am responsible for Emma’s healthcare and no treatment, unless an emergency should be done without my knowledge. I would assume this is an error and would be seen as such by licensing and the Ombudsmen’s office. I perfectly expect you to provide any emergency attention immediately without notifying me until after the issue is taken care of. Likewise a consultation for a diagnosis was ordered
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a. By the time I graduated high school I had lived in 8 different states and attended 12 different schools varying from the upper middle-class communities of Celebration, FL to the poverty stricken communities of Southwest Philadelphia. While these moves were disruptive for my education, it gave me a glimpse at all of the different communities present in this country. I had the opportunity to meet people from all around the world and learn about their culture. These experiences taught me from a young
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This part of the plan involves protecting the patient from injury and supporting the family. The first step would be to give a dosage of opioids to the patient in order to rule out the possibility that they may be in pain. The next step is to assess the distention of the bladder. In case there is an issue, the nurse needs to insert an indwelling catheter. If it is appropriate to do so, the next step is to assess for impaction. The patient may need to be given antipsychotics or even benzodiazepines
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The article this week brought along with it lots of different emotions. Resnik’s (2015) question, “If morality were nothing more than commonsense, then why are there so many ethical disputes and issues in our society?” really made me think. There are so many moral and ethical disputes and issues happening in our society today. I can’t even tell you how many times I have come off the freeway and at the off ramp, over on the side is a man or woman holding a sign asking for help. Being a nurse
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Ever since I have been a little girl, I have always wanted to be in the medical field. Throughout the years, I have changed what I wanted my occupation to be, but now that I am an adult, I have chosen an occupation I will commit to. Being a medical assistant has many of the qualities I am looking for in a career. Not only do I get to help people, I get to communicate with patients, find out what’s wrong with them, and I also get the chance to sit down more often. Sitting down is important because
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checkout lanes, Maans slipped and fell. Maans tried to avoid the fall by grabbing onto another cart which was in front of her. Maans was unable to avoid the fall and fell on her back. Maans was six-and-one-half months pregnant and was transported to the hospital by ambulance. At the time of the fall, Maans did not recall seeing anything wet on the floor or recall her clothes being wet after the fall. However, Maans stated she heard the assistant store manager tell another person to clean all the water off
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Physician Assistants work in offices of physicians, hospitals (state, local, private), outpatient care centers, government, and educational services (state, local, private). Work of a physician assistant can be overwhelming and stressful at times. Physician assistants are always doing something and always on their feet, making rounds and evaluating patients. During surgeries, physician assistants stand for an extended period of time. When working in hospitals, physician assistants will be on call to come
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