The Patient Story The patient, LL, is a twenty four year old female who was diagnosed with obsessive-compulsive disorder five years ago. Around the ago of eighteen, LL started to experience many symptoms of obsessive-compulsive disorder. She had just started her freshman year at a local college and moved into the dorms with a random roommate. LL was constantly washing her hands and grossed out by the germs, so she came to realize she had a phobia of germs. She would begin sweating and having major anxiety when people went to shake her hand or her roommate would touch her food or any of her things. LL started skipping class and isolating herself in her room in order to avoid contact with other people. When her grades dramatically declined, …show more content…
LL acknowledges, with the help of her psychiatrist, the it is important to be employed and earn money to support herself, but finds it very difficult to hold a job with her disorder constantly holding her back. LL lives with her parents and sister in an urban area in the home where she grew up. Her family members are very supportive of LL and her obsessive-compulsive disorder and push her to be better each day. LL’s location is very convenient because she is a five-minute drive to her support group at her church as well as her psychiatrist. LL grew up and continues to follow the catholic faith believing that God causes “everything to happen for a reason”, though she does not know or understand why God gave her this …show more content…
will teach LL in her optimal learning environment. This environment will be in her home where she feels more comfortable and can focus more because she is not as easily distracted. The S.N. will provide a printed sheet with reliable websites for LL to use when she is feeling anxious, has urges to wash her hands and ways to clear her mind of her thoughts and behaviors about her mysophobia. There will also be supplies for maintaining LL’s hands skin integrity; lotion and tepid water. LL is very open with her family and enjoys their presence therefore maintaining privacy in her home will not be an issue. They are respectful and want the best for LL and does the S.N. therefore the S.N. will explain the need to one on one time and it is believed the family will respect and put LL’s needs
This module of study has focused on many aspects of human health, anatomy, and the disease process. It has included such topics as the human organ systems, the mechanism of disease and the resulting disruption of homeostasis, the integumentary system, and the musculoskeletal system. The following case studies explore how burn classification will affect treatment, how joint injuries can disrupt mobility, and last, how a sedentary lifestyle can contribute to a decline in a person’s health status. The importance of understanding disease and knowing when to seek treatment is the first step toward enjoying a balanced and healthy life.
Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also
Under HIPAA, are you legally allowed to view this patient’s medical information? Why or why not?
Mr. Anderson has a narrow focus; he continues to insist he needs more surgery. Mr. Anderson is very weak with large muscle atrophy. He walks using 2 canes refusing to use a walker which would be safer. He is a fall risk. He refuses to participate in physical therapy to strengthen and improve his muscle tone so he could walk safer and increase his endurance. He reports his pain level will not allow him to be active. He has an extremely high pain level consistently which never improves even with medical
The employees would be damaged because they this would make their compensatory time of no value. Sickness is no fault of the employee as these things happen. If the only time the employee has is compensatory time and it is used when the employee doesn’t benefit. This is like punishing the employee for being sick.
Despite the fact that there is a strict Code of Conduct of Pharmacy in the United Kingdom, the problems of sexual boundaries being crossed between doctors and patients is still happening. This report aims to provide information about different types of relationship between doctors and patients which can lead to unethical sexual behaviour between the two parties. The findings shows that this case is common when there is an unbalance power between doctors and patients and when the patients attend a long and continuous meeting sessions with the doctors. In order to tackle this issue, there must be a strict line drawn between the doctors and the patient to maintain the professional relationship between the two.
The article “Promoting the 6Cs of Nursing in Patient Assessment” by Clarke (2014), is one that covers the different elements of patient assessment, how critical thinking is required in assessment and how nurses can integrate caring into their nursing process, primarily during patient assessment. Patient assessment is the first part of the nursing process and requires the nurse to collect objective and subject information for analysis that can be then attributed to a nursing diagnosis (Potter et al., 2014). Even after a diagnosis has been made, nurses must continue to assess and analyze their patients in order to ensure the patient is in good condition and that treatment is going as planned (Potter et al., 2014). In the case of critical thinking, it is “a complex phenomenon that can be defined as a process and as a set of skills” and often focuses on sound logic and reasoning (Potter et al., 2014, p. 141). The definition of Caring differs somewhat depending on the theorist, but in essence it boils down to a concept central to nursing that requires the nurse to support the patient in their health,
Nursing is an extremely challenging healthcare profession. While some might think the role of a nurse is to simply administer medications, nurses must actually provide much comfort and support. The main role of a nurse is to be a patient advocate, which means the nurse must be a charge nurse, caregiver, educator, and a counselor for patients and their families. Nursing has many essential elements when practiced holistically. Advocacy includes the acts of educating, protecting, emotionally supporting, communicating as well as supporting patients in the decision-making process. The nurse’s role is to ensure that the patient is involved in all aspects of healthcare decision making and that all the patient’s needs are met, even when
Currently, the patient doesn’t seem to be able to break out of the cycle of worry/fear that she is in. It becomes more intense in some situations, but doesn’t seem to let up or she’s able to let it go
Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2
The uncertain nature of chronic illness takes many forms, but all are long-term and cannot be cured. The nature of chronic illness raises hesitation. It can disturb anyone, irrespective of demographics or traditions. It fluctuates lives and generates various inquiries for the patient. Chronic illness few clear features involve: long-lasting; can be managed but not cured; impacts quality of life; and contribute to stress. Chronic illnesses can be enigmatic. They often take considerable time to identify, they are imperceptible and often carry a stigma because there is little sympathetic or social support. Many patients receive inconsistent diagnoses at first and treatments deviate on an individual level. Nevertheless, some circumstances require
D-The patient requested an increase on his current dose from 115 mgs to 120 mgs. According to the patient, he is not experiencing any cravings, but some withdrawals-seats, hot/cold flashes at night, can't sleep, and some sweats. The patient has been experiencing these symptoms for almost 2-3 weeks. When asked as to why he did not mentioned this to this writer, the patient says, " I wasn't sure if it was mental thing or something, but I even make the request." When asked about how he has been handling the withdrawals feelings, the patient responded with chuckle and says, " I turn on the fan. I know my girl does not like it, but that's how I cope (chuckle)." This writer proceeded to complete the dose change request form and also, reviewed
Case conceptualization and treatment planning is used by therapist to assist in determining a client’s diagnosis, goals, and treatment plan that is most effective in determining the issues surrounding the clients diagnosis. It is crucial that the client’s treatment plan is specific to the individual, is relational and appropriate to the needs of the client.
The subjective examination of the patient revealed a behavior of avoidance of activities. The balance and overall functional mobility were affected due to activity limitation. The history of depression further compounded the problem. Physical therapy examination revealed deficits in dynamic balance and gait deficits affecting the ability to perform safe ambulation, transfers, activities of daily living and self-care. The FRT score of 6 inches indicated limited mobility and decreased dynamic balance (Weiner et al., 1992). The TUG score of 20 secs was more than the normal cut off score (13.5 secs) for the age of the patient (Shumway-cook et al., 2008). The general cut- The MFES score of 4 indicates a significant fear of falling. The patient was
Patient Scenario: During my second semester I met a geriatric patient, the patient was a seventy-eight year old male. His medical diagnosis was dementia, anxiety, congestive heart failure, and benign prostatic hyperplasia (BPH). This gentleman’s BPH resulted in acute urinary retention which has symptoms of inability to urinate, urgent need to urinate, pain or discomfort in the lower abdomen, and bloating of the lower abdomen. To access BPH, one asks the patient about difficulty in starting or continuing urination, reduced force or weak stream, sensation of incomplete bladder emptying, straining to begin urination, post void dribbling or leaking (Ignatavicius & Workman, 2013, p. 1630).