Mrs. B. is 97 years old, and was admitted to your LTC faci.pdf

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Mrs. B. is 97 years old, and was admitted to your LTC facility 6 years ago. Shortly after becoming a resident, she suffered a cardiac arrest and was found to be unresponsive by the staff; CPR was initiated for a total of 20 minutes prior to return of spontaneous circulation. She has an advanced directive stating that she agrees to transfer to an acute care facility, but other options, such as CPR and intubation, were not explicitly addressed in this document. She has no formal Power of Attorney. Initially, Mrs. B. had lived at your facility watching TV for most of the day. She was wheelchair bound and required assistance with most activities of daily living (ADLs). Her husband lives at your facility with her and is quite frail with moderate dementia. Mrs. B. is frequently visited by her large extended family, which comprises 4 children and 5 grandchildren. She is known to have cancer throughout much of her body, moderate dementia, a very bad heart, and type-2 diabetes. After her cardiac arrest and a short stay in the Hospital ICU, Mrs. B. is brought back to your facility able to breathe on her own, but with a moderate -severe brain injury caused by lack of oxygen after her cardiac arrest; this has left her unable to communicate in any meaningful way with others. She is receiving thickened fluids as her source of nutrition and hydration but is only able to consume about half of the calories that would be needed to keep her at her current weight. Unfortunately, her health begins to decline further shortly after returning. The team decides to hold a family conference with the residents children and proposes a plan of treatment that would focus on comfort care only, excluding CPR if needed again. The patients eldest daughter does not agree and states that her mother is a fighter and wanted to live to be 100 years old so that she could receive a letter from the Queen. The daughter asks that her mother be transferred back to the acute care hospital to receive the care of experts 1 of 3 HLTH9224 SPRING 2020 and so that she could be seen by a surgeon for surgery and chemotherapy for her cancer. The treating physician discusses the case with the intensivist on call at the hospital over the telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident would not benefit from further invasive treatment. The intensivist at Hospital holds a family conference with the family and team at the LTC home over the telephone. He identifies himself as an expert in the field. The older daughter reiterates their requests to the intensivist. Modified from: http://champlainethics.ca/case-studies-consent-and-capacity/ Part 1 Summary of Facts (In point form is fine) (1 page Maximum) Simply use APA heading to designate. A suggested opening might be: Summary of Facts The summary of facts for Mrs. Bs case are as follows: (1 page maximum) Mrs. B. was..... The... The family.... Mrs. B. is 97 years old, and was admitted to your LTC facility 6 y.

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telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident
would not benefit from further invasive treatment. The intensivist at Hospital holds a family
conference with the family and team at the LTC home over the telephone. He identifies himself
as an expert in the field. The older daughter reiterates their requests to the intensivist.
Modified from: http://champlainethics.ca/case-studies-consent-and-capacity/
Part 1
Summary of Facts (In point form is fine) (1 page Maximum) Simply use APA heading to
designate. A suggested opening might be:
Summary of Facts
The summary of facts for Mrs. Bs case are as follows: (1 page maximum)
Mrs. B. was.....
The...
The family....
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 years ago. Shortly after
becoming a resident, she suffered a cardiac arrest and was found to be unresponsive by the staff;
CPR was initiated for a total of 20 minutes prior to return of spontaneous circulation. She has an
advanced directive stating that she agrees to transfer to an acute care facility, but other options,
such as CPR and intubation, were not explicitly addressed in this document. She has no formal
Power of Attorney.
Initially, Mrs. B. had lived at your facility watching TV for most of the day. She was wheelchair
bound and required assistance with most activities of daily living (ADLs). Her husband lives at
your facility with her and is quite frail with moderate dementia. Mrs. B. is frequently visited by
her large extended family, which comprises 4 children and 5 grandchildren. She is known to
have cancer throughout much of her body, moderate dementia, a very bad heart, and type-2
diabetes.
After her cardiac arrest and a short stay in the Hospital ICU, Mrs. B. is brought back to your
facility able to breathe on her own, but with a moderate -severe brain injury caused by lack of
oxygen after her cardiac arrest; this has left her unable to communicate in any meaningful way
with others. She is receiving thickened fluids as her source of nutrition and hydration but is only
able to consume about half of the calories that would be needed to keep her at her current weight.
Unfortunately, her health begins to decline further shortly after returning.
The team decides to hold a family conference with the residents children and proposes a plan of

treatment that would focus on comfort care only, excluding CPR if needed again. The patients
eldest daughter does not agree and states that her mother is a fighter and wanted to live to be 100
years old so that she could receive a letter from the Queen. The daughter asks that her mother be
transferred back to the acute care hospital to receive the care of experts
1 of 3
HLTH9224
SPRING 2020
and so that she could be seen by a surgeon for surgery and chemotherapy for her cancer.
The treating physician discusses the case with the intensivist on call at the hospital over the
telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident
would not benefit from further invasive treatment. The intensivist at Hospital holds a family
conference with the family and team at the LTC home over the telephone. He identifies himself
as an expert in the field. The older daughter reiterates their requests to the intensivist.
Modified from: http://champlainethics.ca/case-studies-consent-and-capacity/
Part 1
Summary of Facts (In point form is fine) (1 page Maximum) Simply use APA heading to
designate. A suggested opening might be:
Summary of Facts
The summary of facts for Mrs. Bs case are as follows: (1 page maximum)
Mrs. B. was.....
The...
The family....
Mrs. B. is 97 years old, and was admitted to your LTC facility 6 years ago. Shortly after
becoming a resident, she suffered a cardiac arrest and was found to be unresponsive by the staff;
CPR was initiated for a total of 20 minutes prior to return of spontaneous circulation. She has an
advanced directive stating that she agrees to transfer to an acute care facility, but other options,
such as CPR and intubation, were not explicitly addressed in this document. She has no formal
Power of Attorney.
Initially, Mrs. B. had lived at your facility watching TV for most of the day. She was wheelchair
bound and required assistance with most activities of daily living (ADLs). Her husband lives at
your facility with her and is quite frail with moderate dementia. Mrs. B. is frequently visited by

her large extended family, which comprises 4 children and 5 grandchildren. She is known to
have cancer throughout much of her body, moderate dementia, a very bad heart, and type-2
diabetes.
After her cardiac arrest and a short stay in the Hospital ICU, Mrs. B. is brought back to your
facility able to breathe on her own, but with a moderate -severe brain injury caused by lack of
oxygen after her cardiac arrest; this has left her unable to communicate in any meaningful way
with others. She is receiving thickened fluids as her source of nutrition and hydration but is only
able to consume about half of the calories that would be needed to keep her at her current weight.
Unfortunately, her health begins to decline further shortly after returning.
The team decides to hold a family conference with the residents children and proposes a plan of
treatment that would focus on comfort care only, excluding CPR if needed again. The patients
eldest daughter does not agree and states that her mother is a fighter and wanted to live to be 100
years old so that she could receive a letter from the Queen. The daughter asks that her mother be
transferred back to the acute care hospital to receive the care of experts
1 of 3
HLTH9224
SPRING 2020
and so that she could be seen by a surgeon for surgery and chemotherapy for her cancer.
The treating physician discusses the case with the intensivist on call at the hospital over the
telephone. The intensivist agrees that the prognosis is extremely poor and likely the resident
would not benefit from further invasive treatment. The intensivist at Hospital holds a family
conference with the family and team at the LTC home over the telephone. He identifies himself
as an expert in the field. The older daughter reiterates their requests to the intensivist.
Modified from: http://champlainethics.ca/case-studies-consent-and-capacity/
Part 1
Summary of Facts (In point form is fine) (1 page Maximum) Simply use APA heading to
designate. A suggested opening might be:
Summary of Facts
The summary of facts for Mrs. Bs case are as follows: (1 page maximum)
Mrs. B. was.....
The...
The family....

Summary of Facts (In point form is fine) (1 page Maximum) Simply use APA heading to
designate. A suggested opening might be:
Summary of Facts
The summary of facts for Mrs. Bs case are as follows: (1 page maximum)
Mrs. B. was.....
The...
The family....

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Topic 2/T Identify an experience where you had to assess the needs, interests, and goals of a patient with an ethnic background, different from yours, that resulted in a positive learning experience. How did you turn the situation into a positive learning experience? Did you personally have to deal with any stereotypical beliefs? When I was working in SICU (Surgical Intensive Care Unit), I was assigned to a patient who was admitted to ICU after an episode of bradycardia and loss of consciousness on the medical surgical floor. A rapid response was initiated and she was intubated and brought to our unit. She was Haitian and came from a very different ethnic background. At the time I was not familiar with their culture or beliefs nor did I know her health history and what originally brought her to the hospital or the reason for her admission. After a couple days of being assigned to her and taking care of her and her family, I began to understand a little more. She had been diagnosed with breast cancer the previous year and had undergone chemotherapy which unfortunately was unsuccessful. The cancer had spread throughout her body including her esophagus which was later found out to be the reason for the intubation. A tumor had attached itself to her airway and she was unable to breath on her own. I instantly became attached to the patient and family and enjoyed learning about their culture and belief system. Many people including doctors, nurses and other medical professionals couldn’t understand why a patient who was terminal would want everything done and continue aggressive treatment. Many gave up on her and the family which is why I believe they requested that I take care of her every shift I worked. Special arrangements were made between the family and my director to accommodate their wishes. Each shift I worked, I took care of her. Her daughter and her husband never left her side other than for bathing or other emergent matters that couldn’t be handled without them. Eventually the primary physicians would stop rounding on her daily and healthcare professional started discussing her prognosis, treatment and plan of care. No one understood why we were continuing to treat this individual as they called the treatment "futile". As time went on, the hospital decided to call in Risk Management as they had a different belief and understanding regarding by patient's wishes and medical management. This is when I realized I did, I understood her and her family and knew I needed to be her patient advocate and her voice. I fought for her treatment and plan of care which was aggressive not palliative. She expressed to me she wanted to live, even if it meant her last days were spent in the hospital. She would lay there and listen to her children laugh and tell stories about their day and her husband's voice telling her how much he loved her. She was a mother of 10 and had the most beautiful family I had ever met. Before I met her, I may have ha ...

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Nurse is performing a vaginal exan on a patient who is in labor and observes the umbilical cord protruding from the vaginal. After calling for assistance, which actions should the nurse take? -Insert two gloved fingers into the vaginal and apply upward pressure to the presenting part. -Wrap the visible cord tightly with sterile, dry gauze. -Apply oxygen to the client at 2 L/min via nasal cannula. -Place the client in the lithotomy position and apply fundal pressure..

Nurse is performing a vaginal exan on a patient who is in labor .pdf

aliracreations

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