Dr. Anita Gray is seeking a leadership role in an integrated delivery system. She has a Doctorate in Healthcare Administration from Capella University and over 15 years of experience in social services leadership roles at skilled nursing facilities. Her experience includes developing departmental goals and procedures, facilitating interdisciplinary care plans, and counseling patients and families on health issues.
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Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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1. Dr. Anita Gray, BHS, MHS, DHA
5903 Rocky River Road North
Indian Trail, NC 28079
704-906-1248
dr.anitagray@yahoo.com
OBJECTIVE: Seeking a leadership role within an integrated delivery system
Education: Capella University, Minneapolis, MN 2016
Doctorate of Healthcare Administration
Capella University, Minneapolis, MN 2006
Master of Science: Human Services
Wingate University, Wingate, NC 1999
Bachelor of Science: Human Services
Skills: Computer: Microsoft Office (Word, Excel, PowerPoint)
Author of Published Dissertation “Deep Vein Thrombosis Prevention in
Post Major Orthopedic Surgery”
Experience: Work:
Pruitt Health of Union Pointe- Monroe, NC
(Social Services Director) January 2015- current
Skillfully developed departmental goals, objectives,standards of
performance, policies, and procedures.
Developed a systemof staff communication that ensured proper
implementation of treatment plans and comprehensive patient care.
Facilitated an on-going assessment ofpatientfamily needs and
implementation of interdisciplinary team care plan.
Royal Park Nursing and Rehabilitation Center- Matthews, NC
(Manager of Rehab Social Services Department) Jan. 2014- Jan. 2015
Maintained good communication between department heads,medical
staff, and governing boards by attending board meetings and
synchronizing interdepartmental functions.
Administered job knowledge assessments and competency testing for
certification-level training.
Participated in facility surveys and inspections made by authorized
governmental agencies
Brian Center Nursing and Rehabilitation Center- Mooresville, NC
(Social Services Manager) February 2011- Jan. 2014
Counseled individuals and families regarding mental health, substance
abuse,physical abuse,and rehabilitation issues.
Supported patients and families in coping with problems resulting from
severe illness.
2. Coordinated patient care from pre-admission to post-discharge follow-
up.
Supervised social services assistant.
Avante Nursing and Rehabilitation Center- Charlotte, NC
(Director of Social Services) Jan. 2007- Jan. 2011
Developed treatments and casework programs for an average of 120
patients each month.
Referred residents and their family member to community resource
agencies.
Trained in working with patients with Alzheimer’s, Dementia, and
those with a variety of psychiatric diagnosis.
Professional/Student Organizations:
Dean’s list
President’s list
