Discharge Case Studies Samples For Students

Discharge Planning Case Study

Discharge planning is an essential activity in the preparation of consumers for the transition from hospital to home settings. The efficiency of the process for patients living with mental health problems can influence the number of future rehospitalizations in acute-care facilities as well as their quality of life in the community (Nurjannah et al., 2014). This paper will address the discharge planning process for a 48-year old patient called Margaret who had been treated for an anxiety disorder at a local hospital. According to the history, she had been referred for assessment by her general physician due to a history of withdrawal ...

Abstract

In this paper, I will describe the case of Mr. Henry Spirk. He is a a 72-year-old man who has recently broken his hip and does not have the ability to take care of himself. In addition, he was diagnosed diabetes, hypertension, and partial hearing loss. However, Mr. Spirk refuses to believe in his current condition and claims that he is able to take care of himself. I will describe the discharge planning and identify which obstacles prevent us from discharging Mr. Spirk without additional home care. I will identify which health conditions need to be addressed and discussed with the ...

In April 2002, three hospitals combined to establish the King Edgar Hospitals NHS Trust with the objective of enhancing the services and decreasing duplication. The Trust was under a tremendous pressure to reduce waiting lists and sorting out of other managerial issues such as delays in discharges, inaccurate admissions of patients to wards, poor relationships with social services, high number of patient complaints. In response to this situation, the Executive Director of Nursing, Tracey Burns, was appointed to take the lead .

Team Work

Burns in concert with three assistant Directors of Nursing formed four groups that targeted a varied aspect of ...

Statutory issue: Do the activities of KPL fall within the meaning of Section 13 of the Rivers and Harbors Act of 1889 to constitute as “discharge or deposit any matter of any kind in the navigable water” holding it liable for violation?
The main argument for the plaintiff is that it cannot be held liable for violating Section 13 since its activities does not fall within the meaning of “discharge of any matter of any kind in the navigable water” as provided by law. In this particular case, KPL draws water at normal temperatures from the river in ...

Directions

The provided case study illustrates the case of one Mr. Red Smart, a hospitalized, elderly diabetic patient who equally suffers from hypertension and a host of other medical conditions. Mr. Red uses crutches due to an earlier fall and he experiences a sharp pain at home and falls unconsciousness and upon the doctors diagnosis, Myocardial infarction (MI) is detected. He is admitted to the hospital for three weeks but he considers to return home contrary to his family opinions. He also suffers from memory lapses.

Scenario

Red is a 60 year old man who lives with his elderly wife aged ...

Question 1

According to the corporations act 2001 (cth), section 249H subsection 1 a valid notice of a meeting of a meeting of shareholders should be at least 21 days. The only exception to this rule is when all the members of the company agree beforehand for a shorter notice or when members of the company who have 95% of the voting power or more agree beforehand on the issue of a notice shorter than 21 days. The company issued a notice of seven days, which is less than the legal requirement by 14 days. The annual general meeting of the Sparx Ltd was therefore not valid ...

Cause of Ms. S’s Diabetic Ketosis Acidosis (DKA)

Ms. S’s Diabetic Ketosis Acidosis (DKA state is one of the most extremes of diabetic decompensation since it is associated with high mortality rate. The incidence of Ms. S’s DKA, usually, occurs at 4.6-8.0 per 1000 persons-year among the patients with diabetes. The pathogenesis of the condition occurs as a result of the abnormalities associated from the combination of relative or absolute insulin deficiency (Health & Medicine Week, 2014). When the level of insulin is deficient, the increased levels of glucagon cortisol and catecholamins will automatically stimulate hepatic glucose production through enhanced gloconeogenesis and increased glycogenolysis. The combined level ...

Introduction - Director’s duties

Even though the law recognizes corporations as separate and distinct entities from the owners, it nevertheless recognizes that corporations act through people. Such people are referred to as directors and manage the activities of a corporation. In Lennard’s Carrying Co. v. Asiatic Petroleum Co. Ltd, the court observed that directors are the directing mind and will of the company. Accordingly, directors of a company act for and behalf of the company, and as such owe several duties to the company.
These duties are at common law and also statutorily provided for. In the U.S., there is no single statute ...

Preventable hospital re-hospitalizations are key quality and patient safety concerns. Statistics suggest that one in every five Medicare enrollees is re-hospitalized within 30 days of discharge from an acute care facility, and an estimated 75% of these readmissions are avoidable. Readmissions are expensive costing the United Sates (US) healthcare system an estimated $17 billion annually. The 2010 affordable care act established the Medicare Hospital Readmissions Reduction Program. This program offers a financial incentive to hospitals to reduce excess readmissions (Robert Wood Johnson Foundation, 2013). In efforts to avoid Medicare penalties, hospitals around the country have implemented programs aimed at ...

The organizational structure of Moreno Medical Center (MMC) can be described in both positive and negative ways. Its strong point can be seen in the way that the hospital implements a strict policy of adhering to the procedures, from admission to discharge. There must be no problem regarding with this, however, the hospital and its personnel lacks in organizing these procedures, resulting in the long delay of important processes. As a consequence, the patients lose their satisfaction although adequate medical services has been provided. The management of the procedures can be seen as the main problem of the facility.
...

Patient history

JM is a 28-year old Hispanic 38 weeks pregnant, admitted into the maternity unit. This is her first pregnancy and seems calm and relaxed, except for the normal anxiety of this stage of pregnancy. Her obstetric history; G1, T1, P1, A0, L0

1st stage

Subjective: The patient verbalizes that she is afraid of the delivery process because it is her first time into the maternity ward. Patient verbalizes extreme abdominal pains.
Objective: Patient exhibits, facial tension, poor eye contact and grimacing observed. Patient appears anxious, pre-occupied as well as decreased perceptual field. Vital signs (T-370 C, BP- 138/74 mmHg, RR-14 cpm, ...

R M. G

Dr. S
P. A., a 56 year old Italian male that identifies with the Italian culture with no significant past medical history presents to the emergency department with the chief complaint of recurrent chest burning. P.A. says his wife believes that he is showing symptoms of having GERD but he has never been diagnosed. P.A states that “the chest burning and discomfort began five days ago and just got progressively worse despite his self medicating with TUMS” he presented to the emergency department on 05-31-16 and felt “some improvement” after a GI cocktail was administered. One set of biomarkers ...

Borderline Personality Disorder: Case Study

Karen’s Case

Karen was admitted in the intensive care unit of West Raymond medical Center after she knowingly took an overdose of sedatives in addition to alcohol in a suicide attempt following a disagreement with her man.

Consequently, the 32-year old single, unemployed woman lost consciousness which meant that she had to inevitably spend three days in the hospital. While still in the hospital the doctors never wanted to discharge her until when they were convinced that she was under the care of a psychotherapist. Karen’s psychotherapist was, however, reluctant to respond to Karen’s calls concerning her discharge citing ...

Ok Tedi Copper Mine

The Ok Tedi Copper Mine is located in Papua New Guinea. It is an open-pit gold and copper mine, named as such because it is near the Ok Tedi River. Mining gold and copper out of the pit have caused widespread social and environmental harm to the atmosphere around the Ok Tedi Copper Mine. Located near a river, the discharge and runoff of the mine have negatively impacted the lives of tens of thousands of residents in over one-hundred villages living downstream from the mine. The people are now suffering because of the placement of the mine, but also ...

The 2-year child has complaints of the ear that have deprived him of sleep due to the associated pain. There are two possible diagnosis in this case; on one hand the patient could be having a swimmer’s ear condition also known as the acute otitis externa which usually a condition that causes, inflammation, irritation as well as infection on the ear canal that runs from the eardrum to the external region of the ear (Burns, Dunn, Brady, Starr & Blosser, 2013). The condition is characterized by the production of an odorless clear discharge from the ear which can advance ...

Stone Formation in the Kidney/ Role of Citrate in the Kidneys

Kidney stones are calcified or solidified molecules taking place in the upper urinary tract and the kidney. Kidney stones are usually composed of calcium as oxalate, phosphate, or carbonate. Stone formation in the kidney happens when the amount of mineral salts in the urine becomes saturated, during which the mineral will automatically crystallize (Rao et al., 2011). Stone formation is further facilitated by increasing amount of calcium in urine and dehydration. High levels of calcium in urine can indicate kidney disorder, prolonged incapacitation, hyperthyroidism or overactive thyroid, excessive intake of milk or aluminum and vitamin D. Stone formation in ...

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Given the facts of the case, John must have not been discharged instantaneously. Management should treat termination of employment as the last resort whenever an employee performs poorly or violates a rule. In addition to this, due internal process must be observds as fair treatment and respect to the employee-employer relationship (Cleverism). In this case, John was caught violating management’s code of conduct for employees which points out that “Employee off-duty behavior in no way should reflect unfavorably upon the company, its employees, or sales of any educational material/s”. ...

Lamson v. Crater Lake Motors 216 Or.App. 355, 173 P.3d 1242 (2007)

Summary. A car dealer’s a sales manager disapproved of the tactics used by a third-party firm in conducting sales promotion for the company. The company terminated him when he refused to cooperate. He sued for wrongful discharge, but the Oregon SC ruled against him.

Personal and Legal Analysis. Despite allegations of deceptive trade practices, the Court found for the employer because it did not compel the employee to commit any unlawful activity.

Answers to End-of-Case Questions. (1) Lamson could sue for wrongful discharge on the grounds of whistle-blowing. The person involved in the illegal practice knows more about it than ...

Biology of Disease

Mode of action of;-
Dexamethasone
The Glucocorticoid receptors are discovered intracellularly in all tissues. They enter cells through inactive dispersion and structure a complex with a receptor protein (Rhodes & Hartnoll, 2002, P.10). This intricate then experiences an irreversible enactment and enters the cell core, where it ties to the DNA, hence prompting organic impacts instigated by these hormones, which include expanded hepatic gluconeogenesis, as well as expanded lipolysis (Ahmed, 2007, P.13).
Dexamethasone is utilized to treat numerous provocative and immune system conditions, for example, rheumatoid joint pain and bronchospasm. Idiopathic thrombocytopenic purpura, an abatement in quantities of ...

Introduction

Enhancing the shareholder’s equity is one of the most effective activity of an organization for which the organizations stride for. According to majority of consensus, increasing the shareholder’s equity is the most important and critical things from the viewpoint of an organization as it is something from which positive impact would have been reflected over the bottom line of the organizations. Success story of an organization could not be derailed from any standpoint, as it something from which different aspects of an entity would be decided.
The essence of structure is an important thing from the ...

Nutrition is an indispensable component of care. It is from food intake that the body obtains the micro and macro nutrients needed to maintain and improve health. Diet is also an area of regulation for the management of chronic diseases such as diabetes. Care plans focused on nutrition necessarily must be individualized to take into account unique needs arising from specific medical conditions, the client’s developmental stage, and cultural preferences. Developing a care plan entails evaluating for nutritional risk, defining the goals of nutrition therapy, identifying interventions and expected outcomes, implementing the interventions, providing education, and promoting safety.

Evaluation of Nutritional Risk

The ...

The environment has a lot of impacts on people’s way of life and the health factor in general. A physical environment littered with solid and fluid waste, always results to serious health concern. Poor disposal of solid waste besides being a health hazard causes an eyesore to the surrounding (California Newsreel, 2008). The same waste may also result to accidents on roads and even in the residential homes. Socially, an environment that is constantly in violence is not a very good one to bring up a child. Children brought up in such environment may end up being very violent and easily irritated ...

Question 1

The type of flood occurred at Tarbela Dam around July 29th was an overbank flooding; the high precipitations filled the river Indus, the water within the river reach peak discharge and overflows its river banks and spreads across the surrounding areas.

Question 2

The Chashma Barrage experienced twenty five floods as outlined below.
28-Jul-10 643.30
29-Jul-10 645.40
30-Jul-10 640.30
31-Jul-10 640.00
1-Aug-10 640.00
3-Aug-10 640.00
4-Aug-10 640.00
5-Aug-10 641.00
6-Aug-10 641.00
7-Aug-10 640.40
8-Aug-10 640.00
9-Aug-10 640.00
10-Aug-10 639.20
11-Aug-10 639.00
12-Aug-10 639.00
13-Aug-10 639.00
...

The past record of Mary is significant in this case. Her capability to perform the job suitably could only be supported by her past record while avoiding focus on her non-attendance. He past record reflected that Mary was the company’s model employee and that her performance reviews were always above average. For that reason, the past three years when her absenteeism turned out as a problem to the company was basically referenced to the external variables which was never available during her first years while working for the company. This supports the idea that her absenteeism is genuinely caused ...

Contents Page

Contents Page
1

Introduction
2

Company Structure
4
Legislation
6
Code of Conduct
8
Advantages of Code of Conduct
9
Disadvantages of Code of Conduct
10
Ethical Issues
11
Conclusions
12
Bibliography
13

Introduction

Mac Contract Services Limited has received a contract from Moneymusk Electric Savacentres Limited in order to provide consulting and development services related to the technology functions and process operations of the company. Based on the current status of the organisation, there are various issues pertaining to the ...

Introduction

Mac Contract Services Limited has received a contract from Moneymusk Electric Savacentres Limited in order to provide consulting and development services related to the technology functions and process operations of the company. Based on the current status of the organisation, there are various issues pertaining to the maintenance and access of the systems, including the upgradation of the company systems and adequate maintenance of the applications and software developed within the organisation.

In this report, there will be a detailed assessment of the current functions and IT org chart for Moneymusk Electric Savacentres Limited and the importance of creating an IT ...

Environmental problems are issues that affect or change the normal setting of natural resources to a level of depletion, or where the rate of use is more than the rate of the resource in question naturally replacing its used part. This has necessitated for actions both from the governments and citizens through Non Governmental Organizations to fully embrace conservation of the ecosystem over the years. Conservation of the ecosystem is the preservation of natural environment with its physical composition which includes animals, insects and micro organisms among others. In central and Eastern Europe, Industrialization and extensive farming using machinery have ...

Introduction

Massachusetts Eye and Ear Infirmary (MEEI) is a non- profit organization which for the past decades has had problems in its evaluation on the way the cost are being evaluated and appropriated to patients. The system that was being employed in the hospital was insinuated to be ineffective in the sense that it did not put into consideration all the necessary measures that are required before allocating costs. According to the executive director, Mr. Charles wood, there is a need to change the traditional method used in evaluating the costs and instead embrace the new method. Central to his thoughts, the ...