. In the following situations, state the likelihood that a claim of negligence could be substantiated. Do you have enough information to make this determination? If so, identify the person or persons whom you think might be held liable. If not, determine the additional information that you might need to make a decision.
A. A patient has had recent surgery to repair a torn rotator cuff. The PT instructs the PTA to progress the exercises “as tolerated,” and the PTA has the patient start exercises using resistance. When the patient returns to the physician for a follow-up examination, the physician informs him that the repair does not appear to have been successful.
B. A patient has sustained a hip fracture and is not allowed to bear weight through the involved lower extremity, but he has difficulty maintaining his non-weight-bearing status during activity. While ambulating in physical therapy, he frequently puts his full weight on his involved leg despite being reminded not to do so. The patient later needs a hip replacement as a result of the fracture not healing properly.
C. A patient performing stabilization exercises on a ball falls to the ground and breaks a wrist when the ball suddenly ruptures.
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Helicobacter pylori Infection: ACG Updates Treatment Recommendations
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--Compare a contrast a duplicate, overlap, and overlay "MPI errors watch video
--Why is it important to avoid MPI errors? Illustrate with an example.
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How you can develop your own transformational leadership style by applying the four elements intellectual stimulation, individualized consideration, inspiration, motivation, and idealized influence to your nursing practice.
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How you can develop your own transformational leadership style by applying the four elements of intellectual stimulation, individualized consideration, inspiration, motivation, and idealized influence on your nursing practice.
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describe the how the circulatory system that utilizes a gastrointestinal system functionsin a) delivering oxygen and nutrients and b) getting rid of CO2 and wastes
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Why is heart murmur sometimes present in anemic patients?
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What resources do you use to improve your awareness of your communication skills in the professional setting? What are the most effective communication skills that nurses bring to collaborative interactions? Why are those so important in your own practice?
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If the goal is how to develop reliability and resilience in health care systems while embedding a vision of zero avoidable harm into the culture of health care is it possible to reach "zero harm".
Describe what achieving this goal requires(what does an organization have to do).
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describe how a closed circulatory system delivers oxygen and nutrients and picks up waste and carbon dioxide. What types of organisms use a closed circulatory system?
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History of Present Illness
MDJ is a 50-year-old woman whose routine mammogram showed a 2.3 - 4.5 cm lobulated mass at the 3:00 position in her left breast. Sheunderwent a stereotactic needle biopsy and was diagnosed with infiltrating ductal carcinoma that was both estrogen and progesterone receptor positive. The staging workup was negative for distant metastasis. Her final staging was stage IIB. She had a modified radical mastectomy with lymph node dissection. The sentinel lymph node and 11 of 16 lymph nodes were positive for tumor cells.
Past Medical History
Her medical history is significant only for starting menstruation early, at age 10, and being chronically 20 to 30 pounds over- weight since high school.
Family History
She decided to have a mammogram after learning that her maternal aunt and grandmother were diagnosed with breast cancer in the past few months. Her mother was diagnosed with breast cancer ,8 years ago at age 50.
Personal and Social History
Her home exercise program includes walking and gardening, and she describes her diet as healthy. She works part-time from home as a research editor, which involves to a lot of time on the computer.
Admission Order
She has now completed three cycles of CAF. Her height is 5 feet, 7 inches, and her weight is 155 pounds.
She comes to the emergency department with a 2-day history of fever, chills, and shortness of breath. On arrival, she is disoriented and agitated. Vital signs are BP =86/43, PR =119, RR= 28, T=39.8° C, O2Sat 85% on room air. Chest x-ray demonstrates diffuse infiltrates in the left lower lung. Her chem 14 is within normal limits, with the exception of BUN 28 mg/dL, creatinine 1.6 mg/dL, and lactic acid 2.4 mg/dL. requires endotracheal intubation and spends 3 days in the ICU receiving antibiotics and respiratory support. She is able to be extubated and returns to the oncology unit, where she remains for a few more days before being discharged to home.
Complete Blood Count
|
WBC |
1200/mm3 |
|
Neutrophils |
34% |
|
Segmented (Polys) |
30% |
|
Bands |
4% |
|
Lymphocytes |
60% |
|
Monocytes |
3% |
|
Eosinophils and basophils |
2% |
|
Hct |
24.9% |
|
Hgb |
8.7 g/dL |
|
Platelets |
85,000/mm |
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