Acute Inpatient Hospitalization: A Case Study

During this day, I was assigned to care to one of our sick residents and based on my assessment, her condition shows no sign of improvement from her chest infection so I checked her vital signs specifically her respirations. After assessing her, we rang in the GP to inform him about the condition of his patient and asked him to schedule a visit. Also, in the afternoon, we had a new admission from Eversley. Firstly, we greeted the patient, introduced ourselves and oriented the resident to the unit. Secondly, the nurse from Eversley informed us about the relevant information about the patient’s

We denied the medical service listed above because: We received your request for admission to an acute care facility and have reviewed the medical records; the information does not show a need for the acute level of care. You are an 84 year old female who is status post cardiac arrest (condition in which the heart suddenly and unexpectedly stops beating) with hypoxic (a condition in which the body or a region of the body is deprived of adequate oxygen supply) brain injury. You have a Do Not Resuscitate order documented. You have a life expectancy of less than 60 days. You are undergoing comfort care. You can be managed in a lower level of care. For all these reasons the admission is not medically necessary. The request for admission to Calvary

After review of the clinical information provided by Kings Brook Jewish Medical Center, the Medical Director has denied your admission to Kings Brook Jewish Medical Center. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. You are a 26 year old male who presented to the emergency room with complaining of difficulty swallowing. You experienced throat pain, severe right jaw pain and edema (fluid) for the duration of 2 days prior to your hospital admission. You had an intermittent toothache for the past 2 years, but did not see dentist. You had a temperature of 97.7 at the time of admission. Your exam showed that you had tonsils that was noted as moderately red and swollen with

The decision to admit Ms. Z to the hospital was made because she is experiencing shortness of breath that has not resolved with rest and one fainting spell. A benefit of admitting her to the hospital is that the provider team can assess if there are any serious problems going on, like heart failure. A risk to admitting her to the hospital is that she may not be able to afford her medical bill and being in the hospital may heighten her anxiety. I would follow through with the order to admit her to the hospital because the ST depression finding and clubbing of her nails may be indicative of heart failure. The benefit of “full code” status for Ms. Z is that anything will be done to get her heart started and lungs functioning. A risk of “full code” status is that it is automatic on her admission to the hospital and that may not be what she wishes. I would follow this order but would want to ask if she has a health care proxy to make decisions on her behalf if she becomes incapable of doing so.

The first step in rectifying these claims will be to form a service denial review board. This board will be set up to review any patient who was denied care for any reason. The first task of the board will be to establish a service denial form, in which professional staff must fill out when denying services, so that we can establish why the service was denied and if that was the appropriate action. The board will review all forms and then interview staff involved if needed to determine if USA Community Hospital could be found negligent in denying service for unethical reasons. If the patient has made a formal complaint about being denied services then this board will reach out to the patient and document the reasons they

Gratefully, We live in a society where people love helping others and having fun with each other, but Emily Dumler was told two years ago, she was only going to live 6 more months. On August 8, 2013, Emily was a stay-at-home mom and while she was feeding her kids she started to feel unwell. Immediately, she knew something was not right, so she stopped by the Urgent Care Facility. Not long after, the lab results came back and they saw her blood was not clotting.

The National Survey on Drug Use and Health reported in 2010 that approximately 8.88% of North Carolina residents used an illicit drug in the month prior to the survey. At the time the survey was taken the national average was 8.82%. Likewise, the rate of drug-induced deaths in the state was higher than the national average. Meanwhile, drug and alcohol rehab enrollments for cocaine addiction decreased in 2011, while marijuana addiction rehab admittances grew. Statistics from 2011 show marijuana as the leading drug of abuse among North Carolina drug rehab enrollments. This was followed by other opiates (include prescription drugs), cocaine/crack cocaine and heroin.

Well, I don’t know how traditional government would rule this case, but I know that modern government would agree with the judge's decision based on the fact that the child's is in need of urgent medical care. As for my own opinion, I think the final decision should base on the child herself if she wants to get treatment or not. However, at the age of 12 she is still too young to make her own decision at this point, although her parent cannot refuse treatment due to their religious reason and also because the child cannot decide for herself. I agree with the judge's decision because it’s just the right thing to do. We cannot sit and watch a child in pain of a medical condition when we can give her the proper treatment but refused because

The United States is one of the wealthiest nations in the world and allocates more money to healthcare than any other nation, yet falls behind other countries in regards to longevity and infant mortality. Compared to our neighboring Canadians and fellow Europeans who offer universal healthcare to their citizen, the United States government offers nothing more or nothing less than Medicaid for low income families and Medicare for the elderly. Individuals were responsible for their own well being and had to

Upon receipt of this referral, I contacted the claims adjuster Julie Rawlins to discuss the case. I researched Detroit Receiving Hospital for contact information. I contacted Detroit Receiving Hospital and obtained Mr. Davis’s location and I was informed 4 Q. I was transferred to the floor and spoke with the staff. I inquired if Mr. Davis was responsive and able to speak. I was informed he was not and was on a ventilator. I inquired if the family was at the bedside and I was informed no family had been seen. I inquired about the name and number to the case manager/discharge planner assigned to Mr. Davis. I was provided with Sandra Deboro pager number 5997. I contacted the main hospital again and spoke with the Harper Hospital Operator

A study conducted by Twigg et al. (2016), exemplifies that adding assistants in nursing (AIN) to acute hospital wards has impacted negatively and increased adverse patient outcomes. The study revealed that there were three significant increases in unfavourable adverse outcomes which are, failure to rescue, urinary tract infections and falls with injury, as this is due to AINs caring for and completing tasks for patients not within their scope of practice.

“Critical Access Hospitals are rural community hospitals that receive value-based reimbursement” (“Critical Access Hospitals, 2017). It is delegated to be a rural hospital that limited inpatient and outpatient hospital services. CAH status is eligible only if the hospital’s status is a licensed acute care hospital. It cannot be located anywhere, rather it should fulfill all the location requirements. It must be more than 35 miles from any other hospitals or must be 15 miles away from the hospital from mountainous regions with secondary roads. This type of hospital offer the limited service facilities with flexible staffing and service requirements (“Critical Access Hospitals, 2017).

inflow of patients is higher than the available beds. You are treating an elderly man who is breathless and cyanosed. While you assess whether he has chronic obstructive pulmonary disease or heart failure, he becomes drowsy and starts gasping. You quickly intubate him with some difficulty, prolonging his period of hypoxia, and put him on ventilator support. You then get a phone call from a senior consultant in the hospital that an important social activist is about to arrive with chest pain and will need to be admitted. You are directed to

In my research education and research is a necessary ongoing process for both the hospital and the inpatient skilled nursing facility. Whether, the hospital or the inpatient skilled nursing facility, both have to have consistent education for their employees. It was determined that proper education or inadequate education of the staff will affect patient care and the facility’s revenue. I chose education on “patient abuse”, because it is crucial for both types of facility’s longevity of their operations. In my facility they require patient abuse education for both clinical and non-clinical staff. The education process in composed of two phases. In the first phase of education the staff members view it on the internet, through our learning

My condition deteriorated to a point where I had to rely on others to help me transportation and some other tasks. On Tuesday 9-13-2016 my condition deteriorated to a point where I was determined to call 911 in order to get necessary medical treatment. I managed to get a ride to another medical facility in South Carolina as I was desperate to get this ongoing issue resolved. I was informed that I need to get to an emergency room as a matter of urgency as my condition required urgent medical care/testing. I did visit yet another urgent care center and ended up spending several ours there undergoing more tests.