Review the scenario and discuss the questions below.
An elderly woman named Liza, who showed symptoms of near syncope, was admitted via ambulance to a small community hospital. She experienced an inability to move on her own and almost lost consciousness while watching her grandson play basketball. Her symptoms occurred during a visit to her daughter’s home, which is approximately 150 miles from Liza’s home. When Liza was admitted to the hospital, her daughter explained the numerous types and dosages of medications her mother was taking. She also mentioned that for the past week or so, Liza had not been taking her Coumadin for atrial fibrillation as directed by her physician. She expressed concern about Liza possibly having a stroke. Liza was admitted to the intensive care unit for evaluation. Over the course of hospitalization, Liza’s condition worsened. Approximately 18 hours after her admission, the nursing staff began performing nervous system checks on Liza and contacted the physician-on-call to obtain an order for a CT scan. The scan showed evidence that a cerebral infarction (stroke) had occurred, and the symptoms Liza was experiencing at the basketball game were due to the stroke. After the results of the CT scan were received, the on-call physician then began treatment for the infarction.
1. What worked and what did not work in the processes?
2. How might the student monitor this process? What types of data would be useful? Describe variations and possible causes of variations in the care processes.
1.The hospitalisation of the patient by her daughter at the earliest when she fell unconscious was a better process which showed concerns that treatment will be initiated faster and patient prevented from any complications but the system failed after admitting the patient in the ICU by nurses or the providers not performing the GCS or neurological assessment by the time .This is essential because there was a doubt of stroke ,to know the side effects of stopping coumadin,to rule out the cause behind loss of consciousness.
2.The student can monitor the process from admission till discharge. The diagnostic procedures carried out,providers visits, treatment carried on and the prognosis of the patient. The data like admission records to claim records will be useful for the students to learn the process.There can be a planned variation (like a treatment regimen at the time admission) and unplanned variation where the treatment is altered in the grounds of current symptoms, This can be due to the progress of patient, financial status,prognosis status of the patient.
Review the scenario and discuss the questions below. An elderly woman named Liza, who showed symptoms...
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