Analyze the case of Mrs. Ard below.

It’s Your Gavel…

CHANCE OF SURVIVAL DIMINISHED

On the afternoon of May 20, the patient, Mr. Ard, began feeling nauseated. He was in pain and had shortness of breath. Although his wife rang the call bell several times, it was not until sometime later that evening that someone responded and gave Mrs. Ard medication for the nausea. The nausea continued to worsen. Mrs. Ard then noticed that her husband was having difficulty breathing. He was reeling from side to side in bed. Believing that her husband was dying, she continued to call for help. She estimated that she rang the call bell for 1.25 hours before anyone responded. A code was eventually called. Unfortunately, Mr.Ard did not survive the code. There was no documentation in the medical records for May 20, between 5:30 PM and 6:45 PM, that would indicate that any nurse or physician checked on Ard’s condition. This finding collaborated Mrs. Ard’s testimony regarding this time period.

A wrongful death action was brought against the hospital, and the district court granted judgment for Mrs.Ard. The hospital appealed.

Ms. Krebs, an expert in general nursing, stated that it should have been obvious to the nurses from the physicians’ progress notes that the patient was a high risk for aspiration. This problem was never addressed in the nurses’ care plan or in the nurses’ notes.

On May 20, Ard’s assigned nurse was Ms. Florscheim. Krebs stated that Florscheim did not perform a full assessment of the patient’s respiratory and lung status. There was nothing in the record indicating that she completed such an evaluation after he vomited. Krebs also testified that a nurse did not conduct a swallowing assessment at any time. Although Florscheim testified that she checked on the patient around 6:00 PM on May 20, there was no documentation in the medical record. Ms. Farris, an expert witness for the defense, testified on cross-examination that if a patient was in the type of distress described byMrs.Ard and no nurse checked on him for 1.25 hours, that would fall below the expected standard of care.1

Answer the following questions:

What happened?

Why did things go wrong?

What were the relevant legal issues?

How could the event have been prevented?

What is your verdict?

Your paper must be three to five double-spaced pages (excluding title and reference pages) and formatted according to APA style. Utilize a minimum of two scholarly and/or peer-reviewed sources that were published within the last five years.

1. Describe the difference in roles between leadership and management. Explain how the goals of management and leadership overlap and provide one example. As a nurse leader, describe how you can facilitate change by taking advantage of this overlap.

2.Compare two leadership theories. Provide an overview of each and discuss the strengths and weaknesses in relation to nursing practice.

3. Review your state’s mandated reporter statute, (ILLINOIS) Provide details about this in your post. If faced with a mandated reporter issue, what are the steps in reporting the issue? Create a mandated reporter scenario and post it. Respond to one of your peer’s scenarios using the guidelines for submission/reporting in your state. Be sure to include a reference to your state’s website related to mandated reporting.

 Topic 2 DQ 1

Child abuse is any Act of Violence either physical or emotional towards an individual under 18 years of age. Children of all age group are at risk of such forms of abusive activities. It is been estimated that globally around 1 million cases of child abuse (2 to 17 years) in form of physical, emotional and sexual violence and neglect occurred in the previous year(U.S Department of Health and Human Services, 2019)

Types of abuse

Physical abuse : This involves all forms of activities that cause physical or physiological harm to a child, examples are beating, biting, shaking and burning, and it’s prevalent among children of all ages.

Psychological abuse: This might involve mental torturing such as verbal abuse or terrorizing a child as well as humiliation. All these forms may cause psychological illness in the victims. Usually toddler, preschool, and school-age years are exposed to psychological forms of abuse.

Sexual abuse: This includes involving minors or children below 18 years in sexual activities. Sexual abuse includes direct and indirect sexual activities that the child may not be able to comprehend, most victim of sexual abuse are preschoolers and school age children, but rare cases of infant and toddler abuse are also reported in many countries(U.S Department of Health and Human Services, 2019)

Signs of abuse:

Adolescent/Child will likely exhibit the following characteristics:

• Failing grades at school
• Difficulties relating with others of engaging in any meaningful relationship
• Increased incidence of theft, arrest, and violence
• Promiscuous behaviors
• Poor hygiene, and unkempt
• Facial injuries with no cogent explanations
• Abnormal weight gain or loss.Frequent elopements (U.S Department of Health and Human Services, 2019)

Cultural variations and child abuse:

According to UNICEF 2022 data on female genital mutilation, about 200 million girls in 31 counties are victim of such practices. In some part of Africa, this form of child abuse is a norm for the female especially teenagers, the main reason for genital mutilation is preventing victims from promiscuity(UNICEF : For every child, 2020)

Nurse’s role in reporting child abuse

Any forms of child abuse must be immediately reported to the police as well as child care authorities functioning under the state government.

When a nurse suspects a child abuse, it must be immediately reported to the physician or the senior in charge nurse.

If the child is with the person suspected to be an abuser, the further assessment must be done after eliminating the person from the room.

Ensure that the child is comfortable and then a head to toe assessment must be performed.

At the time of examination it is advisable to have a witness probably from the medical profession.

A nurse must properly record the significant assessment findings suggestive of abusive activity with date and time.

In my state the Department of child welfare referral are made who will take the incident of child abuse for further investigations.(U.S Department of Health and Human Services, 2019)

References

Respond to the above post using 200-300 words APA format with references to support the post in discussion

 

Discussion Question:

• Select a pressing issue you face in your practice setting that we have not previously discussed.
• Find and read a research article regarding that issue.
• Share the issue and the findings of the article with your peers. What are potential solutions to the issue?

Your initial posting should be 250 to 350 words in length and utilize at least one scholarly source other than the textbook. Please use peer reviewed articles and add reference list APA style