Kibata

Sign In

Our Services

Get 15% Discount on your First Order

Order Now
[rank_math_breadcrumb]

Peer Response Decision Making week 7

  Frank

Variation in Case Management

Peer: Frank

Variation in Case Management

This week’s case study represents a complex situation of a female patient, as it involves intimate partner violence, psychosocial needs, and acute medical risk, such as diabetic ketoacidosis (DKA) and non-fatal strangulation, but with swelling of the right carotid artery and soft tissue in the neck. The management given to DJ appears to be adequate in terms of the initial priority of ensuring the patient’s physical stability, which includes securing the airway, controlling DKA, and preventing complications. However, some aspects could have been improved to offer more comprehensive care to the patient. It was essential that DJ receive immediate psychological support, with the help of an emergency psychologist or counselor to support her emotionally, especially since she had a history of Post-Traumatic Stress Disorder (PTSD) and the recent event had been very traumatic. In addition, it was crucial to involve a social worker or domestic violence specialist from the beginning to ensure her safety and that of her children, exploring options such as shelters or protective measures. Coordination with social services was also needed to inform about the situation of children, who had witnessed the violence and could be at emotional risk. On the other hand, DJ needed clear education about her DKA, explaining how stress and poor management of her diabetes affected her health, so that she could better understand her situation and avoid future complications (Edelman, 2023).

Recommended Actions

Comprehensive Clinical Care

• Continue aggressive management of DKA in the intensive care unit with a multidisciplinary approach (endocrinology, neurology, and critical care nursing).

• Monitor complications of DKA and strangulation, such as vascular or neurological damage (Eledrisi & Elzouki, 2020).

Safety Assessment

• Conduct a detailed risk assessment for future violence.

• Provide DJ with empowering resources, such as contact information for helplines, shelters, and legal advice without compromising her privacy (Holmes et al., 2023).

Follow-up Plan

• Schedule a follow-up appointment with endocrinology to optimize diabetes control and reduce glycated hemoglobin below 7%.

• Provide nutrition, exercise, and healthy lifestyle education (Eledrisi & Elzouki, 2020).

Prolonged Psychosocial Support

• Refer her to specialized intimate partner violence support services.

• Provide ongoing counseling to address trauma and anxiety, including stress management techniques.

• Treat her using Cognitive Behavioral Therapy techniques to address the impact of stress on her diabetes management and modify risk factors (Holmes et al., 2023).

Suggested Trauma-Focused Care Components

Trauma Sensitivity

It is critical to recognize that DJ’s history of violence and PTSD influence how she perceives and responds to medical care. Therefore, the team should use compassionate language and avoid practices that may reactivate traumatic memories. This includes asking permission before performing physical procedures and explaining in detail the need for each exam, fostering an environment of trust (Edelman, 2023).

Multidisciplinary Coordination

The approach to her case should include specialists in PTSD and intimate partner violence within the care team. In addition, it is crucial to collaborate with social services and shelters to ensure that DJ has continuity in medical and social support once she is discharged (Edelman, 2023).

Safety and Privacy

To protect DJ, it is essential to ensure that her partner does not have access to her information or be able to locate her while she is hospitalized. Security measures should be implemented in the hospital, such as notifying security personnel and restricting access to her personal data (Edelman, 2023).

Empowerment

DJ should be given clear and realistic options regarding her medical, social, and safety management, allowing her to actively participate in decisions that affect her well-being. It is also important to provide her with educational materials that she can consult privately, fostering her autonomy and independence (Edelman, 2023).

Reducing Future Risks

The medical team should work with DJ to identify ways to improve her diabetes control, taking into account the circumstances of her daily life. In addition, it is vital to help her identify safe support networks that can offer her emotional and practical support in the long term. In general, providing her with comprehensive care, which allows not only to address DJ’s immediate needs, but also to empower her and provide her with the necessary tools to reduce future risks and improve her quality of life (Edelman, 2023).

References

Edelman N. (2023). Doing Trauma-Informed Work in a Trauma-Informed Way: Understanding Difficulties and Finding Solutions. Health services insights, 16, 11786329231215037.

Eledrisi, M. S., & Elzouki, A. N. (2020). Management of Diabetic Ketoacidosis in Adults: A Narrative Review. Saudi journal of medicine & medical sciences, 8(3), 165–173.

Holmes, M. R., King, J. A., Miller, E. K., King-White, D. L., Korsch-Williams, A. E., Johnson, E. M., Oliver, T. S., & Conard, I. T. (2023). Innovations in Trauma-Informed Care: Building the Nation’s First System of Trauma-Informed Recreation Centers. Behavioral sciences (Basel, Switzerland), 13(5), 394.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Order Now

Related Questions

Study Plan

Study Plan Can you imagine an athlete deciding to run a marathon without training for the event? Most ambitious people who have set this goal will follow a specific training plan that will allow them to feel confident and prepared on the big day. Similarly, if you want to feel

help with home work

Health care policy briefs provide succinct overviews of health care policy topics. The intended audience is policymakers, journalists, and others concerned about improving health care in the United States. The briefs explore arguments from varying perspectives of a policy proposal. They guide available research behind each perspective. Experts in the

Pressure ulcers

Homework  1 1 Outcomes, Approach, and Budget [Remove brackets & insert Your Full Name Here] Nightingale College [Remove brackets & insert Your Course Number: Course Title] [Remove brackets & insert Your instructor’s name using Professor __________] [Remove brackets & insert Month Day, Year] Outcomes, Approach, and Budget [The introduction to

Mm week 4 ppt

Mm week 4 ppt In this assignment, you will analyze the team structure and process in your own practice setting and identify the essential members who will contribute to the success of your proposed graduate project. You will present this analysis in a professional, visually engaging slide presentation.Title (1 slide) Include your

presentation

Rapid Response vs Code Blue: Knowing When to Act Staff Education In-Service Presenter Name / Date / Clinical Area Learning Objectives By the end of this session, participants will be able to: Identify the difference between Rapid Response and Code Blue events. Explain when each activation should occur based on

Pt case study

pt case study help  Week 2 Case Study Assignment Building a Health History: Communicating Effectively to Gather Appropriate Health-Related Information 👩‍⚕️ Patient Scenario You have been assigned the case of  S.J., a 28-year-old Lebanese Muslim female who is in her first year of graduate school and living in university housing.

PPT

Assigment The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book,  The Landmarks of Tomorrow  (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar? Nurses are

Mental Health PTSD

Mental Illness Creative Paper Assignment “A Day Living With My Mental Illness” Each student will write a one-page paper in first person as if you are living with your assigned mental illness. Be creative but realistic. The goal is to demonstrate understanding of what daily life might feel like for

discussion question

discussion question  Topic: healthcare providers shortages 1. Access the Policy Map Blog and view the blog listings (There are many pages of entries). 2. Briefly summarize (2-3 sentences) policy map blog and address the socio-political, ethical, and or nursing workforce implications of the topic. 3. APA format for references

Peer response

  The development of advanced practice nursing roles globally shows how important quality and safety competencies are in guiding practice. When looking at the variability in education, regulation, and scope of practice across countries, it becomes clear that standardized competencies are essential to ensure safe and consistent care (Wheeler et

nursing

see file In this two-part deliverable assessment, first, create a 5–7 slide elevator-speech style presentation that you will present to stakeholders that provides an overview of policy implementation, including rationale and data that reflect the need for the new policy. Second, create a detailed, annotated training agenda for the pilot

nursing

see file Propose an organizational policy and practice guidelines that you believe will lead to an improvement in quality and performance associated with the benchmark underperformance you advocated for improving in Assessment 1. Be precise, professional, and persuasive in demonstrating the merit of your proposed actions. The policy proposal requirements

case study

Nursing Skills & Reasoning © 2023 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of KeithRN Blood Transfusion 1. Which

casestudy

Nursing Skills & Reasoning © 2023 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of KeithRN Blood Transfusion 1. Which

CASE STUDY ANALYSIS

PLEASE READ ALL ATTACHED Week 2 Case Study Prompt  A 28-year-old African American woman presents with 4 months of worsening fatigue, joint  pain, and intermittent low-grade fevers. She reports: • Symmetrical pain and stiffness in hands and wrists (morning stiffness ~1 hour) • Photosensitivity • Facial rash that worsens with

STRENGTHS AND LIMITATIONS OF SECONDARY DATA SOURCES

find attached n use the rubrics In this information age, where data are readily accessible and there is both a great demand for accelerated research projects and strict limitations on research funding, using existing data makes sense. Data used in this way are called secondary data; they come in many

Evaluation and Management

Evaluation and Management (E/M) Insurance coding and billing is complex, but it boils down to how to accurately apply a code, or CPT (current procedural terminology), to the service that you provided. The payer then reimburses the service at a certain rate. As a provider, you will have to understand