Another serious concern in this situation is the obvious lack of true concern for the patients’ religious and dietary preference. It’s also likely that nursing is either understaffed or burned out since the daughter had to work a bit to get help. Many things in this scenario could end up causing significant increase in stay for Mr. J.
Page 3If this hospital were to study the data of specific nursing-quality indicators, they would get a feel for the incidence of pressure ulcers and prevalence of restraints and possibly push toward systems that decrease both. Some hospitals have seriously advanced the quality of patient care throughout the hospital by simple things such as a turn schedule to prevent bedsores, a communication board to share preferences with every one who comes in to serve, or assistance with finding a sitter. There are specific system resources that might be helpful for me to utilize. I could request our house supervisor or social services department to help the family find a sitter to keep the patient safe and provide company and healthy interaction for him. I could also ask the chaplain to come speak with them if they are uncomfortable about the mistakes with Mr. J’s diet. A supervisor from dietary could also come and speak with them regarding future actions to ensure correct food choice be provided. There is often much more that individual staff members can do or set in motion than we initially think, and the safety and happiness of our patients makes it so very worth our time.
- Fall '18
- Mr. J, Bedsore