Four case management presented on monday lecture 8th september 2008 back in our class. all four cases seemed to be the most occuring event while you guys are at work in the department.
Cases management presented;
1. Group 1 (Diana, Shahrin and Jack) - Elders in case of Malnutrition...comments needed...what do u think in older people with malnutrition issues? is it common? does this case comes alone without secondary illness?
2. Group 2 (Zalin, Ida and Seri) - This group presented with LCD presentation on issue about physical abuse...is it common in Brunei? Facts!! Every year, between 500,000 to five million of elders in America are physically abuse (Breaux, 2002) Link - http://www.nygec.org/
Back to Brunei, so do u think it happens? Few years ago, an old woman was being dumped by ?daughter or maybe daughter in-law? It was an alarming for ORANG MELAYU BRUNEI. Being malay does not mean we can't be abusive even to our parents! So make comments....
3. Group 3 (Eddy, Sofy and Nizam) - Presented with Half LCD as that time there was an electrical malfunction, hehe....so ..this group presents a case of COPD or Chronic Obstructive Pulmonary Disease....combination of two powerful yet very sickening disease; namely chronic bronchitis and emphysema....look out in Wikipedia for further infomation.
Yes, COPD is a very common illness esp. among the elderly why? Due to old age, obviously! old people don't have the energy...some old people yes.. but some not...face the fact of life....its very distressing as these COPD patients always visits the department with the same problem...so need anymore to explain?.....please do...
4. Group 4 (Raliza, Halinah and Amal) - Presented verbally with issue of fall among elders....stated by ?RIPAS in Brunei (i think!)...four to five cases in a week involves fall among elders in the emergency department...so what are the 'commons' of fracture tends to occur??? this is fun....so aside of degenerative process...osteoporosis...it is not surprising elderly will have such incident.
So people.....post comments on these topics....discussion here are appreciated!!!
2 comments:
I am interested with the case of physical abuse, last year itself we received 1 case of physical abuse and 3 other cases of "being dumped".
The one who came with physical abuse, was left there until "The End", and furthermore, even worse, he was then died of "malnourished" (that was then stated in his death certificate).
He was admitted because of Left Basal Pneumonia, and he was drowsy and unconscious, by the time he was then alert and conscious, he called one of the on-duty nurse, and began to tell his story on how he got the bruises on some part of his body, and 2-3 ribu of his money was then taken by his own family member.
There were once I asked the senior, why don't we have the folks home? Hehehe... And so they gave me THAT LOOK, and they said, it is not advisable...
well said IM nursing!!! very true and indeed a reality fact of life...jgn sangka org brunei anie pengasihan....sama jua namanya manusia....
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