(PDF) Nurse-patient interaction and communication:

Case Study

Table of Contents
INTRODUCTION...........................................................................................................................3
QUESTIONS...................................................................................................................................3
1. Identify and discuss all the clinical practice issues of concern in Daisy’s care during her
hospitalisation. Your discussion should include..............................................................................3
2. From the list of clinical practice issues that you have identified in Question 1 above, discuss. .5
REFERENCES................................................................................................................................6

INTRODUCTION
Health care industry tends to looks like most accountable sectors as their work is
associated with the life of people. There are numerous of issues which majorly occurs by the
practitioners at the time of executing their clinical practices (Agustí and et. al., 2017). This report
will describe about major issues associated with clinical practice and different standards
associated with clinical practices that have been breached. It will also provide some
recommendations to health care practitioners through which they can improvise their lack areas.
Case study
The present report is based on the case study of Mrs. Daisy Mayes, a 85 year old women.
This lady has been admitted to hospital because of chest infection and Bilateral lower
pneumonia. Medical history of this lady includes hypertension, COPD, Bowel cancer,
Hypercholesterolaemia and Osteoarthritis. Social background of Mrs. Daisy states that she lives
in the low care aged care facility from last 5 year after the death of her husband. Mrs. Daisy has
2 children that is 1 daughter and 1 son who lives separately with their respective families. She is
not able to move around at her own level without any support. This is why, Mrs Daisy prefers to
move with family and taxis at every time of their outing.
QUESTIONS
1. Identify and discuss all the clinical practice issues of concern in Daisy’s care
during her hospitalisation. Your discussion should include
a. Examples from the case study
Clinical practices refers to the activities of medical practitioner for providing effective
treatment to patients in order to help them in recovering soon. As per case study, it has been
observed that medical practitioners of hospital are required to monitor activities of Mrs. Daisy
regularly instead of just checking her once or twice a day. For instance: it has been observed that
hospital nurses were checking Mrs Daisy as per their regular shifts(that is at 2 Am) which have
resulted negatively on the health of this lady has she was found injured on the floor. This have
shown major issue in clinical practice. Some of other issues with clinical practice are described
as below:
 Non effective analysis of Mrs Daisy's behaviour by medical staff.

 Hospital staff has also not informed Carol(Daughter of Daisy) about her mothers accident
after self awareness.
 Another issue with clinical practice was that hospital staff did not consider information
given by Coral at the time of leaving for home.
 Hospital staff have ignored Daisy's complain related to excessive pain post surgery. This
ignorance has affected a lot to Daisy as she is now having deep wound in hip which is
also developed with infection.
b. Identify which standards have been breached
There are several laws and regulations given by the National Health and Safety Standards
which protects right of patients. These standards have to be followed by HSC organisations for
providing quality services. In the given case, patient was not taken care effectively. That is why
she fell down and got injured. After analysing this case, it is seen that one regulation of NHS
standard is breached. According to rule of NHS which includes preventing falls and harm from
falls (Brescia and et. al., 2018). This regulation states that health organisations must have
strategies and systems for reducing incidence of patient fall and there must be proper
management of practise if falls occur. Another regulation of NHS which states that there must
be governance for safety and quality in healthcare organisation (Matthews, 2017). This describes
that there must be presence of quality framework within healthcare organisation in order to
implement safe systems.
c. Link how those practice issues demonstrate a breach to the National Health and Safety
Standards
In the case given, it is clearly seen that above mentioned rules are violated by workers of
aged care. Old lady mentioned in case was not feeling comfortable that night. She needed extra
care but then also nurse took a round at around 2 p.m. After that she didn't came for a single
second. Here, rule is violated as nurse should have taken care of that lady more appropriately. If
that lady was not feeling well so nurse must have taken two or three more rounds. The managers
of aged care have the responsibility for improving services, quality and safety of patients but in
the given case, they are unable to do so. The main objective of clinical organisation is to ensure
that all patients are feeling safe and comfortable (Gibb and Arulkumaran, 2017). In this case, old
lady fell down because there was no nurse. In this way, practise of workers of aged care violated
standards given by National Health and safety standards.

2. From the list of clinical practice issues that you have identified in Question
1 above, discuss
a. The 4 top priority issues that require attention in Daisy’s care
On the basis of overall case analysis, the main four issues among clinical practices in
Daisy's care along with their priority are described as below:
1. Non monitoring of Daisy's health condition at regular basis.
It is prioritise at first level as if medical practitioner does not monitor Daisy's condition at
regular basis they would not be able to assess frequent issues of patients. This could be major
problem in future.
2. Non considering information provided by family members.
Medical practitioners are also required to give priority to the information provided by
family of Daisy as close one can easily identify some issues with behaviour that are not noticed
by medical practitioners (Bourrier, 2017).
3. Not giving priority to patient's feedback on their health condition.
It is important for nurses to take regular follow up from Daisy on her health issues so that
every issue from small to big can be identified and rectified at the starting level.
4. Not communicating to patients family about their health condition.
Also it is the right of family member of Daisy to know about her accident.
b. Recommendations and conclusion
On the basis of overall issues associated with clinical practice, it has been recommended
to medical practitioner update their systems and policies so that patient can get recovering
environment. Along with this, it is advised to doctors to make a list of information given by
family members so that patient's health issues could be diagnosed and addressed in quick manner
in right direction (Knaak and Szeto, 2017). This is because family members can give basic and
in-depth information doctors about patients health condition. This will be beneficial in
improvising patients condition soon.

REFERENCES
Books and Journals
Agustí, A., & et. al., (2017). Precision medicine in airway diseases: moving to clinical
practice. European Respiratory Journal. 50(4). 1701655.
Brescia, G., & et. al., (2018). Nasal polyposis pathophysiology: endotype and phenotype open
issues. American journal of otolaryngology. 39(4). 441-444.
Gibb, D., & Arulkumaran, S. (2017). Fetal Monitoring in Practice E-Book. Elsevier Health
Sciences.
Bourrier, M. (2017). Trapping safety into rules: how desirable or avoidable is
proceduralization?. CRC Press.
Knaak, S. & Szeto, A. (2017). Mental illness-related stigma in healthcare: Barriers to access and
care and evidence-based solutions. In Healthcare management forum (Vol. 30, No. 2,
pp. 111-116). Sage CA: Los Angeles, CA: SAGE Publications.
Matthews, R. (2017). The cultural erosion of Indigenous people in health care. CMAJ. 189(2).
E78-E79.
Runciman & Walton, M. (2017). Safety and ethics in healthcare: a guide to getting it right. CRC
Press.