Nursing: Responsibilities of Healthcare Staff, Motor Neuron Disease, and Case Study

Running head: Nursing
Nursing
Name of the Student
Name of the University
Author Note

1Nursing
Assessment Question One:
In the given scenario, the 6 responsibilities of the healthcare staff in the order of their
priorities, according to me are:
1. Helping the elderly post operative patient, who had a facial surgery, and have
suddenly fainted.
2. Helping Mr. Smith’s visitor
3. Creating a new access route for the IV for Mr. Chew and administering IV antibiotics
4. Providing perioperative medication to Mr. Esposito
5. Discussing the medication error that happened last week with the surgical consultant
6. Cleaning the overflowing staff toilet.
Out of these tasks, I shall undertake the first and the third activities. I shall undertake the
first activity that is helping the elderly patient who underwent a facial surgery, as age of the
patient places her at high risk of different complications. This might be the reason for her to
faint, which needs to be investigated at the earliest. I shall also undertake the third activity,
which is creating a new IV channel for Mr. Chew, as his IV has tissue. This is because the
work will require understanding the extent of damage due to the blown vein which caused the
tissuing, and requires certain level of experience, and cannot be done by the enrolled nurse as
she lacks competency to conduct this independently.
I would delegate task 2 to the enrolled nurse, as it requires medications to be provided to
the patient, which would be a simpler process. The tasks 2 and 5 will be delegated to the
Assistant in Nursing, and to be performed in the same order. The task 2 would be of higher
priority since it involves an unconscious person who might be in need of urgent medical help.
After that the AIN can discuss the medication error, based on clinical notes she has access to.
The ward clerk will be delegated to clean the toilet that is overflowing.

2Nursing
Activity 2 Assessment:
Motor Neuron Disease is a group of clinical conditions that cause the spinal and cranial
nerves to lose its function progressively. This is a rare condition, but its effects are grave and
it is incurable condition caused by a progressive degeneration of the neurons. This condition
usually occurs with individuals over 40 years of age. Its common symptoms include
amyotrophic lateral sclerosis (this is a dysfunction of the nerves that control the movement of
muscles) (Mutihac et al., 2015; Loewenbrück et al., 2016; Gomez-Deza et al., 2015). The
selection of the healthcare professionals in the healthcare team should be based on the effects
of this disease, and also on the abilities to assist the patient to live with this condition in a
healthier way. This would include competencies in pharmaceuticals, neurology, palliative
care, physical therapy, diet specialist and social support (Forrest, 2017; Marsden et al., 2016).
Within this multidisciplinary team, the case manager functions as the leader, as he or she can
coordinate the activities of the other professionals, and with the patient and their
family/caregiver. This also makes the case manager the most important and responsible
member of the team (Bakker et al., 2015; Forrest, 2017).
Case Study 3:
The key issues in the case are
1. The intellectual disability of the client,
2. The aggressive outbursts of the patient,
3. Medical problems that could have been caused due to the fracture.
The healthcare team for the patient can include different professionals such as:
Intellectual Disability Nurses (to help the patient with his ID), psychologists (for helping the
patient to control the aggressive outbursts), physiotherapists (for post fracture rehabilitation),