Case Study | The emergency department with pneumonia and a chest infection.

Running head: CASE STUDY 1
Case Study
Name
Institution

CASE STUDY 2
Case Study
Question 1
From the provided scenario, it is mentioned that Daisy was presented to the emergency
department with pneumonia and a chest infection. Several clinical practice issues are
encountered in the hospital during the care delivery to improve the health outcomes of Daisy.
Clinical practice issues may be defined as the problems experienced in the delivery of care
services (Cherry & Jacob, 2016). Clinical issues from the case study include being placed in a
bed in a wardroom that was far away from where the nurses were stationed. Another issue was
that Daisy lacked an advanced care plan. The lack of an advance care plan puts one at risk of
receiving care that may go against their wishes and values (Houben, Spruit, Groenen, Wouters &
Janssen, 2014). Additionally, Daisy’s morning medication is not documented as required thus
making it difficult to track her adherence to medication. Furthermore, the nurse in charge fails to
contact Carol regarding the worsening condition of her mother Daisy even after she had made a
request to be contacted. Another clinical issue is that Daisy was left in the ward alone at night
when she fell and had a laceration on her forehead and a broken hip. Finally, lack of constant
follows up post-surgery led to the worsening of Daisy’s wounds that resulted from infections.
Standards of nursing are important because they guide the practice of nursing to ensure safe care.
From the provided case study, some nursing standards were breached. The second standard of a
registered nurse requires a nurse to engage in therapeutic and professional relationships through
effective communication and respect for the values and rights of an individual (Jones, Shaban &
Creedy, 2015). The nursing staff, however, failed to practice effective communication when they
failed to inform Carol of Daisy’s worsening condition. Another nursing standard that was
breached in the case study is the provision of safe, appropriate, and responsive quality nursing

CASE STUDY 3
practice (Jones et al., 2015). The nurse in charge of caring for Daisy, however, breached this
standard by leaving her unattended to. As a result, Daisy got disoriented and removed her
oxygen mask putting herself in danger. After being attended to, the nurse again left her alone and
she fell off her bed leading to a laceration on her forehead and a rotated right foot ankle.
The National Health and Safety Standards provide a statement that is consistent across the entire
nation to ensure that consumers of healthcare receive the best available care from healthcare
organizations ("The NSQHS Standards | Australian Commission on Safety and Quality in Health
Care", 2019). The clinical practice issues identified above indicate that some National Health and
Safety Standards were breached. One of them is the comprehensive safety standard that ensures
that patients are prevented from harm during care delivery. This standard ensures that patients
and their families receive care that suits their needs ("The NSQHS Standards | Australian
Commission on Safety and Quality in Health Care", 2019). This standard was therefore breached
when the patient was left alone thus experiencing a fall that led to a laceration on her forehead
and a broken hip. Another standard is communicating for safety that ensures effective
communication between healthcare practitioners and patients and their families. This standard
ensures that communication is timely and driven by a purpose to guarantee patient safety ("The
NSQHS Standards | Australian Commission on Safety and Quality in Health Care", 2019). It is
worth noting that communication is needed throughout the delivery of care and especially in
high-risk situations.
Question 2
The clinical issues presented in the scenario must be addressed to ensure that Daisy’s condition
gets better. The first issue that must be addressed is healing her wound that developed after a hip
surgery. Wound infection after surgery may cause excessive fever, too much pain from the