The Toronto General Hospital

Running head: CASE STUDY ANALYSIS
Nursing case study and its analysis
Student Name
University Name
Author Note

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Part 1
Introduction
Mrs Amaryl Josh is a 42-year-Old person who was admitted to the Toronto General
Hospital by a ambulance vehicle in the wake of being found by her elder son lying in bed
with a blister-like rash all around her face and arms. It could be quickly comprehended that
she is experiencing the pervasion of the Varicella zoster infection on account of which she
has been building up the rashes all over her body. From the physical appearance of the rash, it
could be made out that the contamination is profoundly infectious which could be transmitted
by respiratory discharges, that is, air transport or coughing tainted droplets. It can likewise be
spread by direct contact with vesicle liquid of skin injuries. Subsequently, after understanding
the seriousness of the condition experienced by the mother, the child called the special
emergency vehicle to such an extent that basic contact is made with the patient.
Background Information
After questioning the elder son, it could be discovered that the patient was a part of a
communicable illness awareness program in the area in the previous week where she may
have gotten the disease. In the awareness program, the patient was clarified about the
hindering impacts of chickenpox because of the changing climate and the pervasiveness of
the infection noticeable all around. It is there that the patient had met with a patient who had
gone to the awareness program for the treatment alternatives that are accessible for the
contamination to be treated in the given time. It could be fathomed from the discussion with
the son that Mrs Josh has been living in her own home, a two-story terrace house, in Toronto
for just about 58 years. She has lived alone since her significant other died two years back
after a heart failure. She has two sons, of which the senior son lives with her for quite a while
when his better half goes for business visits which are at one time a month. The more
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youthful child lives in Quebec with his family and visits his mom on uncommon events. Mrs
Josh is a resigned bank representative and she and her children portray her as an amazingly
private individual who has never delighted in having guests in her home.
Mrs Josh took a lot of support to acknowledge cleaning and shopping help once every
week after her latest admission to the emergency clinic. After hitting more discussions with
the son, it was comprehended that the siblings have a history for long-standing clash which
has exacerbated by the demise of their father. Consequently, it was effortlessly
comprehended that the care of the patient is not probably going to be received in light of the
general individual issues experienced by the children and the mother. Mrs Josh has a
background marked by Alzheimer's disease; hypertension; type II diabetes – insulin-
dependent; elevated cholesterol and osteoarthritis. She has had two ongoing admissions to the
emergency clinic for a urinary tract disease and a fall with regards to low blood sugars.
Consequently, the person who has never been contracted with the infection and a low
resistant framework will be in danger of the contamination which will require the people to
be provided with the Varicella vaccine.
Main Issue or Problem
From the previous nature of the cases registered for chickenpox, it is known that the
nature of the virus is to be spread in close proximities to individuals who are in contact with
the infected individuals. In addition to this risk, another risk which is associated with
chickenpox is the spread of the infection by contact. In case, the patient comes in contact with
a family member or the staff of the hospital or the ambulance who has not been provided with
the vaccine, the risk of contracting the infection is quite high for the individual. In the
community center, Mrs Josh was present with his son and came in contact with an individual
who was infected with the virus. She was not educated enough to wear gloves or sanitize the
hands frequently to avoid the spread of the infection from one person to another. The infected
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individual was not isolated from other members of the community center and the people who
have participated in the program. In the hospital, she was quarantined in one of the floors of
the hospital chiefly focused on providing care to the patients who have been diagnosed
positive for chickenpox. It is because of the isolation of the patient from the outside people
which may prove to be emotionally challenging.
Part 2
In spite of the fact that chickenpox is by and large a mild, self-constrained ailment of
children, it can cause deadly infection in adults. Chickenpox is a highly infectious disease
caused by the Varicella-zoster (VZV) infection. This can give rise to discomfort, rankle like
rash. The rash appears initially on the arms, back, and neck, and then spreads over the entire
body, causing irritated ranks somewhere in the range of 250 and 500. Chickenpox can't be
kidding, particularly in infants, teens, adults, pregnant women and those with a compromised
immune system (Brisson et al., 2015). The most ideal way to avoiding chicken pox is to get
vaccinated against the varicose veins. Chickenpox has been used to be normal in Canada. An
average of 4 million people received chickenpox in the mid-1990s, 10,500 to 13,000 were
hospitalized, and 100 to 150 died per year. Antibody from chickenpox emerged in the United
States in 1995. More than 3.5 million cases of chickenpox, 9,000 hospitalisations, and 100
deaths in Canada are forestalled by chickenpox vaccination per year (Marra, Chong &
Najafzadeh, 2016).
Analysis of the Issue and its Solution
For the care of Mrs Josh, a Licensed Nursing Practitioner, is associated with giving
the ideal care to such an extent that the state of the patient could be improved. The principal
issue that could be distinguished from the case scenario is the failure of the attendant to deal
with the flooding number of members and people for the awareness programs. It is a direct
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result of this explanation that the nurse cannot stop the spread of the disease starting with one
individual then onto the next. The advocacy that is being given by the medical attendant
regards to be urgent as the patients accept the medical caretakers and will in general think
about the suggestions for their improvement (Ezeonwu, 2015). In the accompanying case
situation, the nursing professionals could not give the best care and instruction to the
individuals who had come to assemble important data for chickenpox. Notwithstanding, Mrs
Josh could not accumulate the data and contacted an infected individual. It is known from
their son that she had never gotten any contamination of chickenpox in her previous days and
has not gotten any type of vaccine for the disease. Henceforth, it could be comprehended that
Mrs Josh is under a lot of danger of getting the disease which would expect them to get the
immunization and be confined from others. Medical attendants assume a noteworthy job in
general wellbeing and much of the time serve in places of duty at general wellbeing offices,
not-for-profit organizations and educational associations. General wellbeing medical
caretakers help the open remain solid by helping with the advancement, advancement and the
board of general wellbeing activities. General wellbeing nursing (PHN) is committed to
looking into and executing best practices for medical caretakers who work right now (et al.,
2017). PHN accentuates preventive care and fundamental wellbeing training to assist
networks with lessening ailment, improve personal satisfaction and empower more
individuals to live more advantageous lives. In view of these objectives, medical attendants
team up with nearby wellbeing offices and different associations to give wellbeing
instruction, study populace wellbeing changes, work at ailment anticipation activities, and
facilitate comparable endeavors (Cadieux, Redditt, Graziano & Rashid, 2017). Medical
attendants right now fill in as pioneers, instructors, promoters and analysts, all
notwithstanding their nursing roles. Numerous general wellbeing medical attendants practice,
study, create and lead general wellbeing efforts. Some additionally show different medical
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caretakers, other general wellbeing laborers and people in general on the loose. A few
attendants fill in as policymakers and art enactment that progresses the reason for wellbeing
and health. Inside nearby networks, medical attendants like nurses are additionally expected
to instruct preventive wellbeing rehearses so more individuals can live sound, profitable lives.
Another hazard factor that is related with the frequency of chickenpox is the
emotional stability of the patient in the isolated ward in complete disengagement from the
outside world. At the point when the patient is kept in a total separation ward, the job of the
nursing experts is expanded with the end goal that the state of the patient could be improved
and the enthusiastic dependability of the patient is kept up (Genovese et al., 2019). The
essential job of an nursing attendant is to advocate and care for people of every ethnic cause
and strict foundations and bolster them through wellbeing and ailment. In addition, the
medical caretaker must perform symptomatic tests to decide the issue with the concerned
patient. Besides, it is likewise expected of the attendants to work together with various human
services authorities to build up an educated consideration rehearse and improve the ailment of
the patient altogether. The medical caregiver is a patient caregiver and assists in the
supervision of physical needs, the prevention of disease and the treatment of well-being
conditions. To do this, the patient must be watched and screened, recording any significant
data that will help in the dynamic treatment process. Throughout the treatment procedure, the
attendant follows the patient's progress and acts in the same way, taking into account the
potential benefits of the patient (Oggioni et al., 2016). Care given by a nurse goes beyond the
organization of prescriptions and different treatments. They are responsible for the
comprehensive consideration of patients, which includes the psychosocial, educational, social
and profound needs of the individual. Ensuring and maintaining understanding of safety is a
key part of the care arrangement.
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Safety is a multidimensional idea, which consolidates interrelated components, for
example, physical and psychosocial wellbeing (Conroy, Feo, Boucaut, Alderman & Kitson,
2017). A viable nurse-patient relationship ought to guarantee that these components are
viewed as when arranging and giving consideration. Understanding wellbeing is a basic part
of care, close by different components including nourishment, hydration, versatility, nobility
and regard. A gainful medical caretaker tolerant relationship is the reason for the conveyance
of crucial care and guaranteeing quiet security, and structures the center of the system
(Richardson, Percy and Hughes, 2015). Creating successful attendant patient connections
includes five social components like trust, center, anticipate, know and evaluate.
Guaranteeing patients are protected from physical damage advances recuperation and
mending and upgrades the personal satisfaction. It additionally diminishes the length of
emergency clinic stays, social insurance related diseases and physical deconditioning, and the
danger of readmission.
The environment is essential to the patient's recuperation. The patient's physical
wellbeing can be kept up by guaranteeing a spotless, protected and make sure about
condition. Guaranteeing a sheltered domain can incorporate contamination anticipation just
as mediations to streamline the remedial condition, for example, proper lighting, negligible
commotion, protection, fitting bed area and stature, direction helps, and the nearness of
natural articles, for example, family photos (Feo et al., 2017). Guaranteeing a patient's
passionate and mental prosperity is as significant as guaranteeing their physical security.
Admission to a human services office, being isolated from family, losing the capacity to
perform individual consideration, and being unwell or harmed, can prompt huge pressure and
uneasiness for the patient.
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Conclusion
It can be concluded from the case study that the situation of the patient with
chickenpox is critical and requires immediate and swift action from the side of the hospital
organization and the nursing professionals who are delegated to provide care. It is
comprehended that the nursing professional failed to work under the scope of practice and
placed the life of the patient in the community center at risk by exposing her to the infection
of the virus for chickenpox. In addition, the isolation of the patient in the isolation ward of
the hospital may result in mood swings which could deter the physical treatment of the
patient. Hence, it is the responsibility of the patient to create a therapeutic relationship with
the patient in an environment familiar to their home for their faster improvement.
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References
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