Reference no: EM133493823

Case: Mr. Jones is a older gentlemen who resides at home alone with his dog Sam. He fell last night and after many hours, his neighbor went to go check on him and he heard his dog barking and knew immediately something was wrong. The neighbor, Mrs. Jordan, called 911 and an ambulance was dispatched.

Mr. Jones was admitted to the Emergency Room and the doctors noted by x-ray he had sustained a broken hip from the fall. Mr. Jones was upset and wanted to go home. He was given morphine and immediately went into anaphylactic shock. He did not have family with him, but did have on a medic alert necklace that stated he was allergic to Morphine. He was coded and placed on a ventilator. Since he was stable the hospital went ahead and took him to the operating room and fixed his broken hip.

His only son flew in from Florida and waited in the waiting room. He was able to come off the ventilator but was not turned often in bed and developed a pressure ulcer (bed sore on his heel). Mr. Jones wakes up and is very upset. He misses his dog. His son is at his bedside. Mr. Jones wants to go home but this will be difficult for him in his current state.

Question 1: What are possible referrals that need to be made for this patient and family?

Question 2: What are the opportunities that could be shared with the Emergency Room staff to improve outcomes in the future using the PDSA model?

Question 3: What are Mr. Jones risk factors?

Question 4: What education could you as a CQI health navigator provide to assist the facility?

The patient's son wants to know all the facts about his father's case. Who would be the best person to assist him? What should he be told?
Lastly, Mr. Jones son is an attorney. Should or would that make a difference in the communication?