Risk assessment Essay Example | Topics and Well Written Essays - 1500 words

Risk assessment - Essay Example I had been part of the team presiding over the delivery procedure for a young mother in her late twenties. According to record, the receptionist booked for admission three days earlier to the hospital to have her baby. However, it had latter been identified that she was experiencing false labour pains. The contractions otherwise referred to as Braxton’s Hicks contractions are usually as a result of regular contraction of uterine muscles in readiness for labour (Lisa 2011, p.22). Thus, many people mistake their occurrences to the real labour pains especially towards the closing stages of that pregnancy (Fabre 2008, p. 67). In such a situation, an obstetrics team on duty usually have a superior responsibility of ensuring the wellbeing of both the mother, and that her baby, she is expecting. The medical staff comprising of nurses, obstetric doctor, and physician are all assigned varying duties during delivery procedure, according to their field of specialization. A failure on the part of any of this professional could jeopardise the efforts of every other person in the theatre room, to achieving a successful delivery (Fabre 2008, p. 33). This time she came back with her â€Å"water already broken†; this time to be sure she was ready to have her baby. It had already been determined also, through ultra-sound scan that she was going to have a baby boy. She was anxious and worried, as well. The nurses were going through a hard time calming the woman to ensure a relaxation mood during the birth procedure. This is for regulating her blood pressure (Mary 2008, p.92). An overly excited person can trigger unnecessary muscle contractions and stiffness. At the obstetric department, already the medical test report were out and were showing she had mild backaches and contractions by the time the procedure started, thus the labour pains. This condition is common to confirming onset of giving birth. As much as doctors would wish to maintain a high degree of profess ionalism, we got a report of malpractice case arising in the theatre where a procedure is in progress in helping a patient. The obstetric team comprises not less than five individuals. Unfortunately, the baby ends up developing cerebral palsy. This means that it has developed an extensive brain damage. The reason was as a result of negligence on the part of the physicians. The error occurred during labour as the mother gave birth (Janet 2009, p.65). Normally it is usually a requirement to follow carefully and monitor the baby progress and its status. This is to ensure that the operation patient and the baby in particular do not have any sign of distress. In case of any abnormality, especially in the appropriate air passages, immediate and specific preventative steps are mandatory in an effort to ensure that the baby receive adequate and appropriate supply of oxygen. The mother is usually aware in advance, of the delivery procedure. She gets the information of the entire medical prac titioner attending her and their duties. Doing this enable the doctor to get her consent for the doctor to do his duty (Janet 2009, p.67). However, this failed to happen in the delivery room on that dreaded night. Apparently, the umbilical cord entrapped the baby, making it difficult to receive oxygen. The procedures in the hospital are effective in preventing such cases. The medical staff failed to raise an alarm since the fetal monitoring strips were there to report the distress,

Utilization Management Programs Essay Example | Topics and Well Written Essays - 750 words

Utilization Management Programs - Essay Example Services did become better coordinated at the CMHC level, but the responsibility for negotiating the service system and compliance of the treatment remained with the client. Specific case management service guidelines vary somewhat as the individual states' interpretation and implementation of federal mandates differs. The needs and resources of a large inner-city population vary considerably from those of a rural community. A clear and consistent service definition has not been reached, and there is no consensus on what does and what does not constitute case management. Some people describe case management as purely a brokering or linkage function while others include comprehensive skill teaching and support in addition to service linkage. Controversy also exists regarding who can best provide the service: nonprofessionals, specified mental health professionals, or a combination of both in a team approach. Consumer case management, in which clients or consumer sin the mental health system act as case manager aides for those with less functional ability, is also being undertaken The initial case management evaluation period is typically 30 days, during which it is desirable to gain as complete a picture as possible of the client's past and current functioning. The case manager must evaluate the client's status, needs, and goals in each of the following areas: mental health, physical health, financial status, housing, living skills, leisure, vocational and educational activities, and availability of a support system. Because case management is designed to address the broad range of a client's needs for maintaining satisfactory and stable community living, the initial evaluation phase is critical in identifying existing resources, skills, and strengths, as well as service and support needs and skill deficits. The overall goal of case management is help maintain the client's quality of life in the least restrictive community environment possible: therefore, evaluation data should assist the case manager in identifying factors that may have resulted in either the client's successes or failures in the past. Service Plan Development The service plan is the case management equivalent of the treatment plan as used in traditional inpatient or outpatient setting. It identifies the client's goals and objectives for a specified time period, typically a six-month time period, and it must be updated at least that often, or as necessary, as goals are achieved or are deemed inappropriate or unrealistic at any point during that period. The format of the service plan varies, but generally it identifies the client's goals and the client's case management objectives and service activities for achieving each one. Because services are individualized, the number of goals appearing on the plan at any one time will vary. It is important to be realistic and set no more goals than can be accomplished within a given time period. It is preferable to state the client's goals in his or her own words. Objectives must be measurable, have projected time frames, and be consistent with evaluation results and client goals. They should be realistic and broken down as necessary into tasks deemed achievable for the particular client. Placement Services Case management placement assistance may be defines as any support provided to the client