Discuss potential complications in a clinical scenario at an out-patient family practice

Discuss potential complications in a clinical scenario at an out-patient family practice. Students will explore potential effects on patient outcomes and implications for members of the heath care team as a result of conflict among the healthcare team.  Students will develop strategies that result in prevention of untoward outcomes that result in a positive practice culture.

You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient’s chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you.

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety.

Case Study Responses:

1. Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based upon the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members:
   • Medical assistant
   • Nurse Practitioner
   • Medical Director
   • Practice
2. What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes?
3. What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.
4. A scholarly resource must be used for EACH discussion question each week.

Provides relevant evidence of scholarly inquiry of the potential ethical and legal implications for each of the practice members. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.

Provides relevant evidence of scholarly inquiry of strategies to implement to prevent further episodes of potentially dangerous patient outcomes. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.

Provides relevant evidence of scholarly inquiry of leadership qualities to apply to effect a positive change in the practice. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.

Grammar, syntax, spelling, and punctuation are accurate.  Must be APA and scholarly references must be with 5 years

Discuss potential complications in a clinical scenario at an out-patient family practice

Introduction

The patient is a 58-year-old male who presents with complaints of right sided abdominal pain and difficulty breathing. He also reports diffuse night sweats, which are new for him. He has no history of smoking or drinking excessive amounts of alcohol. The patient has a history of hypertension that is well-controlled by medications

A 58-year-old man presents to his primary care provider with complaints of right-sided abdominal pain and difficulty breathing. He also reports diffuse night sweats, which are new for him.

The patient is a 58-year-old man who presents to his primary care provider with complaints of right-sided abdominal pain and difficulty breathing. He also reports diffuse night sweats, which are new for him.

The patient has no history of smoking or drinking excessive amounts of alcohol. The patient has a history of hypertension that is well-controlled by medications; however, he experiences dizziness when standing for long periods or walking up stairs without holding on to something at all times (elevation).

He has no history of smoking or drinking excessive amounts of alcohol.

Smoking and excessive alcohol intake are independent risk factors for lung cancer. Smoking is the most important risk factor for lung cancer, but it is also important to understand that smoking is not a necessary condition for developing this disease. In fact, people who never smoked can develop lung cancer after exposure to tobacco smoke (i.e., second-hand smoke).

The patient has a history of hypertension that is well-controlled by medications.

You’ve seen the patient with a history of hypertension, who is well-controlled by medications. She has no other medical problems and only sees you for annual physical exams every three years. You know that she takes her medications as prescribed and has not changed anything in her diet or exercise regimen in the past year.

His exam reveals a 5’10” Caucasian male with an otherwise healthy physical appearance who is in mild respiratory distress and diaphoresis. Heart rate is 110 beats per minute, blood pressure is 150/80 mm Hg, and oxygen saturation is 97% on room air. Examination reveals a dull percussion bruit at the C3 level that increases in intensity with inspiration. The remainder of the examination is remarkable for temperature 38°C, pulse rate 108 beats per minute and mean arterial pressure 130/85 mmHg. There are no other abnormality present in this patient at this point in time but it will be noted that he has no cough or inspiratory crackles heard throughout his exam but does have an increased heart rate due to increased work load during the physical exam rather than any labored breathing sounds (KUB).

The 58-year-old man presents to his primary care provider with complaints of right-sided abdominal pain and difficulty breathing. He also reports diffuse night sweats, which are new for him.

Physical examination reveals a 5’10” Caucasian male with an otherwise healthy physical appearance who is in mild respiratory distress and diaphoresis. Heart rate is 110 beats per minute, blood pressure is 150/80 mm Hg, and oxygen saturation is 97% on room air. Examination reveals a dull percussion bruit at the C3 level that increases in intensity with inspiration

Conclusion

The patient in this case scenario has a history of hypertension that is well-controlled by medications. His exam reveals a 5’10” Caucasian male with an otherwise healthy physical appearance who is in mild respiratory distress and diaphoresis. Heart rate is 110 beats per minute, blood pressure is 150/80 mm Hg, and oxygen saturation is 97% on room air. Examination reveals a dull percussion bruit at the C3 level that increases in intensity with inspiration