Janets Scenario - Case Study Example

Janet’s Case Scenario Name: Instructor: Course: Date: Janet’s Case Scenario Janet’s case scenario presents a number of issues that are important in the diagnostic of Janet’s problem, withdrawal and overall behavior change. To start with, Janet’s behavior is a threat to her own safety as evidenced by locking herself in her room and declining to open even after her parents plead with her until police intervention. Her destructive behavior manifested by breaking a mirror that caused injuries in her body is indicator that she is oblivious of the dangers she can potentially suffer from. Secondly, the information gathered by paramedics from her parents after they called to assist in her transportation to hospital reveals that Janet highly depressed. For instance, they confessed that she is socially withdrawn, unable to personally take of herself, failure to join family members during meals and loss of weight among others are characteristics and symptoms of depression. Janet has also changed becoming highly irritable and angry towards her family particularly when asked about her changed behavior and appearance (Coulter, Parsons, & Askham, 2008). Additionally, some issues may be attributed to life occurrences that have impacted on her emotional and psychologically. For instance, Janet’s parent reveals that they noted changes a while ago when Janet lost her beloved cousin among other events such as her relationship. Therefore, the root causes of her condition are an important point of reference especially in the provision of primary care from the paramedics in order to promote the health continuum towards her healing. Unlike other emergencies paramedics face such as accidents and fire tragedies, Janet’s case presents a unique and different perspective that require careful handling to ensure sustainable improvements overtime with little impact to the family setup and wellbeing. In fact, her seeming unfriendly behavior towards her parents is an indicator of some underlying issues she could have experienced that can be revealed after a thorough and compassionate care to her. As a team of paramedics, it is important to use the information provided by Janet’s parents in order to make sound decisions regarding the patient health and health care. Communication is one of the most critical functions in paramedic care (Bledsoe et al., (2009). Indeed, information is the primary tool in diagnosis, prescription, patient record keeping, and community sensitization in all healthcare operations. Therefore, appropriate and effective communication methods make all the difference in the service delivery during paramedic care and the care provided in the hospital setup. A deeper understanding of the causes, behaviors and reactions present in Janet’s behavior can provide useful information towards seeking her cooperation in disclosing and confiding her problems. As paramedics we are responsible for the initial care at medical emergencies in order to assess, treat and ensure the patient is stable at the scene as well as on the way to hospital. Janet is vulnerable to risks and therefore a careful approach should be used in order to impact on care provision and ensure all the health needs are met. In addition, we would seek to make the most accurate judgment of Janet’s situation in order to prioritize decisions and confidently lead the team and function effectively. Therefore, Janet’s case presents an expanded scope of the paramedic function because of her increased vulnerability to harm self (Bledsoe et al., (2009). As paramedics we are often and increasing experiencing difficult clinical scenario’s and Janet’s case is not an exceptionally. This task at hand is physically, emotionally, and mentally demanding. As paramedics handling complex issues independently and in a timely manner is significant role in the provision of pre-hospital care. The highly agitated case of Janet requires handling with caution because some unfortunate incidences such as assault and abuse of paramedic personnel may occur. Therefore, paramedics ought to be mindful that the are constantly exposed to the suffering and serve as the most trusted healthcare workers in the society. Paramedics must therefore seek to provide optimal care to all the patients they encounter in their daily activities (Coulter, Parsons, & Askham, 2008). To effectively manage Janet, we would work together with the rest of the paramedic’s team to combine self help and psychological therapies through compassionate care (Hallam & Insight Media, 2010). This would enable Janet to cooperate and uplift her feelings in order to have a different perspective of the issues affecting her. This is because from the information gathered several causes of Janet’s condition can be identified such as bereavement of her cousin Ally, their recently ended relationship with Liam, and the increasing failing business of her parents. Depression can diminish ones personal satisfaction and may influence the capacity to work, associations with loved ones and the general wellbeing. In addition, it is connected to little physical action, and drinking a lot of liquor and substance abuse. In extremely cases, the risks associated with depression as evidenced by Janet’s case can potentially lead to suicide. The increased isolation and withdrawal from friends and family indicates the extent to which Janet feels unsafe with others making her vulnerable to self harm among other risky behaviors. Depression makes it troublesome for an individual to unite on a profound enthusiastic level with anybody, even the individuals he or she cherishes most. Also, discouraged individuals frequently say destructive things and lash out in outrage. It is important therefor to keep in mind that this is the sorrow talking, not your adored one, so do whatever it takes not to think about it literally. Janet’s condition has her judgment clouded and her thinking distorted making feel insecure and irritated and posing real danger not only to herself but those around her (Archer & Williams, 2012) Paramedics are frequently faced with extremely difficult situations in discharging their duties. Patients and families may become increasing vulnerable at some point and therefore a deeper understanding of the ethical and legal principles that apply to paramedic practice is very important (Hartley, 2008). Paramedic’s duties and roles demand quick decision making in order to make critical clinical decisions. Janet’s condition is characteristic of depression and care consideration is important to ensure the risks associated with this condition are mitigated and addressed appropriately. The paramedic is an important element of pre-hospital consideration and the pioneer of the pre-hospital care group (Archer & Williams, 2012). As an individual from the paramedic health practitioners, the paramedic is profoundly respected by society. The duties and obligations of the paramedic are numerous and include the orders of social insurance, general wellbeing, and open security. As a paramedic, we may work for a fire division, private emergency vehicle administration, third city administration, healing facility, police office, or other operation. Notwithstanding the sort of administration we work for, we are a vital part in the continuum of pre-hospital care provision. New roles and obligations in the 21st century paramedic entail public health training in, health advancement, and investment in injuries and diseases anticipation programs. As paramedics we must therefore carry out a systematic assessment of Janet, determine the most appropriate treatment and administer as transport to hospital arrangements are made. An important step is getting Janet to accept that she needs help with little barriers such as making her feel embarrassed and insecure. As paramedics compassionate listening to a patient and allowing them to vent helps to avoid feelings of humiliation among the patients hence finding an appropriate approach towards effective treatment (Chilton, 2012). Patients of Janet nature are normally delicate to handle to avoiding compounding the problem. In fact, care considerations should be carefully applied to ensure she realizes the need to change but not giving advice, counseling should be appropriately implemented to allow for the gradual recognition of the underlying causes of behavior change and the potentially harmful implications that can arise. Allowing the patient to express herself fully would facilitate the process of care by gaining more insight to the root cause of her problem. In conclusion, the paramedics are well trained professionals in healthcare who provide comprehensive, efficient and compassionate medical care prior to the arrival of a patient to the hospital. The work of paramedics can therefore be very challenging especially in the out of hospital environment emergency medical care. This is especially complicated because they must ensure the overall safety of the patient, the public as well as themselves. In fact, the new roles of paramedics have incorporated health promotion, public education, and disease prevention programs encompassing important areas of the health car continuum. Settling on choices is something we all do a few times each day. For most of the time, such choices are made unconsciously or absolutely with little respect or much thought or knowledge into the choice making procedure itself. Indeed, some of life's greater choices have a tendency to be considered more important and we frequently counsel with others, for example, family, companions and associates, attempt some research, or undertake some evaluation at different sites before settling on these decisions. In the clinical and expert paramedic life, a significant number of the choices that one may make every day can fluctuate hugely; from saving somebody's life, to choosing which human services proficient to allude a patient to. All are embraced with maybe little thought to the choice making system or speculations that support your practice. The same number of the choices are central to patient consideration, it is essential to have a more noteworthy understanding regarding how we achieve the choice that we do, why they are the most appropriate and how we could enhance them in future. References Archer, F. & Williams, B. (2012). The Exploration of Physical Fatigue, Sleep and Depression in Paramedics: A pilot Study. Australasian Journal of Paramedicine. Vol. 9 ISS 1. Retrieved from http://ro.ecu.edu.au/cgi/viewcontent.cgi?article=1386&context=jephc Bledsoe et al. (2009). Paramedic Care: Principles and Practice, Volume 1: Introduction to Advanced Pre hospital Care. Pearson Education Inc. Upper Saddle River, NJ. Retrieved from http://fd.valenciacollege.edu/file/rholborn1/Chapter%201%20Introduction.pdf Chilton, M. (2012). A Brief Analysis of Trends in Prehospital Care Services and a Vision for the Future. Australasian Journal of Paramedicine. Retrieved from http://ro.ecu.edu.au/cgi/viewcontent.cgi?article=1074&context=jephc Coulter, A., Parsons, S., & Askham, J. (2008). Where are the Patients in Decision-Making about their own Care. Retrieved from http://www.who.int/management/general/decisionmaking/WhereArePatientsinDecisionM aking.pdf Hallam, J., Lam, K., & Insight Media (Firm). (2010). Staff relations in healthcare: Communication between providers. New York, NY: Insight Media. Hartley, P.R. (2008). Paramedics Practice and the Cultural and religious Needs of Pre-Hospital Patients in Victoria. Retrieved from http://vuir.vu.edu.au/21301/1/Peter_Ross_Hartley.pdf Hugman, B. (2009). Healthcare communication. London: Pharmaceutical Press. Johnston, S. (2012). Paramedics in Australia. Contemporary Challenges of Practice. Australasian Journal of Paramedicine. Retrieved from http://ro.ecu.edu.au/cgi/viewcontent.cgi?article=1337&context=jephc Read More