Felix Jaehn – Ain’t Nobody (Loves Me Better) feat. Jasmine Thompson. The single available on: http://smarturl.it/AintNobody_Amazon l iTunes http://smarturl.it/AintNobody_iTunes
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More information on Felix Jaehn
Facebook: https://facebook.com/FelixJaehnMusic
SoundCloud: https://soundcloud.com/felixjaehn
Instagram: https://instagram.com/felixjaehn
Die offizielle Mega Hits Playlist hier anhören:
Spotify: http://spoti.fi/1xpaIQ3
Deezer http://bitly.com/1FQOicv
Google Play http://bitly.com/1HMPJtF
More information on Jasmine Thompson
YouTube: https://www.youtube.com/TantrumJas
Facebook: https://www.facebook.com/TantrumJas
Twitter: https://twitter.com/tantrumjas
Instagram: https://instagram.com/tantrumjas/
Spotify: https://open.spotify.com/track/5afHIkEcVhCF1Z1CTqMUXB or spotify:album:3beitV4REkUMQn4BXZlD8F
Directed & Produced by CC Steinmetz
www.ccsteinmetz.com
Cinematography & Edit by Björn Baasner
Production Manager – Enrico Pillay
Production Coordinator – Cecilia Fresco Aguzzi
Production Planner Barcelona – Fania Folaji
Hair & Make-Up – Alicia Rodriguez
Grading – Martin Hoffmann
Cast:
Felix Jaehn
Jasmine Thompson
Gavrilo Markovic
Fania Folaji
Cameron Tonman
Eduardo Souza
Debora Urgesi
Nikoline Heimburger
Louise Schwartz
Enrico Pillay
Cecilia Fresco Aguzzi
Special Thanks To:
Walter Davolio
Joe Bentley
Nadja Herder
smart (Daimler AG)
Sarah is a nursing student at a long-term care facility. On one of her clinical practice days, she attended with her preceptor a meeting related to pain management provided by an ICU nurse that specialized in the field. The educator and staff of the nursing home presented to the ICU nurse the case of a resident that died during the summer.
The resident, under the pseudo name, Norma was a Caucasian female at the age of 101, weighing 57.3 kg with diagnosis of Dementia, CAD, HTN, Osteoporosis & Rheumatoid Arthritis. In the month of June 2014, Norma’s dementia worsened, leading to aggressive behavior, restlessness, increased agitation and was very disruptive to other residents.
The family requested the use of restraint so Norma could not get out of her wheelchair and fall, or hit other resident’s or staff. In response to this, treatment with Risperdal 25 mg PO was started twice daily for agitation. Norma’s status declined and she became very resistant to care and more aggressive to everyone, yelling continuously and being a threat to other residents.
An interdisciplinary conference was held and a decision to move Norma to a secured unit was proposed. The family was against the proposition due to “stigma of being on the secured unit,” therefore they refused the transfer and asked the responsible MD to declare Norma palliative and put Norma under the palliative protocol of the home and remain staying in the same unit on July 18/2014. The MD abided with the family’s decision and wishes. Norma was placed on palliation and all oral medications were discontinued and the administration of subcutaneous Ativan 0.5 mg TID and Dilaudid 0.5 mg TID started. For the following week, Norma was still agitated, restless, getting up in her wheelchair and was yelling for help continuously. On July 24, new orders for increased Dilaudid dose to 1 mg QID and break through 1mg Dilaudid q2hours PRN were prescribed at family’s request to the MD and Ativan was discontinued. The Dilaudid breakthrough dose was given regularly at family’s request. On July 29, the MD prescribed Dilaudid 2 mg q4 hours subcutaneously at family’s request. On that day at 2200, Norma died.
Sarah heard the nurses asking the ICU nurse on what should they have done in that situation because they felt as if they were “were killing Norma”. They believed that Norma was not for a palliative status, that Norma could have been much more comfortable in the secured unit and would have lived longer. The staff stated that the family was “trouble-maker” and the MD had to do what they were asking so that they would not complain. All the staffs involved in Norma’s care were really sad and uncertain on what they could have done differently in order for Norma to be transferred to the right place. The staff felt hopeless and helpless in Norma’s outcome. Sarah is wondering what the ethical implications of this case and why none of the staff advocated for Norma’s rights. What could have been the options to deal with this case? Is this a question for a need to change a workplace culture and
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