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Performance Inprovement case study

 Students will choose one case study from a list provided by the instructor. Each case study provides a scenario and performance measurement data for a fictitious health care setting. Given the scenario and performance measurement data, students will write a 3-5 page paper (not including cover sheet, abstract, or reference list) that fully answers the questions posed at the end of the case study. Students must link their answers to research of literature. The paper must be in APA format and include a minimum of five (5) professional references. References should be less than five years old to ensure the information is current. 

Case Study

  

Joan arrived at a local hospital with her father-in-law, Nigel, to seek treatment for him. Nigel was visiting Joan and her husband from his home country. While Nigel has been at their home, Joan and her husband have noticed that he has not been feeling well and after conversations with him he stated the has not felt well for quite some time but did not want to worry them. His condition worsened today, and Joan decided that she would take him to the emergency room. When they were taken to a patient room, Joan asked for an interpreter as Nigel is a non-English speaker and Joan has limited fluency in his language. The physician came into the room to examine Nigel. After the examination, he ordered several blood tests based on Nigels symptoms and left the room. After the tests were completed, Nigel and Joan were left in the room for several hours. The interpreter was no longer with them and they did not have the physician or any other hospital staff come to check on them. Joan was afraid to leave the room in the event that the physician would return while she was away. At some point, a nurse returned to the room, began discussing the need to set up an appointment with an oncologist, and provided information on the side effects of chemotherapy, after which she promptly left the room before Joan could ask any questions. Nigel was confused about what was said, as there was no interpreter in the room. Joan was in shock realizing that her father-in-law had cancer and that she was now tasked with telling him using her limited vocabulary in his language. She proceeded to tell him that he had cancer. 

Case Study Questions:

1. Explain the many mistakes that were made regarding the care of this patient. 

2. Identify how a patient-centered care perspective would have changed the experience of both Nigel and Joan. 

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