Hello, can you check this document for grammar, word choice, sentence structure, and punctuation?

Hello, can you check this document for grammar, word choice, sentence structure, and punctuation?

Every day in nursing, we are faced with difficult ethical dilemmas. The ethical dilemma I encountered was when I worked as a rehabilitation nurse at an upscale nursing home facility. While working third shift one Saturday night there was an elderly patient in her 90s who was screaming out in pain upon my arrival to the unit. The second shift nurse was walking out of the patient's room when she stated to me "I don't know what her problem is. I gave her Tylenol and placed a pillow under her leg." After I received the report from the second shift nurses, the certified nursing assistant reported to me that the patient is crying, and she believes something is wrong with her. Upon entering the room, I noticed the patient was visibly upset and guarding her left arm. Additionally, I noticed her left leg was considerably shorter than the right leg. I knew the patient's hip was fractured and possibly her arm. I asked the patient what happened. In her own words, she told me she had fallen in her room and two people helped her up, got her dressed for bed and laid her down. I contacted the supervisor who was informed of my assessment and the patient needed to be transferred to the hospital.

The patient was transferred to the hospital where it was discovered she had a fractured hip, clavicle, and humerus. The patient was admitted to hospice and died three days later. I had three pages of documentation from the time I first assessed her until she left the building, even the time I contacted the director of nursing. I was praised for my assessment of the patient and my documentation cleared third shift of any wrongdoing. It clearly indicated that second shift had not followed proper protocols which potentially resulted in the death of a resident. This nursing home has one of highest fall rates in the state and was already under the microscope. The two people who picked the resident up without informing the nurse were fired and the nurse was suspended for two days. I was asked to change my documentation of the event. The director of nursing informed me that I did everything right, but at this time they couldn't risk the federal investigators investigating the facility. There were also concerns that the family had retained a lawyer.

I informed my director of nursing, it is unethical and illegal for me to change my documentation. The nursing director removed my documentation from the resident's chart. She had one of her unit managers document the fall. Shortly after the incident, I found another place of employment. I could no longer be a part of the culture that did not want to protect the residents at the most vulnerable times of their lives. There were changes that needed to occur at the facility. May be the federal investigators would have been the agent to implement those changes such as better staffing ratios.

Being involved in social justice is a nurse's responsibility. There are many people who suffer from oppression and inequities which can cause a negative effect on their health. Nurses should be involved in public policies that could potentially have an adverse effect on the health of the vulnerable. Nurses are in a unique position because we are governed by policies that affect the patients. We can observe the negative effects some policies have on patients' outcomes.  Therefore, it's important for nurses to be involved in pursuing solutions to social injustice issues. Nurses should practice social justice daily whenever they witness discrimination and by providing ethical, compassionate competent care. It's our obligation to ensure that no patient receiving care feels discriminated against.