G.S. is a very pleasant 83 year old white female admitted to the unit on 10/29/15 for congestive heart failure and shortness of breath. This is her second time being admitted within a week of discharge for the same diagnosis. G.S. is a widow who lives along at home. She has never smoked and does not drink alcohol. She is, however, a little on the obese side.…
1. A description of the profession A CRNA cares for a patient before, during, and after a medical procedure or surgery. A CRNA is responsible for getting the patient ready for anesthesia, implementing patient assessment, issue and preserve proper sedation and pain management, supervise patient recovery from anesthesia, along with making sure the patients’ post-operative needs are met. 2.…
According to the article, Registered nurses ranked fifth of all occupations resulting in a musculoskeletal injury and Nursing assistants reported 25,010 cases, the highest for any occupation (ANA, 2013). Why is this? Construction workers or manufactory workers deal with heavier equipment and are in usually more dangerous situations than healthcare workers are. Two high risk tasks One high risks task I can think of would be transferring patients.…
This is the case of Giovanni DeBella, a 72 year old, male who was brought to the emergency department with complaints of shortness of breath and feeling of suffocation. He was diagnosed with acute indications of heart failure wherein the heart fails to fill and eject blood necessary for circulation (Brown, Edwards, Seaton, & Buckley, 2015 p.775-776). His presenting signs and symptoms include fatigue, shortness of breath, pitting edema, crackles, tachycardia, tachypnea and oxygen saturation (O2Sat) of 91 per cent. Hence, the two nursing priorities discussed in this paper are impaired gas exchange and fluid volume overload. The management of these health issues include both collaborative and independent interventions which consist the use of…
The patient develops adverse cardiac and neurological side effects due to the significant decrease in serum sodium levels that may require admission into the intensive care unit for further assessment and…
The patient saturation before the change of shift was at 91%. This short term goal was achievable due to clear communication skills the team. The incoming nurses were able to maintain the patient oxygen saturation of at least 90%. The patients pain was well controlled and decreased dreastically within the 12 hour shift. In addition to medication, the respiratory team was able to teach the patient effective ways of using instruments to improve adequate breathing.…
These include appropriate update of patient notes, record keeping of imaging results and drug charts. Enteral feeding should commence as soon as possible and gastric protection must be used. Compliance with the hospital’s venous thrombo-embolism prophylaxis policy is mandatory. Intravenous lines must be used judiciously and removed once not necessary. The patient is nursed better in the 30’ head up position, due to its’ offering improved ventilation, decreasing the risk of micro-aspiration and ventilator associated pneumonia and being safe in the presence of spinal injury.…
Case Study: Nursing Management of a patient with Stroke Introduction This essay will consider the case of John, a stroke patient. Biological as well as psycho-social aspects of his condition will be presented and the impact on his health condition; He is an active smoker and occasionally drinking over the weekend (2 bottles of wine), recently retired and used to work as a lorry driver for Ford. He lives alone, independently.…
Key Selection Criteria 1. Current knowledge of, and the ability to apply nursing principles, procedures and practices in the delivery of patient/client care in a designated practice area and in line with legal requirements and the Australian Nursing and Midwifery Council (ANMC) National Competency Standards for the Registered Nurse. As a nursing student who will be graduating and working as a professional Registered Nurse. I do believe that having the knowledge and understanding in regard to the nursing legal framework is very substantial.…
Hypertonic solutions are often times given, but it is important that these are used cautiously and given slowly so you do not induce the patient with seizures and effects to the brain (Huether and McCance). Since this imbalance has symptoms such as nausea, headache, etc. patients are often times given medications to control these manifestations. Nursing interventions that can be applied to a patient with hyponatremia include administering the patient’s prescribed meds, monitor the patient for muscle changes, and look for any neurological changes. The nurse should also monitor the patient’s intake and output.…
INTRODUCTION Continuity of care is an essential objective promoted in nursing practice (Messam and Pettifer, 2009) and the indispensable component in achieving an effective transfer of patient’s care between health practitioners are often referred to as clinical handover (Evan et al., 2012). The term ‘handover’ is acknowledged as a moment of making a significant transition in maintaining patients’ continuity of care which involves a process whereby a patient is ‘handed over’ from one clinician to another (Anderson et al., 2010). In a hospital survey conducted in 2009 on patient safety-culture, 49% of the participants who were hospital staff reported that relevant patient care information where often lost during the process of shift changes…
Best Practice Guidelines in Relation to Medical Surgical Nursing The Registered Nurses Association of Ontario (RNAO) states that “since 1925 the RNAO has advocated for healthy public policy, promoted excellence in nursing practice, increased nurses’ contribution to shaping the health-care system, and influenced decisions that affect nurses and the public they serve.” One of the ways the Registered Nurses Association of Ontario has achieved these goals is by developing a highly appraised program which advises nurses on evidence-based strategies to implement in their practice of patient care through the Best Practice Guidelines (BPG). Since 1999 the Best Practice Guideline Program employs the latest research to optimize the outcomes of nursing…
The important role of Critical Care Nurse Nurses have been playing an important role in every aspect of healthcare. One main reason is they are the ones closest to patients and every critical change would be required to report to the doctor. Beside traditional med-surg staff nurse, nurses in the other departments help to contribute to the performance of patients as well. Intensive care nurses are the people who specialized in providing the optimal care for critically ill and unstable patients. They often work in the Intensive Care Unit departments at the hospital in different areas such as adults, pediatrics and infants.…
PICOT Question The Population (P), intervention (I), Comparison or control (C), Outcome (O), and Timeframe (T) format was utilized to develop the project question, which guided the search for literature (Riva et al., 2012). The PICOT question devised for this evidence-based project is: For the hypertensive adult patients in the outpatient medical clinic (P), will the implementation of a HBPM and nurse-led educational follow-up program (I) compared to no educational component (C) increase patient adherence to prescribed life-style modification and improve patient outcomes (O) over an eight-week timeframe (T)? Population…
The Nursing Programs at Valencia College are a limited-access program. My action plan to get accepted into the nursing program is to attend a Health Science Information Session. At these sessions, I will meet some important members of the faculty, I will learn more about the steps I would need to take to enroll in the program, I will have the opportunity to ask any questions I may have. Second, I must satisfy the college entry testing requirements and satisfactorily complete all mandatory courses in reading, student success, mathematics, English, and English for Academic Purposes in which I am placed. After this, I must complete the following science prerequisites; Anatomy and Physiology 1&2 and Microbiology with a minimum combined GPA of 3.0…