Trudy would accept this and understand that I was a nurse and I was there to help. Telling her that family member would visit her daily comforted her. I would re-orientate her to her bedroom and wardrobe which had signs with her name and show her the sign on the door of toilet. Although research has shown the efficacy of this approach, it has also been claimed that reality orientation can remind the person with dementia of their deterioration and cause an initial lowering of mood (Goudie & Stokes,
Then she is pulling up the front part of her underwear and trousers and we make sure that they are up on the back also. We make sure that she is tidy and clean, then we help her transfer back to the wheelchair, put on the safety belt, the footplates. In the end we prompt her to wash her hands and dry them. Outcome 4 4.1 Before giving a shower or personal care we must ensure that the room and water temperatures meet the individual’s needs and preferences for washing or bathing or mouth care. I always ask the client what temperature is ok, they touch the water with the hand and tell me if it has to be more hot or cold until they confirm that it is the right temperature for them.
RTT Task 1 Shawna Setzer Western Governors University Nursing-Sensitive Indicators In the given scenario involving Mr. J’s hospital stay it is important to integrate nursing- sensitive indicators in delivering quality patient care. Every patient has the right to receive the appropriate care without causing harm. Mr. J was starting to develop pressure sores related to being in restraints, and when his daughter pointed out the areas to the CNA she didn’t realize the severity of the problem and report them to another care giver to assess the red areas. The CNA also did not reposition Mr. J onto his side to relieve pressure to that area of the body. Nursing indicators such as education on unnecessary use of restraints and not repositioning the patient every two hours, are failures to deliver quality care.
Therefore, once medically cleared, we have to rely on inpatient psychiatric facilities or group homes like the one Dr. Primrose runs to ensure that these patients remain safe while, in this case, initiating prescriptions to manage medical and psychiatric issues and gathering resources that will be necessary for this patient to regain her independence. This teleconference was efficient and cost effective for the following reasons; an unnecessary one hour trip was avoided to the facility where no beds were available. This patient was able to receive appropriate, necessary medical treatment while psychiatry was reviewing the patient’s chart and then, in this case, finding appropriate placement. The two Psychiatrists involved were able to teleconference with the patient and gather necessary information and details of the patient’s present state of mind and ability to act with sound judgment. The patient’s accessible EMR avoided time spent faxing and/or having to orally present patient’s case several times over.
The infant was originally discharged home on an apnea monitor and continuous home oxygen per nasal cannula. After being admitted to the hospital, the nursing staff must develop an individualized plan of care that will optimize patient outcomes while maintaining the safety of both patients and the nursing staff. The NANDA-I diagnosis that would be appropriate for an infant with bronchiolitis is ineffective airway clearance, which is a state in which the patient is unable to clear respiratory obstructions or secretions in order to maintain a patent airway (Elsevier, 2012). Once the diagnosis has been identified, the nurse is able to recognize the common symptoms associated with patients who suffer from a compromised airway, which include: fatigue, non-productive cough, increase secretions, cyanosis, increased respiratory rate, labored breathing, and abnormal breath sounds, such as wheezing or crackles. Based on the common symptoms of a patient with bronchiolitis, the nurse can then identify appropriate patients goals and outcomes.
Once tests start being ordered and the respiratory status changes, a respiratory therapist should be notified. The nurse should immediately take action with obtaining an airway, and provide adequate oxygenation until the respiratory therapist arrives. These four people would be the core group of people to take care of the patient’s immediate needs. An anesthesiologist may be needed if the patient warranted intubation, but an emergency room doctor should be able to do this without them. Of course in that scenario, a few other nurses should step in to help with the patient’s increasing needs.
This includes: * Where the fall happened (including a bed number) * What the patient was doing e.g. reaching for their call bell It is important for a trained nurse to carry out checks in case the patient has a fracture or an injury. This should be done before the patient is moved. In order to try and avoid a fall, the following should be done: * Keep the patients bed on the lowest setting, but also ensuring that the brakes are on * Do not leave patients who are confused on the toilet or commode as they may get up themselves and risk having a fall * Ensure there is a light on in the hallway on the ward, particularly when patients walk to the toilet * Put slipper socks on the patient as they have a rubber grip underneath which provides support A falls Risk Assessment should be completed within 24 hours of admission and when moving a patient to another ward. Bedrail Assessments should also be done within 24 hours of admission.
With some encouragement Mrs m attempted to put her feet on the bottom of the stand aid, the senior carer prompted Mrs M that she was safe and that we wouldn’t let her fall, she stood behind her whilst I was transferring her on the stand aid to the commode. Safely she had sat on the commode, reassured we explained we were going to use the same procedure to get back in bed. Mrs M thanked us both for being patient and understanding and making her feel safe. Mrs M returned back to sleep until
I provided ongoing support. As National Care Standards| | | |10.3 says, that “If you need help, your request will be dealt with politely and as soon as | | | |possible” and My Home Rights and Safety Policy 2.2 tell, that “Residents must feel that the | |22.17 | |environment of the home reflects their individual values and beliefs and the care that they | | | |receive is relevant and sensitive”. Apart from slight carpet burn on arm Mr. G was all right. | | | |The nurse told me to wash the arm properly and put the plaster. Before putting blaster I | | | |washed my hands.
It’s clear that we need to protect and keep any and all private information as privileged (Marshall, J., 2004). Privileged information can sometimes come out at the most in unsuspected ways. A nurse is going over a patient’s last visit with them in the room next door to yours; now there are no doors to shut only curtains for privacy when you overhear that the results of their HIV test was positive. Now, would you say that this was a breach of the HIPAA law? The answer would be yes, being that you are aware of your surroundings and how your office is set up, one must know how to be more discrete than to speak so loudly.