The focus of this assignment will be placed on the authors’ assessment by eliciting information of the patient’s presenting condition. In accordance with the Nursing and Midwifery Council Code of Professional Conduct, (NMC, 2008) confidentiality will be maintained. To do this a pseudonym will be used and the patient would be known as Mr Alba. Mr Alba was a 27 year old man who presented to the medical centre complaining of abdominal pain in the right iliac fossa (RIF), with nausea and vomiting for the past 24 hours. On arrival to the medical centre the author introduced himself while observing Mr Alba posture for clues about aetiology.
Discharge planning is a process done to assist and guide patients in managing their care after discharged. “The purpose of discharge planning is to form a plan for patients’ continuing care after being discharged from hospital”(Petersson, Springett, & Blomqvist, 2009, p. 548). In my current practice I have had the opportunity to work with Mr. John Patrick, a 65 year old man who was diagnosed with Congestive Heart Failure Exacerbation. In this paper, I will give the detailed complex of health challenges facing Mr. Patrick, and develop a detailed discharge plan. The discharge plan will include a discussion of the relevant topics from the course; I will make a reference to services available in the community to meet the complex needs of the client, and incorporate evidence from literature to support my discharge plan.
The echocardiogram demonstated both RWMA and apical thrombus. Case Presentation A 61 – year – old male suffered an out of hospital cardiac arrest. The arrest was witnessed by his wife and basic life support was initiated in less than 6 minutes, with advanced life support being initiated with in 20 minutes. Epinephrine and amiodarone was given in route to the emergency department. An external defibrillator was used to shock the patient into sinus rhythm, a total of 10 shocks was administered and cooling measures were also started.
According to Meleis (2007) knowing includes knowledge based on observation, research findings (evidenced based), clinical manifestations and scientific approach. As a stroke nurse empirical knowing it’s very important in taking care of stroke patients. I determine patient’s neurological status by performing neuro checks frequently every 1-2 hrs as the patient’s condition might deteriorate the first 24hrs and perform swallow test to determine if the patient can swallow medications. Patient’s plan of care is based on assessment findings(vital signs, Glasgow coma score).If a patient is confused and very weak fall precaution is observed by activating the bed alarms, request for a PT/OT consult, if the patient does not pass the swallow test, a speech therapist is consulted. Sometimes patient’s neurological deficits get resolved after a few hours or days and that calls for change of treatment plan.
He was taken to the hospital, where he faced surgery, rehabilitation, and a referral was made to hisprimary physician. A team of specialists came together to assist the family in coping with new challenges Jimmy would face
Hospital Acquired Infection (HAI), or as it is sometimes referred to as Nosocomial infection; is an infection occurring in patients after admission to hospital that was neither present nor incubating at the time of admission. This student will discuss the role of the nurse in preventing hospital acquired infection while on clinical placement, define HAI, and look at the causes of HAI and how it is spread. This student will also show in order to minimise these risks, systems must in place, understood and implemented by all concerned. Plowman (1997) claimed that, 6,000 deaths per year are caused by HAI, with significant financial costs for the NHS and personal costs for patients’ families. Other factors include separation from family, anxiety, sense of isolation and stigma.
The demands of college work enable students learn to manage their time, practice healthy living, acquire tools for reducing and avoiding stress, surpass inner fears, and obtain inner strengths. These tools that are practiced will help make college students a more marketable comity for employment. When we look at personal responsibility and college success it’s almost the same. All you have to do is follow the system that works for you to be successful at college in
How do you practice time management? 2. CLEARLY REVEAL THE TOPIC: By utilizing helpful time management tips, I find that it is much easier for me personally to accomplish the various tasks for the day. In fact, I will be sharing some of these tips with you, so that you can have more of a relaxed, successful college experience. 3.
He practices at the Children’s hospital there and references personal experiences throughout his book. I respect his experience and credentials as well as the relevance and respectability of the publisher (one would expect that the AAP would be particular about what to publish, and qualified to make that judgment). This book has global appeal. It is helpful to parents because the information is clear and easy to read with many interesting examples supporting its arguments. After presenting and rationalizing each concept, the author explains how parents can implement his suggestions.
Patty Murray noted "A good education means learning to read, write and most importantly learn how to learn so that you can be whatever you want to be when you grow up”(Vavrus, 2002). Securing a college degree will assist in eliminating several obstacles and providing me with the opportunities to improve and provide myself with a more prosperous life that I can consider satisfying and fulfilling. In the contemporary