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.
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. The patient arrived with an IV access and intubated. Physical exam upon arrival to emergency department reported the patient to be tachycardic, normal blood pressure and unresponsive. Patient was then transferred emergently to cardiac catheterization lab for Artic sun and cardiac stenting. An echocardiogram was performed prior to the patient being sent to the cardiac catheterization lab.
Assignment Title: A case study of Miss Jones This essay will be exploring the case study of Miss Jones (Name changed for confidentiality reasons, as stipulated in the Nursing and Midwifery Councils professional code of conduct 2008) a forty four year old women woman who has been diagnosed with multiple sclerosis. She currently has to undergo tests, due to her condition deteriorating over the last year and the Doctors have decided to place a ‘Do Not Attempt Resuscitation’ (DNAR) on her file. This essay will firstly define what a ‘DNAR’ order is, identify the legal and ethical implications and apply them to this case study. It will also use the NMC’s code of conduct, which has set principles to which all health care professionals are to adhere to and highlight the elements of which pertain to Miss Jones’ case. A DNAR is a request not to have cardiopulmonary resuscitation (CPR) performed if the heart stops or breathing ceases (NursingTimes.net, 2009).
Report changes to the provider. Hyperkalemia can result in EKG changes that include tall peaked T waves, prolonged PR interval, and widened QRS interval” (Ackley & Ladwig, 2011, pg. 343) The nurse monitoring an acute renal failure patient should implement safety precautions such as falls prevention protocol
In 2006, approximately 212, 920 new cases of invasive breast cancer were diagnosed in the United States (Women’s Health Resource, 2011). The case scenario below will discuss ethical and legal issues regarding a female patient with breast cancer, which refuses treatment for breast cancer. Additionally, the scenario will cover the following four ethical principles: respect for persons/autonomy, justice, beneficence, and non-maleficence that relates to the case scenario (Bishop, 2003). A 25-year-old female patient made an appointment with her primary care physician because she discovered a lump on her breast. She went to her appointment with her primary care physician the following day.
After experiencing low back pain he decided to make a visit. The focus of nursing care is to monitor lab values, identify ways to promote healing, or eliminate discomfort. History: Marvin was diagnosed with Benign Prostatic Hyperplasia one year ago. He’s non-compliant with the treatment regimen and drug therapy and hasn’t followed up with his physician for further evaluation. Pathophysiology: Marvin has been diagnosed with Acute Cystitis.
Research suggests that silicone is preferable to saline for use in breast augmentation, because clinical trials have found no link between silicone and autoimmune disorders, the higher-viscosity silicone is less likely to migrate into breast tissue if the product ruptures, and women by far are more pleased with the breast tissue feel of silicone. Baldwin, Jr., C. M., & Kaplan, E. N. (1983). Silicone-induced human adjuvant disease? Annuals of Plastic Surgery, 10: 270-273. (Since a portion of this thesis is discussion of the correlation of immunologically mediated disorders that silicone may or may cause this article explores this.
Discuss the deficits Mr Lusk has presented with. Mr Lusk has presented with many of the signs of Dementia. Mr Lusk’ inability to perform everyday tasks and reported progressive memory loss are both factors in Dementia. Mr Lusk’ is also wandering and getting lost in familiar setting this is a sign that Mr Lusk is disorientated with time and place which is an early warning sign of Dementia. Other early warning signs that Mr Lusk has presented with are deficits in language often people with Dementia forget how to speak simple words which can impact on the ability to have a conversation with the person, judgement, insight and thinking are also signs of Dementia people with Dementia have a hard time with abstract thinking and can’t problem solve as well as they use to.
The practicum is over promptly at 3:50 PM. No student may continue working after this time. Any student who is caught experimenting after this time will receive a zero on their practicum. This is a departmental requirement as it is a liability issue. All professors and technicians will strictly enforce this rule.
Other factors include separation from family, anxiety, sense of isolation and stigma. Glynn et al (1997) investigated the effects on the rate of infection of certain known risk factors such as age, underlying disease, and length of hospital and the use of invasive procedures. He found that it was in the use of invasive devices, which increased the infection rate from one HAI per 100 patient’s episodes to 7.2, and goes on to state “this is important for nurses because they manage invasive devices, such as urinary catheters, intravascular cannulae, epidural cannulae, nasogastric tubes, and peg tubes, which often identify the early signs of infection” (McCullach, 1998). The (NMC 2002) states “nurses have a duty to safeguard the wellbeing of patients and have a due regard for the environment of care” Code of professional conduct. Nurses must be sure that they do not contribute to infection risks and must take care to prevent infection whenever possible.