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.
Assessment and Care Planning for the Adult in Hospital Care planning is the most important aspect of holistic care even though it is highly underestimated and often neglected. A holistic assessment involves looking at the individual as a whole rather than their illness. By doing this we can form a balance between the nature of person and the environment they are in. Holistic assessment will help to identify individuality, personality and spirituality (Makienen et al, 2003). More often a nursing assessment is based on the medical side of the patient rather than the holistic approach.
The person as defined in Henderson’s model is all encompassing; it applies to the sick, the well and the dying. Caring would include a genuine interaction with the patient, being a source of comfort and strength, and when the patient is well, the nurses must make sure to empower the patients to take care of themselves. Moreover, during that time, nurses functions were not identified programs for skills training and even education varied from school to school, to countries and even in hospitals .There were also legal barriers to how nurses should carry out their duties, which made the profession’s position in healthcare ambiguous and misunderstood. Nursing is primarily helping people in performing basic bodily functions that they are able to do if they are well and to provide this care and help in a limited time only (Henderson, 1991). It stressed more on what the nurses should do and who should they take care of and thus belongs to the reciprocal interaction world view category.
Using a laminated card and by displaying the Whooley questions discreetly I have implemented them at each clinic I have undertaken since. It is essential that the HV is both confident and competent in the delivery of the questions and committed to exploring any concerning outcomes fully. It has been suggested that many new mothers will not disclose feelings of low mood due to the perceptions a health professional may have if she does. Edhborg (2005) suggested women who are depressed after giving birth often struggle with tremendous guilt over their depression and believe that it means they are a bad mother, this inhibits their likelihood to disclose feelings of low mood to a practitioner. I have seen mothers react after presentation of the Whooley questions, with a sheepish “No” on occasion.
Abstract Comfort is an important concept in nursing practice that must be used as a guide in providing holistic care to improve patient’s health status. In the history of nursing practice, the concept of comfort is vague and is often times linked to end of life situations only. Dr. Katharine Kolcaba, a teacher and a nurse researcher, developed the theory of comfort with the goal of improving the patient’s experience and overall satisfaction as well as to promote higher hospital integrity and better institutional outcomes. This paper informed the reader of the concept of Comfort Theory, its strengths and weaknesses including the barriers and challenges met when using the theory, its application and implication to critical care setting, and its relevance to healthcare professionals and to the health care system. Further on, the plan to implement the theory in critical care nursing was presented.
Capstone Project Annette Marlar Grand Canyon University NRS441V Sonya Williams RN, MSN October 14, 2010 Abstract The Joint Commission and International Association for the Study on Pain agree that even though a patient may not be able to verbalize pain does not indicate that they do not have, or feel pain (M Terese Verklan, 2010). As medical professionals we have access to numerous tools and methods for rating pain, however the need to educate those who use these methods require further investigation. Standardizing Policy and Procedures for units that care for the neonate/infant should address pain by using NIPS or PIPP instrument/tool as well as the timing
If the nurse is not sensitive to these minute needs, it can cause the patient to be unable to trust the medical team meeting the needs, and understanding the importance of more serious issues. As a nurse, it is important to understand state and institutional policies regarding certain situations. Restraints are not recommended for this patient who is able to respond appropriately to questions and express needs. A nurse must consider the serious consequences that applying restraints may lead to, and with this knowledge, restraints would not have been considered. As a nurse it is important to make sure that tasks are being delegated appropriately to UAPs and they understand when they need to report problems of concern to the nurse.
Coates (1999), claims that when people are in a highly aroused or socked condition in the clinical environment, they are often unable to process and retain important information. Advantages of written information as described by Coates (1999) include being permanent, consistent and easily reproducible, it also gives the patient time to reflect on the information and share it with others. Little et al (2004) found in their trial that giving clients’ information leaflets encouraged patients to raise issues with healthcare professionals, giving them a sense of empowerment, support and improved satisfaction. The Department of Health (DH) (2004) express that information gives patients power and confidence, helping them to build trusting relationships with clinical staff and work in partnership in their
One must have communication and interpersonal skills, you must be able to properly explain a procedure to a patient and their families, as well as being able to communicate with your patient to provide the best care. You must have patience, you must be able to adapt to your patient and their needs. Some patients are very needy and need constant care, others want nothing to do with anyone and want to be left alone. Both types of patients are seen every day and must be dealt with accordingly. Another skill a successful Nurse should have is empathy, many patients are confused and scared about their conditions and it’s the Nurses job to show that they understand and try to further explain the condition using words that will not frighten or confuse the patient.
Beneficence, “An ethical principle stating that one should do good and prevent or avoid doing harm” and Autonomy, “Personal freedom and right to make choices” (Cherry, 2011). The patient has the right to make choices regarding his care while hospitalized, and the nurse has to care for the patient taking his autonomy into consideration while also making sure the patient is in an environment that protects him from harm. Listening to the patient’s concerns and treating him with respect while educating him on all aspects of his care helped Mr. C understand all risks related to his situation, and he became more compliant. By not having an open discussion or listening to the patient’s needs, I believe the scenario would have turned out much differently, with the patient possibly becoming increasingly unhappy, resentful and labile. My efforts to keep Mr. C safe are ongoing, and thus far he has sustained no injuries during this hospital