Describe the elements of a comprehensive health assessment of a geriatric patient. What special considerations should the nurse keep in mind while performing this assessment? Nurses and healthcare professionals need to pay close attention to different things while performing a comprehensive assessment on the older population. The comprehensive assessment includes mental and functional status, social and economic status and the actual assessment of the body functions (Jarvis, 2012). It’s important to observe mental status changes and functional status changes, this can determine how well the patient can take care of themselves and deal with their health promotion on their own.
The Framework is to be used by both clients and professionals and identifies targets for both health and social care service providers to assist clients in their daily living requirements. It aims to provide more choice in care, tailored to the individual clients needs. (NSF 2004)This is particularly relevant with Spina Bifida as the condition and its symptoms vary enormously even within the same type and with a lesion in the same place. Often there will be a specialist nurse caring specifically with patients with spina bifida as the NSF aims to have care ‘provided by people with knowledge and experience of specific conditions’ (Lggulden
This essay will examine the methods of pain assessment and whether nurses tend to underestimate patients’ pain or lack of adequate pain management is provided due to the medical orders for pharmacological means. The essay will also discuss the physiology of pain and the effect of different pain management strategies in relation to pain physiology along with the issue of effective pain management in adults and children and how effective pain management will be achieved. Pain assessment is an essential method to providing effective post-operative pain management and in the general promotion of patients’ comfort. However, despite the increased awareness and knowledge of pain assessment, Horbury and colleagues (2005) suggest that nurses continue to underperform pain assessment not only in the post-operative patients but also in other hospitalised patients. Moreover, this is indicative to be one of the most problematic aspects of achieving optimal pain management (Nash et al, 2001, p.180-189).
| The baby responds to sounds especially familiar sounds. | The baby quietens when picked up. | The baby makes eye contact. | The baby cries to indicate a need e.g. Hunger, dirty nappy etc | The baby may move his or her eyes towards the direction of the sound | Intellectual Development | Babies explore through their senses and through their own activity and movement | Touch | From the beginning babies feel pain.
Jessica knows somebody that had a cystectomy and is getting this procedure confused with a cystoscopy. Ectomy is a suffix, which means surgical removal, excision, and resection. Why would it be important for a Biller and Coder to know the difference between the two suffixes? Not only is it important for a Biller and Coder to know the differences between suffixes so the clinic is able to get reimbursed properly for services and avoid legal issues, but there are also ethical standards that have been put into place by the American Medical Association. If you fail to comply with proper documenting practices you could cause inappropriate payment increases or false insurance coverage or be skewing information to not comply with state or federal statutes and guidelines.
* Blurts out answers before questions have been completed. * Has difficulty waiting or taking turns. * Interrupts or intrudes upon others. Nursing Diagnosis *Potential for impaired education, social, workplace, and coping skills related to ADHD *Potential for medication management of ADHD *Potential for change in health status Goal *Patient will increase optimal participation in social, workplace, and educational programs *Patient will cooperate with medical treatment plan to manage work and social participation *Patient will participate in collaboration with medical plan of care to facilitate emotional well being necessary Intervention Patient will be given information and health counseling related to ADD/ADHD at the patients level of understanding. Patients health condition will be discussed as needed to assure maintenance level of knowledge.
Symptom management may be complicated by patient’s and family’s reluctance to complain (Matzo & Sherman, 2010). As such, the visual analog scale and numeric rating scale can be used to assess pain (Matzo & Sherman, 2010). 2. What aspects of
Margy Swenson NURS 2010 Pediatric Handout Option #4 Preparing for Your Child’s Hospital Visit Hospitalization can be stressful for both parents and children. It is common to have many questions about your child’s hospital stay. While your child’s doctor will answer questions about your child’s specific medical condition and treatment, this handout is designed to help answer some general questions. What to Tell Your Child Be sure to get information yourself before talking with your child about their illness. If you feel confident and informed, it will help to provide your child with a sense of security.
The way in which the child behaves during the strange situation is determined by the behaviour the care giver presents to the child. For example insecure children are associated with inconsistent mothers and absent child are associated with unresponsive mothers (Oates, 2005). The desired attachment categorise is secure attachment.secure children are confident that the attachment figure will meet their needs, that they will provide a safe base. The children are easily soothed and look to the figure during distress or upset, these attachments are formed if the figure responses to their needs and is sensitive to their signals (Oates, 2005). As described by winncot ‘ good enough mothers’.
The nurse must be very observant and watch for signs of pain. According to Herr, pain assessment in unresponsive patients should be achieved by direct observation using the Pain Assessment in Advanced Dementia Scale (PAINAD) or the Pain Assessment for Seniors with Limited Ability to Communicate (PASCLAC) scale (2010). Each of these scales provides a pain score based on observations of the patient, such as body language, facial expression, breathing, and activity