• For each nursing diagnosis, state two desired outcomes using NOC criteria. Desired outcomes must be patient-centered and measurable within an identified timeframe. • For each outcome, state two nursing interventions using NIC criteria as well as one evaluation method. Interventions and the evaluation method must be appropriate to the desired outcomes. • Provide rationale for each nursing diagnosis, and explain how PES, NANDA, NOC, and NIC apply to each diagnosis.
Case Study Using the following American Heart Association (AHA) resources on blood lipids and heart disease, determine the risk of heart disease for the following three people and make recommendations on what they need to do to modify their blood lipids and lower their risk. * Diet and Lifestyle Recommendations Revision 2006: A Scientific Statement from the American Heart Association Nutrition Committee: http://circ.ahajournals.org/cgi/content/full/114/1/82 * Go to this link and do a search on blood lipids: http://americanheart.org * Scientific Statement on Managing Abnormal Blood Lipids: http://circ.ahajournals.org/cgi/content/full/112/20/3184#TBLU13 * Executive Summary of the Scientific Statement on Diagnosis and
Assessment is a systematic process using a rational method of planning to identify a patient’s health and any actual or potential problems that need to be met and to provide interventions to meet those needs. (Berman et al, 2010) A comprehensive assessment establishes a database of information relating to the patient including visual observations during initial interview including, skin condition, cloths, hair, hygiene, demeanor and presence of pain etc. During the interview the nurse should gather family history and both subjective and objective data to establish baseline data as a reference point and an indicator to the effectiveness of interventions. (Berman et al, 2010) Subjective data is what the patient thinks, feels and believes and can also be referred to as the symptoms including itching, pain and worry or anxiety. Objective data is measured during the physical examination; it can be seen, heard, smelt, felt, observed, tested or measured against an excepted standard, including: skin color, bowel sounds, blood pressure, temperature, level of pain, urine analysis etc.
Adult Branch 4 Promoting Integrated Care This essay will discuss and critically analyze a nursing intervention used in practice placement. Discussion will include the knowledge underpinning practice and the evidence base for the clinical intervention. It will examine what the evidence base states should happen and what actually happened in practice. The clinical intervention chosen to reflect on within this essay is care of a patient requiring feeding via a nasogastric (NG) tube due to dysphagia. This is a condition in which the action of swallowing is difficult to perform (Royal Marsden, 2008).
A care plan (Appendix A) was devised for this patient. However, this essay will critically evaluate 3 aspects of the care plan; promoting effective dietary intake, safely managing inappropriate vocalisation and promoting social integration in the ward. For confidential reasons, the names of the patient, staff and trust have been changed in this essay. Care plan/Intervention for Nutrition Mrs Smith’s care plan identified nutrition as an important need in order to improve her physical and mental wellbeing. Psychological, physical and social factors such as social isolation, the presence of chronic
Research Critique Part 2 A. Title of the Research Report Tragedy into Policy: A Quantitative Study of Nurses’ Attitudes toward patient advocacy activities The title of this paper tells us the main components in this study “nurses’ attitudes”. B. Problem Statement 115 patients presumed to be infected by Hepatitis C through reuse of contaminated medication vials at a Nevada endoscopy clinic. The problem is clearly stated with adequate background information; there is justification for the study, 115 patients infected with Hepatitis C through reuse of contaminated vials.
RTT1 Task 1 Deborah H. Keele Western Governors University Nursing-sensitive Indicators Nursing-sensitive indicators as defined by the American Nursing Association (ANA) are “indicators [that] reflect the structure, process and outcomes of nursing care.” These indicators depict the quality of care provided to any given individual client, or an institution’s population as a whole (Nursing-Sensitive Indicators). Careful scrutinization of these indicators provide reasons for keeping current practices or evidence for improving policies and procedures. In this scenario several nursing-sensitive indicators point to a need for a through system analysis. The use of restraints, the developing decubitus, and the potential for the development of a urinary tract infection are all starting points for a backwards look at where this particular organization is breaking down. The apparent disregard for religious dietary guidelines/restrictions indicates to the public a cultural insensitivity in general.
Research Integration WGU Evidence-Based Practice & Applied Nursing Research EBT1 - 724.8.3-01-05 July 18, 2013 Research Integration Types/Appropriateness/Classification of Sources of Evidence The article for the American Academy of Pediatrics (AAP) and American Academy of Family Physician regarding the diagnosis and management of acute otitis media (AOM) is considered to be a filtered resource classified as evidence based guideline. The recommendations establish guidelines of the definition, assessment and management of AOM based on research literature from experts making it appropriate to use in a nursing practice situation. The second article from Block, Causative Pathogens, Antibiotic Resistance and Therapeutic Considerations in
The Doctrine of Informed Consent requires the disclosure, comprehension, voluntariness, competence and consent of the patient (Omadagain, 2011). Disclosure encourages that the patient is informed about her medical condition, possible treatments, and expected outcomes for each treatment option. Comprehension means the patient must be told what she/he is getting into. In other words, the disclosure should make sense and be understood by the patient. The voluntariness of the patient, without outside forces is critical.
Additionally, this article discusses treatments and signs and symptoms for people with ADHD. Vatz, R. E, Weinberg L., (2001) Problems in diagnosing and treating ADD/ADHD. USA Today Magazine, 129, 2670, 64. Article addresses over diagnosing and overmedicating people with ADHD. Wooltorton, E. (2006) Medications for attention deficit hyperactivity disorder: cardiovascular concerns.