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.
Watson developed her theory influence by the Eastern culture, international travels, and experiences obtained from her sabbatical leaves. Caring theory, which has been developing over the years, serves as a guideline to educate nurses how to apply the theory in nursing practice. Later, Watson expanded her theory publishing her book Nursing: Human Science and Human Care to Human Caring Science: A Theory of Nursing. Watson’s job evolves “framing and naming caring science as the disciplinary foundation for nursing profession” (Watson, 2012, p. ix-xi). This theory has been used to help the new generation of nurses to view the human being as a whole with a connection between body, mind, spirit and the environment, understand transpersonal relationship, and create caring moments in nursing practice to improve patient care to obtain positive outcomes.
The purpose of this paper is for the nurse to complete a health assessment of a family by using Gordon’s 11 functional health patterns and the system’s approach. By using open ended questions for the 11 principals, the nurse can predict potential problems in the health perception, nutrition, elimination, activity-exercise, cognitive perception, rest-sleep, self perception/concept, role relationship, sexuality, coping, values and beliefs by evaluating the risk taking and behavioral patterns within the family. A nursing diagnosis and care plan can then be developed by using the data collected during the interview. The nurse can then provide health care interventions which will assist the family in obtaining optimal health (Edelman & Mandle, 2010). The family interviewed consists of five family members.
My PICOT question: Does initiating a rapid response nurse when patient presents with stroke like symptoms allow for more timely treatment, within the first 30 minutes from the onset of symptoms, compared to having patients wait to be evaluated by a physician? P – Individuals who present with stroke-like symptoms I – Rapid Response Nurse called to evaluate and initiated stroke protocol physician order set. C – Patient waits for physician to complete an initial evaluation and start treatment O – Patients presenting with stroke symptoms will receive timely
The Health Belief Model (HBM) is a psychological model that is use in nursing to explain and predict health behaviors of patients diagnosed with chronic disease like MI. In educating the patient using this model, the nurse will focus on the attitudes and beliefs of the patient. The nurse will encourage the patient by educating to recognize and promptly response to signs and symptoms of any complication from the MI. In-depth education opportunities will be planned and evaluated. The overall goal is for the client to return to pre-hospital living condition in an improved state of wellness.
Chapter 49 1. Identify nursing diagnoses relevant to patients with sensory alterations.Pg.1241- 1243 ~ Risk- prone health behavior ~ Impaired verbal communication ~ Risk for injury ~ Impaired physical mobility ~ Bathing self-deficit ~ Dressing self-deficit ~ Toileting self-deficit ~ Situational low self-esteem ~ Risk for fall ~ Social Isolation 2. Develop a plan of care for patients with sensory deficits.Pg.1245-1247 Pg. 1235 Nursing Care Plan for Risk for Fall Scenario An 82 year old patient is admitted to the medical surgical floor with altered mental status. According to the patient’s family the patient had a fall last week and you observe that the patient is unsteady on her feet.
This will be measured by her demonstrating these skills during therapy sessions 2. Jean to learn to identify maladaptive, negative thoughts and how to replace them with more positive, adaptive thoughts. This will be measured by her demonstrating these skills during therapy sessions | Date Established 10/4/1110/4/1110/4/11 | Projected Completion Date 1-2-12 1-2-12 1-2-12 |
Use a minimum of three peer-reviewed resources, and create an APA formatted reference page. Nursing Diagnosis 1: Acute pain r/t surgical intervention for cervical cancer as evidenced by a subjective pain scale rating of 8/10 Desired Outcome 1 Desired Outcome 2 Patient will state a decreased level of pain as evidenced by verbalizing a pain level less than 3 on a 1-10 pain scale within 6 hours of initial assessment (American Nurse) Patient will perform activities of recovery with an acceptable level of discomfort by end of shift, day two of intervention action. Nursing Intervention 1 Ensure the patient receives appropriate analgesic care. Evaluation method Utilize a 1-10 pain intensity scale. Observe patient
Therefore with the knowledge nurses receive from the research will become the new recommendations and standards for nurses to practice on patients in the future. In research, nurses have different roles in providing evidence on improving the outcome of patient care in the nursing profession. For example, “Some nurses are developers of research and conduct studies to generate and refine the knowledge needed for practice” (Burns & Grove, 2011, p. 27) While other nurses use the evidence from research to improve the quality of care for the patients (Burns & Grove, 2011). Consequently all nurses from any field of the nursing profession will participate in one aspect or another regarding research since nursing is an ever continuing improvement
During the diagnosis phase the nurse will analyze the assessment data, draw conclusions and determine actual and potential health problems. For example, during the nurses’ assessment she learns that the client had emphysema 2 years ago and smokes 4-5 cigarettes a day. Although the patient did not come to the hospital for this particular health concern it is a potential health concern. This is a health state that could definitely be improved. Furthermore the nurse will need to