PERIOPERATIVE CASE STUDY Student Name _April Jones______________ Date ___02-01-2014__________ I. PREOPERATIVE PHASE A. Client profile: 52 y.o. Caucasian female 68in 200 lbs B. Current Medical Diagnosis/surgical event: Chronic bilateral otitis media (intermittent infections), left posterior perforation(left ear drum hole) , Eustachian tube dysfunction, moderate bilateral conductive hearing loss C. Support system: patient’s fiancé: no labs ordered, none in chart D. Selected Preoperative Assessment 1. Previous Hospitalizations: none listed 2.
Diabetic neuropathies damage peripheral nerves, which components pf the reflex arc is the most likely to be damaged in nicks situation? i. Sensory receptors 7. Which division of the ANS would be affected and be causing nicks GI tract symptoms? j. PNS 8. Nicks light headedness is caused by a condition known as orthostatic hypotension, a rapid drop in blood pressure upon standing up.
Pennsylvania Nurse, 66(1), 10-13. HCPro. (2010). Evidence-based practice and nursing research: Avoiding confusion. Advisor to the ANCC Magnet Recognition Program, February, Retrieved from http://www.healthleadersmedia.com/print/NRS-245879/EvidenceBased-Practice-and-Nursing-Research-Avoiding-Confusion Jepson, S., & Sendelbach, S. (2013).
Retrieved June 13, 2008 from http://pn.psychiatryonline.org/cgi/content/ful/40/5/22?maxtoshow=40&hits=40 |Mental health practitioners and advocates |Suggest guidelines and algorithms |Michigan |March 4, 2005 |Prescription and monitoring of drugs for clients with major depression |Project called Michigan Mental Health Evidence-Based Practice Initiative |Guidelines and algorithms recommendation to adopt Texas Implementation of Medication Algorithms |No follow-up of the presented proposal | |U.S. Preventive Services Task Force. (2002). Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/clinic/3rduspstf/depression/depressrr.htm |depressed adults and children |USPSTF concludes evidence is insufficient to recommend for or against screening |Rockvill, MD |1st 2002 |Major Depression is the fourth leading cause of worldwide disease in 1990 |Fourteen randomized, controlled trials |Screening improves the accurate identification of depressed patients in primary care settings |Limited evidence on accuracy and reliability of screening , effectiveness of therapy in primary care settings, lack of empirical data regarding adverse
What is hyperopia? 17. What is a cataract and what is the cause? 18. What is astigmatism?
Nursing Research Article Review Worksheet NUR/518 June 9, 2014 Professor Dominguez-Mathewson Nursing Research Article Review Worksheet 1. Describe the study and how it relates to your area of nursing. This is a quantitative research design study that randomly selected 180 nurses to determine how rewards impact job satisfaction and employee retention. During one of the Leadership meetings I attend, I learned that 67% of our Emergency Department consisted of new nurses. These new nurses have less than 2 years of experience.
In this paper I will act as if I where the nurse in the E.R. and carry out my nursing clan plan with my pt. 1st Assessment: Collecting info about the patient. Name: Jimmy Hendricks D.O.B: 05/27/1985 Age: 28 Vital Signs: Height/Weight-6’2-206 B/P- 145/95 Temp-92.1 Pusle-180 Resp-23 2nd Objective Data: Information that is seen, heard, felt, or smell to collect info about the patient. Mr. Hendrick is not responding, not making any sound, cold to the touch, and smell like alcohol, and majuana.
Texas Board of Nursing. Retrieved September 9, 2013, from http://www.bon.texas.gov/nursinglaw/npa1.html#002 Safe Harbor Peer Review for nurses and whistleblower protections . (n.d.). Texas Administrative Code. Retrieved September 9, 2013, from
Medical Care, 29(8), 709-726. Tourangeau, A.E., Giovannetti, P., Tu, J.V., & Wood, M. (2002). Nursing-related d e t e rm inants of 30-day mortality for hospitalized patients. Canadian J o u rn of Nursing Research, 33(4), 71al 88. Vahey, D.C., Aiken, L.H., Sloane, D.M., Clarke, S.P., & Vargas, D. (2004).
Sammartino, E. (2012). Are you at risk for compassion fatigue?. Michigan Nurse, 85(3), 10-11. Tellie, M. (2008). Compassion fatigue -- the cost of caring.