Although epoetin alfa has helped with end stage renal disease (ESRD) anemia significantly, there continue to be patients with ESRD who have anemia despite the use of epoetin alfa. This paper will address the administration of ascorbic acid and its effectiveness in increasing hemoglobin results in patients who are not responding to epoetin alfa use alone and will also discuss the adverse effects found in the addition of ascorbic acid. This paper will also summarize the research study used to obtain the information and discuss its significance in nursing. Background of Study The questions the researcher asked when researching this topic were. 1.
The major priority needs that has to be considered in planning for Mrs. Green`s discharge areeducating the patient and the family regarding the after-discharge care and medical treatmentby initiating patient specific – care plans, establish patient referrals with other teams likephysiotherapy and primary care providers (Lees, 2004). In the case of Mrs.Green, nurse shouldgive priority in educating Mrs.Green and her family members regarding guidance on performingthe activities of
Nursing Documentation and Malpractice Law HCS/545 Health Law and Ethics May 31, 2010 Mary Nell Cummings Nursing Documentation and Malpractice Lawsuits Proper medical documentation can prevent liability issues and malpractice lawsuits. The focus on my paper will concentrate on nursing documentation and malpractice lawsuits. I presently work for a home health care agency. The entire staff throughout the company was recently informed of increased Medicare denials and possible lawsuits as results of inadequate documentations. A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation.
Use of dexmedetomidine for regional anaesthesia a. Epidural dexmedetomidine at a dose of 100µg decreased the incidence of postoperative shivering. (87) b. Intrathecal dexmedetomidine at a dose of 3µg causes significant prolongation of sensory and motor blockade. (88) c. Addition of 0.5µg/kg body weight of dexmedetomidine to lidocaine for intravenous regional anaesthesia improves the quality of anaesthesia and perioperative analgesia. (89) 3. Use in monitored anaesthesia care (MAC): Dexmedetomidine confers arousable sedation with ease of orientation, anxiolysis, mild analgesia without respiratory depression.
Ultrasound (of the abdomen) or a Diagnostic paracentesis: ultrasound to see what is causing the distention of the abdomen, Paracentesis: fluid removal, the wave test was positive Additional blood work- Liver function tests, coagulation tests, CBC w/diff.. 4. Identify 7 treatment options and or medications that should be considered with rationale. Each treatment option with rationale is worth 2 points. Paracentesis- drain fluid Intubation- ICP related complications may require mechanical ventilation and it may be necessary to initiate hyperventilation therapy. ICP catheter- to decrease ICP Vitamin therapy/ Nutritional referral- because of her BMI and nutritional status r/t her pathologies.
Handwritten reports or notes, manual order entry, non-standard abbreviation and poor legibility lead to errors and injuries to patients, according to a 1999 Institute of Medicine Report. CPOE significantly improved timely discontinuation of antibacterial from 38.8 percent of surgeries to 55.7 percent in the intervention hospital. CPOE/e-prescribing systems can provide automatic dosing alerts (for example, letting the user know that the dose is too high and thus dangerous and interaction checking. In this way, specialist in pharmacy informatics work with the medical and nursing staff at hospitals to improve the safety and effectiveness of medication use by utilizing CPOE systems. In using CPOE for medications, orders are incorporated with patient information, such as other prescriptions and lab results, which can be automatically checked for potential errors or problems.
A pharmacistled diabetes case management program at the Providence VA Medical Center has improved treatment adherence, glycemic control and cardiac risk reduction in patients with concomitant diabetes and mental illness. However, the frequent clinic visits that are necessary to
P1: Explain the requirements for two different careers in the health sector. The job role of a midwife is to provide advice, care and support for women and their babies during pregnancy, labour and the early postnatal period. They help women make their own decisions about the care and services they access. Their responsibilities are wide ranging and include; caring for new-born children, providing health education and parenting support immediately after delivery, until care is transferred to a health visitor. Midwives are personally responsible for the health of both mother and baby and only refer to obstetricians if there are medical complications.
The emergency department is a specialist department where patients come for their first point of care. The emergency nurse should have specialist expertise in assessing and identifying patients’ health care needs in crisis situations. In addition, an emergency nurse should establish priorities, monitor and continually assess acutely ill and or injured patients, they must support and attend to families and teach patients and families within a high pressure, time limited care environment. In the emergency department a fifteen year old girl presents with a head injury, laceration to her right thigh and grazing to her face. Her first point of contact with the emergency department is triage (Farrell, 2005, p.2158).
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