Why? d. What teaching interventions would you provide to the client after the change in prescriptions you recommended? (List at least 3 interventions) 2. Mary S. is an attorney (who is 48 years old) who has suffered from epilepsy for about 25 years and is taking the medication phenytoin. You are looking at her electronic medical record and note she has missed several of her quarterly MD appointments.
Tremulousness & Hallucinations This self-limited condition occurs within 2 days after cessation of drinking and is characterized by tremulousness, agitation, anorexia, nausea, insomnia, tachycardia, and hypertension. Confusion, if present, is mild. Illusions and hallucinations, usually visual, occur in about 25% of patients. Treatment with diazepam, 5–20 mg, or chlordiazepoxide, 25–50 mg, orally every 4 hours, will terminate the syndrome and prevent more serious consequences of withdrawal. 2.
Reflection of Clinical Practice Nursing Essay The purpose of this essay is to demonstrate application of core components of the NMC Code of Professional Conduct (2008) using reflective practice. The NMC Code of Professional Conduct (2008) states that nurses should act in accordance with the code, using an ethical and legal framework to ensure patient wellbeing and respect confidentiality. Nurses must act in a fair, non-discriminatory way which respects customs, values and beliefs of an individual, providing care which demonstrates sensitivity (NMC 2008, p2). Reflective practice is described by Duffy (2008, p.1405) as an active and deliberate process to critically examine practice, where an individual is challenged to undertake the process of self-enquiry. Refection allows us to look at an experience and how it makes us feel and react, asking what is good and bad, and what can be learnt (Sellman & Snelling 2010).
A Comparison of the Professional Roles of Nurses In this paper, the nurse’s unique role in providing inter-professional care, patient care quality and safety, cost effective healthcare, and care to diverse patient populations will be investigated. A Certified Registered Nurse Anesthetist (CRNA), J.W. and a Nurse Educator, M.,H., were interviewed, their roles as nurses were analyzed using provided protocol to discuss the difference between research and quality improvement, also how informatics affect the quality of patient care. The two specialties based on the individual interviews will be compared and a copy of both interviews will be incorporated into the paper. Lastly, a reflection of findings will be discussed as to how nurses could contribute the information from the two interviews into their own professional growth and development.
The nurse mentor was been informed about the type of dressing and intervention that should be provided to the client, along with the explanation with the rationale to the procedure that I have decided to use. The decision was been made based on the background theory of Braden scale and my experience. The nurse orients and started to explain the different types of assessment tool that could be use to asses a client with pressure ulcer emphasizing one tool. In addition, the nurse includes the awareness
Introduction Communication is an important aspect of nursing practice; it’s the activity of conveying information through the exchange of thoughts, messages or information through speeches, body language, writing or signal. “Basic communication skills include the use of clarification, reflection, probing, summarising and open questions.” (Doughterty et al, 2004). The following is a personal reflective assessment of my communication skills with a patient; my self assessment on my performance of the conversation will be discussed under the following four headings; initiating the session, eliciting the information, therapeutic relationship and closing the session. ` Initiating the Sessions It’s important the nurse bring a friendly atmosphere to the room and introduces herself to the patient, while maintaining patient privacy.I entered the room slowly as I felt nervous but I happily greeted the patient with a hand shake which demonstrated my professional courtesy and introduced myself as a nursing student. I closed the door behind me to maintain privacy.
I will be describing the major concepts of Jean Watson’s theory and I will be applying Jean Watson’s theory to my own nurse/ patient relationships and describe the caring moments that took place. I will discuss Jean Watson’s major assumptions in relation to person, health, and nursing in the health care environment. I will also be discussing how Watson’s carative factors were used in a transpersonal relationship with my patient. I will be finalizing this paper with a reflection of myself in a carative moment with my patient. Jean Watson was born in West Virginia US.
The AETC have established the SoP for ENPs around the model of care (MOC) (Lowe 2010 p) that was based upon the Clinical Practice Guidelines (CPG) cited in the Alfred Health website (2012). The areas in the SoP involve prescribing medications, ordering tests, diagnosing results and admitting and discharging patients (Lowe 2010 p). The assessment of minor injuries or illnesses and initiation of treatments are also part of the ENP’s SoP (Lowe 2010 p). Lastly required at the AETC the ENP must also attend educational classes with other ED medical staff, and further additional classes that will identify the gaps between the ENP’s skill and knowledge and own professional development (Lowe 2010 p80). In comparison, Fry’s research (2011, p58) indicated that the NP in the critical care department (CCD) have separated areas which are adult, paediatric and neonate, however all three areas can fall under the same SoP.
This assignment discusses an approach for an effective nursing care delivery system which relates to my chosen branch of nursing. In this essay I will discuss the importance of holistic communication in nursing care and its implementation to show that it is necessary when treating the patient. Doctors, nurses and other health professionals cannot treat the patient with out using this method. I also discuss 2 barriers in communication and 2 types of communication which are verbal and none verbal and identify examples which clearly define the meaning of communication and its importance to our day by day living. Communication is defined as a process of transferring information from one entity to another.
This reflective essay will discuss a role play activity within an education setting in which I participated in as the narrator and the Ward manager in the Accident emergency unit. This reflection will be centred on a multidisciplinary team (MDT) meeting. The aim of this reflection is to critically reflect on the case scenario activity, as well as to identifying my further learning needs that will provide evidence based care in the further. In order to structure this reflection I have chosen to use Driscoll’s model (driscoll, 2000). Any names that are used will be changed to maintain confidentiality in line with the, Nursing and Midwifery Council code of practise (NMC, 2008).