In this case, the patient presented with a productive cough lasting over two. I used a holistic approach to assess the patient in general ensuring all systems relating to his presentation were covered and not rushing to a conclusion hastily which is recommended by Crumbie, (2006). The history taking was based on the Calgary Cambridge framework (Krutz, et al 2005) this involves five stages to help the nurse develop a holistic approach to the patient and empowers the patient to actively participate in their care. The first stage is initiating the session which involves preparing for the consultation, building a nurse patient rapport and gathering the reason(s) for presenting. The second stage is the information gathering stage exploring background information, exploring biomedical model and exploring the patient’s perspective.
B) The storing of medication whilst out on a day trip should be as the labelling states. Usually a large dry box is brought with various labelled medication/ medications in it for various service users and their specific medical needs. C) A record of all dosage and medicines that are consumed must be taken at the time of consumption during the day. A(vii) A) It is important that all staff is trained to the highest quality, when learning about first aid and emergency first aid. In case of an emergency that happens outdoors where there is more danger of falling, a nurse should always be on hand to attend the injured resident.
Treatment plan “Approximately 28%–58% of individuals with heart failure (HF) suffer from cognitive impairment, commonly identified as difficulty with concentration and/or memory” (Bauer, Johnson, & Pozehl, 2011 p. 577). Mr. P needs a treatment plan that he will be able to adhere, considering his cognitive decline. His wife should be included in his treatment plan and will have to become a leader from now on. When Mr. P admitted to the emergency department, nurses provide basic care in order to sustain life. Nurses should be recording vital signs, order appropriate laboratory work ups, put Mr. P on oxygen via cannula, put him on I&O, administer prescribed medications, and strict daily weights.
As a health care professional trained in different approach, I assessed my client based on the theory and learning experience that I have had. The client was been diagnosed with dementia, limited mobility, and inadequate verbal communication. I undertook a full assessment to a client with a sacral pressure sore. Assessment using observation was been completed to the sacral area, and graded the level of pressure ulcer using the Braden scale. 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.
More often a nursing assessment is based on the medical side of the patient rather than the holistic approach. In this assignment I will be discussing the importance of the nursing process, care planning, and looking at how these are used in practice. I will look at the tools used in the nursing process and show an understanding of how effective they are when used correctly. I will achieve this by describing a case study of a patient from my practice area, and discussing two specific areas that affect the patients care. Throughout this assignment I will be using a pseudonym to maintain patient confidentiality in order to conform to ‘The Nursing and Midwifery Code’ (NMC, 2008).
Nurses should deliver care to patients directly in response to their needs and use a variety of comforting strategies. Bob open up, and told me story of his life, I have been actively listening being aware of my body language, relaxed open posture and eye contact (Egan, 2002) .Although I could not comfort him verbally, I felt that my non verbal communication played significant role in delivering effective therapeutic nursing care, which according Arnold and Boggs (1999) is the linchpin between nurse and patient relationship. Peplau (1988) describe nursing therapeutic relationship with a patient as a healing
I am writing an essay reflecting on a practical which my colleague and I performed on the observations of a patient. This includes blood pressure, temperature, respiration and pulse rate. The purpose of the practical was to ensure that I have an understanding of how to take observations of a patient i.e. blood pressure. In this essay, I will be using Driscoll’s model (2000) to reflect on the practical I performed.
In this essay I have chosen to reflect on the clinical skill of administration Intramuscular (IM) injection .During my first clinical placement I became involved in this widely used method of drug administration. The first stage of Gibbs reflective cycle requires a description of events. While on my clinical placement I was ask to administer IM injection to a patient. I performed this procedure under the supervision of two qualified nurses including my mentor. The patient consented to get the drug administered by a student nurse.
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.
The aim of this assignment is to discuss and identify a nursing skill whilst on placement. As this was my placement the nursing skill I performed was bed bathing a patient. By participating in bed bathing a patient it has enabled me to identify how to plan and apply nursing care to patients in combination with affective nursing skills. However, I not only had to consider the practice skills with patients hygiene needs but also the privacy and dignity of the patient. Throughout this assignment names have been changed due to confidentiality of the patient and staff involved.To maintain my client’s autonomy I am unable to disclose any client information, accordingly I have given my client the name Dot this is to protect and respect my client’s