A review of the literature indicated that there was no evidenced based rationale for the removal of hair at the operative site, unless it interfered with the actual procedure. There was no increase in infection when comparisons were made between allowing the hair to remain, versus hair removal, by any means. There was an increase in the infection rate when a comparison was made between allowing the hair to remain versus shaving. Shaving, even if done correctly, nicked the skin and allowed for pathogen entry prior to surgery. The rate of infection did decrease substantially in the shaved patients if the shaving was done at the time of surgery rather than the customary day prior.
Although the procedure is safe and effective, the patient and his or her family need to know that bleeding will most likely occur immediately after the procedure, although it can occur at any time during the first 2 weeks postop. Advise the patient and family that postop pain is similar to that of a throat infection, but is often felt in the ears (“referred otalgia”). Because postop swallowing is painful, the patient may not drink enough fluids. If this problem because severe, he or she may need to be admitted for IV fluid replacement. Discuss the patient’s length of stay.
Policy Deviation Initial observation on the unit showed that most of the nurses follow the policy. However, there were some specific issues where the policy was not followed. When answering call lights, nurses would respond, turn off the call lights and respond to the patients needs. Often times, if a patient needed assistance getting out of bed or any task that required direct patient contact, the nursing staff would not wash their hands. The policy states “hands are to be washed before initiating direct care with patient” (Community Mercy Health Partners, 2006).
Treatment should be repeated in about 4 weeks time and all clothes, towels etc. should be washed seperate from other residents. Any type of infection in a nursing home for the elderly can be dangerous because they might have a low immune system so they haven't got the physical strength to fight it and therefore sadly there is not always a good out come. We as carers
Other factors include separation from family, anxiety, sense of isolation and stigma. Glynn et al (1997) investigated the effects on the rate of infection of certain known risk factors such as age, underlying disease, and length of hospital and the use of invasive procedures. He found that it was in the use of invasive devices, which increased the infection rate from one HAI per 100 patient’s episodes to 7.2, and goes on to state “this is important for nurses because they manage invasive devices, such as urinary catheters, intravascular cannulae, epidural cannulae, nasogastric tubes, and peg tubes, which often identify the early signs of infection” (McCullach, 1998). The (NMC 2002) states “nurses have a duty to safeguard the wellbeing of patients and have a due regard for the environment of care” Code of professional conduct. Nurses must be sure that they do not contribute to infection risks and must take care to prevent infection whenever possible.
Application of Orem's Nursing Theory to the Orthopedic Patient Population The patient population that I currently work with is orthopedic patients. I have given care to orthopedic patients both in an acute care hospital setting and a rehabilitation hospital setting. Orthopedics defined is “a branch of healthcare that is concerned with the prevention and correction of disorders of the musculoskeletal system of the body.”(Mosby’s Medical, Nursing, & Allied Health Dictionary, 2002, p. 1236). A nurse’s primary concern is to promote and maintain a patient’s locomotion involving joints, muscles, skeletons, and surrounding tissues. Post-operatively, whether post-operative day 1 or day 10, orthopedic patients are very dependent on nurses and other healthcare professionals to meet and provide their daily needs.
Developing Communication Skills In Nursing Essay Nurses largely affect society in the health care system by helping, supporting and caring for an individual, a whole family or even an entire community. While in the medical surroundings, the nurse becomes the primary contact for the patient in care and spends a lot of time with them. Before approaching a nursing care situation a nurse needs to clear all judgments and respect every individual, as there are many different religions, morals and personal beliefs in the world today. Therefore nurses need to develop the ability of quality communication skills which helps to create great interpersonal relationship skills in nursing. Communication and interviewing are both skills needed to develop interpersonal relationships within the nursing environment.
Circulating nurses manage the care of the patient undergoing surgery, they assist anesthesia, monitors for breaks in sterility technique and assists with the needs of the surgeon. Scrub nurses work directly with the sterile field and the surgeon, the pass instruments and items needed for surgery. Perioperative nursing takes into account the metaparadigm of nursing, which consists of the persons, environment, health, and nursing. Person in perioperative nursing refers to be patient and the patient’s family. According to Neuman’s Systems Model, the person is composed of psychological, sociocultural, physiological, developmental and variables (Creasia & Friberg, 2011).
The safety of our patients is our number one priority when giving medical care. However, the core concept of theory help us guide our knowledge which adapt and applied to clinical setting. Theory is a fundamental factor of nursing practice, education, research and outcomes. Core concept that Is Common These theories develop by many theorist that serve as guide in nursing. The core concept of nursing is the diversity in healthcare settings dealt with the disparity between theorist of Florence Nothingale and Jean Watson.
The Provision of Culturally Safe Nursing Throughout this report the following topics will be discussed. Some of the personal factors affecting communication and nursing care including cultural, religious, ethnic and diversity amongst patients and nurses. In this section important factors in the health care system that could cause problems for patients and their families whilst receiving care from hospitals or other services will be discussed. In conclusion details of some of the implications that culturally safe nursing approach may have on the nursing practice will be covered. Other examples include what is acceptable behaviour for each patient.