Answer Key #1 The emergency room nurse is completing the admission assessment. Nancy is alert, but struggles to answer questions. When she attempts to talk, she slurs her speech and appears very frightened. What additional clinical manifestation does the nurse expect to find if her symptoms were caused by a stroke? A -- A carotid bruit #2 Due to Nancy's deteriorating condition she is referred to a neurologist.
Using a laminated card and by displaying the Whooley questions discreetly I have implemented them at each clinic I have undertaken since. It is essential that the HV is both confident and competent in the delivery of the questions and committed to exploring any concerning outcomes fully. It has been suggested that many new mothers will not disclose feelings of low mood due to the perceptions a health professional may have if she does. Edhborg (2005) suggested women who are depressed after giving birth often struggle with tremendous guilt over their depression and believe that it means they are a bad mother, this inhibits their likelihood to disclose feelings of low mood to a practitioner. I have seen mothers react after presentation of the Whooley questions, with a sheepish “No” on occasion.
On a day to day basis patients will discharged and with new patients maybe with different cultural backgrounds will be admitted in that patients place, as a RN, you must stay informed about everything around you, including the many different cultures. It is imperative that a RN stay culturally profound and educated for this will help the patients build trust and security with the RN while they are in the hospital and in the direct care of the medical staff. This is the best way to provide quality care for the culturally diverse patients, and it will show that the RN is willing to more than exceed the duties of a
Repeats Stella's name, could be as not to loose her trip on reality or loose her sanity, amongst her painful recollections from belle reve. Rhetorical questions come up, all in one big clump, she starts off by just exclaiming, with almost all words/sentences ending in a exclamation mark, however towards the end of the monologue, it's more questions 'which of them left us a fortune.' ' which of them left a cent of insurance even.' Could be showing towards the end that her sadness turns more into anger directed at Stella, this shows her as slightly indecisive, muddled, and also starts to see a more sinister side to her, as she brutally interrogates and judges her younger sister. 'You didnt dream but I saw' the mention of dreams relating to belle reve, (which ironically translates to
She is tachypneic and tachycardic. We know that she has a history of diabetes and hypertension for which she takes metformin and hydrochlorothiazide and has recently also started lisinopril. In the scenario, though Mrs. Baker is alert upon arrival, the RN is only able to ask a few questions before she becomes unconscious and has further difficulty breathing. A Reflection of My Analysis of the Patient The scenario presented is uncommon in some ways. Often in the real world situations like this, the patients presents exactly the same, however it is a rare treat to already know how they had been acting prior to collapsing and the exact medications they are taking.
The contribution of the whole team will improve the quality and continuity of the care and provide the best outcomes for the patient. Delegation and Teamwork It is obvious that Ms. W is concerned about Ms. R so the nursing supervisor should approach her with that in mind. She should speak to her privately and find out the reasons why she is not delegating some of the tasks to the team. There are many barriers to delegation such as thee person feels they can do the task themselves, inadequate training in delegation, and reluctance to depend on others. The nursing supervisor should explain the importance of delegation in improving workflow and influencing positive patient outcomes.
It also ensures any health and safety issues are recognised and reported. All carers attend hand over at the beginning of each shift and also complete communication books after attending an individual, thereby keeping other staff informed and aware of current situations within the workplace. Individuals communicate with carers to express their needs and preferences and to ensure they are met. As a carer I would discuss the options and choices available to the individual to allow them an informed choice regard their care. Explain how effective communication affects all aspects of the learners work.
Interview with Pangmee Rachel Jumps Jessica Alvarado San Diego City College Due: February 13, 2011 Interview with Pangmee Learning that your pregnant can be an exciting and nerve wracking experience. When I started the interview with my cousin, Pangmee, she warned me that she was going to be extremely graphic, so I could have every detail possible. I interviewed her in my home so we wouldnt be interupted, and also to be honest so I would be more comfortable. I was very nervous to be interviewing someone about something so personal. Once we began I was fascinated with the many emotions that come with being pregnant, both wonderful and unfavorable.
The nurse looking after him on the shift tried to make him as much as comfortable he could be. Mr. X was seen by the doctor fairly quick and he was given some medication which helped him a lot to ease the pain. According to NMC 2008 (b. ), the nurses has to work with the colleagues hand in hand as a team and keep the colleagues informed in order to promote and protect the health and well being of the individual in their care. Mr. X reports that the nurse looking after him was very empathetic, kind and attentive which made him feel like he was the only person who mattered.
I am a good listener and work hard to build rapport with patients, physicians, and my co-workers. I am very conscientious about patient teaching and ensuring that questions are answered. I explain to the patient and family what I am going to do, before I provide care, to help alleviate any anxiety or questions about the care I will be providing. Process improvement and commitment to quality: I routinely and consistently resolve quality issues using the standard processes and do so in a timely manner. I use printed guidelines