(2011), describes Ventilator-associated-pneumonia as the pneumonia that develops within 48 hours or longer after mechanical ventilation by either endotracheal tube or by tracheostomy. The early diagnosis of VAP for timely intervention is a major problem and the implementation of this project is aimed at improving the situation. According to Rea-Neto et al. (2008), VAP is a common disease in the intensive care unit (ICU) of many hospitals affecting 8% to 20% of ICU patients and up to 27% of mechanically ventilated patients. According to a study conducted by Fàbregas et al.
“Hospital-acquired infection” (HAI) is a serious and prevalent issue in today’s healthcare field. The Princeton-Plainsboro Teaching Hospital finds this issue to be grave and is doing all that they can to eradicate HAI for good. Hospital-acquired infections are infections that come about during the course of the hospitalization and treatment, but were not present when the patient was admitted to the hospital. According to the CDC, hospital-acquired infections show up “48 to 72 hours after admission or 10 days after discharge” (Collins, n.d.). The reason for this window of time for the infection to develop is because hospitals try to have the duration of hospital stays decreased.
Infections are caused by an invasion of unwanted organisms that attack ones body. With that being said, pneumonia is an acute infection of the lung parenchyma (Anatomical Chart Company, 2010, p. 100). Pneumonia, like any other infection, has a pathophysiology that describes how the infection affects the body. It also has different causes, several signs and symptoms, a variety of different treatments, and even a long list of possible complications. Pneumonia is always handled with delicate attention, but for individuals who have normal, healthy lungs and a strong immune system the final outcome is almost always a good one.
But for the patient who becomes critically ill during surgery, being in a facility with an ICU and extensive resources for the very sick patient can make a tremendous difference in the outcome. Here are some of the risk factor that included with cosmetic surgeries: * Poor Cosmetic Outcome: This may be the greatest fear of a plastic surgery patient: a result that not only fails to improve appearance, but actually makes one's appearance worse than before the surgery. * Scarring: One of the greatest risks to achieving an attractive outcome, scarring is not always predictable, but can be controlled in most cases. (Lickstein, 2013) Patients can decrease the risk of scarring by not smoking and following
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.
To improve knowledge about how to do the ideal nursing intervention for clients with Strangulated Hernia. To do the necessary nursing intervention in hospital for client with Strangulated Hernia. To observe and understand the behavior of client having Strangulated Hernia. To develop our nursing responsibilities. To give the proper care and build a genuine nurse-patient relationship conducive to good health Etiology * congenital weakening of the abdominal wall, * traumatic injury, * aging, * weakened abdominal muscles because of pregnancy, or * increased intra-abdominal pressure (due to heavy lifting, exertion, obesity, excessive coughing, or straining with defecation).
Misuse of Respiratory Inhalers 1 Running head: MISUSE OF RESPIRATORY INHALERS Misuse of Respiratory Inhalers and Patient Education Doris Day Oates University of Maryland University College Misuse of Respiratory Inhalers 2 Misuse of Respiratory Inhalers and Patient Education Patient with asthma or chronic obstructive pulmonary disease (COPD) face a multitude of challenges. One of those challenges is the responsibility of the health care professionals to provide and teach proper inhaler techniques to their patients. Studies have shown patient education plays an important role in patient achieving self management of their chronic disease for effective treatment and best possible health (Batterink, Dahri, Aulah & Rempel ,2010; Kiser, Jonas, Warner, Scanlon, Shilliday, & Dewalt, 2011; Press, Arora, Shah, Lewis, Charbeneau, Naureckas & Krishnan, 2012). In the current paper the misuse of respiratory inhalers and intervention of imparting knowledge and instructions of techniques is investigated. Regarding respiratory inhalers, it shows that half of the people with chronic obstructive pulmonary disease misuse their inhaler device which results in insufficient amounts of drug reaching the lungs.
Although the infant is finally discharged in good condition, the mistake is a hard lesson for all healthcare workers. Let’s take a closer look at how the error had happened. Phytonadione, an antidote of Coumadin, is frequently used in the prevention of blood thinning in the newborn. The common brand name in the United States includes AquaMephyton and Mephyton. According to Schull’s drug handbook (2006), Phytonadione acts on the liver to promote the production of active prothrombin, proconvertin, plasma thromboplastin component, and Stuart factor.
This conflict takes the form of disempowering the patient and perhaps even a certain loss of dignity in being wheeled when one is capable of walking. However, after having read an article about preventing patient falls in hospitals in the BMJ (Tingle, 2007), I can understand why the expense and impact would make safety a priority. Even more so when you consider the effect of benzodiazepines, age and cognitive function on the ability of individuals to walk (Jensen et al.,
Outline the possible causes of asthma and its effects on the gas exchange system Physician Hippocrates first mentioned the word Asthma over 3000 years ago. Translated from the Greek it stands for ‘difficult breathing’. In the medicine asthma is a disease of the respiratory tracts, which occurs nowadays more frequently in developed countries than it did in past years. This arises perhaps because our immune system is no longer used to get much contact to/with the nature (so to pollen, dust or pet fur for example) and results in hypersensitivity (to some triggers.) While asthma mostly consists of unexpected and abrupt attacks, it is still regarded as/to be a chronic conditions, which can rapidly lead to a decrease in lung function.