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The patient needs to understand his new medical condition in order to gain understanding of the disease process, signs and symptoms, complications, medication regimen, follow-up appointment as well as the benefits of physical activity, diet and weight control. By explaining what causes a myocardial infarction, sign and symptoms, complications using educational video, traced of the heart to demonstrate how it functions will help the patient. Modifying dietary choices, weight control and physical activity will promote better health. This process should be repeated until patient and family voice understanding. Patient and family involvement in plan and care is very vital.
Based on these two premise, communication in nursing focuses on attending, listening, intervening and exploring the contents of information while observing the feelings of the patient (Arnold and Boggs, 2009, pp37-38). This piece of work will evaluate different aspects of my own learning; focusing on the importance of good communication and its influence in clinical practice. Throughout the essay, the significance of different communication skills will be explored. The essay will also evaluate different aspects of personal and professional values and their relevance in clinical practice. References will be made to some health related legislations such as; The Nursing and Midwifery Council (NMC) code of conduct, Care Quality Commission (CQC), Francis Report, Department of Health (DoH), The National Health Service (NHS) constitution and the fundamental values of care (Six C’s).
Aging Process Summary During this resident assessment at Oakwood Commons I interview 70 yr. old, white, female with a history osteoporosis, aneurysm, anemia, kidney disease, kidney transplant, type II Diabetes, blindness, hypertension, chronic fatigue and history of falls. I introduce myself and explained that I would be asking a few question to learn more about the aging process. I informed the resident she had the choice of whether she wanted to answer a question or not. The resident was open and cooperative in answer the following question on how she perceived her physical and mental health and the aging process. I thanked the Resident for this opportunity.
This essay focuses on a clinical case scenario of Karen, initially admitted to hospital with complications of Rheumatoid Arthritis (RA). After Karen’s discharge under a specified medication regime, Karen then presented a second time to hospital with a fractured left neck of femur due to a fall. The pathophysiology and relative risk factors behind her comorbidity of RA are identified and the management strategies for RA are discussed. The diagnostic tests of RA are investigated and the relevance of their finding analysed. The information obtained in these diagnostic tests would indicate whether Karen is experiencing severe pain due to post surgery or RA.
Occupation: Widowed, Mother Advanced Directives: No Code, DNR Medical History Reason for Hospitalization: 89 year old female patient was originally admitted long term to M.P.T.F. for pneumonia and the following: Primary Diagnosis: 1. Continue treatment for Dementia 2. Continue treatment for Depressive Disorder 3. Continue aftercare for healing of traumatic hip fracture Health History Past and Current: The patient was admitted with pneumonia and remains on palliative care.
Reflective statement covering 9/10/12 Using Gibbs reflective cycle (http://en.wikipedia.org/wiki/Reflective_practice#Gibbs_1988) I chose to reflect on a recent incident I attended as part of a DCA crew involving a 96 year old female patient with dementia and her husband who is her elderly carer . The patient has dementia and her husband stated the initial reason he called us was that he could no longer cope. This call came down as a 999 emergency. By using this method of reflection I wanted to be able to deliberate, learn and reflect. I wanted to be able to show how (person centred values must influence all aspects of my work ( Unit 12.1.1) Upon arriving at the address we undertook a dynamic risk assessment to ensure staff safety in accordance with YAS policy and procedures and staff training .
Malnutrition eventually affects other systems of the body. It can lead to things such as diarrhea, anemia, fatigue, disorientation, anxiety, irritability, tremors, amenorrhea, decreased immune system, and even slowed growth. Discussion Patients with malnutrition need education and possibly the intervention of a social worker. It is important for a nurse to be able to identify such a patient and to begin talking to them about their life style. As a nurse we need to ensure that patient’s nutritional needs are met and that they understand how to provide adequate nutrition to themselves and family.
INSTITUTE: COLLEGE: COURSE: NURSING) UNIT: SYDNEY ST GEORGE DIPLOMA IN NURSING (ENROLLED/ DIVISION 2 HLTEN515B – IMPLEMENT AND MONITOR NURSING CARE FOR OLDER CLIENTS 1 Written Assignment 1. Write brief notes on the current legal and ethical issues in aged care. Guardianship Advanced Health Directives Power of Attorney (Total = 25 marks, 5 marks Elder abuse ACAT • • • each) • • 2. Describe strategies that would assist the older person to maintain their physical, psychological and social wellbeing. Include in your answer reference to at least two (2) evidence based research articles for each of the aforementioned areas.
A prime example to show depression is described in the book, Helping your Depressed Teenager. Leeta sat slumped in her chair. Disheveled and distracted, she answered questions in a vague and unconfused manner. Only 13 years old, this was her second extended psychiatric hospitalization for depression, suicidal thoughts, and destructive gestures. She was first admitted to the hospital after she slit her wrists with a knife; this is the time she had become despondent, irritable, and out of control at home.