Acute Renal Failure NU270 Assignment 6.1 7/26/2012 Patients that are in acute renal failure have many obstacles that they are faced with. The nurse should follow evidence based interventions when caring for them. Electrolyte imbalance, blood loss, infection, and nutrition are just a few of the issues the nurse must be educated about. It is important for the nurse to impose every intervention available to reduce the risk of infection in the patient experiencing acute renal failure. “Make sure appropriate hand hygiene is used.
What changes can we make that will result in improvement? The team must be able to identify the changes that are most likely to lead to an improvement (“Institute for Healthcare Improvement,” n.d.). Once these questions have been answered, the team can begin implementing the second part of Deming’s model. Deming’s Model: Part Two Plan: The team needs to understand what the current problem is and what makes the current process insufficient. During this phase, the team will determine how much improvement is required, what change will be implemented, how the effects will be measured, and what or who will be affected by the change (“The Deming Cycle,” n.d.).
Dangerous Confrontation Investigation This assignment will identify and describe the procedure and how it occurs in my clinical practice. Following there will be a critical analysis that addresses the history of this procedure and how has it developed over time, what policy/protocols underpin the procedure and what evidence is available to support the use of the procedure in clinical practice. Also this assignment will address the purpose of the procedure in the delivery of psychiatric services, the role of the procedure has in my practice area, the implications of the procedure for the patient/consumer, the role it plays in patient-centered care delivery and the implications of the procedure for mental health nursing practice. This assignment will also suggest on dangerous confrontation that took place at my placement. It will portray how dangerous confrontation investigation is integrated in the care delivery of people experiencing with mental health issues specifically from a nursing viewpoint.
Not only is it important for healthcare providers to construct and implement a treatment plans, but also to involve patients in medical decision making about their treatment. To determine effectiveness, healthcare providers must assess how treatment of the illness effects the patient in addition to their own evaluation of treatment. The dictionary definitions of effective are (a) adequate to accomplish a purpose, producing the intended or expected result; (b) in operation or in force, functioning; (c) producing a deep or vivid impression; (d) prepared and available for service; and (e) a member of the armed forces fit for duty or active service (“Effective”, n.d. a). According to Stedman’s Medical Dictionary (2006), the medical definitions of effective are (a) the extent to which a treatment achieves its intended purpose; (b) A measure of the accuracy or success of a diagnostic or therapeutic technique when carried out in an average clinical environment. According to Wikipedia (n.d. b), the usage of effective includes (a) mathematics, can be used as a synonym of
The symptom is usually what brings the patient to seek out health care (Humphreys et al., 2008) and adherence to treatment by the patient is crucial. The nurse who provides a biopsychosocial view of the symptoms to help the patient better deal with their symptoms is imperative to this adherence. The Theory provides many target areas for research and furthers our knowledge of the development of symptom management. To provide a greater understanding
ANAESTHETICS Preoperative assessment 1. Aims • The preoperative evaluation consists of gathering information on the patient and formulating an anesthetic plan • The overall objective is reduction of perioperative morbidity and mortality • Ideally, the preoperative evaluation is done by the person who will administer the anesthesia. The anesthetist should review the surgical diagnosis, organ systems involved, and planned procedure • Through interview, physical exam and review of pertinent current and past medical records, the patient’s physical and mental status are determined • All recent medications are recorded and a thorough drug allergy history is taken • The patient should be questioned about the use of cigarettes, alcohol and illicit drugs • The patient’s prior anesthetic experience is of particular interest – specifically, if there has been a history of anesthetic complications, problems with intubation, delayed emergence, malignant hyperthermia, prolonged neuromuscular blockade, or postoperative nausea and vomiting • Informed consent is the communication of the anaesthetic plan, in terms the patient understands, and covers everything from premedication, preoperative procedures, and intraoperative management, through the recovery room and postoperative pain control • The alternatives, potential complications, and risks versus benefits are discussed, and the patient’s questions are answered • In summary, pre-operative care aims to ensure that patients: o Get the right surgery o Are happy and pain free o Are as fit as possible o Have individual decisions on type of anaesthesia/analgesia taking into account risks, benefits and wishes 2. Pre-operative History • Have the symptoms, signs or patient’s wishes changed? • Assess cardiovascular and respiratory systems, exercise tolerance, existing illnesses, drug therapy and allergies • Assess
INTRODUCTION On admission to a healthcare facility, a health assessment is a mandatory tool in assessing the patient’s health status. In general an assessment is broken down into two types of reviews, by conducting a health history which includes the collection of subjective data (information elicited by the patient or patients’ family members) and a physical examination of the patient which includes the gathering of evidence based data (Wilson & Giddens, 2009). Collecting and documenting accurate information is imperative in providing the allied health team this information to facilitate an efficient and well-formed care plan in addition to establishing a baseline for subsequent assessments (Springhouse, 2004; Wilson & Giddens, 2009). PATIENT INTERVIEW A health assessment should consist of establishing a patient profile and incorporate a full medical history (Harvey, 2004). The traditional approach includes collecting subject matter on “biographical data, present health concerns (or present illness) and the chief complaint, past history, family history, review of system and patient data” (Farrell & Dempsey, 2010, p. 74).
Safety after discharge 8. Support post discharge Complete the table below with the following information: • Formulate three nursing diagnoses using the Problem, Etiology, and Signs and Symptoms (PES) format and the taxonomy of NANDA. The diagnoses must be based on the case study, be appropriate, be prioritized, and be formatted correctly. • For each nursing diagnosis, state two desired outcomes using NOC criteria. Desired outcomes must be patient-centered and measurable within an identified timeframe.
The purpose of this assignment is to explore the patients lived experience of the altered health status prior to their admission to hospital, I will also discuss the role of the professional nurse in meeting some of the needs of the patient and examine the care give whilst hospitalised. An altered health status can interrupt the patient in numerous ways, and lives can be influenced in social, emotional, physical, spiritual, financial and other ways. It is crucial that a full and accurate assessment is carried out as soon after admission as possible to establish the patient’s previous routines, levels of independence, and health needs, both actual and potential, related to each activity of daily living (Roper et al 2000). It is necessary to consider all these factors to ensure that the patient receives holistic care and is not just treated from a medical point of view. For the purpose of this assignment I will refer to the patient as Mary who’s care I was involved with whilst on placement on a medical ward.
The development of reflective review offers the practitioners a useful way to take responsibility for his or her clinical effectiveness. Johns (1995) has stated that the methods for managing quality in care needed to be devolved to the point of delivery and that this is an essential aspect of everyday practice. Reflection is used as means of exploring approaches to clinical supervision, clinical effectiveness and clinical governance, as well as reflecting on the participant’s skills. This essay describes a reflective experience while demonstrating a skill to deliver a presentation on Postoperative Care of the patient on return to ward. I will also discuss in this paper the reflective account on the evidence base for the chosen area of practice; a critical discussion about the practice in the chosen area; a critical evaluation of the presentation, including strengths and areas that needs to be developed; and a model or framework of reflection to be used.