A clinical placement experienced by the author was on a urology ward within a large teaching hospital where many patients attended for various investigations, elective surgery and emergency surgery into urological related disorders. Accordingly due to the nature of the work area a majority of the patients on the ward had to be catheterised and patients were often discharged home with long-term urethral catheters in situ. As part of the authors experience in developing knowledge and skills observations were under taken into urethral catheter care assessment. The theoretical framework used to guild the nurses in their assessment was that of Roper, Logan and Tierney’s 12 activities of daily living with one of these being that of sexuality. Sadler (1991) suggests that catheter care should be carefully planned and monitored and crisis management avoided.
Late one night he becomes extremely dyspneic, so his roommate takes him to the ED where he is admitted to the hospital with probable Pneumocystic jirovecii Pneumonia (formerly PCP). M.G. is placed on nasal oxygen, IV fluids, and IV trimethoprim/sulfamethoxadole. 1. What is Pneumocystic jirovecii Pneumonia?
Hospital Acquired Infection (HAI), or as it is sometimes referred to as Nosocomial infection; is an infection occurring in patients after admission to hospital that was neither present nor incubating at the time of admission. This student will discuss the role of the nurse in preventing hospital acquired infection while on clinical placement, define HAI, and look at the causes of HAI and how it is spread. This student will also show in order to minimise these risks, systems must in place, understood and implemented by all concerned. Plowman (1997) claimed that, 6,000 deaths per year are caused by HAI, with significant financial costs for the NHS and personal costs for patients’ families. Other factors include separation from family, anxiety, sense of isolation and stigma.
They can ensure smooth handoffs as the patient transitions through the continuum. They often prevent medication errors, reduce infection rates and facilitate patient transitions from hospital to home. (Howell, 2013) Nurses at every level take a leadership role through knowledge and caring. Demonstrating understanding of the person, health and environment helps to drive nursing practice and patient care. (AONE, 2010) Leadership is not just managing but facilitating.
Also, according to Robin Fields, (2010), the incidence of venous needle dislodgement is one of the most dreadful and yet most preventable problems encountered by patients receiving hemodialysis in the industrialized world. The author is a Clinical Manager of a 16-chair outpatient hemodialysis clinic. He has noted that on a three month review of QRR submitted report from January 2012 to December 2012; his clinic has reported an average of 3 needle infiltrations each month. These needle infiltrations predispose patients to venous needle dislodgement. The average age of the general population at the author’s clinic is 60 and above.
However, because thousands of new drugs have been developed recently, because the health care environment is increasingly complex, and because the patients are older and often sicker, there is increasing risk for medication errors in hospitals. They occur most frequently at the prescribing and administration stages. Medication errors occur in all health care systems; and often result in serious patient harm or deaths are the focus because this is an issue for most hospitals. Serious errors harm patients and expose health professionals to civil liability and sometimes-criminal prosecution (NHS Jan 2004, p.9). The statistics of medication error consistently increases in health care sector.
Infection- This is an invasion by and multiplication of pathogenic, micro-organisms in a bodily part or tissue which could cause harm. Infections can be spread with ease, poor practice is the main reason for spread of infection. Examples of poor practices are not washing your hands regularly, hand washing should be done thoroughly with soap and water for at least 20 seconds, followed by hand-drying with a paper towel. Another example of poor practice is not covering your mouth when you cough or sneeze. You should always get vaccinated and always use safe methods of cooking and preparing food.
Watson’s Theories of Human Caring NUR /403Theories and Models of Nursing Practice Priscilla Ricardo Introduction. Watson defined therapeutic nurse-patient relationship as, “ Nurse’s are expected to portray and act professionally, legally and ethically in order to established an effective nurse-client relationship. The significance of an effective nurse patient’s relationship is critical to maintenance, promotion and recovery of patients in every aspect of life. It is central to meeting the patients care needs and therefore communication between the nurse and patients is the foundation on which this relationship is built. The techniques to establish a warm and mutual nurse-client relationship are vital to understand and needless to say important in practice in order to come up with healthy and quality outcome for the patient as well as the nurse.
For women there are other causes like vaginal atrophy due to postmenopausal depletion of estrogen and not completely emptying the bladder providing the opportunity for bacteria growth and colonization. Because older women are more affected by UTIs than older men, we will carry out an assessment of Mrs. Ann Mary. Ann is an older widow aged 70 years old admitted in hospital for other different disease other than a UTI. During her stay in hospital, she has been complaining of having the
People trust and depend on nurses, and I will have the ability to win their trust and become their healer. My main focus will be caring for people, I agree with Nightingale’s theory of nursing; she focused on caring and helping people coping with their environment and situation (Potter, Perry, Stockert, & Hall, 2011, p. 44). Also, I highly agree with Peplau’s theory, this theory emphasizes the importance of patient and nurse interpersonal relationship and determines its importance for caring patient (Potter et al., 2011, p. 44). These two theory guides me to achieve my values and belief towards nursing which are altruism which is a act of selfless care and developing strong bond between my patient and me helps my patients become dependable and make me accountable and responsible towards them. My definition of nursing has not changed; it is basically caring for people and being able to connect