According to Meleis (2007) knowing includes knowledge based on observation, research findings (evidenced based), clinical manifestations and scientific approach. As a stroke nurse empirical knowing it’s very important in taking care of stroke patients. I determine patient’s neurological status by performing neuro checks frequently every 1-2 hrs as the patient’s condition might deteriorate the first 24hrs and perform swallow test to determine if the patient can swallow medications. Patient’s plan of care is based on assessment findings(vital signs, Glasgow coma score).If a patient is confused and very weak fall precaution is observed by activating the bed alarms, request for a PT/OT consult, if the patient does not pass the swallow test, a speech therapist is consulted. Sometimes patient’s neurological deficits get resolved after a few hours or days and that calls for change of treatment plan.
I learned how important it is to assess patients’ pain thoroughly and to identify the site and pain intensity. My patient was previously medicated for abdominal pain with a narcotic because her pain was assumed to be related to the C-section but when the pain lingered; I did an in-depth assessment of the patient’s pain and determined that she was having gas pain and was constipated. The patient was treated with Simethicone and was given a suppository. If this situation arose again, I would be better at assessing the patient’s pain to know the exact site and the intensity. 6.
GENERIC CLINICAL PREP SHEET-Level II STUDENT NAME: Stephanie Hatley_________ GENERIC PROBLEM: Alteration in Comfort__________ DATE: January 24, 2011 |Assessment Findings|Client Problem |Foundation Nursing Interventions |Data to Report To HCP | | | |(Include delegation, teaching, and referrals) | | | | |I. Assess/Monitor: |-increase in pain level | |This column will be| |a) pain history: onset, location, intensity, quality, patterns, and expression of pain (to ensure effective |-medication ineffectiveness | |left blank on the |Alteration in Comfort |communication among team members and appropriate care planning and implementation ) |-abnormal vitals | |generic care plan. |Pain interventions; |b) OTC meds currently taking (to monitor analgesics use to avoid serious problems r/t drug interactions, | | | | |side effects, and overdose) | | | | |*c) determine location |
It can be argued that the patient’s narrative assists the physician and other healthcare staff which include nurses to understand the nature of the condition, treatment or process. This assignment will look at the psychological factors that influence a person’s perception and behaviour towards their health and illness. It will focus on a patient who has Diabetes and is non compliant with her treatment. In complying with the NMC’s code of conduct (2008) on confidentiality, the patient will be called Jane. In order to explore the theories behind Joe’s action, the health locus of control, learned helpless with issues relation to depression has been incorporated.
The following essay will discuss a clinical incident which may have had the potential to cause harm to a patient whilst being nursed post operatively. The focus will be to critically discuss drug errors, why they occur and consider the rationale behind intravenous (IV) fluid therapy, outlining the possible negative effects of fluid overload on a patient whilst considering the nurses role in respect of legal and professional issues surrounding the incident. To protect identities and comply with the Nursing and Midwifery Council (NMC) Code of Conduct (2008) all names will be changed. The model chosen for this reflection is the Gibbs (1988) Reflective Cycle which encompasses 6 stages of description, thoughts and feelings, evaluation, analysis, conclusion and action plan which will continuously improve my nursing skills by learning experiences and develop my self confidence when caring for others (Siviter 2008). Description The critical incident took place on a surgical ward whilst I was on placement.
For the Technical Communications Rhetorical Analysis assignment, I have reviewed two instructional documents. The first document is an instructional document for patientsreceiving steroid pulse therapy for the treatment of autoimmune diseases and the effect of instruction on patient knowledge by Yu-Chu Pai who works for BioMed Central Ltd. The second document is also a letter about blood transfusion errors by American Society of Registered Nurses. The purpose of this memo is to outline the similarities and differences that I have discovered during my rhetorical analysis of these two pieces. I will provide an audience analysis and a situational analysis, along with a discussion of the conventions and appeals of the two project proposal documents.Audience
Introduction Background - The history of communication, what is communication, which definition(s) I am I going to accept in this essay and why are they important to nursing. - What are the fundamental principles of communication in nursing. - What am I accepting as the nurse’s role in communicating with patients. - Team work: The dynamics partnership between service provider and patient and contribution of inter professional and interagency team working in achieving affective seamless care. - Barriers to effective team working In this essay I will be using the Gribbs reflective cycle (Reid, 1994: see appendix 1) to structure my reflection on a clinical incident that occurred during placement.
The author’s position on this was she being manipulated by the patient, how she felt, and her feelings as she was in the nursing profession during this time. 2) McCaffery, M, & Passero, C. (2000). Pain Control: The Merits of Methadone. The American Journal of Nursing, Vol.100, No. 7, 22-23 McCaffery and Passero’s article discusses the benefits of how Methadone can manage chronic pain.
CLINICAL REASONING: DECISION MAKING IN PHYSICALTHERAPY PRACTICE. Background and Purpose: This study was designed to describe the clinical reasoning process behind the diagnosis and management process employed by a physiotherapist working in musculoskeletal out patients department. The therapist was video taped while he was describing about a patient who suffered from lumbar spondylosis, which he came across during his musculoskeletal rotations. In the findings and analysis of this study the therapist was trying to reflect on his practice describing the thoughts and consideration on the condition which he had diagnosed as lumbar spondylosis. The model of hypothetico deductive reasoning proposed by Elstein et al., (1978) served as the main frame work for the analysis.
The aim of this assignment is to evaluate the care of a patient with abdominal pain at a primary care facility where the author practices. It seeks to demonstrate and critically analyse the author’s knowledge, understanding and application of current evidence base treatment. The care provided was in accordance with accepted current research of acute abdominal pain. The author will critically analyse the care given to a 27 year old refugee prisoner, who was admitted to the medical centre with a history of abdominal pain over the past 24 hours. The focus of this assignment will be placed on the authors’ assessment by eliciting information of the patient’s presenting condition.