Emma has a 4 year old daughter and she is a single mum. She took a year’s break from her studies following the birth of her child. The two main issues that may affect Emma’s learning are; time management impacted by being a single mother and lack of experience in a forensic setting. When Emma commenced on the ward, we had our initial meeting within her first week and we identified her learning needs and issues that may affect her learning. Strategies for supporting her learning were also identified (see learning contract).
Psychosocial Assignment Betty is a 76yr old widow of five years, who lives in a detached house. Until a recent fall, she enjoyed socialising with her friends and was an active member of the Women’s Institute. As a result of the fall, Betty sustained extensive bruising but no fractures. Since the incident she has become afraid of falling again and now remains indoors, sleeping downstairs in an armchair. Her son William visits often, bringing her shopping, although he is finding this very difficult due to her repetitive conversations.
Shehas been able to go out and get her shopping from the nearby shops and is otherwiseself-caring, clean and tidy. According to the referral letterfrom her General Practitioner, who arranged this admission to hospital, anumber of people had recently commented that she looked ill and was not caringfor herself as well as she used to do. Her family live a considerable distanceaway from her and, although they see her about once or twice a month, they donot stay for long as they have a business to run. When she was admitted she was foundto be lucid and coherent but her family told us that she had had a number ofepisodes of confusion recently. She was occasionally very sleepy and had leftthe gas burning on one occasion.
Application of Communication Theory to Nursing Introduction This is assignment on the application of communication theory to nursing with be based on a reflective account of a patient who I helped care for on a number of occasions during my community nursing placement. For confidentiality I will call the patient by a different name, in this case he will be called John White he lives at home with his wife is in his late fifties and is diagnosed with end stage multiple sclerosis (MS). He has a daughter who works in Bristol studying MS and she comes back to stay at the house every weekend. Multiple sclerosis is a ‘chronic progressive nervous disorder involving loss of myelin sheath around certain nerve fibres’. http://uk.ask.com/reference/dictionary/wordnetuk/110881/multiple%20sclerosis John entered into the end stages of MS near the end of 2007 and the turning point for this was when he was no longer able to swallow.
Mack Ervin, Jr. Prof. Marcia McCormick Biopsychology Tues 7-10pm 11/30/11 Patient Assessment A 39 year old female patient presented in the doctor’s office with the following symptoms: Headaches, insomnia, rapid thoughts, dizziness, and a lack of motivation. The patient initially said her symptoms began approximately 2 months ago and have been fairly persistent. While she is in some discomfort, she does not appear to be in immediate danger: All of the patients’ vital signs were within normal range. In an attempt to make a preliminary diagnosis I began to ask questions about her condition. I wanted to address each of her symptoms and try to find causation.
Recognizing at restraint use is a nursing specific indicator can help the staff in this situation develop an appropriate care plan. Having a set care plan makes it possible to easily identify when care is beginning to deviate from the care plan, resulting in lower quality patient care as well as risking patient safety. Quality indicators should be used to standardize all care for patients in restraints, making it less likely for the staff in this situation to experience issues. Another important indicator that can be used in this scenario is the prevention and management of pressure ulcers (Montalvo 2007). Nurses play an important role in the prevention of pressure ulcers.
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.
Mrs A is one of the ladies I met on our first visit to the GP placement; she was an outspoken 40 year old lady who had come to see the doctor on that particular day as she was having pain when swallowing. Her records showed that she had been to the surgery to see our doctor’s colleague during the past week. Mrs A was also had asthma and diabetes. I wondered to myself before I met her why she would be back so soon as I assumed that she might not have finished the medication she had been given on the last visit. What surprised me most with Mrs A was her use of informal language that other people might find offensive and I particularly noted that the doctor answered appropriately as though there was nothing different about her use of language.
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
These dilemmas can be of great or minor magnitude, with a varying degree of moral, legal and ethical consequences. Treating adults in an intensive care unit, nurses may be confronted with ethical considerations that require immediate attention, as the intensive or critical care units include emergent and life threatening conditions. The following paper examines the issue of ethics in the nursing profession, specifically focusing on critical care units, by analysing a case study in which the patient and the nurse were faced with ethical dilemmas. In adherence with the Nursing and Midwifery Council’s guidance regarding maintaining confidentiality and anonymity in academic work (NMC, 2010), the details of the case were altered in order to maintain discretion. Literature Review and Case Study Ethics Commons and Baldwin (1997) make a distinction between values and ethics.