“Make sure appropriate hand hygiene is used. Meticulous infection prevention precautions are required to prevent infections, with particular attention to hand hygiene and standard precautions” (Ackley & Ladwig, 2011, pg. 492). The nurse should also teach the patient what the signs and symptoms of infection are. “Teach the patient and family the symptoms of infection that should be promptly reported to a primary medical caregiver” (Ackley & Ladwig, 2011, pg.
In this paper, I will discuss about patient teaching that I have done as a student nurse at Antelope Valley Hospital on the Medsurg Unit. Some of the teaching are how to promote a productive cough with deep coughing technique, how to use an incentive spirometer, explanation of Thoracentesis procedure, the importance of HbA1C in diabetic management and lastly, teaching of noninvasive technique to help with urinary retention and the use of straight catheterization. Patient teaching is one of the many important elements in nursing care. Nurses provide and teach basic health information pertaining to the patient’s condition and demonstrate important self-care techniques to the patient so that they can independently perform to take care of themselves. With this knowledge, the patient can self-promote their wellbeing.
The Health Belief Model (HBM) is a psychological model that is use in nursing to explain and predict health behaviors of patients diagnosed with chronic disease like MI. In educating the patient using this model, the nurse will focus on the attitudes and beliefs of the patient. The nurse will encourage the patient by educating to recognize and promptly response to signs and symptoms of any complication from the MI. In-depth education opportunities will be planned and evaluated. The overall goal is for the client to return to pre-hospital living condition in an improved state of wellness.
The student nurse will reflect on health promotion issues as this stood out to me in several areas, The student nurse discovered that although we can nurse a patient back to health it is so important to make the patient aware of how necessary it is for them to participate in their care by adhering to what is recommended to them by various members of the Multidisciplinary Team and the devastating consequences that the patient can encounter if advice is ignored. The student nurse will use the Gibbs (1988) reflective cycle, this encouraged thinking systematically about all phases of an activity. Gibbs (1988) is descriptive with regards to feelings, evaluation, analysis, conclusions and action plans, therefore ideal for this assignment. Although I experienced many different aspects of care regarding health promotions this assignment will concentrate mainly on a single event that will stay with me throughout my nursing career. According to Scottish Government (2010) Healthcare Quality Strategy for NHS Scotland, nurse’s carers and people at the heart of the healthcare and care delivery services should improve conditions in NHS Scotland and the care provided, on reading this strategy I understand a nurses responsibility, but the importance of patient participation in their own care is invaluable and the cooperation and communication with the Multidisciplinary Team is essential to complete patient care package to the highest standard.
The article by Steen (2007) is a Meta-analysis study focusing on perineal tears and episiotomy how they heal and the process involved. The findings were that most women experience pain due to perineal wounds, mothers should be asked about any concerns about the healing process of perineal wounds and most importantly, midwives should be trained to take care of these wounds and provide adequate pain relief. Developing a trusting relationship with a woman is also very important as this will promote good communication, opportunities to discuss perineal care, early detection of a delay in healing and possible infection. The article entitled, the need to avoid the routine use of episiotomy is a systematic review about the use of episiotomy. A series of randomized trials included 6 randomized controlled trials with 6600 women.
To improve knowledge about how to do the ideal nursing intervention for clients with Strangulated Hernia. To do the necessary nursing intervention in hospital for client with Strangulated Hernia. To observe and understand the behavior of client having Strangulated Hernia. To develop our nursing responsibilities. To give the proper care and build a genuine nurse-patient relationship conducive to good health Etiology * congenital weakening of the abdominal wall, * traumatic injury, * aging, * weakened abdominal muscles because of pregnancy, or * increased intra-abdominal pressure (due to heavy lifting, exertion, obesity, excessive coughing, or straining with defecation).
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
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.
Hospital-acquired infections are preventable and preventing them is straightforward: a code of cleanliness. Hands should be cleaned frequently with an anti-bacterial soap for at least 30 seconds. Gowns, masks and gloves should be worn frequently so that pathogens aren’t transmitted to the patient during treatment. Moreover, when moving a patient, the patient should wear a mask and should be moved only when necessary (Isolation Precaution Guidelines for Hospitals n.d.). People go to the hospital in order to get better from whatever ailment is troubling them.
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.