In this essay I will walk through a clinical assessment of a geriatric patient that has presented to the ED with MODS. I will make special consideration to address pain, electrolyte imbalance, homeostasis and oxygenation. Assessment of a Geriatric Patient with MODS Upon transfer of Mrs. Baker to the emergency room the initial report from the transport personnel will be received and the initial ED assessment starts. This is concurrent, while receiving the report we are able to look at the patient’s general appearance. We are able to determine form the report that her general complaints are an episode of confusion prior to collapsing in the back yard, respiratory distress and tachycardia.
Juan Cucul Nursing concepts lab test 1 1. Explain 3 differences between medical and surgical asepsis. Medical asepsis *procedures used to reduce the number of organism present *prevent the transfer of organisms *Clean technique Surgical asepsis *sterile technique *prevent contamination of an open wound *serves to isolate the operative area from the unsterile environment 2. Differentiate between nosocomial infection, iatrogenic infection and an HCIA. Nosocomial infection * Infection that is acquired during the time of stay at a hospital.
The physician orders a PPD, CBC and lymphocyte studies. He schedules a return visit to discuss his test results. Over the next few days M.G. develops a fever of 101 F, nonproductive cough and increasing dyspnea. 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).
An infection developing 48 hours after a patient has been admitted into hospital will generally be referred to as a hospital acquired infection. There are a number of hospital acquired infections that can affect patients during their stay in hospital and are generally due to microorganisms. Microorganisms may already exist within a patient’s flora; these are referred to as endogenous infections. A common endogenous infection is a UTI (Urinary Tract Infection) which would occur when a catheter is inserted through the urethra to the bladder to empty the bladder. Even though catheters used in hospitals today are packed and sterile this type of infection may be unavoidable on most occasions as microorganisms in or just outside the urethra may enter the bladder via the catheter causing a UTI.
Examples are; when discarding urine into the toilet after calculating in/outs, during oral care, or when dealing with open wounds or dressing changes. As I looked at the open boxes of small, medium, and large gloves I thought to myself “can’t anyone come and reach in a box and potentially spread any bacteria, fungi, or viruses from their hands to the inside and inner edges of the box.” Gloves are theoretically supposed to protect from spreading infectious agents between patients and healthcare professionals. So, what if a nurse actually exposed more infectious agents to a patient with one of the most common items used to prevent the spread of infectious agents. How ironic, I thought. Looking online, I seeked articles specifically on microorganisms that can be found on the non-sterile unused gloves.
ASM 34: Administer medication to individuals and monitor the effect 1.1 The pieces of legislation in place that manage the administration of medication to people are: The Medicines Act (1968) The Misuse of Drugs Act (1971) The Misuse of Drugs and the Misuse of Drugs (safe Custody)(Amendment) Regulations 2007 The Safer Management of Controlled Drugs Regulations (2006) The acts relating to my work place are: The Health and Safety at Work Act (1974) The Control of Substances Hazardous to Health (COSHH) Regulations (1999) The Hazardous Waste Regulations (2005) The Health and Social Care Act 2008 (regulated activities) Regulations 2009 The Mental Capacity Act 2005 (Deprivation of Liberty Safeguards) My work place medication procedure states: All staff who administer medication must of completed training which meets the requirements of CQC (Care Quality Commission) Medication must not be given to service users that hasn't been prescribed to them. Medication must be dispensed from the original container or a correctly labelled and approved dispenser e.g. : blister pack or Nomad system. Prior to administering medication should be carefully checked to ensure it was prescribed for that service user. Examine the MARS sheet checking for name, dosage, recent changes, instructions and that the medication hasn't already been given.
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.
Flu Vaccine for the Geriatric Population: Health Education Cora L. Sweeney Oakland University The objective of this Health Education Deliverable is to assess and observe a clinical setting in which geriatric residents who reside in congregated living who are ages 65 yrs. and older, attend a flu clinic. Flu clinics for this particular population are being held in both assisted living and memory care facilities. Residents of these communities are looking not only to seek administration of the flu shot, but also to attain information about this season’s strain of the flu as well as this year’s flu vaccine. Residents come to the flu clinic of their own free will or are assisted by caregivers.
1. A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient? A) Complete a full physical examination to determine the systemic effect of the respiratory distress. B) Obtain a comprehensive health history to determine the extent of any prior respiratory problems.
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.