Nursing Sensitive Indicators Nurse sensitive indicators included in this case are Mr. J’s use of restraints, complications of pressure ulcers, and patient satisfaction. Had the nurse who was caring for Mr. J been aware about the risks of pressure ulcer development with the use of restraints, the beginning stage of a pressure ulcer could have been prevented. Better RN assessment of Mr. J’s restraints, repositioning Mr. J every two hours and a thorough skin assessment should be done at every shift. The NA should be instructed to notify RN if they see anything out of the ordinary with patients, such as the redness to the lower spine of Mr. J. The nursing staff assigned to Mr. J will need additional training about restraints as far as appropriate use of restraints and how to care for a patient who is restrained.
Because of increasingly shortened hospital stays the inpatient population may only be able to attain the basic knowledge level within this domain prior to discharge. “Knowledge is the ability to recall previously learned material, it refers to the simple remembrance of a fact, concept, theory or principle” (McDonald). In the case of a newly diagnosed diabetic the ultimate goal would be for the patient to become self-reliant with managing their blood sugars through diet and medication. The nurse’s role would be to first assess the patient’s level of understanding of the disease, identify their support system and include them in the teaching process, and develop a plan of education that would be most receptive to the patient. The first three steps in the nursing process having been used, that of evaluation, diagnosis, and planning, the last two areas, implementation and evaluation can then be incorporated.
Page 3 Quality patient care can be advanced throughout the hospital by providing nurses with data such as the number of incidence of pressure ulcers and ways to prevent this from occurring, by providing education on restraints and when and when not to use them and how to use them correctly. Examining data outcomes can improve the quality of care by exploring the improvements that have been made through implemented changes. All in all, good patient care is common sense. Listen to the patient when they talk, they will tell you everything that they know, it is up to you to fill in the blanks. Look on the internet after your admit and research a person’s culture, it can prevent problems and embarrassment later as well as keeping the patient comfortable and safe.
When a resident is observed to have a condition change, the nurse performs an assessment and makes a decision whether or not to notify the physician and the resident’s family or guardian. The most common symptoms that resulted in the transport of residents to a hospital emergency room were respiratory distress, altered mental status, gastrointestinal symptoms, and falls (Ackermann, Kemle, Vogel & Griffin, 1998). The changes in mental status could
A critical analysis of the dashboard reveals that the areas where enhanced performance was recorded are the courtesy of registered nurses, management and prevention of falls among patients, as well as a high number of patients, who are assessed for pressure ulcers within 24 hours. One of the areas where poor performance was recorded is the management of patients to prevent pressure ulcers. The first step in pressure ulcers prevention nursing plan is the identification of risk factors followed by identification of the body parts of patients that are at risk of developing pressure ulcers. Development of a risk assessment plan to assess the risk factors and the number of patients at risk of pressure ulcers is also a core component of the prevention plan. Finally, practical interventions need to be developed to address all cases pressure
In 1998 the NHS Executive claimed that pre-registration nursing programs are not equipping nurses with the knowledge and skills to deliver high quality care. However Fitness for Practice (UKCC 1998) states that the sequencing and balance between theory and practice should promote an integration of knowledge, attitudes and skills. This could suggest that nurses have the experience and so during my time as a student I should learn the skills of a handover like a trained nurse has. Reiley and Stengrevics (1989) believe that a written handover cannot only reduce report time but can also serve as a valuable catch up tool for part time staff and agency staff. Writing the report beforehand has also been proposed by Donaghue and Reiley (1981).
Treatment plan “Approximately 28%–58% of individuals with heart failure (HF) suffer from cognitive impairment, commonly identified as difficulty with concentration and/or memory” (Bauer, Johnson, & Pozehl, 2011 p. 577). Mr. P needs a treatment plan that he will be able to adhere, considering his cognitive decline. His wife should be included in his treatment plan and will have to become a leader from now on. When Mr. P admitted to the emergency department, nurses provide basic care in order to sustain life. Nurses should be recording vital signs, order appropriate laboratory work ups, put Mr. P on oxygen via cannula, put him on I&O, administer prescribed medications, and strict daily weights.
Nursing Documentation and Malpractice Law HCS/545 Health Law and Ethics May 31, 2010 Mary Nell Cummings Nursing Documentation and Malpractice Lawsuits Proper medical documentation can prevent liability issues and malpractice lawsuits. The focus on my paper will concentrate on nursing documentation and malpractice lawsuits. I presently work for a home health care agency. The entire staff throughout the company was recently informed of increased Medicare denials and possible lawsuits as results of inadequate documentations. A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation.
A Comparison of the Professional Roles of Nurses In this paper, the nurse’s unique role in providing inter-professional care, patient care quality and safety, cost effective healthcare, and care to diverse patient populations will be investigated. A Certified Registered Nurse Anesthetist (CRNA), J.W. and a Nurse Educator, M.,H., were interviewed, their roles as nurses were analyzed using provided protocol to discuss the difference between research and quality improvement, also how informatics affect the quality of patient care. The two specialties based on the individual interviews will be compared and a copy of both interviews will be incorporated into the paper. Lastly, a reflection of findings will be discussed as to how nurses could contribute the information from the two interviews into their own professional growth and development.
Introduction: Pain is one of the most common and distressing symptoms described by patients with life-limiting illnesses (Ferrell and Coyle, 2008). However, it is not purely a physical experience but involves various other components of human functioning, including personality, mood, behaviour, and social relations (Bruera and Portenoy, 2003). In an attempt to describe the all-encompassing nature of pain within a “wholeperson” framework, Dame Cicely Saunders coined the concept of “total pain” (Saunders, 1978). She suggested that pain has physical, psychological, social, emotional, and spiritual components that make up the “total pain” experience. Yet the contribution of each component will be specific to each individual and his or her situation.