In his age, even changing his diet is big thing. With this in mind, nurses should find the correct approach to Mr.’s P care. Nurses should choose holistic approach for this patient’s care, which will include his wife and all the circumstances of their life. In this case, not only the physical condition should be treated, but psychological and cognitive as well. 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).
* Only prescribed medication can be administered by staff and written authorisation must be given by the parent/carer on a medicines form, which authorises staff to administer medicines. * All medicines must be logged in and out with their information, name and signature of staff administering the medication and kept in a box in the manager’s office or in a secure box in the fridge also in a area out of the reach of children. Setting Manager must also authorise any medication going in and out. * The staff administering the medication must be NVQ 3 Qualified and witness will hold a relevant childcare qualification. * A written record will be kept of all medication administered.
GNT 1 Task 2 The case manager has to work with an interdisciplinary team to address several issues before Mr. Trosack can be discharged. One important issue that has to be addressed is Mr. Trosack’s psychosocial status to ensure that he doesn’t become isolated, depressed, or lose his identity. The team would educate Mr. Trosack and his family on diabetes, hypertension, exercise, diet, and equipment that may be used. His home environment would need to be addressed. How safe is his current residence?
1. Discuss the nursing management of the postoperative patient who has undergone a total abdominal hysterectomy with bilateral salpingo-oophorectomy. * Determines patient’s immediate response to surgical intervention. * Monitor patient’s physiologic status. * Assess patient’s pain level and administers appropriate pain relief measures.
A patient would need to go through steps to prepare for the procedure. The first step would be to discuss with your doctor if you are taking daily medications and if so should you take the medication on the day of surgery, if you are allergic to any food or medications, if you are having bleeding problems or on blood thinner, such as aspirin or Coumadin, and if you are/might be pregnant or nursing. On the day of surgery you will need to have an empty bladder. Your doctor will have you sign a consent form and discuss the risks and how the procedure will be done and the results.
They are the families’ contact with the medical world, in the hospital and at the patients’ home. A nurse regularly evaluates patients and check vital signs to make sure everything is going as planned. Nurses perform procedures such as IV placement, phlebotomy and administering medications. (1988) Working hours for a nurse are different almost all the time because no one can predict when an emergency is going to happen. They must be available twelve hours a day, nights, weekend, and be able to handle any rotations or changes in their shifts.
REFLECTION For the purpose of this assignment I will provide a brief definition of what reflection means according to Johns (2009). I will then demonstrate my understanding of two different models of reflection by describing, Gibbs (1988) reflective cycle and John’s (1994) model of structured refection. I will then offer a critical analysis of the processes of reflection and how they can contribute to personal and professional development. Finally I will apply Gibbs (1988) model of reflective practice when discussing a comment I made to a patient whom I shall refer to as David a seventy two year old gentleman during a multi-disciplinary team meeting known as ward round. The placement setting where David resides is a forensic low secure hospital houses men who are detained under the Mental Health Act (1983) http://www.dh.gov.uk/.
Firstly, I am going to reflect on practice using Driscoll’s reflective model. The first stage is to describe what happened during my experience. While on my second placement, myself and a nurse had to bed bath patient A in a side room. The patient was in the side room due to having Clostridium Difficile (C-Diff) which was found after sending a loose stool sample. I had already gained consent from patient A for myself and the nurse to give a bed bath in accordance with the NMC code of conduct (NMC, 2008) and following this I went to collect the correct equipment to perform the task.
Work Based Learning Project NURB 275. The following piece of work adheres to the Nursing Midwifery Council (NMC) (2008) Code of Conduct, with either fictitious names being used or omitted to protect confidentiality. Abstract This report will discuss the implementation of a change related to a cardiovascular ward. The change comes in the form of an information leaflet to raise awareness to the patient and their family about the importance of maintaining a good well balanced nutritional intake and how this affects wound healing. There is evidence to suggest that giving clients written information helps to reduce anxiety and therefore improve healing, give empowerment and increase satisfaction (Little et al, 2004)).
I rarely call in sick. I am conscientious about supplies that are used, being careful not to contaminate or use more supplies than necessary. When patients are admitted to our unit, I start discharge planning and instructions as soon as possible in order to make the discharge from the unit as expedient as possible. Professional development: I am able to improve my personal performance at work by attending continuing education courses, attending hospital training classes and inservices, and maintaining nurse licensure that is always in good standing. I read professional nursing journals and visit nurse websites in my free time to keep up to date on new trends, treatments, and medications.