All staff should be aware of the care plan and have easy access to it if needed. You must followed the care plan and monitor and report any changes. care plan is a living document 2. Record and Report You must keep a record of an individuals continence needs. *Bowel Charts Urgency , did the person rush to the toilet Straining, did they have difficultly with opening there bowels Consistency of stool with the use of a “Bristol stool chart” Other info such as pain or bleeding *Intake and output chart Times Pad changes Wet clothing and bedding Change of behaviour You may also have to go into detail of any support given in there care plan to help with future
Within the studies researched there were possibly skewed results due to a small number of participants, some of the studies had a short duration, and dosing protocols were different. But the studies did discover that patients showed improved hemoglobins with short intervals of receiving vitamin C post dialysis treatment and also showed that the need for large doses of Epogen changed with addition of vitamin c to their regimen. Nephrology nurses can use this knowledge when monitoring lab values, as they may see increased Hgb levels when Vitamin C is introduced and will need to adjust the patients epogen doses. Lastly nurses need to be apprised to side effects related to vitamin C use and monitor and assess their patients for signs of hyperoxalemia such as noted crystals in the tissue of the body, cardiovascular changes and symptoms and vascular changes. Summary In summary, this research found that there was some benefit of using Vitamin C for improving hemoglobins in patients with ESRD receiving hemodialysis.
Case Study 1: Patient Admission Concepts related to HLTEN512B Topic 1 Q1. Based on Mrs Jones’ admission history, what is her likely presenting diagnosis? Discuss how Mrs Jones’ signs and symptoms support your decision. It would be likely that the diagnosis that Mrs Jones’ will be given, is that she is suffering from a Urinary tract infection (UTI). She has presented to the ward with the following symptoms, which are an indication of a UTI; she is feeling very unwell, with a high temperature, frequency of urination and burning when urinating.
If this fails, a pancrelipase and sodium bicarbonate solution may be instilled in order to "digest" the clog. Metabolic complications: Metabolic complications of enteral nutrition are similar to those that occur during PN, although the incidence and severity may be less. Careful monitoring can minimize or prevent metabolic complications. Refeeding syndrome: Refeeding of severely malnourished patients may result in "refeeding syndrome" in which there are acute decreases in circulating levels of potassium, magnesium, and phosphate. The sequel of refeeding syndrome adversely affect nearly every organ system and include cardiac dysrhythmias, heart failure, acute respiratory failure, coma, paralysis, nephropathy, and liver dysfunction.
Examples of accidents and/or illnesses What is it and what to do when it happens? Situation | How it can happen? | What to do? | Slip (accident) | Liquids, spillage on the floor or after bath or shower | If you are cleaning an area make sure that you are using signs to warn people about the danger. Place appropriate mats in the bathroom as well as inside/outside the tub bath.
Keeping it simple and explain it in laments terms so they both would understand the seriousness of the disease, what life style changes they may need to do, and also the health risks that can developed from not treating their disease. Information on Hypertension, Feedback & Systems Involved Hypertension or high blood pressure is cardio vascular disorder that affects the Heart, and vascular system. Renal function ability to stabilize sodium and water balances in the body. And is influenced by Life style factors, such as Physical inactivity, high Sodium and fat diets, alcohol and drug use, as well as many physiological factors such and gender, age, ethnical background to name a few. Hypertension is a chronic medical condition in which the blood pressure in the arteries is higher than it should be.
Failure to do so results in their immune system producing antibodies which attacks the lining of their bowel causing them to have abdominal pains, constipation/diarrhoea, bloating, difficulty in gaining weight in childhood or maintaining weight in adulthood and anaemia. Because it affects the way their body can absorb nutrients it can also lead to osteoporosis and increase their risk of bowel cancer. Some foods can be bought that are labelled ‘gluten free’ but tend to be more expensive. • Irritable Bowel Syndrome (IBS) is the term used to describe a condition when on inspection of the bowel everything seems normal, but the person suffers with symptoms like abdominal pain, flatulence, bloating and constipation/diarrhoea. The person may want to keep a food diary to help discover which foods make their condition worse and avoid them in the future.
ICP catheter- to decrease ICP Vitamin therapy/ Nutritional referral- because of her BMI and nutritional status r/t her pathologies. PPI- Esophageal varices are likely with cirrhosis and it is necessary to decrease stomach acid to prevent rupture of varices. IV fluids- Because of the ascites it is necessary to replace the fluid into the vascular space. Inotropics such as Dopamine- They will improve the BP and Cardiac
The symptoms of a urinary tract infection include cloudy or bloody urine, which may have a foul or strong odor, fever, pain or burning with urination, pressure or cramping in the lower abdomen (usually middle) or back, and strong need to urinate often, even right after the bladder has been emptied. Symptoms of dehydration can sometimes be confused with dementia in older people, monitoring fluid intake on charts for elderly people with dementia can help to ensure sufficient hydration and avoid the risk of dehydration. Older people are especially prone to dehydration because of age related changes in how water is used in the body. Elderly people with dementia may be at more risk of dehydration due to swallowing difficulties. Water is the best option for hydration, but any fluids count towards the daily requirement.
When you swallow, food and water are going into your lungs, which is making you sick. You have developed pneumonia from the infection. We can treat the pneumonia, but we need to put you on a ventilator and a feeding tube. We’d sedate you so that it wasn’t uncomfortable.” Ed stared up at Dr. Goldstein, blinking several times. His right eye drifted off to look into the corner of the room, but his other eye was focused on Dr. Goldstein.