They will also need to monitor for any side effects or adverse reactions to his medications and report them to his physician as needed. Family members will need to ensure Mr. Trosack has adequate supplies for dressing changes and blood glucose monitoring. Mr. Trosack will need transportation from the hospital and to follow up appointments and physical therapy. The family will need to evaluate whether or not the safety issues discussed above have been resolved and may need to collaborate with the occupational therapist to ensure Mr. Trosack can safely move around in his apartment. They will need to provide groceries and take out the trash daily as Mr. Trosack is unable to do so.
The assessment of needs forms the background or starting point for further assessments against which improvements are compared. The assessment of needs is therefore the starting point for any decisions on care strategies. Assessment of needs in Asthma Physical: when my individual’s situation had worsened due to severe asthma attacks, her parents took her to the hospital. The doctor gave her a mobilizer which helps oxygen to pass through her blood in order to relax her. To prevent future attacks and to control them the doctor taught my individual’s parents how to do first aid such as helping the person to sit upright and loosening tight clothes and ensuring that the medication is taken during an asthma attack because it helps the service user to breathe better.
Homeostasis and Pain Management in the Patient with Multisystem Failure Assessment of Patient Immediately following the patient’s unresponsiveness, the nurse should check all vital signs. Airway and breathing would be a priority. This would include checking her respiratory rate, depth of respirations, and oxygen saturation level. Her confusion could have started from a decrease in oxygen supply, and if it were worsening, it would cause the unresponsiveness. Auscultating her lungs with a stethoscope for rales, rhonchi, or wheezing would give insight on a cause of heart failure and/or obstructive lung disease.
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.
Establishing an open communication will help to improve nurse-patient relationship. Be sure not to use any medical terminologies that the patient and family may not understand. The main focus of the patient’s education should include the importance of taking prescribed medications on time and the diet restrictions. Mr. P. should be instructed to take his medications on time even if he feels better. Using a weekly pill box will help to avoid confusion.
With the influx of different cultures, it is important for staff to be aware of religious practices of each culture. Upon admission the admit nurse should have gathered information about Mr. J’s diet and contacted the in-house Dietitian, who would have known by his religious background, what foods to avoid. Then the kitchen supervisor could have been notified of the diet order for this particular patient therefore preventing the patient, his daughter and the doctor from becoming angry. And, never should a nurse cover up a mistake by making a joke about the incident. 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.
NRSG259: PROMOTING HEALTH IN EXTENDED CARE Assignment 2 Holistic nursing care is the cornerstone of the promotion of health, improving quality of life and ensuring optimal management of any illness an individual may experience. The case study client, Jock Nguyen, is a seventy-five year old man with advanced Congestive Cardiac Failure (CCF) living at home with some difficulties, including a diet he would not normally prefer and limited mobility. This paper aims to discuss methods in which the Registered Nurse can assess and assist Jock in the management of his nutrition and his mobility and optimize his quality of life. According to Jarvis (2012) age related changes to nutrition in the elderly include decline in dental health, saliva production, gastric motility, gastrointestinal absorption and altered gustatory and olfactory sensation. Risk factors of malnutrition for elderly living at home include poor self-perception of health, increasing age and depression (Johansson, Bachrach-Lindstrom, Carstensen, & Ek, 2008).
Essay/Memo 3 American Military University Penny Freeland Alli Pills Health and fitness is a priority for every individual. As individuals get older, jobs and families become more demanding that their health and fitness become last on the to do list. GlaxoSmithKline (GSK) is the organization that markets Alli diet pill. The Alli pill is design to help people with weight loss, while providing energy and boost of confidence in helping individuals feel good and healthy again. The overall health of every individual is important, therefore, GSK encourages individuals to check first with his or her doctor to seek approval, prior to engaging in the use of the Alli.
Teaching Tool for Hip Replacement, Wound Care, Mobility, and ADL’s Parkinson's disease is a disorder of the brain that leads to shaking (tremors) and difficulty with walking, movement, and coordination. Having to care for a love one with Parkinson’s is a very hard task, now that they had a Hip replacement will make it even more challenging time for the caregiver. Its going to take lot of support, and understanding to make sure that the patient fully recovered with out complications. These guidelines taught by the nurse to the patient and the patient’s care giver would be essential for the patient’s recovery. Below are the guidelines to follow, the not to do after the hip replacement.
Functionalist perspective on health emphasizes that good health and effective medical care are essential for a society’s ability to function. If someone is ill for example the four young children living in the house, Tamsela her father and her mother all have the right to be on the sick role until they get better. Talcott Parsons came up with the sick role in 1979. Functionalists believe that they have rights and responsibilities when ill, their rights would be to drop out of day to day activities that they are used to and the right to be looked after and cared for. However their responsibilities would be to get better and get back to doing day to day activities.