Neonatal nurses monitor vital signs such as respiration and tempter, and perform any specialized feeding such as intravenous or tube feeding. They also draw blood for tests and administer medication, and keep detailed notes on charts. The nurses work closely with the parents, showing them how to do tasks, such as changing diapers or feeding bottled formula, for a premature or ill baby. This nursing job requires a high level of team work. A nurse will likely have great interaction with infant’s parents.
Diagnosing of a stillbirth happens when the mother feels decreased movement or other symptoms and goes to the doctor.The time of the diagnosis depends usually on the mother, because if she becomes worried of her baby and goes to check it. When the mother comes to the doctor the doctors can do an ultrasound, Non-Stress test (NST) or CTG to the mother to check the baby. The ultrasound can confirm if the baby has died and in some cases they can determine even the cause. With ultrasound they use sound waves to take a picture of the fetus,
Major components of health communication: Process- A child talks to her mother about symptoms she is experiencing, she goes over the symptoms in her mind to decide if her daughter needs medical attention. Since the mother has treated this condition before, she does it again seeking the same positive outcome. Personal goals- After treating her daughter with over-the-counter meds, the mother talks to a friend who thinks that the daughter may not have the flu, she may be suffering from something more serious. Her anxiety about her daughter’s illness is raised, making her second guess the care she gave her daughter and to want reassurance from a medical professional. Interdependence- At the ER, the mother and daughter are put more at ease when the triage nurse describes similar symptoms in her son, which turned out to be flu.
Registered Nurses work very hard to meet the needs of their patients, both emotional and physical. However, after this diagnosis is given the patient it is not uncommon for RNs’ to feel inadequate to the situation. Delivering bad news to a patient is very difficult and something to be studied. 3. Phenomenological descriptive approach was utilized in this study to help the research Perceive and interpret events and participants relationship to then.
Malnutrition eventually affects other systems of the body. It can lead to things such as diarrhea, anemia, fatigue, disorientation, anxiety, irritability, tremors, amenorrhea, decreased immune system, and even slowed growth. Discussion Patients with malnutrition need education and possibly the intervention of a social worker. It is important for a nurse to be able to identify such a patient and to begin talking to them about their life style. As a nurse we need to ensure that patient’s nutritional needs are met and that they understand how to provide adequate nutrition to themselves and family.
According to Meleis (2007) knowing includes knowledge based on observation, research findings (evidenced based), clinical manifestations and scientific approach. As a stroke nurse empirical knowing it’s very important in taking care of stroke patients. I determine patient’s neurological status by performing neuro checks frequently every 1-2 hrs as the patient’s condition might deteriorate the first 24hrs and perform swallow test to determine if the patient can swallow medications. Patient’s plan of care is based on assessment findings(vital signs, Glasgow coma score).If a patient is confused and very weak fall precaution is observed by activating the bed alarms, request for a PT/OT consult, if the patient does not pass the swallow test, a speech therapist is consulted. Sometimes patient’s neurological deficits get resolved after a few hours or days and that calls for change of treatment plan.
The principles used in ethical decision-making and the Nursing and Midwifery code of professional conduct will also be discussed. The writer will be looking at a scenario within her practice exploring some legal and ethical issues that arises during practice, adhering to confidentiality at all times. A summary of the main points will be discussed in the concluding part of this essay. In this essay, the writer will explore a scenario of an elderly patient who had a hip fracture was admitted into the ward from the accident and emergency unit. Her medical history included advanced senile dementia and severe heart problems with a ‘DO NOT RESUSCITATE ORDER”.
The care plan was read and then the necessary equipment to continue with treating the wound was brought to where Sarah was sat. As the nurse was preparing the equipment we spoke with the patient, asking if she was managing to sleep any better, as it had been documented that Sarah was unable to sleep due to the pain caused by the leg ulcer. Sarah became very emotional and started to cry, saying that she could not cope much longer due to the wetness and odour of the bandaged leg or the pains in her leg when she goes to bed. The nurse spoke calmly and listened to Sarah, showing empathy. At this point I was able to see how experienced the nurse was with dealing with a situation that required in-depth knowledge of psychological factors that can lead to further distress for Sarah if not addressed.
However, when speaking to a client, using jargon and medical terms can be considered as inappropriate and confusing for the people involved. When Patients come into a hospital, they are concerned with their health and they would want to know as much information as a nurse can give them. By using the correct language, and knowing how much information to divulge, a nurse can positively contribute to the care of their client. (Wright, Lorraine M.; Leahey, Maureen. 2009).
Rights of Medication Safety Medication plays a key role in healthcare but can also be an important key cause of medical error. Patients are entitled to receive safe care including receiving the correct medications. The administration of medication is a daily routine for nurses therefore, it is vital to remember the “Five Rights” of medication safety. Many different things can go wrong when it comes to the administering medication, for example communication between the patient and the nurse could go wrong, or the labeling of the medication, even the dosage can cause improper usage of the drug. The question is what role do nurses play when it comes to medication safety?