As a health care professional trained in different approach, I assessed my client based on the theory and learning experience that I have had. The client was been diagnosed with dementia, limited mobility, and inadequate verbal communication. I undertook a full assessment to a client with a sacral pressure sore. Assessment using observation was been completed to the sacral area, and graded the level of pressure ulcer using the Braden scale. The nurse mentor was been informed about the type of dressing and intervention that should be provided to the client, along with the explanation with the rationale to the procedure that I have decided to use.
W if she and I could schedule a private meeting to discuss Ms. R’s case? Tell her how I’ve notice how hard she has been working with Ms. R without a lot positive results. As nurse supervisor I would help her to recognized the value of delegation. The ANA defines delegation as “ Transfer of responsibility for performance of a task from one individual to another (1996). The Five Rights of Delegation include 1.The right task.
The faces scale should be used last due to its frequency of misinterpretation (Herr, 2010). The alert patient will be able to vocalize their pain level, the location, duration, frequency, intensity and type of pain. The nurse will also be able to see differences in facial expression while speaking with the alert patient. The unconscious or not alert patient will be assessed differently. The nurse must be very observant and watch for signs of pain.
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.
Unit 1 P5 Participate in a one to one interaction in a health and social care context. Communication in a health and social care environment is very important. When communicating with work colleagues I must make sure that I practiced active listening, by doing this I was able to ask questions when the points they made wasn’t clear and for me to also give my opinion on the discussion. There were many one to one interactions that took place in the GP surgery that I worked at. When I started my placement at the surgery I was assigned a mentor for the day, she showed me how to operate the booking system.
Nurses should deliver care to patients directly in response to their needs and use a variety of comforting strategies. Bob open up, and told me story of his life, I have been actively listening being aware of my body language, relaxed open posture and eye contact (Egan, 2002) .Although I could not comfort him verbally, I felt that my non verbal communication played significant role in delivering effective therapeutic nursing care, which according Arnold and Boggs (1999) is the linchpin between nurse and patient relationship. Peplau (1988) describe nursing therapeutic relationship with a patient as a healing
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.
She is diagnosed with pressure ulcers, while also suffering from diabetes and osteoarthritis. The IDT team that was involved in her treatment comprised of medical officer, occupational therapist, speech language pathologist, incontinence and tissue viability nurse, nutritionist and the nurse. The medical officer reaches a medical diagnosis and prescribes the medical treatment necessary. The use of supportive tools to the patient such as walking aides, use of pillows to sleep on and comfortable mattresses should be prioritized by the occupational therapist; depending on the case. This helps to prevent pain and reduce the probability of skin tear.
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.
I would do the Beck’s Depression Inventory with her to determine the severity of the problem. I would do a mental exam on her to determine the severity of the Alzheimer’s. - Clinician Characteristics To be best able to work with Mrs. Sanders I would have to show her that I cared, show empathy, as well as a desire to help her. I would have to be able to motivate her and promote her continued independence. I would need to be structured, creative, and positive to help her find ways to deal with the Alzheimer’s.