Timmins F, (2007) Communication Skills: Information giving, Nurse Prescribing, 5(10) pp.437-441 Timms L (2011) Effect of nutrition on wound healing in older people: a case study British Journal of Nursing, 9 (12), pp. 4-10. Turnbull B (2008) High-flow humidified oxygen therapy used to alleviate respiratory distress, British Journal of Nursing, 17 (19), pp. 1226-30. Vernon T (2002) Nutrition for Healing: everyone’s responsibility.
RTT1 Task 1 Western Governors University RTT1 Task 1 This is an examination of the nurse sensitive indicators in the case study concerning Mr. J, who is an elderly Jewish male patient with a fractured right hip and a history of dementia in a hospital setting. Nurse sensitive indicators presented in Mr. J’s case were: patient falls, restraint prevalence, complications of pressure ulcers, and patient satisfaction will be addressed in this task. Better care is provided by nurses when they are aware of nurse-sensitive indicators. A. Nursing Sensitive Indicators Nurse sensitive indicators included in this case are Mr. J’s use of restraints, complications of pressure ulcers, and patient satisfaction.
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.
N3561 Physical Assessment Student_____________________________________________________ ____ Date___________________ Patient initials_______________________________Medical diagnosis_________________________________ BP__________HR_______R__________T________O2Sat_______w/O2? Y/NReported?Y/N Time______To whom? __________ | BP_________ HR________R_________ T_________O2 Sat_______ w/O2? Y / NReported?Y/N Time____To whom? __________ | NeuromuscularMotor functionGait / balance | Neurological/PsychologicalLOCAffect /MoodSpeech PupilsLanguage spokenVisual acuityHearing | | | | | Skin/ Oral mucosaColor/edemaBony prominencesIncisions, dressings& drainageSurgical drains | CardiovascularHeart/apical Peripheral circulation
3. List nursing priorities for monitoring & management of the patient with severe sepsis. 4. List the goals of therapy and priority interventions for severe sepsis & septic shock. Definitions •Colonization •Contamination •Infection •Bacteremia/Fungemia/Viremia •SIRS: •Sepsis •Severe Sepsis •Septic Shock •MODS: multiple organ dysfunction syndrome systemic inflammatory response syndrome Sepsis Sepsis: systemic inflammatory
Adult Branch 4 Promoting Integrated Care This essay will discuss and critically analyze a nursing intervention used in practice placement. Discussion will include the knowledge underpinning practice and the evidence base for the clinical intervention. It will examine what the evidence base states should happen and what actually happened in practice. The clinical intervention chosen to reflect on within this essay is care of a patient requiring feeding via a nasogastric (NG) tube due to dysphagia. This is a condition in which the action of swallowing is difficult to perform (Royal Marsden, 2008).
Documenting chief nursing officer’s preference for BSN-prepared nurses []. The Journal of Nursing Administration, 31(2), 55-59. http://dx.doi.org/Retrieved from www.aacn.nche.edu/media Johnson, J. (1988). Differences in the performance of baccalaureate, associate degree and diploma nurses:A meta-analysis []. Research in Nursing and Health, 11, 183-197. http://dx.doi.org/Retrieved from www.aacn.nche.edu/media the impact of education on nursing practice.
Lastly, key roles nurses would play in improving the quality of care in the Mr. B scenario will be discussed.A. Root Cause AnalysisA root cause analysis (RCA) is “a process for identifying the basic or causal factors that underlie variation in performance, including the occurrence or possible occurrence of a sentinel event” (Cherry & Jacob, 2011, p. 442). The participants during the root cause analysis would be the emergency room physician (Dr. T.), the Mr. B’s LPN and RN (Nurse J) during the time of the sentinel event, the emergency room nurse manager, and the chief nursing officer (CNO) of the hospital. These members would meet in a root cause analysis meeting to discuss the causative factors that created Mr. B’s sentinel event. The first step in a root cause analysis on the sentinel event that caused Mr. B’s death is to gather the data surrounding the situation.
to a disease that exists simultaneously with and worsens or affects a primary disease) such as impaired eyesight, tremor, arthritis, and cognitive problems that can aggravate effective use of the inhaler device. Inhaler devices available to deliver inhaled medications are COPD 6 Pressurized metered-dose inhalers (pMDIs); Breath-activated pMDIs; Dry-powder inhalers (DPIs); and Soft mist inhaler (SMIs) (Kaufman, G., 2013, p. 37). The nurses in primary care have an important role in helping patients with this disease. That is where device selection and patient education comes in. Primary care nurses should know the following: * For the prescribed drug/s what devices are available and what number of device types can be used?
493-495 8. Liossi C, Hatira P. “Clinical Hypnosis versus cognitive behaviour training for pain management with pediatric cancer patients undergoing bone marrow aspiration.” International Journal of Clinical and Experimental Hypnosis, 1999, Apr. 47; 47(2), pp 104-116 9. Marchioro G., Azzarello G., “ Hypnosis in the treatment of anticipatory nausea and vomiting in patients receiving cancer chemotherapy” 2000, Oncology, Vol. 59(2) 100-104 10.