The major priority needs that has to be considered in planning for Mrs. Green`s discharge areeducating the patient and the family regarding the after-discharge care and medical treatmentby initiating patient specific – care plans, establish patient referrals with other teams likephysiotherapy and primary care providers (Lees, 2004). In the case of Mrs.Green, nurse shouldgive priority in educating Mrs.Green and her family members regarding guidance on performingthe activities of
A1. Role of Preceptor Anytime that a new nurse is hired into an organization, the new nurse is first paired with an experienced, trained, seasoned nurse, or preceptor, for a certain amount of time. This time frame is called the orientation period. The orientation period is how the preceptor introduces the new nurse to the organization’s policies, procedures, and environment of the particular unit and hospital setting. The preceptor has a job to ensure the new nurse is competent with skills to provided adequate, safe nursing care to patients.
Explain how this occurs and how it benefits the patient. Diuretics or “water pills,” help to prevent the body from absorbing too much sodium, which can lead to fluid retention. Diuretics work by assisting the kidneys to eliminate surplus water from the body. This form of treatment benefits the hypertensive patient as fluid retention and a subsequent increase in blood volume, leads to hypertension. By using diuretics, this problem can be managed (Drugs.com, 2013).
Use of dexmedetomidine for regional anaesthesia a. Epidural dexmedetomidine at a dose of 100µg decreased the incidence of postoperative shivering. (87) b. Intrathecal dexmedetomidine at a dose of 3µg causes significant prolongation of sensory and motor blockade. (88) c. Addition of 0.5µg/kg body weight of dexmedetomidine to lidocaine for intravenous regional anaesthesia improves the quality of anaesthesia and perioperative analgesia. (89) 3. Use in monitored anaesthesia care (MAC): Dexmedetomidine confers arousable sedation with ease of orientation, anxiolysis, mild analgesia without respiratory depression.
P1: Explain the requirements for two different careers in the health sector. The job role of a midwife is to provide advice, care and support for women and their babies during pregnancy, labour and the early postnatal period. They help women make their own decisions about the care and services they access. Their responsibilities are wide ranging and include; caring for new-born children, providing health education and parenting support immediately after delivery, until care is transferred to a health visitor. Midwives are personally responsible for the health of both mother and baby and only refer to obstetricians if there are medical complications.
It is not always good to take too much medication because of the side effects it can cause later on, and sometimes even instantly. Pediatric Polypharmacy becomes a problem because the current prescribing practices are based on adult research, and they are not completely aware of how it was affect children. I believe that more thorough research needs to be done before prescribing them , or new medications needs to be discovered that can be used for children with psychiatric problems. Doctors need to stop prescribing multiple medicines, if they are they need to explain the side effects it can cause and clearly state the pros and cons of taking the different medications. This way they will be following some ethical
Lastly, a reflection of findings will be discussed as to how nurses could contribute the information from the two interviews into their own professional growth and development. The first interview question pertained to the interviewee’s role in their current position and their educational preparation. The CRNA interviewed had an extensive emergency and critical care background, which applies greatly to his position today as he works in several areas, including the ICU, of the hospital where he is employed. The nurse educator was previously a nurse practitioner in a family practice office where she learned the patient teaching aspect that transitioned into her educational role today. Each interview participant explained the unique contributions they each made as nurses and brought to their interdisciplinary team.
1.Assessment: Patient is assessed upon entering the ED by the admission team for signs and symptoms of MI, CVA or other life threatening conditions. Patient is moved to triage where they are assessed more thoroughly, and once they are in a bed in the ED they are assessed continuously. Diagnosis: Patient is diagnosed by nursing staff upon assessment in admission, and triage, where nursing diagnoses are given such as acute pain, anxiety, or impaired tissue integrity. Once the physician assesses the patient an actual medical diagnosis is given, or labs/ imaging are ordered to aid in the diagnosis. Planning: Planning is done by nursing staff and physician before a diagnosis is made to control or ease presenting signs and symptoms.
Delegation includes responsibility, accountability, authority and collaboration. (Nursing World, 2010, pages 1-9) A nurse must be responsible in the decisions she makes for the patient, be held accountable for those decisions and lastly the nurse sustains the authority to make the appropriate decisions for the patients. All of that requires collaboration with her coworkers. I believe that if Ms. W reads this article she will gain new insight into nvt2 task three 4 delegation and also remember what she learned from nursing school and past nursing experience. She can then apply it to her job and patients.
District nursing teams provide services to patients who are housebound and unable to visit their GP or local health centre. The service provides individualised patient-centred care that takes into account patient choice and appropriate care given by highly skilled staff (QNI, 2010).The Queens Nursing Institute launched a campaign called 'Right Nurse, Right Skills' which aims to ensure that patients get the right care in their own homes. The QNI provides a wide range of support for community nurses at all stages in their careers and influences policies which affect community nursing and patients (QNI, 2011). Health policy developments in recent years, have developed around the reduction in cost and making resources more effective (DOH, 2009). A clear example of this was highlighted in the transforming community services program.