Scope The proposed plan includes a detailed assessment of methods, personnel requirements, training (including costs), feasibility, and expected results. Proposed Plan This plan takes into account the needs and complaints of our patients, as well as the suggestions made by our phlebotomy and nursing staff members. Phases Excessive needlesticks can be reduced in three phases: (1) Training phlebotomy staff to draw from heparin locks safely and efficiently (2) Changing any protocol that might inadvertently cause more needlesticks to be preformed than intended (3) Shifting responsibility for blood draws out of heparin locks to phlebotomists from the nursing
D) Daily enemas will be needed to help achieve a bowel movement. The nurse is discussing autonomic dysreflexia with Jonathan, his girlfriend, and his mother. To evaluate the teaching, the nurse asks Jonathan to explain what it means. 22. Which statement by Jonathan indicates an understanding of autonomic dysreflexia?
I chose (CBT) Cognitive Behavioral Therapy Approach because of the length of time of the client’s use of Meth. Many of the treatment strategies within the Model are derived from clinical research literature, including cognitive behavioral therapy, research on relapse prevention, motivational interviewing strategies, psycho-educational information and 12-Sstep program involvement. At this point she is going to need to change everything because of her old behavior all is know is how to use and use to live to stay well. I would implement the following guidelines for her treatment: The elements of the treatment approach are a collection of group sessions (early recovery skills, relapse prevention, family education and social support) and 3 to 10 individual sessions delivered over a 16-week intensive treatment period. Patients are scheduled three times per week to attend two Relapse Preventions groups (Monday and Friday) and one Family/education group (Wednesdays).
Nursing Documentation and Malpractice Law HCS/545 Health Law and Ethics May 31, 2010 Mary Nell Cummings Nursing Documentation and Malpractice Lawsuits Proper medical documentation can prevent liability issues and malpractice lawsuits. The focus on my paper will concentrate on nursing documentation and malpractice lawsuits. I presently work for a home health care agency. The entire staff throughout the company was recently informed of increased Medicare denials and possible lawsuits as results of inadequate documentations. A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation.
A -- A carotid bruit #2 Due to Nancy's deteriorating condition she is referred to a neurologist. The emergency room nurse realizes that she has probably suffered from a left-sided brain attack. What clinical manifestation further supports this assessment? D -- Global Aphasia #3 What nursing intervention should the nurse implement when preparing Nancy for a noncontrast CT scan? B -- Explain that the client will not be able to move her head thoughout the CT scan #4 The neurologist also prescribes a magnetic resonance imaging (MRI) of the head STAT, why?
Because of increasingly shortened hospital stays the inpatient population may only be able to attain the basic knowledge level within this domain prior to discharge. “Knowledge is the ability to recall previously learned material, it refers to the simple remembrance of a fact, concept, theory or principle” (McDonald). In the case of a newly diagnosed diabetic the ultimate goal would be for the patient to become self-reliant with managing their blood sugars through diet and medication. The nurse’s role would be to first assess the patient’s level of understanding of the disease, identify their support system and include them in the teaching process, and develop a plan of education that would be most receptive to the patient. The first three steps in the nursing process having been used, that of evaluation, diagnosis, and planning, the last two areas, implementation and evaluation can then be incorporated.
Mitigating Lateral Violence: Design for Change in Practice Stacy Lacaillade Chamberlain College of Nursing NR451 Capstone Course 28 November, 2010 Design for Change in Practice Evidenced based practice (EBP) is an empowering process for improvement in the health care professions. Rosswurm and Larrabee (1999) credit the research studies which used meta - analysis, randomized clinical trials and systematic studies of patient outcomes over the last few decades as having started this shift from the “tradition of intuition – driven practice…to the new paradigm of evidenced based practice” (p.318). However, evidence has encountered a certain amount of difficulty being implemented into practice, thereby necessitating the use of a model when implementing a change based on evidence into practice. This paper will discuss the six steps in the Rosswurm and Larrabee (1999) model for implementing change as they apply to the necessary change of mitigating lateral violence in the nursing work place. Step 1: Assess This step of the change process begins with the identification of a problem.
Treatment plan “Approximately 28%–58% of individuals with heart failure (HF) suffer from cognitive impairment, commonly identified as difficulty with concentration and/or memory” (Bauer, Johnson, & Pozehl, 2011 p. 577). Mr. P needs a treatment plan that he will be able to adhere, considering his cognitive decline. His wife should be included in his treatment plan and will have to become a leader from now on. When Mr. P admitted to the emergency department, nurses provide basic care in order to sustain life. Nurses should be recording vital signs, order appropriate laboratory work ups, put Mr. P on oxygen via cannula, put him on I&O, administer prescribed medications, and strict daily weights.
End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, the majority of elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your clients in end-of-life care and in supporting their desires. Support your response with evidence-based literature.
Reality orientation is one of the most widely used management strategies for dealing with people with dementia (Holden and Woods, 1995). It aims to help people with memory loss and disorientation by reminding them of facts about themselves and their environment. As I said earlier Trudy would have lucid periods where she knew she was in hospital. At these times I could say “Trudy you are staying in hospital for the moment Paddy is not well enough to take care of you at the moment”. Trudy would accept this and understand that I was a nurse and I was there to help.