2012 Learning Plan Your performance on previously learned skills indicates a need for further review and re-validation. Please read the following chapters in Potter and Perry’s Basic Nursing: 13; 14; 15; 16, 27 and 33 write answers to each learning outcome. Include the page number on which the answer was found on each item. Submit this work to faculty as directed by the deadline in order to be able to attend clinical at the hospital. This assignment must be handwritten and is individual work.
Length, width, depth b. Color of wound c. How the person got the wound d. Drainage amount, color, odor e. Condition of the periwound f. Location of the wound g. Any undermining noted 6. What type of dressing would you prefer for a full skin thickness wound with a moderate amount of drainage and why? * Hydrocolloids * Promote autolytic debridement * Reduce pain * Impermeable to fluids/bacteria * Easy to apply and remove 7. The skill of initial assessment of a new patient can be delegated to a nursing assistant.
Smet, I. et al., 2007. Randomized controlled trial of patient controlled epidural analgesia after orthopaedic surgery with sufentanil and ropivicaine 0.165% or levobupivacaine 0.125%. British Journal of Anaesthesia, 100(1), pp99-103. Standl, T. et al., 2003. Patient-controlled epidural analgesia reduces analgesic requirements compared to continuous epidural infusion after major abdominal surgery.
Nursing Time 103 (47) 28-29 Gopee, N (2009) Mentorship and Supervision in Healthcare. Sage: London. Lewis, G. (1996) The Mentoring Manager, Institute of Management Foundation, Pitman Publishing Matheson, R (2003) Promoting the integration of Theory and Practice by use of a Learning Contract: International Journal of Therapy and rehabilitation: 10 (6) 264-269 Melrose S (2002) a clinical teaching guide for psychiatric mental health nursing. A qualitative outcome analysis project. Journal of Psychiatric and Mental Health Nursing; 9 (4) 381-389 McKim J., Jollie C., Hatter M. (2007) Mentoring: Theory and Practice Myell M, Levett-Jones T., Lathlean J.
This evaluation will engage with reflections on practise in my own experience, and vignettes are offered as a means to facilitate the discussion about the complex nature of supportive and palliative (S&PC) care and the disparities found between theory and practice. First person pronouns shall be used so as not to disguise my personal evaluation (Webb, 1992). This essay shall particularly focus on the role of the individual in SP&C in comparison to the priorities of organisations, nurses and patients- specifically asking if courage is a vital but under acknowledged part of optimum supportive and palliative care. This discussion on courage in SP&C will lead to recommendations for the development of supportive and palliative care. Supportive and Palliative Care is an evolving discipline (Craft et al, 2010; Clarke, 2007) that originated with nurses and nursing (Clarke, 2007)and has now become a medical speciality in its own right (Capewell, et al., 2006).
Unit Seven Workbook Assignment Chapter 12: Diseases and Conditions of the Reproductive System SYPHILIS A patient has been diagnosed with syphilis. The practice has printed instructions for patients diagnosed with this condition. The physician has instructed you to provide the patient with the printed information and to review it with her. How do you approach this patient-teaching opportunity? I would emphasize to the patient that with Syphilis infection, taking the prescribed course of antibiotics until completion is important.
What should you do? C. tell the examining physician, and prepare a list of community resources that can provide advice and support to the patient even if the patient is not ready to talk to you. 7. Which of the following positions is used for vaginal and perineal area examination? A. lithotomy pg.
Ideally, discharge planning should start before or on admission to ensure the timely provision of appropriate services. The aim is to assess, plan, coordinate and evaluate patient-focused, evidence-based and cost-effective care for patients leaving the hospital. With staff shortages and a high turnover of patients, discharge planning takes on particular relevance. Ineffective communication between hospital and community staff is not new, as research has shown (Skeet, 1970; Nixon et al, 1998; Waters, 1987). To avoid misunderstandings, close contact with the multidisciplinary and primary health care teams should be maintained.
(2006). Caring for People with Long-Term Conditions: an Education Framework for Community Matron and Case Managers. The Stationary Office: London. GIROT, E. RICKABY, E. (2008) Education for New Development: the Community Matron in England. Journal of Advanced Nursing.
Assessment is a systematic process using a rational method of planning to identify a patient’s health and any actual or potential problems that need to be met and to provide interventions to meet those needs. (Berman et al, 2010) A comprehensive assessment establishes a database of information relating to the patient including visual observations during initial interview including, skin condition, cloths, hair, hygiene, demeanor and presence of pain etc. During the interview the nurse should gather family history and both subjective and objective data to establish baseline data as a reference point and an indicator to the effectiveness of interventions. (Berman et al, 2010) Subjective data is what the patient thinks, feels and believes and can also be referred to as the symptoms including itching, pain and worry or anxiety. Objective data is measured during the physical examination; it can be seen, heard, smelt, felt, observed, tested or measured against an excepted standard, including: skin color, bowel sounds, blood pressure, temperature, level of pain, urine analysis etc.