(www.legislations.gov.uk, Accessed 04/10/13). Training cleaners on how to clean up after the previous patient properly and how the cups and plates should be put away, stops harm because if the cleaners had more training and cleaned up properly, there would be less infection being spread as there would be less bacteria around the ward. It also maintains the respect and dignity that should be provided for the patients that are cared for. If the recommendation was not reached, patients would be harmed by catching viruses and infection. In this case, if a patient in the ward was to catch one off these infections from dirty cups, it would be harder for them to recover due to them being elderly and having a lower immune system than someone that was young and healthy, so in some cases little infections like this from been given a dirty cup to drink from can sometimes lead to death.
Hospitalisation is often the cause of deconditioning, particularly due to the focus on bed rest in order to recover from illness, or the limited mobility resulting from surgery. As some degree of functional decline is inevitable in ageing (Killewich 2006) older people hospitalised in an acute setting are at greater risk of the problems caused by inactivity. This is due to the changes in body composition and function, including sarcopenia, demineralisation, loss of aerobic capacity, loss of vasomotor stability and changes in respiratory function which occur as individuals age (Killewich, 2006). Functional decline of older patients is the leading complication in hospitalisation of the elderly, as the decreased activity associated with bed rest can lead to accelerated bone loss, dehydration, malnutrition, delirium, sensory deprivation, skin breakdown and incontinence (Kleinpell, Fletcher & Jennings 2008). Deconditioning during hospitalisation occurs rapidly in older people, with functional decline from baseline apparent by day two (Kleinpell, Fletcher & Jennings 2008).
Acute Renal Failure NU270 Assignment 6.1 7/26/2012 Patients that are in acute renal failure have many obstacles that they are faced with. The nurse should follow evidence based interventions when caring for them. Electrolyte imbalance, blood loss, infection, and nutrition are just a few of the issues the nurse must be educated about. It is important for the nurse to impose every intervention available to reduce the risk of infection in the patient experiencing acute renal failure. “Make sure appropriate hand hygiene is used.
Prevention of Pressure Ulcers Subedetu Braimah Holy Names University Abstract A pressure ulcer is a condition that affects an area of the skin which occurs when something continuously rubs against the skin. Pressure ulcers are also commonly referred to as bedsores, or pressure sores, and ranges in varies from a redness of the skin to more severe, deep craters with exposed muscle or bone. Pressure ulcers are common in patients who have limited mobility due to spinal cord injuries, fractures, pain, old age, use of wheelchair, and comma. Additionally, pressure ulcers is also common among people who are malnourished, have fragile skin, or have disease that affects blood flow like diabetes or vascular diseases. Prevention includes identifying at-risk persons and implementing specific prevention measures.
Also mentioned, is the increased risk of localized hypothermia and risk for infection as wet gauze to the wound can cause vasoconstriction and in theory, also decrease leukocyte mobility and efficiency of phagocytes. Gauze fibers may also be retained in the wound bed further increasing risk of infection. Lastly, the author suggests that the use of wet to dry dressings are not cost effective since they are labor intensive, require secondary dressings to contain exudate, and usually require nursing care within the community. The article closes by saying that further research is needed to fully understand the impact that dressing selection has in wound healing but suggests that practitioners should question the continued use of wet to dry dressings. Currently, Greenville Hospital System’s policy for healing of wounds by second intention is best met with the use of wet to dry dressings.
To improve knowledge about how to do the ideal nursing intervention for clients with Strangulated Hernia. To do the necessary nursing intervention in hospital for client with Strangulated Hernia. To observe and understand the behavior of client having Strangulated Hernia. To develop our nursing responsibilities. To give the proper care and build a genuine nurse-patient relationship conducive to good health Etiology * congenital weakening of the abdominal wall, * traumatic injury, * aging, * weakened abdominal muscles because of pregnancy, or * increased intra-abdominal pressure (due to heavy lifting, exertion, obesity, excessive coughing, or straining with defecation).
Hospital-acquired infections are preventable and preventing them is straightforward: a code of cleanliness. Hands should be cleaned frequently with an anti-bacterial soap for at least 30 seconds. Gowns, masks and gloves should be worn frequently so that pathogens aren’t transmitted to the patient during treatment. Moreover, when moving a patient, the patient should wear a mask and should be moved only when necessary (Isolation Precaution Guidelines for Hospitals n.d.). People go to the hospital in order to get better from whatever ailment is troubling them.
Without a blood supply, the affected skin becomes starved of oxygen and nutrients and begins to break down, leading to an ulcer forming. Pressure ulcers tend to affect people with health conditions that make it difficult to move, especially those confined to lying in a bed or sitting for prolonged periods of time. Conditions that affect the flow of blood through the body, such as type 2 diabetes, can also make a person more vulnerable to pressure ulcers. Learn more about the causes of pressure ulcers. Who is affected?
* Clinical staff are issued with special PPE to help clear spillages * When filters from chair leak – floor is flooded with sodium hypochlorite 1% * All staff trained to maintain good housekeeping standards * Spills cleared up immediately Are current precautions effective : Yes, as there have currently been no accidents Problems and issues: The leak from the chair and the filters has caused the floor in surgery 2 to become a hazard because it causes a slip/trip risk & bodily fluids which are a source of infectious micro-organisms (bacteria,viruses and fungi) leak from the filters. This becomes a risk/hazard because infection could happen following hand to mouth/nose/eye contact or via broken skin. Furthermore cleaning products used to clean spillages may contain hazardous substances such as biocides and surfactants which could cause irritation, dermatitis and breathing problems. Suggested improvement: Speak to practice manager to discuss maintenance and repair of chair. Discuss the hazards and risks involved if chair were to remain in its current
A nurse may personally feel that a patient who is dying of cancer should utilize any and all pain management options available to them, however, if the patient does not wish to use pain medications because he/she feels “out of it” or is afraid of becoming “addicted”, the nurse needs to respect that patient’s choice. One may personally feel that a patient should try all treatment options available when dealing with an illness such as cancer, but needs to be respectful if a patient does not wish to continue treatment or try something new even if the nurse feels that is the “right” thing to do. B. In the scenario presented, different strategies can be used in the Thomas’s situation to improve the quality of life for Mrs. Thomas and her husband during this illness. First of all, discussing with Mr. and Mrs. Thomas what their wants/needs are is imperative.