Having trouble sleeping is a symptom of depression, which leads to insomnia. Her chronic lumbar pain and shortness of breath can be linked to insomnia as well. Lack of activity could interfere with sleep, as the individual is more likely to take a daily nap, which can interfere with sleep at night (Mayo Clinic, 2014). Suzette mentioned that she has not been able to attend the gym because of financial reasons and she is occupied with work and errands at home. She also mentioned that she falls asleep while watching TV.
Using a laminated card and by displaying the Whooley questions discreetly I have implemented them at each clinic I have undertaken since. It is essential that the HV is both confident and competent in the delivery of the questions and committed to exploring any concerning outcomes fully. It has been suggested that many new mothers will not disclose feelings of low mood due to the perceptions a health professional may have if she does. Edhborg (2005) suggested women who are depressed after giving birth often struggle with tremendous guilt over their depression and believe that it means they are a bad mother, this inhibits their likelihood to disclose feelings of low mood to a practitioner. I have seen mothers react after presentation of the Whooley questions, with a sheepish “No” on occasion.
The use of these indicators could have assisted the nurses in several ways involving this case. The knowledge of pressure ulcers prevalence could have helped the nurse and CNA to prevent the patient from forming a pressure ulcer. They should have recognized that the reddened area was the beginning of a pressure ulcer, and they should have known to reposition the patient every two hours to prevent him from developing a pressure ulcer. The RN and CNA should both have a better understanding of when it is appropriate to use restraints and how to manage a restrained patient. Patients should be given frequent breaks from the restraints,
The FNP expressed her frustration in Ms. R non-compliance with her treatment, and lack of support with future care. The Licensed Vocational Nurse (LVN) on staff is trained in conduct client education on labor and delivery, routine prenatal care, parenting, and infant care. She would be able to give the time needed to explain all of the details about the medication given. For example: What the medication is for, how it works, how long it will need to be taken, potential side effects, alternative medications if patient has adverse reaction and what are the consequences if the medication is stop prematurely. The risk factors associated with illnesses in the third trimester.
Nursing for Health and Wellbeing 2011 Student Name: Deepa Khanal Student Number: 1714690 Patient name: Mr. Sylvester Nursing Issue: Increased susceptibility of falling that may cause physical harm. Nursing Diagnosis: Increased risk of fall related to recent history of falls, lack of family support, environmental factors and poor vision as evidenced by subjective complaints of history of few falls lately, inability to contact daughter in time, multiple steps at veranda and backyard, disarranged furniture and multiple boxes at home and inability see well enough and read anymore. Goals: To minimize the risks of fall.
Having to take multiple tablets for all her conditions Grace was often left feeling very tired, short of breath and unable to walk very far too, she had resorted to using a mobility scooter but was finding this hard to control. Grace started to find it very difficult to hold a conversation and could not remember family members and friend’s names which upset her greatly. Concerned she visited her doctor who referred her for a cat scan, the results showed some degradation which at her age was to be expected but no further complications. At a loss for an explanation she decided to take matters into her own hands and stop taking her medications as this was the only thing she could think of that was causing her to feel so helpless. Within three weeks a transformation had taking place, her mind felt a lot clearer, she was no longer getting breathless and was finding that she was a lot more alert and was not so sleepy especially in the early evening, much to her husband’s disappointment, she was wanting to have conversations again, Grace did start taking her metformin again when she was having high blood sugars but still ignored the rest of her medications.
Communication is important for provision of appropriate care by nurses. Over the past few years, media reports have suggested that nurses lacked compassion. I was placed at a rehabilitation hostel for people with mental health problems and I noticed that some junior nurses did not have assertive skills to deal with ‘difficult’ patients. I had an opportunity to witness a new admission and was surprised at how some nurses were only concerned about patients’ medical symptoms without listening to underlying causes of their illnesses. Consequently, I decided to focus my discussion on these three communication skills; compassion, assertiveness and listening skills.
Author Jo Danna describes caretaker suffering to come in the forms of discouragement of being unable to stop the disease from progressing even with one on one care, resentment of the energy, time and money spent, self-loathing because of losing patience with an Alzheimer’s sufferer who means no intentional harm, frequent sicknesses such as colds or headaches, lack of time for oneself and the things one enjoys, cutting oneself off from friends and other family members to put the patient first, and severe depression due to a combination of these factors(90). This shows us that the caretaker’s attitudes, ideas and beliefs play a part in the problems that arise from caring for
Bipolar Teresa Martini Rasmussen College Author Note This research paper is being submitted on September 16, 2011, for Ann Henson’s G124 English Composition Course. People who have been diagnosed with bipolar often have to virtually live in silence about their illness. They are afraid to talk to other people about their mental illness because they may be avoided or even worse become the subject of discrimination. Bipolar is a treatable and manageable mental illness but due to the stigma attached to it by society and those who do not understand it, the psychological well being and life satisfaction of those diagnosed with it are jeopardized. Bipolar can be treated and managed in effective ways.
Correct * Remind the client that her mother is no longer living. * Explain the seriousness of her injury and need for hospitalization. Those with dementia often refer to home or parents when seeking security and comfort. The nurse should use the techniques of "offering self" and "talking to the feelings" to provide reassurance (B). Clients with advanced dementia have permanent physiological changes in the brain (plaques and tangles) that prevent them from comprehending and retaining new information, so (A, C, and D) are likely to be of little use to this client and do not help the client's emotional needs.