The patient, Ms Baker has entered the Emergency room. The advance practice nurse does an immediate assessment of the overall need of the patient. The patient proceeded to answer a few questions about her condition before she began to complain of dyspnea with an increase in her respiratory rate and pulse. Questions to ask: Tell me what happen prior to your fall. Ask the patient if she is in pain, and the location of her discomfort.
Pre-Operative 1. The nursing responsibilities in the pre-operative phase of surgery are to do a patient screening, this includes any blood and lab work, history of surgery, any allergies to medications, history of chronic illness, nutrition level including any dietary regimens the patient should be on before and after surgery, as well as assessing all medications the patient is on and if there are any contraindications to surgery. To prepare the patient mentally physically and spiritually and also to conduct a patient teaching to ensure the patient has all the information that they have the right to know. The nurse also acts as a witness to the signing of the informed consent. 2.
You sponge her in bed. You have checked the bed and room, but you are concerned because she appears confused and you feel she is in danger of falling when she tries to get out of bed. Her daughter and husband are in attendance. You have explained what tests will be carried out, when the doctor will be coming and explain about visiting hours. You ensure that they understand what you have just explained to them.
She is diagnosed with pressure ulcers, while also suffering from diabetes and osteoarthritis. The IDT team that was involved in her treatment comprised of medical officer, occupational therapist, speech language pathologist, incontinence and tissue viability nurse, nutritionist and the nurse. The medical officer reaches a medical diagnosis and prescribes the medical treatment necessary. The use of supportive tools to the patient such as walking aides, use of pillows to sleep on and comfortable mattresses should be prioritized by the occupational therapist; depending on the case. This helps to prevent pain and reduce the probability of skin tear.
In this paper will teach how learn how Bloom’s Taxonomy applies in a case study, how it is a benefit to nursing instructions and will describe each domain. The case study is with Ms. C, a 64 year- old postop open cholecystectomy with respiratory failure. It is stated that ((Burton & Larkin, 2008) “Ms. C underwent surgery without complication; however, in the post anesthesia care unit (PACU) she required extra oxygen therapy. Despite her need for oxygen, she was transferred to the postoperative unit without oxygen.” The nurses did not transfer the patient with oxygen, communicate that she needed oxygen, and it lead to other events of miscommunication among staff members.
Relationship between Nursing Process and Peplau’s Model Peplau’s key concept focuses around the therapeutic nurse-client relationship which develops through overlapping and interlocking phases of orientation, working, and resolution through which the nurse-client relationship evolves throughout the patient’s healing process (Blais & Hayes, 2011). Peplau’s therapeutic nurse-client relationship phases and the nursing process goes hand in hand. The nursing process of assessing applies to Peplau’s orientation phase of gathering data, actively listening, building trust, and reducing any anxiety (Videbeck, 2011). This takes place in the beginning of the therapeutic relationship and it differs from other patient relationships because it focuses on only the needs of the patient (Videbeck, 2011). The nurse is responsible for setting the parameters of the meetings and then providing the client with direction.
Panijao’s feet touched her mother’s knees and she slightly lifted them. Panijao also showed the sucking reflex when she was outside with her brother. She started sucking on his belly. There are five states of arousal in newborn that Mari and Panijao demonstrated. While still in the hospital, Mari was in the state of regular sleep when her mother was trying to see her grasping reflex.
A Client Based Study Knowledge and Skills for Nursing Practice Part Two Written Assignment. A Client Based Case Study. The aim of this essay is to demonstrate the assessment process of a patient using the Roper Logan and Tierney (RLT) model of nursing framework, and to show how the nursing process works alongside this model. This will be established by including a holistic history of the patient and also by considering how the RLT model is applicable to this patient. The discussion of one nursing intervention will follow, showing how the nursing process is applied to patient care.
* As one of the new protocols of our institution, I reinforced my knowledge regarding the use of FOCUS/DAR charting. In this type of documentation, you need to have specific interventions for every problem. At first I was confused with the old narrative style of charting but as you intervene with the patient in accordance with the doctor’s orders, I can already say that FOCUS charting is designed to specifically do the interventions and eliminate every patient’s complains as much as possible. * The first role of a nurse while on duty is assessing the patients and incoming patients to prioritize which includes taking vital signs and taking subjective and objective data, history taking and rendering independent nursing interventions. * Another is referring to the physician on duty and carrying out orders in giving the appropriate management and medication.