Discuss how this would impact the nursing plan of care for the pediatric patient. Emil, S., Laberge, J-M., Mikhail, P., Baican, L., Flageole, H., Nguyen, L., et al. (2003). Appendicitis in children: A ten-year update of therapeutic recommendations. Journal of Pediatric Surgery, 38, 236-242.
(DSM-IV). A psychiatrist must follow proper diagnostic guidelines and provide documentation of the diagnosis before prescribing pharmacologic treatment. The government needs to set a limitation standard on how patients can get ADHD medications to combat against the dependent nature of these types of medications. The program will solemnly monitor the amount of medications being prescribed and dispensed. All ADHD medications such as Adderall®, Concerta®, Ritalin®, etc… are subjected to be placed in such a program’s list.
A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation. Thus, I will discuss the impact of inadequate nursing documentation that leads to malpractice lawsuits. Purpose of Medical Record Documentation Understanding the purpose of medical documentation was the first step in teaching how to prevent inadequate documentations that leads to liability and malpractice lawsuits. Monarch (2007) supports the purpose of Medical Record Documentation as the following: • Substantiating the health condition or illness or presented concern for the patient. • Effective communication among health care staff.
1.1 Legislation: Health and Social Care Act; The Medicines Act and The Misuse of Drugs Act Guidelines could include the Nursing Midwifery Guidelines for the management of medicine administration - registered nurses have to abide by this set of guidelines and for paid carers, the General Social Care Council's Code of Conduct will have something which could relate to medication. Policy - for example - consider the Government's drive to ensure people with dementia are not over medicated - so their policy is currently designed to 'push' the professionals responsible for prescribing to bear in mind the effect of drugs on frail elderly people and to consider alternative treatments such as activities and therapies. Other examples of policy might be the Goverment's drive to limit the prescribing of antibiotics to reduce the incidence of resistant strains of bacteria. Protocols - a protocol is a procedure and you could outline your company's procedure (protocol) for disposing of controlled drugs or medication in general 2.1 Pick 3 medications - these could be taken from a copy of the British National Formulary (BNF) - any workplace which is administering medication ought to have a copy (relatively up to date!) on the premises.
Nursing Care of Patient with Gastrointestinal Alterations (continued) Evolve Case Study DUE – IBD; Cirrhosis Lewis: Ch.39, 43 (975-982), 44 (1017-1029, 1030-1036) Silvestri: Chapter 56- Do related questions HESI Patient Review: Gastrointestinal Health Problems Module- Mrs. Barker HESI Patient Review: Hepatic-Billiary Health Problems – Mrs. Bella 5 M 7/20 III. Promoting Neuromuscular Health - Nursing Care of the Patient with Neurological Alterations Evolve Case Studies DUE – Myasthenia Gravis; Parkinsons’s Disease Lewis: Ch. 56, 59 (1428-1439) Silvestri Chapter 66- Do related questions 6 TH 7/23 IV. Promoting Renal Health – Nursing Care of the Patient with Renal Alterations Evolve Case Studies DUE – Chronic Kidney Disease Lewis: Ch.45, 47 Silvestri: Chapter 62- Do related questions 7 M 7/27 V. Nursing Care of the Patient with Oncologic
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.
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.
Safe Medication Administration Common causes of Medication Error’s Nurses are routinely asked to calculate dosage information and provide data entry services for medications and intravenous infusions. Assuming the physician's order and patient information are correct, there are three general possibilities for mistakes when administering IV medications via a pump: dosage miscalculation; transcription data entry error; and titration of the wrong medication. • Miscalculation Error: A miscalculation error can occur for any number of reasons, including the use of inaccurate parameters such as dose, weight, height, drug units, or solution volume. A misplaced decimal or missing number in this complex calculation can result in a calculation error
Palliative Medicine, 24(7), 715-723. doi:10.1177/0269216310373164 Rose, T. (2007). Physician-assisted suicide: development, status, and nursing perspectives. Journal Of Nursing Law, 11(3), 141-151. Sayburn, A. (2009).
Sexuality in the older person. British Geriatrics Society, 30, 121-124. Retrieved from http://ageing.oxfordjournals.org/content/30/2/121.full.pdf Meston, C. (1997). Aging and sexuality, Successful aging. Western Journal of Medicine, 167, 285-290.