When the CNA ambulated the patient to the bathroom the family noticed a reddened area to the patients back and due to the lack of education of the CNA, this was not taken seriously. If the RN was assisting the patient, a skin assessment should have been done and prevention processes put in place to prevent any further breakdown. The condition of the patient’s skin at the time the patient was ambulated to the bathroom should have been documented and escalated to the provider. This would have been a Hospital Acquired Pressure Ulcer (HAPU) and is reported to the state as well as affects hospital reimbursement. Data collection is important to monitor the ongoing quality of patient care (American Nurses Association, et all, 1999).
Compassion fatigue was a term first applied in 1992; it is described as a syndrome that occurs in nurses when caring for a patient facing life-altering or life-threatening changes resulting from an illness. Compassion fatigue is prevalent among nurses today, due to increasing patient loads, as a result of nurse shortages and hospital cut backs. Compassion fatigue in nursing should not be ignored. There are classic warning signs that someone might be experiencing compassion fatigue. Recognizing the signs of compassion fatigue and following the necessary steps to prevent and treat it can provide one with the tools needed to make their nursing career rewarding.
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.
Denial and Isolation – “This can’t be true”, “It isn’t really happening to me?” they go to several doctors appointments for second opinions hoping to get the answer that they want. It may be they will ignore an illness thinking that if they do nothing it will go away or they have already gone to the doctor and were given medical advice on what not to eat or do but they will continue to do as they please regardless of what was told to them thinking if they disregard the advice the problem will not arise. When they start to realize they’re going to die, the patient will usually become angry which brings us to the next stage. 2. Anger – the reality of
Nursing can be considered an ethical enterprise since it often involves an alternative action when providing care (Gilliland, 2010). It concerns doing well and avoiding harm. The nursing code of ethics is a great resource to follow when faced with ethical dilemmas. In the Marianne case study, it states that “she has no advance directives, but her husband wants to try everything” and the children believe that Marianne “would not want to undergo surgery only to be kept alive with poor quality of life.” An advice that a nurse may give to Marianne’s family is to help them be aware of the result of the medical procedures. Marianne’s husband needs to know that once she undergoes surgery there is a good chance that they will need to have some lifestyle changes.
An open skin lesion improperly managed can increase the risk of death and decrease the quality of life for nursing home patients (Richardson et al. 2012). Therefore prevention of the development of pressure sores is an essential component of nursing care for elderly patients in nursing homes. Strategies to prevent the development of pressure sores can be practically incorporated into everyday housekeeping, foot care, and nursing care routines in the nursing home. Housekeeping routines for elderly patients in nursing homes should have active protocols that minimize the risk of pressure ulcers (Richardson et al.
The nurse in this situation has an obligation and responsibility to the patient as their advocate. In Title 16, Section 1443.5(6) of the California Board of Registered Nursing Standards of Competent Performance states that the registered nurse “Acts as a client’s advocate…to change decisions or activities which are against the interests or wishes of the client…” (California Board of Registered Nursing, 1995). Therefore, the registered nurse must interfere in behave of the patient and have Dr. K honor the Advance Directive that is in place. The second situation which the nurse encounters is Dr. K disclosing medical information regarding the patient to Ms. H and the boyfriend in the waiting room where several others are present. Ms. H was not assigned Medical Power of Attorney by the patient; it was assigned to Mr. Y who is the patients’ younger sibling.
I believe there are many nursing sensitive factors that could interfere with the care provided for Mr. J. The first I would like to discuss is the use of restraints on a 72-year-old with dementia. The use of pain medications can also affect the patient’s cognitive ability. The use of restraints place patients at risk for skin breakdown. Skin breakdown can be prevented by turning Mr. J every 2 hours and by propping with pillows side to side.
The nursing process indicators refer to the measurements of specific nursing care duties including assessment processes, findings and interventions being used in the care setting (Nursing Sensitive Indicators, 2015). Lastly, the outcome of nursing care refers to the patient’s clinical outcome in relation to the care they received (Nursing Sensitive Indicators, 2015). For example, if a nurse used interventions such as turning patients every two hours for those patients at high risk for pressure ulcers, the outcome would be the incidence of pressure ulcers after that particular turning schedule was implemented as an intervention. Nursing-sensitive indicators address several different areas of the nursing practice such as workload safety, staff satisfaction, patient falls, surgical complications, length of
Evidence Based Practice and Applied Nursing Research EBT 1 Task 1 Chris Collier #000321915 A Critique of a research article A1 Article Hegarty, J., Walsh, E., Burton, A., Murphy, S., O'gorman, F., & McPolin, G. (2009). Nurses' knowledge of inadvertent hypothermia. AORN Journal, 89(4), 701. doi:10.1016/j.aorn.2008.09.003 A2 Background or Introduction According to the authors inadvertent hypothermia affects between 60-90% of patients undergoing surgery. The authors used a core temperature below 36 degrees as the definition of hypothermia. With a list of complications that can result from this hypothermia, the authors wanted to measure the knowledge level of perioperative nurses regarding risks for, prevention of, and complications from inadvertent surgical hypothermia.