Patients must be asked questions that allow them to provide as much information about their health related issue. A complete medical history along with the subjective and objective data assists the nurse in reaching a nursing diagnosis (Ackley & Ladwig, 2011). There are five labels associated with nursing
For example if a patient was running a high temperature, they would administer Tylenol without looking for other causes like dehydration. Sometimes, just asking and encouraging a patient to use an incentive spirometer or get out of bed, ambulate, drink plenty of fluid could do the trick. It has been a long road for me but, I made a conscious decision that if I need to be an effective and skilled nurse, I had to improve on my critical thinking not a task worker. I made it a point to consistently apply the principles of critical thinking by familiarizing myself with the must up to date nursing research and evidence based research data to provide safe, high quality care. Another strategy I used was to approach a situation from more than one point of view, think through problems thoroughly, assess and investigate a problem or situation, implement good use of the nursing process in all situations.
Her first point of contact with the emergency department is triage (Farrell, 2005, p.2158). The emergency nurse then needs to determine the clinical urgency of the patient. The emergency nurse would do a primary survey maintaining vital signs and then continue to a secondary survey of the patient, to uncover any other serious threats. The nurse shall then prepare the patient for any diagnostic tests, contact family, make sure pain is under control, monitor and document their findings (Laskowski – Jones, 2006, p.54). A patient presenting with a head injury can pose a lot of complications and the nurse needs to assess and monitor the patient thoroughly.
The assessment of needs forms the background or starting point for further assessments against which improvements are compared. The assessment of needs is therefore the starting point for any decisions on care strategies. Assessment of needs in Asthma Physical: when my individual’s situation had worsened due to severe asthma attacks, her parents took her to the hospital. The doctor gave her a mobilizer which helps oxygen to pass through her blood in order to relax her. To prevent future attacks and to control them the doctor taught my individual’s parents how to do first aid such as helping the person to sit upright and loosening tight clothes and ensuring that the medication is taken during an asthma attack because it helps the service user to breathe better.
Answer Key #1 The emergency room nurse is completing the admission assessment. Nancy is alert, but struggles to answer questions. When she attempts to talk, she slurs her speech and appears very frightened. What additional clinical manifestation does the nurse expect to find if her symptoms were caused by a stroke? A -- A carotid bruit #2 Due to Nancy's deteriorating condition she is referred to a neurologist.
Nursing Knowledge Through Nursing Process Jeremy, Gina, Krystal, Pearl, Renee NUR/403 January 25, 2015 University of Phoenix Belen Malayang The nursing process is a system of exploration, evaluation and planning aimed at delivering individualized patient care. The goal is to identify the existing or potential health needs of the patient and the best way of providing care to overcome problems and promote wellness. The nursing process has five steps, assessment, diagnosis, planning, implementation, and evaluation. Today we will discuss the nursing process and how it applies to John’s case study on page 379. We will further consider the nursing skills needed by the nurse (RN) and the scientific basis in each part of the nursing process.
When nurses reach this level they understand how medications affect the body and why they are used and if they are seeing the expected outcome. This leads to the top of the domain which is create, nurses at this level are active participants within the health care team devising a plan of care for their individual patients. The affective domain or the feelings domain is made up of five subclasses. The first of these classes is receiving, at this level nurses are ready to learn and receive whatever is necessary for them to be successful. As learning progresses nurses start to respond to and value information, organize what is learned and finally internalize.
The importance goes further to the core of the problem focusing on the nurse and evaluating what is needed to be done in order to educate this patient group. The research problem involves nurses who are not comfortable discussing end-of-life issues with their patients and is identified in the first few paragraphs of the article. This is a significant problem nurses and doctors can educate, manage and monitor for these chronic patients. The purpose is not clearly stated in the study, but is inferred within the abstract of the article as well. Patients and families dealing with potential end-of-life issues is a very common problem in health care today.
A Comparison of the Professional Roles of Nurses In this paper, the nurse’s unique role in providing inter-professional care, patient care quality and safety, cost effective healthcare, and care to diverse patient populations will be investigated. A Certified Registered Nurse Anesthetist (CRNA), J.W. and a Nurse Educator, M.,H., were interviewed, their roles as nurses were analyzed using provided protocol to discuss the difference between research and quality improvement, also how informatics affect the quality of patient care. The two specialties based on the individual interviews will be compared and a copy of both interviews will be incorporated into the paper. Lastly, a reflection of findings will be discussed as to how nurses could contribute the information from the two interviews into their own professional growth and development.
Nursing Documentation and Malpractice Law HCS/545 Health Law and Ethics May 31, 2010 Mary Nell Cummings Nursing Documentation and Malpractice Lawsuits Proper medical documentation can prevent liability issues and malpractice lawsuits. The focus on my paper will concentrate on nursing documentation and malpractice lawsuits. I presently work for a home health care agency. The entire staff throughout the company was recently informed of increased Medicare denials and possible lawsuits as results of inadequate documentations. A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation.