During the second term my focus has been on developing my skills to become a more valuable member of the health visiting team. My previous career within emergency nursing means I find the drop in clinic setting to be the area I am most comfortable within and this unscheduled method of contact a familiar one. I have been assisting the health visitor (HV) or child health advisor (CHA) each week with at least one clinic to improve my skills within this setting. This enables me to see a wide range of more common concerns and queries on a high volume basis but within a setting that affords me the opportunity to ask a colleague for advice if I am unsure. I feel I am learning a diverse range of subjects that will better equip me to answer questions
I explain to her that with endometriosis that it is a patient to patient treatment plan as everyone is different. The doctor comes back in and asks Mrs. Jinx if next Thursday would work for her laparoscopy, as this will allow them to start adequate treatment once the finalized diagnosis is made. Mrs. Jinx nods and states "yes" looking at the doctor with reassurance that things will be ok and that there is a way to correct
The reason for putting you through this drill is to make sure that you never have to wear an orange jumpsuit because of an action you took as an employee of Seva. So, here's the bottom line.... You chose the following option: Involve the assigned nurse and the parents in assessing need for medical intervention to ensure a safe delivery. Provide contacts for aftercare support and education. On a scale of 0 to 5, from low to high risk, your decision rates a 1. It represents very low risk.
Having obtained the clients name and address, we need to make sure that the client isn’t on medication especially on anti psychotic and antidepressant medication if this is the case we should contact their GP. It is also during the first consultation that we will acquire all the information we need to do the best work possible. Exploring the client’s history, so we can understand what was the reason that took them there, always bearing in mind that we should only treat the client for the specific reason he mentioned and not what we feel the client might need. We can discuss at this time with the client any fears they might have, any questions or misconceptions. Its where we will decide what modality is more suitable, if, kinaesthetic, visual or auditory, permissive or authoritarian.
The infant was originally discharged home on an apnea monitor and continuous home oxygen per nasal cannula. After being admitted to the hospital, the nursing staff must develop an individualized plan of care that will optimize patient outcomes while maintaining the safety of both patients and the nursing staff. The NANDA-I diagnosis that would be appropriate for an infant with bronchiolitis is ineffective airway clearance, which is a state in which the patient is unable to clear respiratory obstructions or secretions in order to maintain a patent airway (Elsevier, 2012). Once the diagnosis has been identified, the nurse is able to recognize the common symptoms associated with patients who suffer from a compromised airway, which include: fatigue, non-productive cough, increase secretions, cyanosis, increased respiratory rate, labored breathing, and abnormal breath sounds, such as wheezing or crackles. Based on the common symptoms of a patient with bronchiolitis, the nurse can then identify appropriate patients goals and outcomes.
Whatever the rate, there is little debate that PTSD affects substantial numbers of returning troops and is associated with significant disability and distress for both the veteran and his/her family. The key challenge is to ensure that the disorder is recognized quickly and to make sure that reliable pathways to evidence-based care are available” (2011). Patients with PTSD have the same desire; to regain control of their lives and learn to cope with this disorder in order to live as normal a life as possible, as they did prior to developing PTSD. The medical field has developed several reliable ways to treat PTSD. The treatments often include medications and psychotherapy, or a combination of the two.
The journalist argument is that we can save cost in healthcare by using Telehealth monitoring systems. She believes that if you provide patients with education and this suggested monitor, that the admission rates would go down, and patient would be able to same money. The cost is about the same as a one day admission. The monitor would educate the patient and alert them of warning signs if their condition is worsening. This in return will prompt the patient to alert his or her physician.
The person must stay compliant to their treatment plan even on during periods when the illness is stabilized, they are not cured. Noncompliance is a major cause of relapse. Treatment may include: seeing you doctor or psychiatrist regularly for medication management, talking to a psychologist between doctor appointments and have the doctor and therapist communicate with each other to help you receive an effective treatment plan. Inpatient hospital care may be necessary for extreme cases to help stabilize a situation that may have yourself or others in a harmful situation, and in some cases to manage changes in medications. Group therapy can be very helpful, being surrounded by others that are dealing with the same illness you are; this is helpful so you know you are not the only one in the situation, you are less likely to be judged, and can learn helpful survival techniques that others have found successful.
“Most professional codes of ethics are revised periodically to keep them consistent with the times.”(Bird, Robinson, 2011) Does Jerry’s medical training qualify him to issue this refill order? Why or why not? In Jerry’s situation, he does not have the medical training or authorization to issue or refill any prescriptions because he only has training in medical assisting and licensed practical nursing. Jerry knows that with his training he is not allowed to refill a prescription medication for any patient and has been taught this throughout his schooling. The only way Jerry would be authorized to call in a prescription for the patient is if Dr. Williams has left a prescription for refill for the patient.