Nursing is field where prioritisation of complex needs is essential to maintain and promote effective patient care. Prioritising care will help in time management and will make sure that the patient’s most important needs are met first. Planning and prioritising care accordingly can be very difficult for RN’s at times due to constant demands on time, lack of knowledge and support. Therefore as an RN we must not just focus on the patients’ medical diagnosis but consider the patient holistically as a human experiencing a range of health issues. (The University of Nottingham, 2014) For the following assignment Case Study one on Jim Cooper Week 1 was chosen.
Part 1:
The following are Mr Cooper’s health issues for week one which nurses can take
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As mentioned previously we can do without food for weeks but without oxygen, we will die within a few minutes this is why nutrient imbalance is given second priotiy.Our bodies need a balanced nutritious diet to produce, substitute and repair cells and tissues; produce energy to stay warm and movement; carry out chemical processes such as the digestion of food and protect against infection and recover from sickness. (Fao, n.d.)Without balanced nutrition we won’t have the necessary energy to perform our ADLs. If we look at Mr Cooper he has a background of reflux and hypercholesterolemia. Mr Cooper has a high risk of nutrition imbalance due to inadequate nutrients due to constant vomiting up of foods, indigestion, and feeling of fullness in the upper abdomen all of which leads to loss of appetite thus loss of essential nutrients. (Nanda nursing care plan, 2012) Hypoxia also has an anorexic effect and is a key catabolic stimulus. (Mason, Parker and Lott,
As a QA Manager I would ensure that the following steps are followed in accordance with the ICH, GCP, HIPAA and FDA regulations and guidelines for clinical trial documentation management.
At the initial sprint review we did not have anything to demo since our first sprint tasks had merely been to set up a development environment for ourselves and produce a commit message to our git. A task of which all of us had accomplished. Our review of this task was simply "Great job!".
Ms. Conner maintains familiarity with all DHSS administrative policies, procedures and applicable rules and regulations. Ms. Conner understands and demonstrates knowledge of agency programs and willingly explains the goals/mission of the division, including services and programs. She adhered to HIPPA and applied her knowledge independently in her case work and conferred with her supervisor as needed. She provided resources to reported adults and those professionals and family members who want to assist them. She is familiar guardianship procedures and has advised reported adults and their families as well as VA staff on the guardianship process. She has informed them of and has obtained medical and psychological evaluations determining competency and decisional capacity to obtaining legal counsel in a financially affordable way. However, Ms. Conner has not completed any guardianship during this rating period. Ms. Conner also demonstrated technical program knowledge and has found ways to ease the Case Compass process by looking at tasks in the investigation plan and sorting out how to make
The purpose of this essay is to explore nursing care priorities for a patient with a common health condition. A common health condition is a disease or condition which occurs most often within a population. The author has chosen scenario 3 for this essay and will describe the nursing assessment and care planning provided to a patient with Chronic Obstructive Pulmonary Disease (COPD). The WHO definition of COPD is a lung disease which has a chronic obstruction of the airways that impedes normal breathing and is not fully reversible (). According to), there are estimated to be over 3 million people in the UK with COPD. It is common in later life and there are approximately 25,000 deaths each year, with 15% of COPD being work related (The identity of the patient will remain anonymous in adherence with the Nursing and Midwifery Council, Code of Conduct on patient confidentiality (). However, the patient will be referred to as Mr B in this essay. The author has chosen the priority of eating and drinking for Mr B. Patients with COPD are at increased risk of malnutrition and nurses must make certain they screen patients and offer advice or refer as necessary (). If this priority is managed well it will have a positive effect on the other priorities (, 2012). In accordance with NICE Guideline 101 (), the treatment and care provided should consider each persons’ individual requirements and preference. Care and treatment should take into account people’s individual needs and choices. To allow people to reach informed decisions there must be good communication, supported by evidence-based practice (). This essay will provide an evidence based discussion on how care will be implemented in relation to Mr B and his eating and drin...
Patients often have complex care needs, and often present with multiple co-morbidities or problems. The process of conducting a comprehensive nursing assessment, and the coordination of care based on these findings is central to the role of the Registered Nurse (NMBA 2006). Evidence-based interventions must then be planned and implemented in a patient-centred approach in order to achieve agreed treatment goals and optimise health (Brown & Edwards 2012).
A nurse is able to achieve this great balance, with the patient and self, by being conscious of the environment that surrounds them and through self awareness. For example, in the scene of an emergency, first and foremost, a nurse must check the environment before started emergent care. Both the patient and nurse must be safe for treatment to be effective. The environment is what surrounds us; our workplace, home, communities, issues we think about, the people we interact with, and the emotions associated with these interactions. The nurse knows that all of these components play an integral role in maintaining stability in a person’s life and health. The nurse assumes care of not just a disease process but of a human being as a whole; a family, a livelihood, a spirit, a person. A nurse knows that in order for holistic care to be effective, the care taker themselves should be at a point of stability as well. A true nurse knows that in order to excel you must know your limits and understand that while your main goal is to help the patient regain their strength, identity, and independence, that goal does not have to be achieved by compromising your own self, identity, and
This essay will explain the importance of ‘Prioritising patients’ from one of the ‘P’s in the Nurses and Midwifery Council Code. The Nurse and Midwifery Council Code (NMC) is a set of standards in which nurses and midwives have to maintain to keep their registration. It is used to guide and support nurses and midwives whilst in practise. Within the code there are a set of four key principles that support the practice of all nurses and midwives, to remind them of their professional responsibilities.
Seron-Arbeloa, C., Zamora-Elson, M., Labarta-Monzon, L., & Mallor-Bonet, T. (2013). Enteral nutrition in critical care. Journal of Clinical Medicine Research, 5(1), 1-11. doi:10.4021/jocmr1210w
I really reflected much on this question because I think the answer is not immediate. I would exclude the matrix model because of its ambiguity between the lines of management, and I believe that this model is not suitable for the changing environment we live
My philosophy of nursing is based on Erickson’s Theory of Modeling and Role-Modeling, which allows me to incorporate the patients’ needs into my plan of care. In order to have an effective and thorough plan of care, I must take the time to get to know the patient. Once I have built a rapport and trusting relationship, I can help meet the patients’ needs by implementing a plan of care with reachable goals. These reachable goals will be set and agreed upon by the nurse and patient. Not only is it important for the nurse and patient to establish individualized reachable goals, but it is important for the nurse to also have goals. The nurse may have personal and professional goals. My goals are to continually find, propose, and implement ways to make the
During my career as a registered nurse I have had the privilege of caring for my patients at the bedside and meeting their needs holistically. Additionally, the safety of my patients is one of the most important aspects of my current role. The experience of advocating for my patients during my nursing career has taught me to place my patient’s health and wellbeing first. The second most important aspect of nursing that I have learned during my career is how to meet my patient’s needs as a whole, not just physically but also emotionally and psychologically applying the holistic approach to each patient. I believe that the patient’s needs
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
Nurses want to give complete and quality care, but are unable to, due to the constant needs of their workload and inadequate staffing. They have to prioritize their patients needs based on the most critical treatments first. Then whatever time is left, they fill in what treatments they can. Some reasons that nursing treatments are missed include: too few staff, time required for the nursing intervention, poor use of existing staff resources and ineffective delegation.” (Kalisch, 2006) Many nurses become emotionally stressed and unsatisfied with their jobs. (Halm et al., 2005; Kalisch,
The APRN listens and engages with the patient as care and compassion take place. As the nurse discerns what the patient’s needs are and considers obstacles to achieving optimal care the application of theory is necessary as the process is not always quantifiable. The APRN who does not learn nursing theory may focus primarily on EBP and miss this engagement opportunity with the patient. One may prescribe medication; however, if the patient does not take the medication, then the nurse assumes the patient is noncompliant. The application of Watson’s themes where appropriate helps the APRN discern how to help the patient become compliant. It is necessary to care for the patient outside of the idea of only providing care to understand the obstacle in that patients circumstances and reach improved patient outcomes to any disease
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will