The aim of this patient care study is to discuss the care and nursing interventions that a particular patient received whilst staying on acute medical ward. Clause five of the Nursing and Midwifery Council’s Code of Professional Conduct (2002) states that “as a registered nurse or midwife you must protect confidential information” and if information is to be revealed the patient’s consent must be sought. The patient’s permission was obtained after an explanation of the purpose and proposed content of the care study, with a staff nurse present. For reasons of confidentiality, the patient will be referred to under the pseudonym of Kirsty. Kirsty is a seventeen-year-old young lady who was diagnosed with Crohn’s Disease when she was thirteen years old. She lives in a terraced house with her mother and is a hairdressing student. She was admitted to the ward from the Children’s Outpatient Department following a routine check-up, where she presented with right-sided abdominal pain and loose stools. She was diagnosed with a flare-up of Crohn’s Disease. Kirsty was chosen for the purpose of this care study because her strength of character was admired and a good relationship was established.
Kirsty was admitted to a twenty-six bedded acute medical ward, which is primarily gastrointestinal conditions, however medical outliers are admitted. There are three bays: one male, and two female, one called the Day Room (as it used to be the patient’s day room, but was opened as a bay as there was a bed shortage) and the second is called the Female Bay. There is a double side-room and two single side rooms, top of the ward and bottom. Kirsty was admitted to a bed in the female bay.
The ward is split to accommodate the Primary Nursing framework...
... middle of paper ...
...wifery Council. (2002). Code of professional conduct. London: Nursing and Midwifery Council.
Pullen, M. (1999). Nutrition in Crohn’s Disease. Nursing Standard. 13(27), 49-53.
Swankin, J.D. (2002). Patient-centred care. Current reality, barriers and proposed actions. http: www. iom.edu/iom/iomhome.nsf/Wfiles/ swankin/$file/ swankin.Patient-CtrdCare.ppt-.html.
The National Audit Commission Report Anaesthesia Under Examination. (1997). The Efficiency and Effectiveness of Anaesthesia and Pain Relief Services in England and Wales. London: NHS Executive.
Working Party of the Commission on the Surgical Services. (1990). Pain after Surgery. London: Royal College of Surgeons of England and College of Anaesthetists.
Walsh, M. (1997). The Nature of Nursing. In M. Walsh (ed.) (1997). Watson’s Clinical Nursing and Related Sciences. 5th Edition. London: Baillière Tindall.
Taylor, C. (2011). Introduction to Nursing. Fundamentals of nursing: the art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Lindley, P., Pestano, C. R., & Gargiulo, K. (2009). Comparison of postoperative pain management using two patient-controlled analgesia methods: Nursing perspective. Journal of Advanced Nursing, 65(7), 1370-1380. doi: 10.1111/j.1365-2648.2009.04991.x
Anesthesia, “We take it for granted that we can sleep through operations without feeling any pain. But until about 150 years ago, the operating room was a virtual torture chamber because surgeons had no way to prevent the pain caused by their healing knives.”
ROPER, R and LOGAN, W and TIERNEY, A (2003) The Roper Logan Tierney Model of Nursing. London: Elsevier.
Parker M. E., & Smith M. C. (2010). Nursing theories and nursing practice (3rd ed.).
Although the comorbidities and type of surgery dictate certain decisions in managing patient care, anesthesiologists maintain various modalities for the perioperative period. These consist of anything from local to regional anesthesia, including neuraxial techniques and peripheral nerve blocks, as well as monitored anesthesia care with sedation to general anesthesia. Overlapping of different anesthetic types and combinations of regional analgesics to supplement general anesthesia occur frequently.
Watson, J. (1985). Nursing: Human Science and Human. Norwalk; CT: Appleton – Century – Crofts.
McEwen, M., & Wills, E. M. (2011). Theoretical basis for nursing (3rd ed.). Philadelphia, PA: Wolters Kluwer Health Lippincott Williams & Wilkins.
Thorne, S. (2010). Theoretical Foundation of Nursing Practice. In P.A, Potter, A.G. Perry, J.C, Ross-Kerr, & M.J. Wood (Eds.). Canadian fundamentals of nursing (Revised 4th ed.). (pp.63-73). Toronto, ON: Elsevier.
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has learning disabilities it was imperative to identify any barriers with communication (Nursing standards 2006).
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.
McEwen, M., & Wills, E. (2011). Theoretical Basis for Nursing (3 ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
During surgery, patients are given anesthesia for several purposes: They cause amnesia, pain relief, muscle paralysis, and sedation. With about 234 million surgeries performed worldwide each year, we learn the magic behind it all used to help patients get through each surgery, or so we hope. With the research going on, we have learned that in many different parts of the world there are different percentages of anesthetic related-events ranging from 1 out of 1,000 early emergences, the awakening during surgery, to 1 out of 19,000. These patients that have experienced anesthesia awareness have been found to have long-term psychological effects. Although about 75 percent of these patients are awake no more than five minutes, that short
Pharmacology is a vital component in the perioperative practice. Medication use is monitored closely during the perioperative period. Preoperatively, there are certain drugs that must be discontinued prior to a surgery as they increase surgical risk, including anticoagulants, tranquillisers, corticosteroids and diuretics (Laws, 2010b). In fact, these drugs can increase the risk of respiratory depression, infection, fluid and electrolyte imbalance and increased risk of bleeding (Hamlin, 2010). Open communication is important in obtaining a medication history, and in identifying the drugs taken prior to the surgery. If any of these medications has be...
King, I. M. (1971). Toward a theory for nursing; general concepts of human behavior. New York: Wiley.