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The importance of taking blood pressure
The importance of taking blood pressure
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The purpose of this clinical journal entry is to elaborate on the details of lab day three. On lab day three, we had check-off for blood pressure and apical pulse. In addition, we took a safety test, and learned about mobility, immobility, how to use ambulatory devices, and reposition (C#4, C#6).
Since we will be going to the nursing home, it is imperative that we know how to correctly assist a client with their ambulation. To begin with, Ms. D demonstrated how to use a wheelchair, cane, and walker. We all practiced assisting each other with standing, sitting, and falling.
In the next lab, Ms. D demonstrated how to use safe and effective transferring from a bed to a chair. Ms. D also showed us how to properly do range of motion (ROM) with
D, my classmates, the skills book and videos were my influencing factors for this lab. I find the clinical learning centers to be exciting and places me in my professional work place. I should do everything as I would if I was in the hospital, nursing facility, or clinic. I recognize that we must be professional and act just as that. The CLC influences me to be the best I can be because it allows me to be in a realm of professionalism. This is to say, I should dress, behave, and listen as a professional nurse would. I should welcome suggestions to improve my nursing skills and embrace them with open
There are various canes that can be use; for example, there is a four-pronged ones and a single pronged one. The four-pronged cane allows for more stability, whereas the single one is for someone who needs just a tad bit of support.
The gait belt is a unique device and serves many purposes. I can also use the gait in alternative ways. For example, I can use the gait to assist a client with ambulation, or with pivoting them into a wheelchair. The gait belt can also be put on in different ways. For instance, I can sit the client up in bed or actually put it on while they are lying in bed.
Learning
Ask for help if you need it, I must learn to put my pride aside and focus on the patient’s safety and well-being. UNCP nursing is a holistic approach, meaning I should be very aware of how and what my clients are feeling. I should acknowledge that I am a young nursing student and that I do not know everything an if a client asks me a question I do not know, I should ask someone with mote expertise. I should always encourage the client to get out of bed, but I must remember they are adults capable of making their own decisions and respect their wishes if they choose other
The prevention of falls in the long term care facility is one of the most important interventions the health care team can do to ensure the safety of loved ones under their care. According to the Summary Data of Sentinel Events Reviewed by the Joint Commission (2016), there were 806 falls between 2004-2015 with 95 of those occurring in 2015 . As health care providers, we have a responsibility to incorporate interventions that will help protect the patient while under our care. Interventions as simple as ensuring the use of a gait belt by any team member that transfers the patient, to making sure all team members are aware of the medications that can make certain patients more of a fall risk, will help in the prevention of falls.
On September 29, 1993, Robert Wendland, then age 42, was involved in a vehicle accident. He was in a coma for 16 months. In January 1995, Mr. Wendland came out of the coma, but he remains severely cognitively impaired. He is paralyzed on the right side. He communicates using a "Yes/No" communication board. He receives food and fluids through a feeding tube. During rehabilitation, he has been able to do such activities as grasp and release a ball, operate an electric wheelchair with a joystick, move himself in a manual wheelchair with his left hand or foot, balance himself momentarily in a "standing frame" while grabbing and pulling "thera-putty," draw the letter "R," and choose and replace requested color blocks out of several color choices.
The course also prepared me to become a Certified Nursing Assistant. While attending clinicals, I practiced procedures and proper care for the elderly. My experiences in the nursing home helped me realize that there was more to nursing than just giving proper care to those in need. During my clinicals, I was able to sit down with the residents assigned to me and hear their childhood stories. They shared many old pictures and possessions with me that made it worth the visit. It really touched my heart to know that my residents looked forward to seeing me and providing them with my care and compassion made a difference in their stay at the nursing home. When I reflect on my experiences, I begin to look forward to my career in nursing. I know the appreciation I feel when I have others caring for me, so that is a feeling that I would like to give in return to reassure every single one of my patients that they are cared for and their health and well-being is my primary
Over the years, therapy has become a major factor in helping to cure diseases both mentally and physically. Today, a therapy used for both adults and children with Cerebral Palsy and Scoliosis is Hippotherapy. Hippotherapy is the use of a horse to fix the sensory motors and the structure of the spine. This therapy was first introduced back in the B.C era, but because of the lack of technology the research of the therapy was placed on hold until 1875 when Dr. Chassaign started looking into activities that can help improve things such as posture, balance, and joint movement. Hippotherapy helps improve the sensory motors and spine structure. This opinion is based on observations made at Heavenly Hoofs, which is a place that deals with therapeutic riding. Hippotherapy can help children and adult with both spine and mobilization problems by using the motion of the horse to slowly fix sensory motors.
...o take control of the conversation, if they desire. Making observations - articulating what is perceived and/or observed (Current Nursing, 2013). Reflecting – directing questions towards the patient based on the topic of discussion, to ensure the patient feels recognized and accepted. Attempting to translate words into feelings – by trying to put into words what the client is trying to express indirectly (Current Nursing, 2013). The nurse must be able to identify non-verbal communication – body language, such as the patients dress, posture, facial expressions etc. Identify the client’s problem - problem solving skills include: having a discussion based on the promotion of positive change, discussing procedures and techniques to cope with situations that are un-changeable, and encouraging the patient to implement the recommended procedures (Current Nursing, 2013).
Dr. Murray, the chief resident who arrived around 8:00pm, charted Lewis’ heart rate as normal and noteds a probable ileus; however, nursing documentation at the same time recorded a heart rate of 126 beats per minute (Monk, 2002). Subsequent heart rates at midnight and 4:00am arewere charted as 142 and 140 beats per minute respectively without documented intervention (Monk, 2002 ). On Monday morning Lewis noted that his pain suddenly stopped after being very constant and staff charted that they were unable to get a blood pressure recording in either arm or leg from 8:30-10:15am despite trying multiple machines (Monk, 2002; Solidline Media, 2010).
As an occupation in the medical field, physical therapists have a very long strenuous list of duties. That list includes working with patients with limited use of their bodies due to injury or disability and improving mobility while reducing pain. Physical therapists provide care to people of all ages who have functional problems such as sprains, strains, fractures, arthritis, amputations, stroke, cerebral palsy, other injuries relating to sports, other injuries relating to work, other neurological disorders, and various other conditions. Some ways that physical therapist go about reducing pain levels of their patients is by using exercises, stretching, hands on therapy, and special equipment that is designed to help increase their mobility, prevent further injury, and smooth out the...
Nursing today has implemented many standards, policies, and procedures that must be followed to ensure quality care for patients. In the healthcare field, The American Nurses Association (ANA) Standards of Professional Performance is a set of standards that ensures patients receive the highest-quality care available to them. The ANA Standards of Professional Practice requires all health care professionals to understand their specific roles and responsibilities. Understanding the specific roles and responsibilities is important for the student nurse to know so that he or she is aware of what they are being held accountable for prior to beginning their professional occupation in healthcare. Nursing students must be prepared to use and understand
The College of Nurses of Ontario (CNO) is the governing body of all registered nurses in Ontario and is regulated. The CNO provides expectations and guidelines to follow, which need to be met by each Registered Practical Nurse (RPN) individually. As a nursing student, I am taught about the CNO and the importance of referring back to the guidelines while caring for patients. While gaining experiencing in the nursing field through my clinical settings, I have realized as a nursing student there are areas I need further development in. In this paper, I will address two of my learning needs and my goal for each. I will also discuss the plan I created in order to successfully meet my learning needs prior to becoming an RPN, and
This program is a continuation of schooling and clinicals in a safe and beneficial way. The precepted weeks help to become comfortable with the floor and equipment. All the while, there is someone there to support my growth and development. I think the guidance provided is not only helpful for new graduates, but also a smart move for the hospital. Change can be hard for nurses that have been working on a floor for a while, and this program allows a smooth integration of new nurses without the frustration of having to help a new grad with every little
"Spine & Sports Rehabilitation." - Rehabilitation Institute of Chicago. Ric.org, 2014. Web. 08 May 2014.
D. standing near her room, breathing sharply. While asked what has just happened, she answered, ‘I feel dizzy and can faint!’ Mrs. D. then explained that she rose up from her chair in the television room and felt lightheaded. I decided to bring her to the room hoping she would feel less dizziness if she could sit. After consultation with my mentor and third year unit nursing student, I decided to perform measurement of her vital signs. Since only electronic sphygmomanometer was available for me that time, I had to use it for my procedure. Gladly, I discovered that I have already used such equipment in my previous nursing practice. Using the standard sized calf, I found that her blood pressure was 135/85, respirations were 16, and her pulse was 96 beats per minute (bpm). However, I decided to recheck the pulse manually, founding that it was irregular (78 bpm). The patient stated that she felt better after rest. Immediately after the incident I made a decision to explore carefully the medical chart of Mrs. D., along with her nursing care plan. That helped me to discover multiple medical diagnoses influencing her
Who I am is a brand new nurse that has entered a different environment of healthcare compared to my previous work of the pharmaceutical industry. I am a person who has always had an interest in helping people, doing amazing things on a daily basis and learning consistently. In efforts to fulfill my interest; I became a nurse through the many obstacles and sacrifices that were faced. To my very core, I am a person of great ambition, empathy, confidence, and value respect. I practice nursing in a hospital environment caring for patients on a medical-surgical floor. How I practice nursing is by providing education to patients, learning the material through experience, carrying out provider orders, taking care of
As a restorative aide, I lead a group of twenty-five to thirty clients through therapeutic activities that work on their gross motor, cognitive, fine motor, sensory, social, and behavior skills. I also carry out individual therapy sessions assigned by occupational therapists, and document individual progress notes. I work as an internal case manager for the clients, and I assist with the evaluation of each client according to his or her backgrounds, activity interests, abilities, and physical limitations to help develop a meaningful therapeutic activity for each person. This job has allowed me to use my creativity and design new fun activities every session to keep clients motivated. I work with clients who have traumatic brain injuries, dementia, and other cognitive and physical disabilities. I’ve developed interpersonal skills and learned the importance of reassurance, redirection, and patience with clients who may become easily confused and anxious. This job has allowed me to build trusting relationships with clients, and further confirmed my passion to become an occupational
My future nursing practice is now changed because I understand the importance of patient advocacy. I need to trust in myself that I know when I am seeing something wrong, so I can speak up before it is too late. Because of this reflection I can see how trivial it was to be worried about my own professional risk over my patient’s quality of care. I am sure that I will never make that mistake again. As a health care provider, the well-being of patients should be a top priority,