One must understand that patients who are prescribed warfarin are at a high risk of bleeding. According to Sanderson et al. (2009) “many patients were unable to link known risk factors as contributing” to DVT to their therapist (p. 25). Although patients are admitted for major lower extremity surgeries, some of these patients also have chronic diseases, such as cerebral vascular accident (CVA), coronary artery disease, diabetes, cardiac, renal disease, and obesity and might take a complex medication regimen. Therefore, these patients require a major understanding of detailed discharge education of medication regimen, side effects, and interactions to prevent them from suffering complications. Furthermore, Campbell and Selton (2010) claimed that patients mostly misunderstand the interactions of some foods that are rich in vitamin K with warfarin (p. 373). Most are unaware of the consciousness and complications foods that are high in vitamin K brings to their current health status. Clinents also lack the knowledge of the need to adjust their warfarin dosing and monitoring of the International Normalization Ratio (INR) level. Although nurses do give a quick verbal instruction such as, informing patients to immediately report to provider if they observe bruises on skin, excessive gum bleeding or blood in urine, patients fail to fully understand the danger of taking anticoagulants medications. Campbell and Selton (2010) explain that patients’ discharge teaching about the complication of warfarin is inadequate and “ failure to follow prescribed medication, and simple lack of understanding Coumadin therapy often results in re-hospitalized soon after discharge”(p.374). The research further confirmed that since “Hemorrhagic compl...
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...ing transition of geriatric patients from hospital to home: a prospective observational study. BMC health services research, 10(1), 1.
Nosbusch, J. M., Weiss, M. E., & Bobay, K. L. (2011). An integrated review of the literature on challenges confronting the acute care staff nurse in discharge planning. Journal of clinical nursing, 20(5‐6), 754-774.
Reynolds, M. A. H. (2009). Postoperative pain management discharge teaching in a rural population. Pain Management Nursing, 10(2), 76-84.
Is "teach-back" associated with knowledge retention and hospital readmission in hospitalized heart failure patients?
White M. Garbez R. Carroll M. Brinker E. Howie-Esquivel J.
Journal of Cardiovascular Nursing. 28(2):137-46, 2013 Mar-Apr.
[Journal Article]
UI: 22580624
Authors Full Name
White, Matthew; Garbez, Roxanne; Carroll, Maureen; Brinker, Eileen; Howie-Esquivel, Jill.
Suresh, G., Horbar, J., Plsek, P., Gray, J., Edwards, W., Shiono, P., & ... Goldmann, D. (2004).
I found your post interesting, having worked in an emergency department during my paramedic years. In my career as a nurse working in a clinic on occasion we must send a patient to the emergency department. I always call to speak with the charge nurse to provide report prior to just sending the patient, often I am on hold for greater than 15 minutes. This often results in the patient arriving at the ER before I can give report. Adding to this the charge nurse on more than one occasion is calling me on another line to ask why the patient it there! However, from past experience I do know how busy the ER can be at any given time.
Tadić, A., Wagner, S., Hoch, J., Başkaya, Ö., von Cube, R., Skaletz, C., ... & Dahmen, N. (2009).
“Chronic diseases and illnesses are the leading causes of death and disability in the United States” (CDC.gov, 2014). These types of illnesses are the most common health problems that people in this country face today and they are also the most preventable (CDC.gov, 2014). Every year the cost to help care for and manage people with these types of illnesses increases and there is less being done about educating people about prevention. Venous Thromboembolism is one such chronic disease that is very deadly but also very preventable if the right precautions are taken. This paper will aim to educate about the disease, courses and costs of treatment, clinical microsystems that are involved and what barriers if any exist to achieving generative relationships among the various clinical microsystems involved.
Van Nuffelen, G., De Bodt, M., Vanderwegen, J., Van de Heyning, P., & Wuyts, F. (2010).
Tackett, J. L., Lahey, B. B., van Hulle, C., Waldman, I., Krueger, R. F., & Rathouz, P. J. (2013).
Professor Cantu and Class, The first article is, Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Chapter 34 “Handoffs: Implications for Nurses”, this article is applicable not only to my unit, but to every nurse in the profession. It is imperative that the translation of patient information from one person to the next during shift change, patient transfer, or transfer to another facility is clear, accurate, understandable, and complete, conveying all pertinent information about that patient. The article discusses why we have problems with handoffs, and different methods for handoff styles.
In addition to concerns about the adequacy of the supply of nurses the financial impact of high turnover was startling. According to Jones (2005) Using the updated Nursing Turnover Cost Calculation Methodology, the per RN true cost of nurse turnover is calculated to be 1.2–1.3 times the RN annual salary. That estimate is derived from a retrospective, descriptive study of external RN turnover cost data at an acute care hospital with over 600 beds. The findings indicate that the three highest cost categories were vacancy, orientation and training and newly hired RN productivity. (as cited in Kooker & Kamikawa, C. 2011). For example, At the Queen’s Medical Center, the annual salary of an experienced RN is currently $91,520. Therefore, using the
In this essay I will be discussing the importance of understanding learning styles for student nurses. I will also be focusing on the learning cycle and learning style using the Honey and Mumford 80 questionnaire. I look into the details of how learning style helps students to understand the importance of recognising one’s learning style preference. I will also provide an understanding of learning and learning theories and discuss my own dominant learning style and how I aim to deal with my weaknesses to progress well in the nursing programme.
Hospital, only one word but somehow is thought of in a bad connotation. No one wants to be in the hospital and no one has a great time, however there are people who can make your stay better. Nurses can make your stay comfortable and relaxed or painful and scary. Having a caring nurse can make your experience exceptional while having an awful nurse can make everything worse. No one wants the uneducated nurse, and there is something we can do about. Nurses are “born” at the very first nursing class they attend and grow with each clinical. Clinical is where nursing students can practice as nurses in a specific area under the supervision of a licensed nurse. These clinicals are essential to the development of nursing students and need to be educational.
Effective communication is highlighted as essential for healthcare professionals to meet best practice and to accomplish goals Department of Health (2007). Interprofessional communication enhances patient and family outcomes (Littlechild and Smith, 2013). Poor communication in practice is frequently invoked as the source of catastrophes (Thistlethwaite, 2012), Courtenay and Griffiths (2010) identify that most medication errors occur because of poor communication.
If a patient is confused or thinking of altering their medication regimen the nurse and/or physician should be informed
Timpano, K. R., Keough, M. E., Mahaffey, B., Schmidt, N. B., & Abramowitz, J. (2010).
Barker, V., Giles, H., Hajek, C., Ota, H., Noels, K., Lim, T-S., & Somera, L. (2008).
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...