Case Study Of Malnutrition In Nursing

Parkinson’s Disease: Relationship with Parkinson’s Disease and Body Weight Ethics are the key to the safe and reliable supply of services within an industry. Modern medicine has several ethical standards in place. The College of Nurses (CNO) states that considering ethical issues is essential to providing care. The ethical framework is in place to guide nurses in the changing times of new technology and to help prevent and work through ethical conflicts (College of Nurses, 2009, p. 3). A registered practical nurse has been documenting her patient Mr. Gurt’s weight inaccurately.

Being that urine output is the best sign that the kidneys are being perfused the bedside nurse must be strictly monitoring this patient’s fluid intake and urine output. Diuretic therapy is also started in low doses to help the kidneys along. AKI patient’s electrolyte levels... ... middle of paper ... ...use the ammonia retained in the patient’s saliva can disrupt the mucous membranes. Anxiety is another important issue to address with AKI patients as they may be afraid related to the rapid onset of the disease and the unknown outcome of their condition. It is important to assess neurological function and any emotional needs the patient may require, such as counseling or antidepressant medications.

A critical care nurse is a licensed professional nurse who is responsible for ensuring that acutely and critically ill patients and their families receive optimal care.” (American Association of Critical-Care Nurses, 2010) In summary critical nursing is a daunting task one where one individual would be overworked and trying to be in too many places at once. In addition nurses are feeling an even extra strain because hospitals’ intensive care units are understaffed. Now, this is not an extreme situation, however is a direct iss... ... middle of paper ... ...ge, this is a vicious circle. A circle that needs to be broken by the administrations to provide better care for our nurses which will result in better care of patients. Ultimately something needs to be done to better protect the rights of individual nurses bringing the shortage and patient deaths down.

The BUN and creatinine levels may start to increas... ... middle of paper ... ... left untreated. Short / Long Term Nursing Goals As a nurse, our goal is to help the patient get through everyday life without complications. Within the first six months, as a nurse I would want to make sure that the patient would have normal fluid and electrolyte levels. I would also want to make sure that the patients pain will decrease to a level that is tolerated. I would have the patient see a dietitian to help them make a diet plan for adequate nutrition.

It is startling to find that research shows that many nursing professionals do not even follow these basic principles when providing care to older adults. The ageist attitudes that have been instilled in nurses throughout their training by lack of experience as well as influence by other health care providers present barriers to the basis for successful aging of older adults; health promotion and maintenance. Phelan (2011) describes the often unidentified act of ageism in nursing related to lack of respect and “ininfantilization practices” where in the stereotypical attitudes of nurses contribute to devaluing the life of older patients (p. 898). Nurses tend to automatically treat older patients like children with patronization and lack of dignity issues (Phelan, 2011, p. 898). Hanson (2014) cited that “nurse’s attitudes older people could be stereotypical, treating them as fragile and attending to all their needs, thus endangering their independence” (p. 227).

A nurse working in a nursing home face various challenges such as refusal to eat, shower and dealing with aggressive residents to name a few. In the event that a resident refused to take his medications which are necessary for the resident’s condition at that time and the nurse puts the medication on the resident’s sandwich will that be considered a violation of the resident’s right to refuse? If so, if the nurse followed the resident’s wish and had a fall due to failure of giving his medications will that be considered failure in carrying out the nurses duty of care? Wilmot S., Legg L. and Barrat

Effective patient-provider communication is an essential component of patient care, and for communication to be effective the information must be completed, accurate, timely, unambiguous, and understood by the patient (Patak et al., 2009). Effective communication between nurses and patients require some very important skills from nurses. Nurses need to make sure that patients truly understand what using simple, common words and avoiding medical terminologies are saying. “Nurses need to recognize and acknowledge the emotional burden and individual concerns of the patients. Contributing factors that perpetuate ineffective patient-provider communication include the lack of a systematic method for nursing assessment, evaluation, and monitoring of patient-provider communication needs and interventions and a lack of standardized training of healthcare providers” (Patak, 2009, p. 372).

Professionalism and ethics are both crucial factors that determine how well of a nurse someone can be in the health care industry. There are many qualities that can attribute to being a good nurse such as but not limited to, knowing how to treat a patient with care and respect. This can fall into professionalism and ethics. They are two of the most important characteristics a nurse must have to be successful in his or her profession. Lack of these qualities can lead to negative experiences for patients.

Burnout in critical care nursing has been a longstanding, serious yet under recognized issue that has recently been magnified due to the nursing shortage. The key components of burnout include emotional exhaustion, depersonalization or detachment, and lack of personal accomplishment. These factors are closely interwoven and create a snowball effect which results in burnout. Emotional exhaustion stems from the stress placed on critical care nurses. Stress from patient acuity, heavy workload and responsibility, limited autonomy, ethical dilemmas, inadequate staffing ratios, and caring for patient’s families all contribute to emotional exhaustion (Epp, 2012, p. 26).

Poor oral health has been linked to serious systemic illnesses including diabetes mellitus, stroke, hypertension, myocardial infarction and aspiration pneumonia (Dyck et al., 2012). Patients who suffer from a lack of oral care can have a dramatic impact to their lives emotionally, mentally, physically as well as socially. With persistent and effective daily assessment and care from nurses, we can get help to get this problem under control. Assessment and prevention are key nursing steps in eliminating potential problems. There are many tools that will assist nurses assessing patient’s oral health, included are Minimum Data Set and Resident Assessment protocols.