Mindfulness can best be characterized as a condition of dynamic, open consideration on the present. When you are mindful, you deliberately watch your musings and emotions without passing judgment on them great or awful. You are living and being in the moment. Being a nursing professional this is particularly helpful when caring for patients. One evening I was caring for an elderly gentleman on the medical floor, no telemetry. We spent time together while
I admitted him and listened to his concerns about needing to get home to care for his wife with dementia because his son was only going to be in town for the weekend and there was no one else to care for her after he left. Early the next morning I found my patient setting at the side of his
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She asked if it could wait until she finished her conversation, and I told her no, that my patient was having a heart attack. The patient was moved to the intensive care unit and underwent a heart catheterization the next day.
Over the years I have become more sedentary. Obtaining a degree online has meant long hours sitting at the computer reading, researching and writing papers, spending time entering contests and playing games on the computer does not help either. I would like to improve my health by becoming more active. Being more active would lower my blood pressure and decrease my risk for diabetes. I also need to improve my dietary habits. The cafeteria at work serves panini sandwiches at lunch that are easier to grab and eat at my desk while I am working than taking the time to pack a more nutritious meal at home and bringing it to work. I can easily walk between 12,000 and 13,000 steps a day when I am at work, I need to take the time to move more when I am not at work on my days off, a daily walk of at least thirty minutes a day would be my goal. I tend to put everyone else's feelings and needs before myself. If someone needs a day off
I end up trading with them, and canceling any plans I have, which makes me angry; I very
The facts in this case involve 2 patients. Firstly, Marguerite, an 89 year old female who experienced a myocardial infarction and the cause was unknown at the time of admission. Her doctor ordered an angiogram to test for the cause, and based on the results, would plan and provide treatment. On the other hand, Sarah, a 45 year old female, also experienced a massive heart attack, but in her case the emergency room doctors were able to determine the cause and expeditiously planned for treatment. Simultaneously, both patients required an immediate surgical procedure and time was a major consideration due to the nature of their
The patient is a 45 year old male who was in a car accident that
As the quantity of patients expanded, it ought to have been obvious that one registered Nurse and one Licensed Practical Nurse were insufficient to look after the patients. The emergency department ought to be viewed as a high priority location, and should have staffed with more Registered Nurses; Licensed Practical Nurse essentially do not have the training and abilities to assess patients or delegate the workload. Dangerous actions such as moderate sedation on a patient with no supplemental oxygen or EKG observing. The patient seems to have been overmedicated, with insufficient time between medications to decide his actual level of
Christopher death could have been avoided if the Doctor had been able to identify the cause of his desaturation on time. Due to lack of nursing care and many human errors from both the medical team and nurses, it leads to his death as per the inquest. Patient safety was compromised. It was found that Dr. Wooller the anesthetist and Dr. Young the surgeon who operated on Mr. Hammett didn’t investigate on the significant oxygen desaturation event that occurred in PACU while he was transferred from Operation Theater. DR. young assumed it was due to obstructed airway. As Mr. Hammett had Guedels inserted. The inquest stated that the anesthetist was supposed to review the arterial blood gas and transferred Mr. Hammett to High dependency unit due to his desaturation event for more than 20min. The nurses looking after MR. Hammett in PACU was RN Turrell and RN Proud. RN Proud notified Dr. Woller about the desaturation event for which doctor paid the visit but didn’t physically examine Mr. Hammett and left with short conversation. If Dr. Woller had investigated the cause of desaturation event at that time probably they could have prevented the rest desaturation event but unfortunately, none of them were implemented, which lead to additional complication Following the event the deceased was administered bolus morphine for his pain, which was scored 4/10. The nurses working in PACU RN Proud notified the anesthetist about the oxygen stat
The term “failure to rescue” refers to a clinical scenario where hospital doctors, nurses, or caregivers fail to recognize symptoms. Responders do not respond adequately to clinical signs that would prevent harm (Morse, 2008, p.2). Dr. Jeffery H. Silber, Director of the Center for Health Outcomes and Policy Research, first coined the term “failure to rescue” in the 1990’s. He characterized the matrix of institutional and individual errors that contribute to patient deaths as “failure to rescue” (Aleccia, 2008). Since 1990, it has been well documented patients usually exhibit signs and symptoms of impending cardiac or respiratory arrest 6-8 hours before an arrest (Schein, Hazday, Pena, Ruben, & Spring, 1990). Buist, Bernard, Nguyen, Moore, and Anderson’s (2004) research reported similar findings. They found patients had documented clinically abnormal signs and symptom prior to arrest (Buist, et al., 2004). When certain abnormal signs and symptoms are identified early, critical bedside consultat...
Maintain your ideal weight. Overweight people are at greater risk for heart disease. You should eat a healthy diet that is low in fats and sugar and containing mostly vegetables and
Mindfulness is an ideal that has been present for thousands of years (positivepsychologyprogram.com). It has roots in almost every major religion: Christianity, Islam, Judaism, and most renown, Buddhism and Hinduism (positivepsychologyprogram.com). Psychology Today defines mindfulness as “a state of active, open attention on the present.” Dr. Shauna Shapiro during a TEDx Talk defines mindfulness as “intentionally paying attention with kindness” (Shapiro, S., 2017). Mindfulness has many principles involved with it, but the short version is to be aware. It is to be aware of the present moment deliberately. Jon Kabat-Zinn, considered the father of the western movement for mindfulness by some, defines mindfulness as, “Mindfulness means paying attention in a particular way; On purpose, in the present moment, and nonjudgmentally” (Bodhipaksa, 2007). We, as humans, get caught up in the business of life; so, we need to stay oriented to the present. Another way to describe this is “acting with awareness rather than on ‘automatic autopilot’” (Caldwell, et al, 2010). Mindfulness is non-judgmental about life. Mindfulness is to not be over-reactive by what’s going on around us (mindful.org). Mindfulness is being non-reactive to your environment. There are many things that stem from this thinking,
Saturated fats were the only excess that was recorded so I chose two of the main problem areas that I had prior to my program. My sodium and sugar intakes were excessively high and were consumed by fast food dinners more than four times a week, sweet tea and soft drinks. The best way to combat these excesses is to modify my meals and pay more attention to what I put into my body. To lower my sodium levels, I modified meals at home by using more low-sodium or sodium free ingredients as well as exchanging fast food stops for prepping dinners for the week on Sunday nights. My sugar intake was due mainly to my ‘need’ for large sweet teas and candy that I always seemed to have in my purse. I am still able to have my tea but it is only sweetened with Stevia and there is no longer candy in my purse aside from sugar free gum. My saturated fat intake was barely above the target amount but by cutting out the butter on baked potatoes and switching to fat-free dairy products will allow me to lower the
Staying healthy does not only mean to eat a healthy diet, but also to be active and to provide our body with stamina so it can fight various diseases. According to Myers (2003) around a quarter of a million deaths in the United States are caused by insufficient physical activity. The US Public Health Service (1996) has provided enough evidence towards the effect of physical exercise on cardiovascular (e.g. coronary heart disease) and non-cardiovascular health (hypertension, osteoporosis, colon cancer etc.). They followed a group of people for several years and found a positive correlation between the amount of participants’ physical activity and their health problems. So how much exercise is just enou...
Client Profile: Lane Bronson is a 55 year old male with a history of angina, hypertension, Type 2 diabetes, COPD, and sleep apnea. He comes to the physican’s office complaining of worsening shortness of breath. His skin tone is grey, and his angina is worsening. Previously stable, he now does not get relief from rest or nitroglycerin. The physician called 911 and had Mr. Bronson directly admitted to the hospital.
• Exercise regularly. Ask your health care provider what kinds of exercise are best for you.
my life besides just my outer appearance. To me, exercising is sometimes a way of escaping.
The benefits of good nutrition are important for everyone at home and at work. Good health begins with a good breakfast. People who have a morning meal are more likely to take in more vitamins and minerals, and much less fat and cholesterol. (WebMD, 2008) The effect is often a leaner body and less chance of overeating and going to the vending machine during work hours. Researchers at the 2003 American Heart Association conference reported that breakfast eaters have a lower chance of being obese and getting diabetes. Another study in the International Journal of Food Science and Nutrition concluded that people that eat breakfast cereal daily feel better both physically and mentally compared to the people who almost never ate cereal for breakfast. A Web MD article explains “To get the full benefits of breakfast, the Mayo Clinic recommends a meal with carbohydrates, protein, and a small amount of fat. They say that because no single food gives you all of the nutrients you need, eating a variety of foods is essential to good health.” Even if an employee does not have time to eat before work, because they are rushing to be on time or their morning consists of dealing with children, bringing a breakfast that they can eat as soon as they get to work would be a healthy habit to get into. Multi- tasking is possible when eating cereal, fruit and nuts at the same time as checking voicemail or emails. Good nutrition needs to continue throughout the day. Fruits and vegetables, healthy snacks, drinking water or tea to stay hydrated, and eating dairy products all add to well-balanced meals. For example, eating healthy dinners with fish two times a week can vastly improve a person’s well-being because fish has omega 3 fatty acids.
Well, I can only imagine anything you do for yourself that is considered longevity, will also result in a happier, healthier, you.
This program was designed to ensure that people get enough physical activity daily. It is equal to 5 miles per day or 8 kilometers and is considered a benchmark for healthy living. This target was recommended by the US Surgeon General and the UK Department of health. Start slowly and gradually work up till you reach the daily target of 10 000 steps. Starting slowly helps your body to adapt and avoid injury. It is advisable to consult a doctor in case of any problems. Also it is good to a pedometer. Wear it daily for at least 2 weeks without changing the daily routine. Set a goal, and walk as much as it feels comfortable. Most people walk between 3 000 and 4 000 steps a day so achieving the 10 000 steps isn 't as daunting as it might appear at