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impact of the aging population on healthcare
impacts of ageing population healthcare
impact of the aging population on healthcare
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The following is a case study of Mrs. Barbara Firth, an 83 years old female, who was presented to the local Emergency Department (ED) by ambulance due to fall and was diagnosed with a fracture of the right neck of femur (#R) NOF). #NOF is the major morbidity in elderly. Respectively, the mortality rate after one, six, twelve and two years was 4.7%, 16%, 20.7%, and 30.4% (Bonarrigo et al, 2014). She has undergone operative treatment for reduction and internal fixation with Thompson prosthesis.
This case study is about developing a postoperative nursing care plan for Mrs. Firth to provide excellent care and eliminate the potential risk of complication related to surgery and mobility impairment; this consist of five components and consistent stages:
Evidence shows that patients and carers involvement in discharge planning process maximised patient engagement throughout the treatment process and improves understanding regarding expectations (White, 2014). Nurses play a vital role in educating patients about health condition and management techniques. Evidence suggests that nurses must be experienced and should have ability to assess and make critical decision regarding the discharge process (White, 2014). In this case, Maree has undergone through laparoscopic cholecystectomy and she is going to discharge from hospital after one day of surgery. During discharge time nurse should instruct Maree about the importance of taking medications that are prescribed and actions of medications. Nurse should provide instruction to Maree and family regarding observation that may indicate obstruction such as jaundice, changes in stool and urine colour and pruritus. In addition, instruct patient about signs and symptoms that should be reported such as redness, swelling, bile coloured drainage or pus from incision site and any other signs of infection or inflammation. Nurse should explain that normal activities could be resumed gradually. In this case, Maree continued to refuse moving around and to take deep breaths. Therefore it is important to explain her about the importance of light exercise (walking), which can be done immediately but heavy
At the multidisciplinary meeting, the nurse will collect and assess the information provided by the other disciplines and family members stating that the patient is not at her prior level of functioning and then analyze the information to develop a diagnosis of deconditioning. Next, the nurse identifies outcomes for the patient to get stronger, achieve prior level of function, have activities of daily living (ADL’s) met in a safe environment by planning for home health, equipment, and 24/7 supervision through family or placement in a facility. This will be implemented by coordinating delivery of a walker and a 3 in 1 chair prior to discharge to daughter’s home with the home health agency nurse, physical therapist, and aide scheduled to start that day. In a week, the nurse evaluates that outcomes are being met by following up with patient, daughter, and home health agency evaluating that the patient is getting stronger, ADL’s are being met, and will soon be able to return to living independently. To achieve these standards of practice, every nurse should be aware of her own nurse practice act to ensure to be functioning with in the laws of the nurse’s state and to ensure the best outcomes and safety of the patients. In closing, it is every nurses duty to be the best nurse they are capable of being by looking at the scope of nursing practice which gives us the framework to achieve
Although nurses do not wield the power of doctors in hospital settings, they are still able to effectively compensate for a doctor’s deficits in a variety of ways to assure patient recovery. Nurses meet a patient’s physical needs, which assures comfort and dignity Nurses explain and translate unfamiliar procedures and treatments to patients which makes the patient a partner in his own care and aids in patient compliance. Nurses communicate patient symptoms and concerns to physicians so treatment can be altered if necessary and most importantly, nurses provide emotional support to patients in distress.
This scenario based assignment will discuss the pre-operative and post-operative care of 56 years old lady name Lucy who will be going under thyroidectomy. Lucy suffers from Graves’ disease and is diabetic. If Lucy was a real patient, her name will not be mentioned in the assignment to maintain confidentiality (NMC, 2008). Holistic assessment will be performed once Lucy is admitted to the ward before surgery. Pathophysiology and essential care of her medical condition will be discussed following holistic assessment. Her post-operative care will be discussed into four parts which are airway and breathing management, circulation, pain management and psychological care. Following the post-operative care, discharge planning and care that she will require in the community will be discussed. Reference will be made to Roper, Logan and Tierney model.
For this practice guideline, the original development panel of six members included; a Chief Nursing Officer, Charge Nurse, Clinical Nurse Specialist, Clinical Practice Facilitator, a Professor from a School of Nursing, and an Education Coordinator. The revision panel members included; a Chief of Nursing & Professional Practice, an Assistant Lecturer from York University, a Clinical Nurse Specialist, Clinical Practice Facilitator, a Nursing Professional Development Educator, an Internist/Geriatrici...
Works Cited Ackley, B. & Ladwig, G. (2010) Nursing diagnosis handbook: an evidence-based guide to planning care. Maryland Heights, MO: Mosbey, MO. Ignatavicius, D. D., & Workman, M. L. (2013). Care of Intraoperative Patients.
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.
Dougherty, L. & Lister, s. (2006) ‘The Royal Marsden Hospital manual of Clinical Nursing Procedures: Communication 6th Edition Oxford: Blackwell Publishing Ltd
Therefore, she may find it harder than most of the population to transition into the role of the patient and rely on others to make clinical judgements to promote and protect her recovery. Moreover, she was in a lot of physical pain, with her right leg in a full cast, causing her to be at bed rest. This I believe, as well as the patient being more aware of the inner workings of the hospital compared to other patients without a medical background, may of contributed to her ill ease and need to feel in control of her nursing care, over that of her care plan set by the
Westhead, C. (2007). Perioperative Nursing Management of the Elderly Patient. Canadian Operating Room Nursing Journal, 25(3), 34-41. Retrieved from http://gateway.library.qut.edu.au/login?url=http://search.proquest.com.ezp01.library.qut.edu.au/docview/274594603?accountid=13380.
middle of paper ... ... The priority for this patient was to establish that she was fully aware of what the procedure involved and the possible risks and complications. I feel that the pre-assessment form used within the unit is far too fundamental, if elements of the roper et al activities of daily living were to be incorporated this would help in achieving a much more in-depth holistic nursing assessment enabling for the best quality and level of care to be given to all patients arriving in the unit. Whilst I feel a full nursing assessment is not fully necessary for a day case unit, as previously stated I feel that the communication element is an excellent way of ensuring a better holistic approach is achieved, it will also help to achieve better documentation and communication between all staff members.
Brunner, L.S. & Suddarth, D. S Textbook of Medical- Surgical Nursing, 1988 6th ed. J. B. Lippincott Company, Philadelphia
Perioperative nursing is a specialized area of practice that works with patients before (preoperative), during (intraoperative) and after (postoperative) surgery (Potter et al., 2013). It is pra...
Osborn, K. S., Wraa, C. E., Watson, A. B., & Holleran, R. (2014). Medical-surgical nursing: preparation for practice (2nd ed.). Boston: Pearson.
The role of the nurse in the preoperative area is to determine the patient’s psychological status to help with the use of coping during the surgery process. Determine physiologic factors directly or indirectly related to the surgical procedure that may cause operative risk factors. Establish baseline data for comparison in the intraoperative and postoperative period. Participate in the identification and documentation of the surgical site and or side of body on which the procedure is to be performed. Identify prescription drugs, over the counter, and herbal supplements that are taken by the patient that may interact and affect the surgical outcome. Document the results of all preoperative laboratory and diagnostic tests in the patient’s record