Many people in our society today live with cardiovascular disease. Cardiovascular disease is the most prevalent cause of death and disability worldwide (Jaiswal, 2011). Not only does cardiovascular disease bring about challenges to patients that can ultimately lead to death, but it also involves major financial burdens. The nature of the disease and the patient’s life style factors play important roles in treatment and prevention. Habitual lifestyle habits can set the stage for complications to occur. To some extent, people can help control their heart disease by modifying their lifestyle. This case study examines a patient who recently suffered from an acute myocardial infarction. The purpose of this case study is to synthesize the nursing role in patient care by reviewing subjective and objective data, determining nursing diagnosis, forming nursing interventions, and evaluating the outcomes related to the patient’s care.
Chief Complaint
Mr. Borg’s chief
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Mr. Borg is a retired mail carrier that lives at home with his wife. He has been retired for 10 years now. He and his wife recently celebrated their 50th wedding anniversary. They have two middle-aged sons who do not live locally, and must fly in to see them. They are members of the local Baptist church and attend regularly. Mr. Borg’s wife reports that he previously smoked one pack of cigarettes per day for approximately 32 years, but quit smoking about 20 years ago. His wife reports that he consumes two to four alcoholic beverages a day, and spends most of his time sitting in front of the television. Being retired for 10 years, Mr. Borg leads a very sedentary lifestyle, has poor eating habit and is on the verge of becoming obese. Mrs. Borg also reports that Mr. Borg has gained 40 pounds within the last 10 years. Mr. Borg denies any food or drug allergies. After being in the ICU for 6 days, the patient is currently being transferred from the ICU to the med-surg
1. What is the difference between a. and a. Which K, S, and A pertain to the care you provided to the patient you have chosen? Why do you need to be a member? K- Describe the limits and boundaries of therapeutic patient-centered care. S- Assess levels of physical and emotional comfort.
The role of nurse practitioner in the Canadian healthcare system is relatively new compared to the traditional roles of doctors and registered nurses, and as with any new role, there are people who oppose the changes and others who appreciate them. Some members of the public and the healthcare system believe that the addition of the nurse practitioner (NP) role is an unnecessary change and liability to the system because it blurs the line between a doctor and a nurse; this is because nurse practitioners are registered nurses with additional training (usually a masters degree) that allows them to expand their scope of practice into some areas which can be treated by doctors. Other people feel that nurse practitioners can help provide additional primary care services, while bridging communication between nurses and doctors. There are always legitimate challenges to be overcome when changing a system as complicated as healthcare,
According to section 149(b) of national law, tribunal has authority to exercise any power under subdivision 6 of National Law if the practitioner admits it in writing to tribunal. Section 149C (1) (a) and (b) of national law empowers tribunal, if it is satisfied a practitioner is not competent to practice the practitioner’s profession, or a nurse is guilty of professional misconduct, to suspend or cancel the registration.
The nurse is creating a four-column plan of care for a client. For which areas should the nurse prepare to document when creating this care plan?
“Code Blue”, that the last thing anyone wants to here at the beginning or end of a shift, or for that matter at any time during their shift. With the development of rapids response teams (RRTs), acute care nurses and ancillary departments have a resource available to their disposal when need in uncertain situations. Many times nurses struggle to maintain a patient deteriorating in front of them all the while make a multitude of calls to the physician for orders or concerns. Having a set of “expert” eyes assisting you in these times helps alleviate stress and encourages collaboration amongst staff. (Parker, 2014)
“We can’t turn away from a patient’s pain just because it’s difficult” (chapman, 2015, p. 88). I know the path of least resistance is taking a path of ignorance. Easy, is to ignore or neglect the true pain patients experience in times of crisis. As caregivers I believe we all want to heal others or we wouldn’t be in the field of nursing, but there are only handfuls willing to be present during the healing process because sharing one’s pain hurts. As a surgical nurse, I find being genuinely present takes hard work on my behalf, not only mentally but emotionally. On a unit where patient’s needs and conditions are changing at astonishing rates, being present requires mental strength in order slow down enough to recognize the value presence
I have been a registered nurse for the past six years. I started my nursing career in a long-term care facility where I worked for a year and half . I always wanted to challenge myself so l left long-term care and went to work in the intensive care unit for four years where I saw how people with diabetes are suffering when the disease in not managed well. I am currently working in post anesthesia care unit(PACU) where I recover many patients with diabetes complications post-surgery. I am committed in the innovation in order to provide an effective care for the people suffering from diabetes. For many years the disease has been killing people and introduction of the control tools will help in making the condition manageable. The innovation
The nurse’s first year of practice is the time to acquire new skills and build knowledge and confidence upon the same. Due to deficiency of skills, practical experience, and conflicts in the theoretical knowledge and practical knowledge during the initial phase of their employment, Registered Nurses (RN) face a lot of problems and challenges. Due to these gaps of knowledge, fresh graduates have a lot of stress to perform equivalent to the experienced nurses, which they find difficult. Due to this self-expectation and the expectation on the part of employers and senior nurses newly qualified nurses feel a lot of stress. Fresh nurses consider themselves ready to perform at the new job placements but find themselves not on par with
Privacy and confidentiality are very important in the field of nursing. As nurses, we have a right to our patients to protect their privacy and confidentiality. Privacy refers to the right to have control over what information can be shared with others, while confidentiality is the right to not have any information be shared with anyone who doesn’t have permission (Burkhardt & Nathaniel, 2014, p.76). Sometimes in certain cases, we must break privacy and confidentiality.
My nursing experience and application of nursing theory is still relatively young. I attended Georgia Southwestern for my Bachelors of Science in Nursing from which I graduated in 2016. Prior to this I obtained my CNA license in high school which was my first introduction to patients. It was at this point that I decided that I wanted to provide quality compassionate and the best medical treatment possible to people. Since graduation I have begun to work at Houston Medical Center in Warner Robins, GA; and began nurse practitioner school.
Nursing is a noble profession where nurses are the front line carer of the patient. To provide competent patient care, nurses use their critical thinking skills in making a decision. In their professional practice, nurses and nursing students have the responsibility to comply with the guidelines provided by NMBA (Nursing and Midwifery Board of Australia). The given case study deals with the responsibility and accountability of nurses and nursing students regarding privacy and confidentiality.
Focusing on pursuing a career you like is important because statistics show fifty-two percent of Americans are unhappy going to work every day because they chose a career they didn’t have an interest in. My ideal job is in the medical field because I’ve always had a passion in helping people. I want to specialize in nurse anesthesia because of the important role they have in society. Nurse anesthesia interests me because of the tasks they do, the advanced education path they must take, and the history behind the profession.
Throughout the Practical Nursing program, there has been many opportunities to closely observe working nurses in different hospitals and facilities. It also has been a great chance to grasp the general idea about professionalism in the workplace and how it can have a great impact in a successful work environment. Combining what was observed and what was learnt from the class, there were three particular aspects of professionalism that seemed to be key characteristics of professional nurses: knowledge from continuous education, autonomy, and positivity. Out of all other characteristics for professionalisms in nursing, those three were the most remarkable features found from the some of the great nurses observed from the clinical sites.
Nursing is the initial contact that victims of violence have within the health system. The community Nurse faces the obligation to perform successful preventive interventions and need a better understanding of the causes of individual’s violent behavior in order to truly help their patients. In order to provide proper care to victims and their family, the community nurse should be familiar with screening techniques, recognizing aspects related to abusive behaviors while identifying socioeconomic and cultural factors.
As much as working is very demanding especially as a nurse so is studying also. There are so many challenges which are involved in working and studying at the same time, some of which are: Goal, Finances, Stress, Time Management and Socialization. These challenges have both positive and negative effects on working and studying. As a matter of fact, it takes one determination and commitment to be able to combine the two at the same time and still be able to achieve ones aim.