Nursing Instructor
PHYSICAL HISTORY:
My clinical rotation was at St. Francis Hospital on the orthopedic/medical-surgical floor, 5-1. I was assigned JB for a patient 10/7 and 10/8. He was one day post-op from an elective bilateral knee arthroplasty.
JB is a 69 year old Caucasian male who stands 6 feet tall and weighs 251 pounds. He has a history of hypertension, benign prostatic hyperplasia, degenerative joint disease, and renal calculi. Medications taken at home: Nifedipine 60 mg. QD to manage his hypertension and nonsteriodal anti-inflammatories for the DJD.
JB's major problem is the degenerative joint disease (DJD) also referred to as osteoarthritis. According to Colodny, more than 50 million Americans suffer from osteoarthritis and nearly everyone 50 years of age or older is afflicted with one or more of its classic symptoms. "Symptoms include joint pain, stiffness, and limited range of motion." (Lewis et al. 1896) "DJD is a slowly progressive disorder of mobile joints, particularly weight-bearing articulations, and is characterized by degeneration of articular cartilage."(lewis et al. 1896) "In the afflicted joint, the connective tissue (cartilage) that cushions the ends of the bone degenerates and allows the bones to rub together. This bone-to-bone contact can be extremely painful." (Colodny, 24)
JB recalled his knee difficulties beginning in early adolescence. He had no specific injury, but the discomfort began a few months after he became involved in athletics. His surgical history consists of two knee operations. The first surgery was at age 16 and the second was several years later. He has been treated frequently over the years for this problem. Recently the number of physician's visits has increased ...
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...zed manner. My interventions were appropriate and corresponded with the overall medical team's approach in caring for this patient. A considerable amount of time went into establishing a trusting nurse/patient relationship. That enabled me along with the patient to develop a workable nursing care plan and have a valuable learning experience.
Works Cited
Lewis, S. M., I. C. Collier. and M.M. Heitkemper. Medical-Surgical Nursing. St. Louis:Mosby, 1996.
Potter, P. A., and A.G. Ferry. Fundamentals of Nursing. Missouri: Mosby. 1997.
Yandrich. terry J. "Preventing Infection in Total Joint Replacement Surgery" OrthoPaedic Nursing. March/April, 1995:15-19.
Kasmot, Keith. "Catching Deep Vein Thrombosis in Time" Nursing. October, 1994:34-42.
Colodny, L., and W. Minale. "Osteoarthritis -is there relief in sight?" Better Nutrition. June, 1997:24.
Wykes, Maggie, and Barrie Gunter. The Media and Body Image: If Looks Could Kill. London: SAGE, 2005. Print.
James from the Stuart House was the son of Henry VII and Mary Queen of Scots, who was executed by Elizabeth I because Mary supported the Catholics, England's enemies. After Queen Mary's death King James was raised as a Protestant and when he became old enough he was of age James VI, King of Scotland. Queen Elizabeth did not have any natural descendants, and James VI became James I of England after she died. The population hoped James would support the Catholics like his mother did, but this did not happen for his Pro...
Dutton, M. (2012). Dutton's Orthopaedic examination, evaluation, and intervention (3rd ed.). New York: McGraw-Hill Medical.
Define Nursing Nursing is a knowledge-based profession within the health care sector that focuses on the overall care of individuals. According to The American College of Nurse Practitioners (ACNP), “defines nurse practitioners as registered nurses who have received graduate-level nursing education and clinical training, which enables them to provide a wide range of preventative and acute health care services to individuals of all ages. They deliver high-quality, cost effective care, often performing physical examinations, ordering tests, making diagnoses, and prescribing and managing medication and therapies”. Nurse Practitioners are able to specialize in a particular area, such as family and adult practice, pediatrics, and women’s health; and refer patients to other specialists when necessary. Some nurse practitioners work under the supervision of a physician while others run their own practices.
While on the unit I made sure to use my time wisely, I completed my assessment in a timely manner, advocated for pain medication, checked on fellow nursing students, and kept patient’s rooms organized and clean. Professionalism was also exhibited in my clean outfit, with my hair back, name badge on, nails cut, and appropriate footwear and clinical tools on hand.
“Registered nurses treat patients and help prevent disease, educate patients and the public about various medical conditions and health issues, and provide advice and emotional support to patients’ family members both physically and mentally.”(Registered). It is important for the individual going into this occupation to search out the pros and cons of the different areas of nursing. Sometimes gender plays a part in choosing the specific area of an RN. For instance, the strength of males is needed in areas of physical therapy. While the gentle attributes of women are needed in the care of babies. “A nurse must like people and want to help them, and must also have self-reliance and good judgment, patience, honesty, responsibility, and ability to work easily with others.”(Jacobi). The occupation of a registered nurse includes many advantages such as having the ability to assist your family in medical needs, the salary is attractive and above the average scale, and it offers great job security.
Giving birth is often looked upon as a miracle of life with remarkable experiences to come. However, others may think this miracle of life will be nothing but problems in their lives. Many females who are not ready for a baby seek abortion as the answer of their problems. Abortion is known to be one of the most debated issues in society. It is best defined as a “medical procedure used to end a pregnancy and cause the death of the fetus” (“Merriam-Webster 's Learner 's Dictionary”). Regardless, if a woman becomes unexpectedly pregnant and is not mentally or financially stable to take care of a baby, abortion is still not the answer. The procedures for abortion is unhealthy for the female, is murder of the fetus, and goes against the 14th Amendment.
An immigrant woman regrets getting pregnant and wants to abort her child. The immigrant woman fears of being deported back to her country, so she decides to abort her own child without going to the Hospital to get a proper procedure. Immigrant women, like this one, are deciding to abort their own baby instead of leaving the procedure to medical experts. Many consequences arise when immigrant women used different types of methods to abort their child because the fear of deportation or being shun by their community. Immigrant women should leave the abortion method to medical experts regardless of personal problems that might arise later on.
Nursing has always been a key career in the health care system. Although it is not often focused on in media and stories surrounding health care, nursing is a career of great importance. If any patient was asked about their experience at a hospital or a care center, many will mention the capability and care that they received from the nurses. The health care system could not function efficiently, if at all, if nurses were not present to perform their part. Nurses are more than just physicians support staff. Of interest in this paper is why people choose to study nursing in university or college. From students just graduating high school to mature student who have prior degrees or education, nursing is a popular choice as a path to study
During the ninth grade, I injured my knee playing soccer. The initial MRI did not show any tears, but the orthapedic surgeon did notice I was weak medially and that my patella was tracking laterally. He sent me to therapy to strengthen the inside of my leg and hopefully pull my kneecap medially. I started going to therapy and I adored my therapist, Kelley. Even though the exercises weren’t always fun or pain free I looked forward to therapy. She made things fun, and since I was interested in the field, would explain why I was doing certain exercises compared to others. The pain didn’t go away and she worked to help figure ...
O’Dea, J. (1995). Body image and nutritional status among adolescents and adults. Journal of Nutrition & Dietetics, 25, 56-67.
Orthopedic surgeons are responsible for mending and operating on the musculoskeletal system. “Orthopedics is a medical specialty that focuses on the diagnosis, care, and treatment of patients with disorders of the bones, joints, muscles, ligaments, tendons, nerves, and skin” (Career in Orthopaedics). Depending on the damage the patient has sustained determines how the orthopedic surgeon is able to correct the patient’s injury. In many cases there are multiple ways of correcting the patient’s injury such as; using medical, physical, and rehabilitative techniques to using complex surgical methods. “Typically, as much as 50 percent of the orthopedic surgeon’s practice is devoted to no surgical or medical management of injuries or disease and 50 percent to surgical management” (Career in Orthopaedics). The majority of surgeons, including orthopedic surgeons, prefer to choose the least invasive procedures such as; arthroscopy which is a technological advancement allowing orthopedic surgeons to use special cameras in order to diagnose and treat a joint with minimal cutting and trauma to...
Vargas, L E. (2013) The Negative Effects of The Media on Body Image. Personal.psu.edu. Retrieved 30 Nov. 17 from:
Without access to legal abortion more women 's lives are placed in danger. In 1973, Roe Vs. Wade did rid of back alley abortions and gave the legal access to abortions’ but Before this law was passed, women had undergone back alley abortions that led to hemorrhaging and bleeding, or suffering from severe infections and death (Jacob 7). In addition, “Illegal abortions harmed women physically, increased the risks associated with future pregnancies, and even resulted in death” (“Abortion”). Furthermore, experts estimate that more than two hundred thousand women die each year in developing nations as a result of illegal abortions (“Abortion”). If legal abortion is not accessible, it will not make abortions altogether stop. Many of those opposed to abortion believe that lessening access to legal abortions will cause abortions to stop, but abortion has and will always exist, even if it is illegal; on the street, in back rooms, with coat hangers and under unsanitary conditions (Haugland). Women would turn to unsafe and untrained abortions if legal abortion is not attainable and will place her life in danger (“Abortion”). Consequently, 110,000 women die each year from such illegal abortions and six times as many suffer injury, according to World Health Organization. Today, because of the inaccessibility of safe, legal abortion, some women are resorting to illegal and self-abortions to terminate an unwanted pregnancy (Fried). The more women that are forced into pregnancy consequently add to illegal
3. Spitzer, B. L., Henderson, K. A., & Zivian, M. T. (1999). Gender differences in population versus media body size: A comparison over four decades. Sex Roles, 40(7), 545-565. Retrieved from