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Patient RW is a 72-year old male that came into the hospital by ambulance from an assisted living facility in the Des Moines area. Patient RW has lived fulltime in an assisted living facility since 2013. His daughters come and visit him daily and are also by his side in the evening while he is staying in the hospital. His support system is small, but is very involved in his cares within the living facility and the hospital. He was admitted to 7 South for chest pain and is on continuous telemonitoring and on four liters of oxygen. According to his daughters, he is an average Christian, with no religious or culture aspects that would affect the health care that needs to be given. Though, no religion or culture is affecting care, his past …show more content…
He is also on medications for his hypertension and to manage the pain he is experiencing. These medications are given at his assisted living and within the hospital, so teaching has been done, but the nurse was able to briefly explain the medications to his daughters as each one is administered so that the patient was aware of what is being given each time. He is taking 40 mg by mouth at bedtime of Atorvastatin as a primary prevention for cardiovascular disease and lowering the risk of a heart attack (MI) or stroke. It is a lipid-lowering agent, HMG-CoA reductase inhibitor. This medication requires a nursing assessment to be done involving monitoring the patient’s serum cholesterol and triglyceride levels before starting this medication and to monitor the liver function throughout the drug therapy. If the patient develops muscle tenderness, the nurse will need to assess CK levels in the patient (Deglin, Vallerand and Sanoski, 2014, p. 642). 75 mg by mouth at bedtime of Clopidogrel, which is an antiplatelet agent, is being used to reduce atherosclerotic events. When giving this medication, the nurse needs to assess for symptoms of stroke, PVD, or MI periodically during treatment. Also, the nurse needs to monitor for signs of forming blood clots and monitor bleeding (Deglin, 2014, p. 327-328). Metoprolol 25 mg daily is a …show more content…
It is not the reason he is admitted to the hospital at this time, but it is crucial in the way he receives care because he is no longer able to speak or hear. Though he is alert, and can respond appropriately, he does suffer with forgetfulness from time to time, and that comes with both age and his injury. “A traumatic brain injury (TBI) is damage to the brain from an external mechanical force and not caused by neurodegenerative or congenital conditions” (Ignatavicius, Workman, Blair, Rebar and Winkelman, 2015, p. 946). In RW’s case, his TBI was caused by a car accident. TBIs can be temporary or permanent and lead to numerous impairments, whether it is cognitively, physically, and/or psychosocially. He is currently hospitalized for chest pain, and with a stress test and angiogram, doctors found there to be a mild case of cardiomegaly and atherosclerosis within 3 vessels of the heart. Cardiomegaly is an enlargement of the heart, but atherosclerosis is what the doctors really want to treat and prevent. “Atherosclerosis is a type of arteriosclerosis, which is a thickening or hardening, of the atrial wall, often associated with age. With atherosclerosis, plaque is formed within the arterial wall and is the leading risk factor for cardiovascular disease” (Ignatavicius, 2015, p. 706). The exact pathophysiology is unknown, but is said to occur from blood vessel damage, causing inflammation. Populations at
values for instance, nurses have to practise autonomously and responsibly also accountable for safe, compassionate, person centred, evidence based nursing that respects and maintains dignity and human rights (NMC 2014) communication and interpersonal skills, practice and decision making, leadership, management and team working. All nurses are personally accountable for their own practice for instance, work within their own limitations, decisions and actions, nurses must maintain professional knowledge and competences as well as continuing professional development. All nurses are expected to abide by the codes of conduct at all times, if a registered nurse or midwife fail to uphold these standards, the NMC can take action for instance, cautions,
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.
For my Brown Bag Assignment my participant, JR, was found within my family. I was aware JR took daily medications due to his recent heart bypass surgery in June 2015 and met with him. JR is 62 years old and takes seven medication daily. My participant, JR had heart bypass surgery, exactly 4 bypasses, on June 1, 2015, due to 90% of his coronary arteries being blocked. For about two weeks prior to the surgery, he could not walk, felt very dizzy, fatigue, and weak. His legs even gave out and he fainted. He then decided to go to the doctors, got lab work done and found out about his coronary arteries were blocked. If he did not have this surgery, he would have died. This eight-hour surgery was a huge reality check for him. After this surgery, he completely changed his lifestyle by not smoking, not drinking, eating healthy and going on walks. Prior to this surgery, JR had and still has type 2 diabetes, high blood pressure, and high cholesterol for about five years now. As I was talking to him, it was clear that he knew all his medication very adequately especially when to take it, why he takes it and how to take it. He is also fully aware of healthy lifestyle choices. As we were talking I gave some advice to help continue his healthy lifestyle.
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,
Obtain a copy of the nursing organization chart. What is the position of this role within the institution 's/agency 's administrative hierarchy? What is the relationship of this position with other departments/areas within the institution/agency? Director of Nursing. In the chain of command it’s a position below the administrator.
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.
ANA defines Professional nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (ANA, 2010, p. 10). In order to gain professional competency and integrity amongst the nursing care professionals, certain guidelines should be stipulated, which can direct the nursing care towards growth. For example, to develop policies, set standards and regulations for nursing practice, to maintain a thorough system for licensure and certification of nurses, accreditation procedure and to postulate and monitor the code of ethics.
I am eager to become a part of Charleston Area Medical Center’s General Hospital healthcare team in the role as a Nursing Assistant. As a VIP volunteer I demonstrated the ability to assist patients with their basic needs and provide company and comfort. I built communication skills by being an outlet for patients and families, and to nurses and human resources. Communicating their personal requests allowed for better satisfactory and sometimes faster delivery on their needs. I also learned how to be a part of the healthcare team and learned how important each role is in providing the best care. I believe all the qualities and abilities I mentioned make me a perfect candidate for this position.
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.