“Breathing is the process of moving air into and out of the lungs” (Breathing 2013). Breathing is an independent natural activity when you are first born, through our life span we generally do not think about the AL of breathing until there are problems that arise in our health (Holland 2008). The purpose of this essay is to explore how the RLT model addresses individual patient needs and to implement the model to address these needs in relation to breathing, the nurse will need to gather the right information to access any potential risks of an individual while they are breathing, we will discuss the five factors influencing the activity of breathing which are biological, psychological, sociocultural, environmental and politico economic. Also I will discuss the actions that would assist the individual to help them breathe.
Biological factors
Biological factors is the anatomy and physiology related to breathing, when assessing a patient while breathing, it is necessary for the nurse to understand the normal structure and function of all the systems in the body (Holland 2008). It is important to consider the life span of all ages and how the body works for each age group, the nurse needs to know the patients history e.g. Was the patient a chronic smoker, is the patient over weight, how old is the patient, does the patient have a previous medical condition such as asthma or emphysema, it is important to know the patients history as a nurse so that when assessing a patient on their breathing we put this into account.
Psychological factors
Psychological factors is the emotional issues related to breathing, when observing a patient nurses are to ensure that they are observing if the patient is distressed or are feeling frightened...
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...patients getting enough oxygen, looking at the colour of lips/ skin to see if the patient is a natural colour and not looking blue, the nurse will need to be checking the patients output of urine to see if they are hydrated and if the patient has had their bowels open.
In this text we have discussed the information that is important to gather whilst doing an assessment on a individual while breathing, I have outlined the importance of breathing and the different life span groups and how breathing affects each one of these, I have discussed the five factors that influence the activity of breathing which are biological, physiological, sociocultural, environmental and politicoeconmic. In this essay I have constructed an APIE approach and identified nursing actions that shows how to assess, plan, implement and evaluate a plan to help assist the patients breathing.
The nature of the work is very similar for the C.N.A. and L.P.N. A C.N.A. work includes performing routine tasks under the supervision of nursing staff. They answer call bells, deliver messages, serve meals, make beds, and help patients eat, dress, and bathe. Aides also provide skin care to patients, take pulse, temperature, respiration, and blood pressure and help patients get in and out of bed and walk. They also escort patients to operating rooms, exam rooms, keep patient rooms neat, set up equipment, or store and move supplies. Aides observe patient’s physical, mental, and emotional condition and report any change to the R.N. Likewise the L.P.N. provides basic bedside care. They take vital signs such as temperature, blood pressure, restorations, and pulse. They also treat bedsores, prepare and give injections and enemas, apply dressings, apply ice packs and insert catheters. L.P.N.’s observe patients and report adverse reactions to medications or treatments to the R.N. or the doctor. They help patients with bathing, dressing, and personal hygiene, and care for their emotional needs.
Respiratory assessment is a significant aspect of nursing practice. According to the National Institute for Health and Care Excellence, respiratory rate is the best indicator of an ill patient and it is the first observation that will demonstrate a problem or deterioration in condition (Philip, Richardson, & Cohen, 2013). When a respiratory assessment performed effectively on a patient, it can result in upholding patient’s comfort and independence in progress of symptom management. Studies have acknowledged that in spite of the importance of the respiratory rate (RR) it is documented rarely than the other vital signs in the hospital settings (Parkes, 2011). This essay will highlight the importance of respiratory assessment and discuss why nurses
However, this approach not only lacks objectivity, but it also fails to acknowledge the abnormal physiology that precedes this breakdown in self-care. For instance, it has been reported that 70% of patients preceding cardio-pulmonary arrest had a physiological decline in respiratory or mental function (Schein et al 1990). Observing deterioration in activities of daily living alone does not accurately mirror underlying physiological deterioration occurring in patients.
“The RRT concept stems from research indicating that patients often have respiratory, circulatory, and/or neurological signs and symptoms of an unstable physiological condition long before a cardiac or respiratory arrest occur.” (Kapu, Wheeler, & Lee, 2014, p. 51) Being aware of these factors can aid the nurse in recognizing changes in condition that can often save crucial time for the patient. Utilizing our critical thinking and analyzing data, in relation to these condition changes simultaneously, often save patients’ lives and prevent adverse events from progressing. As RRTs have evolved from
Diagnosis include a pulmonary function test, a test which helps measure the lungs ability to exchange oxygen and carbon dioxide. This type of test is performed with a special machine called spirometry (Mayo Clinic, 2011). A spirometry determines how well the lungs intake, hold, and utilize the air and can even detect the severity of lung disease and determine whether the disease has decreased airflow or a disruption of airflow has occurred. Another device used is a peak flow monitor (PFM). A device that measures the speed at which an individual can blow air out of lungs (Mayo Clinic, 2011). A doctor can diagnose a patient with symptoms that correspond to emphysema, such as a cough that doesn’t go away, coughing up a large sum of mucus, shor...
Traditionally nurse’s role in evaluating a patient has to record the observations made but not to interpret them. The main observation includes pulse, temperature, rate of respiratory, blood pressure and consciousness level (Alice, 1985). The ability of nurse to record such observations accurately will determine the priority of the patient care. Assessment based on priority setting is one of the major skills that nurses that are newly fit may lack. Th...
Medical technology today has achieved remarkable feats in prolonging the lives of human beings. Respirators can support a patient's failin...
Patient safety is a large concern for practices, nurses and doctors. There are many tasks and precautions that can be taken to prevent accidents in the work place, whether it involves patients or not. Florence Nightingale once said “The very first canon of nursing, the first and last thing on which a nurse’s attention must be fixed is to keep the air within as pure as the air without”. This quote is argued to be an analogy for keeping the patient safe and to return them to the same condition as before they fell ill. Patient safety is one of many top priorities in a nurse’s creed, right next to caring for the patient and returning them to proper health. It is the nurse’s responsibility to keep the patient as comfortable as possible. This has
Anesthesiologists have many responsibilities. 3They measure the patient’s temperature, pulse, heart rate, and breathing rate while under the sedative. They have...
...ering to medication antibiotics which fight off infections, bronchodialators used to decrease dyspnea relieve broncho spasms , and pulmonary rehabilitation help betters their condition. The nurse expects the patient to be able to perform suitable activities without complication, avoid irritants that can worsen the disease (contaminated air) and reduce pulmonary infection by abiding to medications.
Planning includes creating person-centred goals and expected outcome, and nursing intervention is to achieve the planned goal and outcome (Jones 2014 blue chapter 7). Nursing diagnosis should based on nursing assessment data, and modify through the changes of patient’s needs and condition (Jones 2014 chapter 6). When develop optimal nursing care plan, it is important to identify patient’s need and determine the priorities. Relate to Jiadong’s case, the first nursing diagnosis is poor appetite related to malnutrition, weight loss and low red blood cell counts (anemia), which can lead to reduced the capacity in physical exercise (American Cancer Society 2016). The second nursing diagnosis is ineffective airway clearance related in shortness of breath, tightness in the chest and coughing with sputum (Vera 2013). To develop nursing care plan requires nurses critical thinking to prioritize client problems and intervention. According to ABCDEFG algorithm and DETECT assessment, the first priority for Jiadong is to maintain his airway, cause ineffective airway may result in bronchospasm and increase sputum production as well as decreased energy (Vera 2013). The second priority is to maintain his nutrition level, cause the cancer treatment can affect patient’s taste, smell, appetite and ability to eat, this can lead to malnutrition, thus patient unable
The following essay is a reflective paper on an event that I encountered as a student nurse during my first clinical placement in my first year of study. The event took place in a long term facility. This reflection is about the patient whom I will call Mrs. D. to protect her confidentiality. Throughout this essay I will be using LEARN model of reflection. I have decided to reflect on the event described in this essay since I believe that it highlights the need for nurses to have effective vital signs ‘assessment skills especially when treating older patients with complex medical diagnoses.
There are 2 types of breathing, costal and diaphragmatic breathing (Berman, 2015). Costal refers to the intercostal and accessory muscles while diaphragmatic refers to breathing using your diaphragm (Berman, 2015).It is important to understand the two different types of breathing because it is vital in the assessment of the patient. For example, if a patient is suing their accessory muscles to aid in breathing then we can safely assume that they are having breathing problems and use a focused assessment of their respiration. Assessing respiration is fairly straightforward. The patient’s respiration rate can be affected by anxiety so a useful to avoid this is to check pulse first and after you have finished that, while still holding their pulse point, check their respiration rate. Inconspicuous assessment avoids the patient changing their breathing because they know they are being assessed which patients can sometimes do subconsciously. Through textbooks and practical classes I have learned what to be aware of while assessing a patient’s respiratory rate. For example; their normal breathing pattern, if and how their health problems are affecting their breathing, any medications that could affect their respiratory rate and also the rate, depth, rhythm and quality of their breathing (Berman, 2015). The only problem I found while assessing respiration rate was I thought it seemed a bit invasive looking at the
One of the many categories would be that of the circulating nurse. Ensuring that the operating room is set up correctly based on the preference of the surgeon, the circulating nurse makes sure all the necessary equipment’s are in place, functioning appropriately, likewise ready to go. In addition, the circulating nurse also verifies the patient identity, surgical site, and consent with the surgeon upon entering the operating room to make sure that they are all the same page, before proceeding with the schedule procedure. Yet another function of the circulating nurse is to make sure that the patient is positioned correctly on the surgical table, hooking up the basic suctions needed, and assisting the anesthesiologist or anesthetist during intubation. Moreover, monitoring the overall condition of the
Circulating nurses must check the expiry date and the integrity of the packaging and wear the correct PPE prior to opening the articles. Each article must maintain its sterility; therefore the setup must be continuously monitored. Instrument nurses must create the sterile field using sterile drapes as they minimise the transference of microorganisms. They must also keep their hands at chest level, as areas below table height can be easily contaminated (Australian College of Operating Room Nurses, 2010).