The aim of this patient care study is to discuss the care and nursing interventions that a particular patient received whilst staying on acute medical ward. Clause five of the Nursing and Midwifery Council’s Code of Professional Conduct (2002) states that “as a registered nurse or midwife you must protect confidential information” and if information is to be revealed the patient’s consent must be sought. The patient’s permission was obtained after an explanation of the purpose and proposed content of the care study, with a staff nurse present. For reasons of confidentiality, the patient will be referred to under the pseudonym of Kirsty. Kirsty is a seventeen-year-old young lady who was diagnosed with Crohn’s Disease when she was thirteen years old. She lives in a terraced house with her mother and is a hairdressing student. She was admitted to the ward from the Children’s Outpatient Department following a routine check-up, where she presented with right-sided abdominal pain and loose stools. She was diagnosed with a flare-up of Crohn’s Disease. Kirsty was chosen for the purpose of this care study because her strength of character was admired and a good relationship was established.
Kirsty was admitted to a twenty-six bedded acute medical ward, which is primarily gastrointestinal conditions, however medical outliers are admitted. There are three bays: one male, and two female, one called the Day Room (as it used to be the patient’s day room, but was opened as a bay as there was a bed shortage) and the second is called the Female Bay. There is a double side-room and two single side rooms, top of the ward and bottom. Kirsty was admitted to a bed in the female bay.
The ward is split to accommodate the Primary Nursing framework...
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...wifery Council. (2002). Code of professional conduct. London: Nursing and Midwifery Council.
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PONV is an undesired side effect of anesthesia. About 10% of all surgical patients will develop postoperative nausea and vomiting (PONV) (Tinsley & Barone, 2012). It is the nurse?s responsibility to do everything in his or her power to alleviate patients enduring nausea and possible vomiting after surgery. A crucial first step in evidence-based practice (EBP) is converting information into a well-worded question that is answerable with research evidence (Polit & Beck, 2012, p.36). To create an answerable research question, one needs to use a framework. Population (P), Intervention (I), Comparison (C), and Outcome (O),
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As the time goes by, inevitably many new diseases and medical conditions will be discovered and they could have a huge impact on more than just a few lives. However, with our current medical technologies and research and development teams around the globe, we will also find new ways to overcome many health problems that will or already arose. Certain health conditions can be cured by using drugs and therapies. Some others can be treated just by a change in lifestyle. But for some diseases and conditions, there is no better treatment known to men at the current moment other than going under surgical procedures. Similar to drug treatments, surgical procedures are not 100% safe either. But compare to drugs, most people will be more terrified of surgery and it is not hard to understand why. The idea of being knocked unconscious and under the knives will naturally make both patient and doctor to try avoiding surgery as much as they could. Before any doctor decides to go with surgery, they will need to weigh the pros and cons of the said surgery on patient’s well-being. Any surgery will have their own level of risk depending on the degree of invasiveness and the organ involved. However, even the safest, minimally invasive surgery can have some complications, whether avoidable or not, later on. Patients undergoing surgery will mostly be given sedative or anaesthesia to make them unconscious. It is debatable whether anaesthesia plays a huge role in contributing to post-operative complications after the surgery was done#. The complications might be minor ones or they could be major that require immediate medical attention. There are a few common complications that the patients have higher chance to get after their surgery an...
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed during my second year studying Adult Diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rationale behind this. During an admission I completed under the supervision of my mentor, I was pre-assessing a 37 year old lady who had arrived at the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outlined in this piece of work has learning disabilities it was imperative to identify any barriers to communication (Nursing standards 2006). There were a number of nursing priorities identified, the patient also has hypertension.
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During surgery, patients are given anesthesia for several purposes: They cause amnesia, pain relief, muscle paralysis, and sedation. With about 234 million surgeries performed worldwide each year, we learn the magic behind it all used to help patients get through each surgery, or so we hope. With the research going on, we have learned that in many different parts of the world there are different percentages of anesthetic related-events ranging from 1 out of 1,000 early emergences, the awakening during surgery, to 1 out of 19,000. These patients that have experienced anesthesia awareness have been found to have long-term psychological effects. Although about 75 percent of these patients are awake no more than five minutes, that short
Tomey, A.M., & Alligood, M.R. (2006). Nursing theorists and their work (6th ed.). St. Louis, MO: Saunders Elsevier.