By utilising the ISBAR (Identify, Situation, Background, Assessment, and Recommendation) approach, the student’s nurse was able to relay all the important information to the RN about the patient’s current situation and recommended of conducting a standing and lying BP to assess if there was a significant drop on the patient’s BP (Freeman et al., 2011). Taking into consideration the patient’s symptom of chest pain, conducting a blood test to check the cardiac troponins level could be beneficial to eliminate assumptions about the risk of the patient is having a diagnosis of myocardial infarction (Lackner, 2013). While waiting for the review of the treating team, the student nurse continue to monitor the patient vital signs every 30 minutes interval as well as conducting another ECG test to assess if there was changes on the patient’s heart rhythm. Upon evaluation, the patient’s BP was 170/70 mmHg whil...
... middle of paper ...
...ent and diagnosis of hypertension. Thus, I recommend nursing student should clinically competent in taking blood pressure as this often problematic to achieve and it will lead to inappropriate decision about treatment and will result in patient’s poor outcome (Badeli & Assadi, 2014). Additionally, the presence of clinical facilitator in the ward is important factors to assess and support the student in their skill, as study suggest that effective supervision and support in the clinical setting is an essential requirement for successful learning (Reid-Searl & Happell, 2012). Simulation in a safe learning environment is also identified as effective way to improve nursing student learning and skills in bridging the gap between theory and practice (Ballard, Piper, & Stokes, 2012). Therefore, by addressing this recommendation, it will provide a safe and accurate practice.
Need Writing Help?
Get feedback on grammar, clarity, concision and logic instantly.Check your paper »
- By identifying the main issue for the patient, the student nurse able to establish a goal for the patients care (Levett-Jones et al., 2010). The main problem as mentioned was hypertension based on the elevated BP reading of the patient which due to uncontrolled hypertension as result in non-compliance of drug therapy. Additionally, the student nurse was critically think that the patient’s symptom of chest pain is due to her medical history of reflux as research suggests that reflux typical symptoms are heartburns and non-cardiac chest pain (Ronkainen & Agreus, 2013).... [tags: Myocardial infarction, Hypertension]
732 words (2.1 pages)
- Another area I observed very closely during our conversation was Patient’s Y though process. Prior to this interaction with Patient Y I did not know his mental diagnoses. Patient Y did not display or express any hallucinations, delusions, or obsessions, but his thought process was not completely on track. He mentioned that he had several suicidal attempts in the past and still has suicidal thoughts and sometimes even plans. Once he stated this I asked him if he was currently suicidal and he responded that he was not.... [tags: Suicide, Bipolar disorder, Schizophrenia]
1382 words (3.9 pages)
- Treatment There are both Drug and Alcohol therapy and rehabilitation. Inpatient and Outpatient treatment is available depending on the need of individuals who suffer from SUD’s. These therapies are applied most commonly by a counselor through appropriate set-up of counseling sessions. For this purpose, there are many treatment centers that offer different rehabilitation programs for persons in need (Doweiko, 2012).These programs mainly include weekly individual counseling sessions, group session, and activities, utilize existing support services (12 step groups) and treatment planning goals designed in such a way, to program the patient and help him/her gain self-confidence to stand on their... [tags: ;patient, treatment, symptoms]
654 words (1.9 pages)
- One quiet morning, a week before high school graduation, my mother screamed my name. Something about her tone scared me, so I ran to see what the matter was. My grandfather had slid off the bed and defecated in his clothes. She thought his bowel movement was an accident and wanted me to help her get my grandfather in the shower. As I knelt to help her, I noticed the asymmetry in his face and recalled a stroke pamphlet in the doctor’s office, so I asked him to move his arms. He raised his right arm on cue, but could not move his left.... [tags: Physician, Patient, Cancer, Medicine]
863 words (2.5 pages)
- Schizophrenic patients relapse more frequently compared to other mental illnesses (Csernansky & Schuchart, 2002 ). About 70% of newly diagnosed schizophrenic patients relapse the first year and 90% the second year (Silverstein& Bellack, 2008). Schizophrenic patients experience relapse because of the insufficient outpatient healthcare model for the severely mentally ill. Outpatients care for severely mentally ill individuals lack resources necessary for adequate healthcare. In particular, caregivers lack the knowledge and skills needed to understand what the illness encompasses (Kilbourne, Greenwald, Bauer, Charns, & Yano, 2012).... [tags: Health care provider, Patient, Health care]
758 words (2.2 pages)
- Patients play a big role, in which they need to ask lots of question and stay informative about every procedure and medication they are going to consume. They need to make sure how many doses, the type of medication and how many times a day, because they could overdose them self if they take more than needed. Therefore, advance directive is where the patient chooses the type and how many medical care they wish they want to be provided with. Theirs time in where patients are placed a proxy; the authority to represent someone else.... [tags: Physician, Medicine, Patient, Hospital]
1113 words (3.2 pages)
- Chronic pain is an affliction that drives many sufferers towards a treatment that alleviates the pain, even if only for a short while. For much of medical history, pain control has been a pharmacological endeavor, easily fixed with narcotics that must continue for as long as the treatment does. It was often also taxing, financially, psychologically and to long-term health. Patients of ‘traditional’ pain control methods often found themselves with problems adjacent to chronic pain as a side-effect or cause of the treatment methods.... [tags: Pain, Patient, Suffering, Medicine]
720 words (2.1 pages)
- Physical injuries resulting from a fall can reduce mobility and increase morbidity. Falls that not result in an injury can also be harmful to the patient 's independence triggering fear of falling, anxiety, distress, depression, and decreasing physical activity (Leone & Adams, 2016). Injuries from impatient falls lead to prolonged hospital stay and additional resource expense. In United States, patients with fall injuries stay in the hospital an average of 6.3 extra days longer and their care costs an average of $13,000 more in comparison with patients who do not experienced falls during hospitalization (Huey-Ming, 2015).... [tags: Hospital, Patient, Patient safety, Safety]
1308 words (3.7 pages)
- Being able to take a deep breath is something that we take granted. There are so many benefits of being able to take a deep breath. Breathing detoxifies and releases toxins from the body, releases tension, relaxes the mind and body and strengthens the lungs. My father was born with a severely deviated septum. Having a deviated septum means that one or both of your nostrils are blocked or obstructed. This obstruction makes it very difficult to breath. In my father s case his airway through his nostrils was obstructed by eighty percent.... [tags: Surgery, Medicine, Patient, Nose]
706 words (2 pages)
- Scenario: A chain floater pharmacist filled 3 boxes of Victoza for a 90 day supply and was supposed to place them in the fridge immediately after verifying. But when the patient arrived to pick up the prescription few days after, I could not locate it in the fridge, but instead it was in the waiting bin at room temperature. Each box of Victoza can stay out at room temperature for 27 days, but it was 3 boxes (the patient had to use all 3 boxes within 27 days) and the patient’s insurance didn’t cover the 27 day/1 box supply.... [tags: Pharmacy, Patient, Pharmacist, 2006 albums]
1447 words (4.1 pages)