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8. 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? a. Goals i. This is part of column two b. Interventions i. This is part of column three c. Nursing Diagnosis i. This is part of column one d. Evaluation i. This is part of column five e. Medications i. This is not a part of the column plan of care for a client Based on http://www.austincc.edu/adnlev1/rnsg1161online/clinical_homework_samples/Nursing_care_plan_sample.htm column one: nursing diagnosis; column two: the expected outcome and goal of what you would like to see from the patient after a specific time frame; column three: interventions; (column four: scientific rationale for each intervention) …show more content…
Conflict Resolution i. Conflict resolution deals with resolution of conflicts between health care workers and not between the resolution of a problem the client is dealing with Page 144 Critical Thinking is the thought process where the client’s problem is defined, evidence based practice in caring is examined, and then choices for the delivery of patient’s care are made. Page 467 Delegating a Task is when the nurse gives another competent individual a task to perform in a specific situation Page 195 Priority Setting is where problems are grouped as having high, medium, and low priority based on preferential sequencing for the order in which diagnoses and interventions need to be addressed. Page 467 Conflict Resolution: In relation to conflict, the book talked about managing conflict between people, groups, and teams, but did not have any relation to having a problem related to the patient’s situation and resolving that. 13. The nurse is assigned two clients. One client needs postoperative teaching in preparation for discharge and the other client with pneumonia has a PaCO2 of 85 which is very high & indicates that pt. is not breathing well. Why does the nurse decide to see the client with pneumonia …show more content…
According to page 468, client education is a task that may not be delegated to unlicensed assistive personnel. The nurse therefore may not delegate postoperative teaching to UAP since that would be in relation to client education. b. The client with pneumonia needs more care than the client needing postoperative teaching. i. The prioritization is not based on which patient needs more care. The patient with pneumonia would have to be helped first because they have a high priority problem that is life threatening (respiratory impairment) c. The client with pneumonia may be experiencing respiratory distress. i. Respiratory distress is related to respiratory impairment which is a life threatening problem. Life threatening problems are high priority and need immediate care. d. The room of the client with pneumonia is closer than that of the client needing postoperative teaching i. Priority setting problems are not based off of the proximity of the patient, rather, they are based on how threatening the problem is. Page 195 Priority setting categories include high, medium, and low priority. High priority is when there are life threatening problems including areas of respiratory and cardio impairment. These problems need immediate
The facts in this case involve 2 patients. Firstly, Marguerite, an 89 year old female who experienced a myocardial infarction and the cause was unknown at the time of admission. Her doctor ordered an angiogram to test for the cause, and based on the results, would plan and provide treatment. On the other hand, Sarah, a 45 year old female, also experienced a massive heart attack, but in her case the emergency room doctors were able to determine the cause and expeditiously planned for treatment. Simultaneously, both patients required an immediate surgical procedure and time was a major consideration due to the nature of their
The goals and objectives set out in the policy and subsequently analysing one aspect of the policy in particular are included. How patient care and nurses delivery of said care is improved by this policy.
The National Council of State Boards in Nursing defines delegation as “transferring to a competent individual the authority to perform a selected nursing task in a selected situation” (National Council of State Boards of Nursing, Resources section, 4). When delegating, the registered nurse (RN) assigns nursing tasks to unlicensed assistive personnel (UAP) while still remaining accountable for the patient and the task that was assigned. Delegating is a management strategy that is used to provide more efficient care to patients. Authorizing other individuals to take on nursing responsibilities allows the nurse to complete other tasks that need tended to. However, delegation is done at the nurses’ discretion and is a personal choice. Nurses must make careful decisions regarding delegation, taking into account the skill and training of the UAP, the difficulty and risk of the task, and the patient’s condition. The expected outcomes, a time frame for completion, and any limitations should be explained to the UAP at the time that the task was delegated.
As the quantity of patients expanded, it ought to have been obvious that one registered Nurse and one Licensed Practical Nurse were insufficient to look after the patients. The emergency department ought to be viewed as a high priority location, and should have staffed with more Registered Nurses; Licensed Practical Nurse essentially do not have the training and abilities to assess patients or delegate the workload. Dangerous actions such as moderate sedation on a patient with no supplemental oxygen or EKG observing. The patient seems to have been overmedicated, with insufficient time between medications to decide his actual level of
Lastly, the protocol provides nursing strategies that assist the nurse in evaluating the steps to identify the skills the caregiver will require and the steps to set up an effective plan to move forward with assisting the caregiver in successfully managing in home care provision (Agency for Healthcare Research and Quality,
As a nurse, the author will ensure that as a leader, she delegates information by providing a holistic perspective of the patient’s needs and diagnoses. This will help the UAP to understand the importance and urgency of the tasks delegated. The nurse will also work to obtain a trusting, open, and honest relationship with the UAP. If the UAP believes the nurse has the UAP, the patient, and facilities best intentions at heart, the UAP will be more likely to carry out the delegated tasks without adjournment. The nurse will make sure to be mindful of why the UAP may have performed a task in an untimely, or incorrect fashion, and take responsibility for the mistake. The nurse will then consult with the UAP and adjust how communication takes place, to ensure that tasks get carried out correctly, in a way the nurse means for the UAP to carry them out. Overall, if the nurse and UAP can foster a trusting relationship that allows for open dialogue, and willingness to change the patient will receive the most optimal care, and in turn have the most positive
Haugen, N., Galura, S., & Ulrich, S. P. (2011). Ulrich & Canale's nursing care planning guides: Prioritization, delegation, and critical thinking. Maryland Heights, Mo: Saunders/Elsevier. 14
trained individuals. Imagine a family member is admitted to the University of South Alabama Hospital with an acute case of pneumonia, which will require oral and intravenous medications.
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
The patient is more likely to focus all their questions and concerns to the nurse. When then the
Conflict is a natural inevitable condition in organizations. Conflict occurs every day in a variety of situations ranging from emotional disputes between colleagues, to disputes between departments about lines of authority, to legal disputes involving several organizations. According to Sullivan and Decker (2009), conflict is defined as the consequence of real or perceived differences in mutually exclusive goals, values, ideas, attitudes, beliefs, feelings, or actions within one individual, between two or more individuals, within one group, or between two or more groups. Conflict arises for many reasons and can be characterized in numerous ways. Jehn (1995) discusses the types of conflict regardless of level, as task content conflict, emotional conflict, and administrative conflict. Furthermore, conflict can be a situation that is beneficial or detrimental to the organization and or those who are involved. Considering the statistics, DelBel (2003) states that worldwide, nurses are three times more likely than any other service occupational group to experience workplace violence, and United States (US) health care workers face a 16-times greater risk of conflict than other service workers. In addition, more than half of US workplace aggression claims emanate from the health care sector (DelBel, 2003). Therefore, it is incumbent for nurses to understand that conflict can be successfully managed through the understanding and application of various conflict-management techniques and negotiation skills. While not all workplace conflict is avoidable, research indicates that a significant portion of conflicts are preventable. The purpose of this paper is to provide a description of an incident that occurred during clinical hours, des...
Prioritization is to make sure that the patient receives safe and quality care. A nurse would prioritize care of a patient based on their individual needs. The nurse uses critical thinking to determine what issues need to be addressed first, such as assessing the patients respirations, circulation, neurosensory, food and fluid intake, bowel and bladder eliminations, comfort, rest, sleep, safety, activity, hygiene, significant relationships, ego, integrity and sexuality. The first level of prioritizing to makes sure that the patient’s ABC’s are not compromised. ABC’s refer to airway, breathing, and circulation. The nurse is going to take care of a patient who is having trouble breathing or does not...
When conflict arises , it destabilizes relationships . A concrete example of interpersonal conflict happened between the restless 20-year old optometry patient and the staff of the Emergency Department in the 5th case. An expressed disagreement about the patient's demand to be immediately seen by the doctor and the Triage nurse lack of assessment of not being a priority aggravated the challenging behavior of the male patient from excessive distress brought about by his health condition.
I entered the room around 0730 to complete my first baseline head-to-toe assessment. Upon observation, the patient appeared anxious, leaning forward, acquiring a tripod posture, as if having intense difficulty breathing. While auscultating the lungs I noticed dull, diminished breath sounds in the lower left lobe and difficulty getting a complete breath. The patient stated, “I am in so much pain that even though I feel congested, I still can’t get the stuff out of me.” I asked him when he had acquired the pneumonia and he stated not long after the surgery he began presenting with
the duties of a nurse at one time or another by providing care for sick and injured