The first step in nursing care is assessment. An accurate assessment can decrease the potential for the dermatitis to become more severe and helps the patient gain control over their illness. Without an accurate assessment, interventions may be inappropriate. For a nurse to complete an efficient assessment they must work together along the patient to identify needs and concerns (The Royal Marsden, 2015). Information on the patient’s background, lifestyle and presence of illness should be collected. The A to E assessment should be carried out. This includes assessing Airway, Breathing, Circulation, Disability and Exposure. By using the A to E assessment an overall assessment can be achieved. It can highlight the emergency factors that need to be treated (Thim et al, 2012). In this case it would be the exposed skin. A skin assessment should be performed this includes assessing changes in skin colour, level of desquamation, drainage, odour and signs of …show more content…
The key measures include keeping the wound clean, protecting the site from contamination and infection (Leventhal and Young, 2017). When trying to decide which dressing is appropriate the following factors should be considered is the dressing absorbent, comfortable, easy to apply and remove and non-adhesive (Saint James Institute of Oncology, 2008). A study be Gollins et al (2008) showed that hydrogel dressings had reduction in moist desquamation and improved healing time. Mepilex Lite reduced pain, burning and itchiness in patients (Diggleman et al, 2010). When using dressings to manage acute radiation dermatitis wound management guidelines should be adhered to (Health Service Executive, 2009). These guidelines include assessing the wound for pain, slough and infection, cleaning the wound using aseptic technique to reduce risk of infection and documenting progress notes in order to see if the management of the wound is
The length of the stay of patients diagnosed with pressure ulcers noticeably increased by about five times. The risk of death is increased about 4.5 times compared to the patients without this condition. This is the main reason this issue is being studied. ICU patients require constant monitoring and invasive procedures performed by the multidisciplinary team. Patients admitted to the ICU are considered critical and hemodynamic unstable. These patients may be sedated, provided with mechanical ventilation, and placed on bed rest for long periods of time. The most difficult challenge regarding pressure ulcers is to maintain skin intact. To ensure optimal pressure ulcer treatment and prevention is used, a multidisciplinary approach, in which nurses play a vital role. Risk assessments, hands-on care, daily skin care, and providing an environment, which will help patients attain optimal health are among these responsibilities. Due to the patients’ inability to turn themselves, critically ill patients have to be repositioned by caregivers frequently. It has to be done by professionals who know about the complications and risk factors because improper repositioning may cause shearing and friction, which will lead to pressure
This tool is geared towards the older adult population. When evaluating the effectiveness of this tool, all physiologic factors of the patient have to be considered. Skin assessments should be performed and risks identified that could contribute to a pressure ulcer. There is no financial increasing when implementing this evidence based practice. The Skin Safety Model is merely assessing the patient’s skin during routine assessments. Document progress is writing the progress or decline of the patient’s skin integrity in the chart. With this model, the outcome should overall be positive because this ensures that the patient’s risk factors are acknowledged and nurses are assessing patients
In an evidence based research, evaluation plan is very important. Evaluation is a systematic approach to assess the information, data or statistics collected through a research on a specific problem. Nurses should always practice evidence based approach and collect data so these can be compared with other studies done on this specific topic.
Concept analysis seeks to determine structure, function, attributes, and characteristics of a concept which serves to provide common understanding of the term so that future research endeavors find the concept clearly communicable and increasingly measurable. (Smego, 2010.) Compassion Fatigue (CF) within the nursing profession needs to be probed more critically and monitored for trends among certain subspecialties of nursing. Compassion fatigue or otherwise known as Secondary Traumatic Stress Disorder is clinically defined as, “The emotional residue or strain of exposure to working with those suffering from the consequences of traumatic events. It differs from burn-out, but can co-exist.
Voegeli D; British Journal of Nursing (BJN), 2010 Jul 8; 19 (13): 810, 812, 814 Care or harm: exploring essential components in skin care regimens.
Enclosed you will find my proposal to increase educational resources for aspiring nurses. In preparing this report, I have learned that our need for nurses continues to grow above normal. In reading this for yourself you will see the great need for more educational resources for aspiring nurses. I also hope that you will consider the suggestions I have included to aid in making this proposal a reality.
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 in 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 rational 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 to 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 outline in this piece of work has learning disabilities it was imperative to identify any barriers with communication (Nursing standards 2006).
The goal of my learning plan for this semester is to develop skills in health education specific to adolescents. I chose this as my learning goal because my placement this semester at Sunnybrook Hospital, Injury Prevention Program, gives me an opportunity to provide health education to high school students every Tuesday at out P.A.R.T.Y. Program so I thought I should use this opportunity to develop my and improve my nursing skills in this area. As well as good health education skills to adolescents can benefit the students by proving them a motivating learning environment and better learning outcomes. I hope they can enjoy my teaching and absorb the information and use them in the future. I have considered many factors in the process of developing my learning plan such as the nursing standards of health promotion, prevention and health protection, professional relationships, capacity building etc… I brainstormed possible topics such as possible topics that are related to injury prevention itself for example, concussion prevention or preventing sports related injuries. I also thought about doing topics that are relevant specifically to the P.A.R.T.Y. Program such as teenage suicide and prevention or distracted driving. After assessing my placement and the clients which in this case are the students, I have recognized that one of the program’s goals is to educate the students about injuries and injury prevention. I also found that our clients had a lot of potential in learning about this subject which can greatly benefit their lives and influence change in their behaviour to increase control of their own health and make better choices. In terms of my personal needs, I felt that I had room for improvement in terms of my le...
Voegeli D; British Journal of Nursing (BJN), 2010 Jul 8; 19 (13): 810, 812, 814 Care or harm: exploring essential components in skin care regimens.
What is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families?
*As my first year in the nursing program comes to a close, I am to write this assessment based upon my abilities in each of the listed outcomes. I know I have much to learn, but I have also gained a tremendous amount of knowledge in the short amount of time I have been a part of this program.
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.
Saying that you are a registered nurse is a broad statement. Registered nursing is a job that has many aspects. Registered nurses work in many different settings and they carry out many different routines. As a registered nurse you could be exposed to many different opportunities. My goal is to be a registered nurse but, I need to learn a lot. Becoming a being a registered nurse requires a lot of hard work and effort but, if I focus on my goal I will be able to achieve it.
When a wound is determined as non-healable, as described by Sibbald et al (1), it should not be treated with a moist treatment and should be kept dry in order to reduce the risk of infection that would compromise the limb. It is also important to consider the patient 's preferences and try to control his pain, his discomfort in activities of daily living and the odour that their wound may produce. In this case, special attention must be given to infection prevention and control. Some charcoal dressing would be interesting in the care of our non-healable wounds at St. Mary 's Hospital.
1.The characteristics that intrigued me of the nursing practice was as a patient at the Danbury Medical Center. As a patient, the nurses gave me the most delightful patient care ever received. They took their time to make sure my care was an urgency. When my pain had increased the nurses were there by my side. They had taken the time to make sure the proper dose of medicine was given to me at the correct time. Even though my current status was lying in bed with a fractured femur. They took the time to make sure my needs were met. I had never expected that going to the hospital from flying off a cliff on my skateboard would direct me in my future dream job. The nurses showed me what patient care really and truly was. Patient care is putting others in front of your own needs. Being a great nurse is showing your patient that there is hope. Patient care is not only making sure your patient is satisfied but making sure their family and loved ones are cared for as well.