Introduction : Mrs Dorothy Beecham has been admitted to hospital with community –acquired pneumonia and query DVT. She is currently on waiting list of total knee replacement. Her past medical history including cardiovascular disease, COPD, osteoporosis, varicose vein and recurrent DVT in the past two years. A blood test has been done and result is available. DVT on her right calf is also confirmed by Doppler ultrasound. This article is going to explain the future risk of how recurrent DVT going to impact on her health by use literature and relevant pathophysiology knowledge. At the same time, a patient education plan will be established for supporting care needs. This care plan including the symptoms of recurrent DVT and when to seek for medical advice after Dorothy after her discharge from hospital. Deep venous thrombosis(DVT) is the formation of a blood clot or thrombus in the large vein of the legs(Narani, 2010). The signs and symptoms of a lower limb DVT varies from asymptomatic to extensive ilio femoral thrombosis(Narani, 2010). The most common clinical manifestation can be sudden swelling of one limb accompanied with pain or tenderness,
Her BMI is 28 in the overweight zone. She had 4 episodes of DVT within 2 years. Her previous medical history includes osteoporosis which lead to poor mobility due to pain. She is currently waiting for Total Knee Replacement. After a Total Knee Replacement , patient is more likely to suffer from pain and being immobile for a period of time before commence physiotherapy. That greatly increase the chance of developing DVT(Brown, Edwards, Seaton&Buckley, 2014) .Patient education relating to physical activity includes encouraging early ambulation. First of all, administering medication oxycodone as patient request. Oxycodone is a opioid analgesics, belong to schedule 8 drug addition. It has to be prescribed by doctors to relieve moderate
The risk factors that Jessica presented with are a history that is positive for smoking, bronchitis and living in a large urban area with decreased air quality. The symptoms that suggest a pulmonary disorder include a productive cough with discolored sputum, elevated respiratory rate, use of the accessory respiratory muscles during quite breathing, exertional dyspnea, tachycardia and pedal edema. The discolored sputum is indicative of a respiratory infection. The changes in respiratory rate, use of respiratory muscles and exertional dyspnea indicate a pulmonary disorder since there is an increased amount of work required for normal breathing. Tachycardia may arise due to the lack of oxygenated blood available to the tissue stimulating an increase in heart rate. The pedal edema most probably results from decreased systemic blood flow.
Wells, Philip S., Anderson, David R., Rodger, Marc et al (2003). Evaluation of D-Dimer in the Diagnosis of Suspected Deep-Vein Thrombosis. New England Journal of Medicine; 349: 1227-1235.
A registered nurse (RN) is someone that went through a university or college and studied nursing; and then passed the national licensing exam to obtain a license to practice nursing. The degree earned by an RN at the need of the program is deemed a professional nursing degree. The RN top nursing staff and they usually works independently. On the hand, an LPN only earns a practical nursing degree after completion of the program. LPNs are mostly recognized only in USA and Canada; they are also named as License Vocational Nurse (LVN) in the state of California and Texas. LPN work under the supervisor of an RN or a physician.
After a thorough examination, J.P. was diagnosed with a deep vein thrombosis (DVT). “DVT develops most often in the legs but can occur also in the upper arms…” (Ignatavicius & Workman, 2013). Due t...
“Code Blue”, that the last thing anyone wants to here at the beginning or end of a shift, or for that matter at any time during their shift. With the development of rapids response teams (RRTs), acute care nurses and ancillary departments have a resource available to their disposal when need in uncertain situations. Many times nurses struggle to maintain a patient deteriorating in front of them all the while make a multitude of calls to the physician for orders or concerns. Having a set of “expert” eyes assisting you in these times helps alleviate stress and encourages collaboration amongst staff. (Parker, 2014)
Deep Vein Thrombosis (DVT), is a blood clot that forms in a deep vein inside the body. DVT can occur when the blood thickens, because the thickening of the blood can cause a clot to form. DVT will generally occur within the lower leg or thigh, as well as other parts of the body. A clot that occurs in a deep vein can possibly break off from the original vein. When it breaks off it can travel throughout the body’s bloodstream. It is called an embolus when the clot breaks off. The clots that broke off throughout the thighs, are more likely to cause Pulmonary Embolism, rather than the other blood clots within the remainder of the body. Pulmonary Embolism is a serious condition which can be caused by blood clots. It can damage your organs, more likely to be the lungs, and cause death of an individual.
There are different forms of Opioids manufactured such as Morphine, Oxycodone, Buprenorphine, Hydrocodone, and Methadone. They are marketed under different brands such as Demerol, Oxycontin, Tylox, Percocet, and Vicodin and can be prescribed in liquid, tablets, capsules, and patches.
There are many who believe that the next shortage will be worse and the demand for nurses will increase. There will be more jobs available especially with the baby boomer nurses retiring. Wood believes that when nurses retire, the next shortage could be even worse than the previous shortage. According to Wood this would lead to an “intellectual drain of institutional and professional nursing knowledge” (Wood, 2011, para 15). Staiger agrees as well that a shortage of nurses is expected again when nurses retire and since the economy will be more stable full-time nurses will go back to being part-time (Huston, 2017). Huston expects for the supply of nurses to grow minimally in the next couple of years and for a large number of nurses
“We can’t turn away from a patient’s pain just because it’s difficult” (chapman, 2015, p. 88). I know the path of least resistance is taking a path of ignorance. Easy, is to ignore or neglect the true pain patients experience in times of crisis. As caregivers I believe we all want to heal others or we wouldn’t be in the field of nursing, but there are only handfuls willing to be present during the healing process because sharing one’s pain hurts. As a surgical nurse, I find being genuinely present takes hard work on my behalf, not only mentally but emotionally. On a unit where patient’s needs and conditions are changing at astonishing rates, being present requires mental strength in order slow down enough to recognize the value presence
I have been a registered nurse for the past six years. I started my nursing career in a long-term care facility where I worked for a year and half . I always wanted to challenge myself so l left long-term care and went to work in the intensive care unit for four years where I saw how people with diabetes are suffering when the disease in not managed well. I am currently working in post anesthesia care unit(PACU) where I recover many patients with diabetes complications post-surgery. I am committed in the innovation in order to provide an effective care for the people suffering from diabetes. For many years the disease has been killing people and introduction of the control tools will help in making the condition manageable. The innovation
According to CDC, hand washing is the only best to reduce cross-contamination. As usually as wash my hand and don gloves in order to reduce cross-contamination. I followed evidence based practice when provided morning care and later in the afternoon when I provided perineal care for the patient.
values for instance, nurses have to practise autonomously and responsibly also accountable for safe, compassionate, person centred, evidence based nursing that respects and maintains dignity and human rights (NMC 2014) communication and interpersonal skills, practice and decision making, leadership, management and team working. All nurses are personally accountable for their own practice for instance, work within their own limitations, decisions and actions, nurses must maintain professional knowledge and competences as well as continuing professional development. All nurses are expected to abide by the codes of conduct at all times, if a registered nurse or midwife fail to uphold these standards, the NMC can take action for instance, cautions,
D. standing near her room, breathing sharply. While asked what has just happened, she answered, ‘I feel dizzy and can faint!’ Mrs. D. then explained that she rose up from her chair in the television room and felt lightheaded. I decided to bring her to the room hoping she would feel less dizziness if she could sit. After consultation with my mentor and third year unit nursing student, I decided to perform measurement of her vital signs. Since only electronic sphygmomanometer was available for me that time, I had to use it for my procedure. Gladly, I discovered that I have already used such equipment in my previous nursing practice. Using the standard sized calf, I found that her blood pressure was 135/85, respirations were 16, and her pulse was 96 beats per minute (bpm). However, I decided to recheck the pulse manually, founding that it was irregular (78 bpm). The patient stated that she felt better after rest. Immediately after the incident I made a decision to explore carefully the medical chart of Mrs. D., along with her nursing care plan. That helped me to discover multiple medical diagnoses influencing her
The nursing profession is always aim to accomplish the demands of the evolving health care system by improved quality care which is based on critical thinking, research and evidence-based practice. In order to achieve the improved quality care to the patients, the nurses should engage themselves in lifelong learning which will prepare them for the advancement of knowledge and competency to encounter the transformed health care field (Wetters, 2011). The continuous lifelong learning is always target the needs for the up-to-date with the latest trends, practices and technologies in the health care profession. This is the reason IOM committee emphasized nurses to involve themselves in lifelong learning so that nurses can practice with their full
Deep Vein Thrombosis (DVT) is the blood clot formation in the human body, especially in legs. It usually occurs in a deep vein, which is a larger vein that runs through calf and thigh muscle in the legs. DVT is formed when the valves of veins present in calf muscles are deprived of oxygen leading to deepening of veins to form a clot (Yadava, 2013). Pulmonary embolism; which is a blockage of an artery in the lungs; and DVT together constituted as single disease procedure which is known as venous thromboembolism (Van Beek, 2009).