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Clinical Nursing Skills
Head to toe assessment
Research paper on head to toe assessment
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This was the second week in clinical and after having a contact precaution patient last week, I was ready for any type of patient. I was more confident and prepared this week because I was finally adapting to the hospital setting, learning all the equipment, developing relationships with the staff, and understanding my abilities better. This week I had to do a head to toe assessment on a patient. When I was told this I became nervous (all the confidence ran away) because the only time I actually did a complete head to toe assessment was in lab last year. My patient was fifty-four year old man, who got into an accident with a garbage truck. The patient has three-rib fracture, a fracture in the leg, and a splenic hematoma. I first went and introduced
For my first clinical observation, I was assigned to the trauma unit and it was not what I expected it to be. I thought the trauma unit would be fast pace and there would be nurses and doctors rushing everywhere, however, I did not see any of that. Instead, it was quite peaceful and this was probably because my clinical observation was from 10-12 p.m. When I met up with my senior nurse, she showed me a binder that contained all of her patients’ diagnoses, lab reports, treatments, and vital signs, which was a lot to take in because most of the terms she used, I had no idea what they were. After looking at the reports, she showed me a patient who had gunshot wounds on his back and abdomen. I could tell he was in a lot of pain by the tone of
The aim of this essay is a reflective account in which I will describe a newly acquired skill that I have learned and been able to implement within my role as a trainee assistant practitioner. (T.A.P.) for Foundation for Practice. I have chosen to reflect upon neurological observations on patients that will be at risk of neurological deterioration. Before I begin any care or assessments, I should have a good theoretical underpinned knowledge, of the skill that I am about to put into practice, and have a good understanding of anatomy and physiology, in order to make an accurate assessment of a patients neurological status. I will be making a correct and relevant assessment to identify any needs or concerns to establish the patient’s individualized care, and make observations to determine an appropriate clinical judgement.
The current patient may be experiencing a range of traumatic injuries after his accident, the injuries that the paramedic will focus on are those that are most life threatening. These injuries include: a possible tension pneumothroax or a haemothorax, hypovolemic shock, a mild or stable pelvic fracture and tibia fibula fracture. A pneumothorax is defined as “the presence of air or gas in the plural cavity which can impair oxygenation and/or ventilation” (Daley, 2014). The development of a pneumothorax to a tension pneumothorax can be caused from positive pressure ventilation.
In this circumstance the nurse will perform a neurological assessment first and then a head to toe assessment. The nurse first of all needs to find a space that is private and comfortable before she undertakes the assessment. She needs to use therapeutic communication, build a rapport with Alice, and also have permission from Alice. The nurse needs to complete a number of individual assessments in order to see the function of Alice’s nervous system. Before the nurse can begin she needs to wash her hands and make sure that they are warm before touching Alice.
The running record assignment provided me with insight on how to effectively assess a student, analyzing and interpret data and consider strategies to address areas of need and/or strengths. The process of giving this assessment has allowed me to better understand and appreciate running records. I understand the value of using an assessment that evaluates a student’s reading ability. The data is vital information that influences instruction and planning.
My colleague and I received an emergency call to reports of a female on the ground. Once on scene an intoxicated male stated that his wife is under investigation for “passing out episodes”. She was lying supine on the kitchen floor and did not respond to A.V.P.U. I measured and inserted a nasopharyngeal airway which was initially accepted by my patient. She then regained consciousness and stated, “Oh it’s happened again has it?” I removed the airway and asked my colleague to complete base line observations and ECG which were all within the normal range. During history taking my patient stated that she did not wish to travel to hospital. However each time my patient stood up she collapsed and we would have to intervene to protect her safety and dignity, whilst also trying to ascertain what was going on. During the unresponsive episodes we returned the patient to the stretcher where she spontaneously recovered and refused hospital treatment. I completed my patient report form to reflect the patient's decision and highlighted my concerns. The patient’s intoxicated husband then carried his wife back into the house.
The Department of Health and Human Services (HSS) is a federal government agency tasked with protecting health and providing basic human services. This department separated from the Department of Education in 1979. Below introduces this important department and explains how their services help Americans every day.
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).
“How can I make a difference?” that was the first thought when I learned about this assignment. When I was assigned a patient at the community health worker’s office I was nervous. I was given discharge papers and I was told I had 30 minutes left before seeing my patient in outpatient. By reading the documents I learned my patient was a 46 year old quadriplegic who was discharged from the Temple hospital for a DVT several weeks ago. I talked to Sherron, the
Before my shift started, I did my research about my new client for week three clinical. I thought I was well prepared for the clinical, I knew the client’s mental and medical conditions but I was more focused on the client’s mental health issues and not the medical illnesses. When the nurse informed me that client W was experiencing shortness of breath due to his COPD, I was a bit shock because I was not expecting that to happen.
Companies need to determine whether they are meeting the mission, strategy, and objectives. Many businesses use a balanced scorecard to weigh performance against the enterprise’s strategic components. The human resources (HR) balanced scorecard will have to determine if the internal performance meets the firm’s strategic plan and mission. In the following describes what a balanced scorecard means to an organization and HR, and what the HR balanced scorecard will assess for Best Buy.
Certainly, I began with the goal getting of his vital sign and giving him a bed bath. Fortunately I had practice how to take a vital sign and giving a bed bath before my first clinical at the university skill lab and I had developed this confidence before my clinical tour. That day will be mastering the skill which I had just learned in manikins, and applying in real human with huge safety precaution. In between morning my instructor was giving me a brief before I getting to the patients room. From her experience she knew what kind of challenges and a patient behavior can be I face. As I proceeded to my own patient, I hit a roadblock that would give me a flat tire for the rest of the shift.
After the handover, I was asked by my mentor to attend to a patient who is bed ridden to have her personal care done with the assistance of one of the health care assistant staff. The patient was recently admitted to the ward and she looks sc...
It requires a great deal of strength, not only physically but emotionally as well. There is a great deal of physical work involved, such as lifting patients and equipment. You are on your feet most of of the day, and there is little patience for idle hands. Patients will often require much patience, and excellent people skills are a must. There will also be situations that will pull on the heart strings, however, we are there to do a job, and to do it to the greatest of our ability. Yes, I was aware of most of these requirements, but I don’t believe that I understood them to the fullest detail, and I probably won’t, unless I experience them first-hand. Fortunately, now, I have been educated on expecting such circumstances, and will be better equipped to handle them when such situations
Personal health is extremely important to everyone around the world. But it is especially important to citizens of the United States of America. Being one of the leading countries in Health technology and also in food and beverage leaves most people choosing between living a healthy lifestyle and indulging in the varieties of food we offer. Across the country, many people are living with pre-existing conditions, living in food deserts, living below the poverty line and a long list of other factors that either hinders them from eating healthy or force them to eat healthily. When trying to live a healthy lifestyle in this country not only does the promotion of prevention matter, but also the promotion of Career and job opportunities matter just as much. In the United States, Money equals Power and money also equal the opportunity to create and live a healthier lifestyle.