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Relationship between psychology and health
Relationship between psychology and health
Relationship between psychology and health
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Physical assessments and vital signs go hand in hand when pertaining to a patient’s care due to the circumstance that they work hand in hand to create an indication of the patient’s physiological state and show healthcare providers the protocols necessary to assess the patient. Vital signs are known as the regular components and the foundation of a patient’s physical assessment (Joseph J. et al., 2006). They are both necessary to obtain for the patient and the provider. As people age, they tend to require more assessments that are necessary to remain benign (Y. Guigoz, B. Vellas, P. Garry, 1996) so, the addition of a nutritional assessment to an elder’s nursing intervention (taken by proficient healthcare providers) should be a resolution …show more content…
According to the Foundations of Nursing Practice (2001), you should collect information about the patient’s aspects of their health (physiological, psychological, sociocultural and spiritual) to gain a nurse-client relationship and to establish actual and potential problems. The information gathered is important because it is able to provide somewhat of a description of the patient as well as focusing on their immediate and future needs (Keenan, Yakel, Tschannen & Mandeville, 2008). This would safely develop a deeper understanding and can work toward making the patient relieved of their troubles and or prevent other issues from surfacing. Along with the patient, physical assessments are also important for the provider as a guidance tool when it comes to their practice. A successful assessment deems the health care provider accountable and responsible for the patient’s conclusion. Overall, the physical assessment aids in providing satisfactory work for both the patient and the professional (Royal College of Nursing, …show more content…
These sings include temperature, pulse, respirations, blood pressure and pain. These factors must be checked, recorded, and assessed consistently to ensure the patient’s safety. What makes vital signs so “vital” is because it universally communicates to the provider what the patient’s condition may be. It would help them identify nursing diagnoses, assess interventions, and make decisions concerning the response of patients to treatment (C. Teixeira et al., 2015). Vital signs are objective and are distinct for each person. Therefore, the provider should be able to record accurate vital signs to help pinpoint causes of certain signs and symptoms along with identifying problems with the cardiac, pulmonary, renal, and autonomic nervous systems (Elma I, 2011). Understanding a person’s vital signs is a life or death situation because, with certain signs, a provider would be able to take certain actions to help the patient. If vital signs aren’t taken, significant information is lost. The recordings of an elderly patient’s vital signs are often “relied on by a nurse’s clinical judgement or time availability rather than on policy-mandated frequency (Cardona-Morell et al.,
A Mini Nutritional Assessment (MNA) was completed on Anne. The MNA is a tool used to provide a rapid assessment of elderly patients’ nutritional status. The MNA is made up of simple measurements and a few brief questions that can be completed by the patient in no more than ten minutes. The nutritional status of a patient is evaluated using a two-step process to accurately determine a patient’s nutritional status (McGee
The first way effective nurses can compensate for a doctor’s deficits is by meeting the physical needs of a patient, something doctors
Noticeable indications of deterioration have been shown in numerous patients few hours prior to a critical condition (Jeroen Ludikhuize, et al.2012). Critical condition can be prevented by recognizing and responding to early indications of clinical and physiological deterioration ( kyriacosu, jelsma,&jordan (2011). According to NPSA (2007) delay in responding to deteriorating vital signs have been defined as an complication resulting in prolonged length of stay, disability or death, not attributed to the patient's underlying illness procedure along but by their health-care management ( Baba-Akbari Sari et al. 2006; Helling, Martin, Martin, & Mitchell, 2014). A number of studies demonstrate that changes or alterations in a patient’s
As a nurse, it is important to address the needs of a patient during care. These needs are unique to each individual and personalizing it, enable the patients to feel truly cared about. It is important to be educated about these needs as the patients and their families look to you as a guide; therefore, education on things w...
The nurse needs to describe what focused health assessments they think would best suit the patient. The nurse needs to work out a way in which we can help decrease Alice’s heart rate and blood pressure. To do this the nurse would perform a neurological assessment and a head to toe assessment. These two assessments will give the nurse more information about Alice’s nervous system, if she is in any pain and what further assessments and treatment need to be completed. A neurological assessment is a technique of gaining specific data in relation to the role of a patient’s nervous system (Ruben Restrepo).
Mayo Clinic Staff. "Caregivers." Senior Health: How to Prevent and Detect Malnutrition. N.p., 23 Sept. 2011. Web. 28 Mar. 2014.
Rocognising and Responding Appropriately to Early Signs of Deterioration in Hospitalised Patients (NPSA, 2007) stemmed from the investigation as to why patient deterioration was not being acted on or recognized by healthcare workers. The exploration identified a number of failures centered on lack of proper observation and recordings of observations, and lack of proper communication between hospital staff members. The study uncovered concerns from staff members not observing patients at night, to undertrained staff left to interpret vital signs and perform work outside of their level of expertise. It also showed a pattern of little to no communication between medical colleagues ...
For instance, there have been several nutritional interventions implemented in health care facilities. Specifically, screening can be effective in health care facilities to aid in identifying poor nutrition among the elderly, which is often undetected. Additionally, screening tools has been used to establish appropriate nutritional meals. One study by researchers Babineau, Jolyne, Villalon, Laporte, Manon, & Payette (2008) showed that the introduction of screening in a general hospital raised awareness of nutrition-related care. In this intervention dietitians conducts a full nutritional assessment and implemented a nutritional care plan for patients aged 65 or older (Babineau et al., 2008). The nutrition care program included nutritional screening, timely intervention, and close dietitian
There are six set standards of the nursing practice; assessment, diagnosis, outcome identification, planning, implementation, and evaluation (ANA, 2010; pp. 9-10). Throughout a typical shift on the unit I work for, I have set tasks I am expected to complete in order to progress the patient’s care, and to keep the patient safe. I begin my shift by completing my initial assessment on my patient. During this time, I am getting to know my patient and assessing if there are any new issues that need my immediate intervention. From here, I am able to discuss appropriate goals for the day with my patient. This may come in the form of increasing mobility by walking around the unit, decreasing pain, or simply taking a bath. Next, I plan when and how these tasks will be able to be done, and coordinate care with the appropriate members of the team; such as, nursing assistants and physical therapists. Evaluating the patient after any intervention assists in discovering what works and what does not for the individual. “The nursing process in practice is not linear as often conceptualized, with a feedback loop from evaluation to assessment. Rather, it relies heavily on the bi-directional feedback loop...
Respiratory assessment is a significant aspect of nursing practice. According to the National Institute for Health and Care Excellence, respiratory rate is the best indicator of an ill patient and it is the first observation that will demonstrate a problem or deterioration in condition (Philip, Richardson, & Cohen, 2013). When a respiratory assessment performed effectively on a patient, it can result in upholding patient’s comfort and independence in progress of symptom management. Studies have acknowledged that in spite of the importance of the respiratory rate (RR) it is documented rarely than the other vital signs in the hospital settings (Parkes, 2011). This essay will highlight the importance of respiratory assessment and discuss why nurses
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
In theory and practice, the focus of nurses is on the response of the individual and the family to actual or potential health problems. To evaluate patient care steps has to be taking that incorporates the collection of data and processing that data through critical thinking. The nursing process is essential because it incorporates this concept into a well throughout steps ...
Prevost and Grach (2012) recommended combining several validated nutritional assessments to gain the best understanding of the patient’s current nutritional state and the patient’s probable course of nutritional health. The Malnutrition Universal Screening Tool (MUST) (Holmes, 2010) and the Subjective Global Assessment (SGA) (Prevost & Grach, 2012) are two assessment tools used to determine those adults at risk for malnutrition. The Edmonton Symptom Assessment System (ESAS) is a recommended assessment tool specific to palliative care patients (Prevost & Grach, 2012). This tool assesses several symptoms at once, but all the symptoms assessed can potentially be affected by or contribute to the patient’s nutritional status (Prevost & Grach, 2012). The nutrition screening tools consider factors such as the patient’s current weight, body mass index, and lab values. Albumin, pre-albumin, and C-reactive protein values have been shown to be sensitive indicators for malnutrition and are incorporated into some screening tools (Prevost & Grach,
This reflection of vital signs will go into discussion about the strengths and weaknesses of each vital sign and the importance of each of them. Vital signs should be assessed many different times such as on admission to a health care facility, before and after something substantial has happened to the patient such as surgery and so forth (ref inter). I learned to assess blood pressure (BP), pulse (P), temperature (T) and respiration (R) and I will reflect and discuss which aspects were more difficult and ways to improve on them. While pulse, respiration and temperature were fairly easy to become skilled at, it was blood pressure which was a bit more difficult to understand.
Elderly patients require special needs when they come into the hospital, weather they are ill, have fallen, end of life care, or are going to undergo surgery. As a nurse the most important and beneficial thing you can do is a full head to toe assessment, and ask the patient if they have an advance directive. If the elder has an advance directive, it will help you as the nurse as well as the multidisciplinary team provide the best care for the client if something was to happen if they were unable to make the decisions on what they want. An assessment is an important part of the nursing practice because as a nurse who is with the patient most at the bed side it is important to have a base line of your patient. A base line is important so you can provide the best care for your patient and be able to determine if they are improving or declining. This is important because as a nurse taking care of an elderly you will most likely be working with a multidisciplinary care team, along with residents and families of the elder you are taking care of. According to the Hartford Geriatric Nursing Institute developed the Nurses Improving Care for Health Systems Elders (NICHE) program, “the nurse plays a pivotal role in influencing the older adult’s hospital experience and outcomes, through direct nursing care, as well as coordination of interdisciplinary