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Recommended: Patient case study
While in medical Justine was struggle allowing the nursing to check her wound. After getting treatment Justine was able to leave the nurse suite and walking into the 502 hallway. Once she reaches the 502 hallway she sat down on the floor and removed her protective boot and began to removal her wound dressing. Staff attempted to use caring gestures and hurdle help to support Justine and encourage her to use her words so that could understand what’s going on. Justine was able to removal her dressing and staff placed her in a seated restraint from 4:40pm to 4:48pm. Justine was able to recovery and come down to baseline. Staff remains seated next to using caring gestures and encourage Justine to allow the nurse to redress her wound. Nurse Carol
Although nurses do not wield the power of doctors in hospital settings, they are still able to effectively compensate for a doctor’s deficits in a variety of ways to assure patient recovery. Nurses meet a patient’s physical needs, which assures comfort and dignity Nurses explain and translate unfamiliar procedures and treatments to patients which makes the patient a partner in his own care and aids in patient compliance. Nurses communicate patient symptoms and concerns to physicians so treatment can be altered if necessary and most importantly, nurses provide emotional support to patients in distress.
The objectives of the study were to analyze the nursing quality of work and performance in the intensive therapy unit on the subject of pressure ulcer treatment. The occurrence of pressure ulcers in a hospital setting is common and considered a complication. Pressure ulcers occur when a region of skin and the tissues below that region receive an impaired blood supply due to being placed under prolonged pressure, which cause damage to the skin. Any type of patient, at any age, is considered to be at risk of forming pressure ulcers if they have risk factors such as the inability to turn and reposition
The family is scared as to what might happen with the heart surgery. Justine’s mother is also afraid that her family might blame her for going ahead with the heart surgery if anything bad were to happen to Justine in the hospital during the surgery. The family is hoping that the healing or the praying ceremony scheduled at the temple might work and cure Justine, and hopefully surgery might not be needed after all.
Many years from now, I will take this experience with me to better myself as a nurse. I know for the future that it is in my patient’s best interest, if I collaborate with other health care professionals. In order to maintain patient safety, I must always remember to work together with my fellow collogues to obtain a positive working environment. In order to be a good nurse, I need to always understand that I am part of a team to help those in need. I want to incorporate providing efficient care to each and every patient the best way I possibly
This is counterproductive towards the patients’ own recovery from the ward to a normal life
As a result, she breached the standard 6 which states that “registered nurse should provide a safe, appropriate and responsive quality nursing practice” (NMBA, 2016). In line with this standard, nurses should use applicable procedures to identify and act efficiently to potential and actual risk such as unexpected changing patient’s condition (NMBA, 2016). Through early identification and response by the nurse, this will ensure that the patient’s condition is recognised and appropriate action is provided and escalated (Australian Commission on Safety and Quality in Health Care, 2011). Moreover, the nurse did not immediately escalate the patient’s deteriorating condition to the members of the health care team. Therefore, she also disregards the standard 4.3 stating that nurses should have work with the interdisciplinary health care team and to collaborate, communicate and discuss the patient’s status (NMBA,2016). The purpose of collaborating and communicating with the team is to provide a comprehensive plan of care for the patient and to facilitate early treatments needed by the patient (Cropley,
Health Improvement Scotland coordinated the Scottish Patient Safety Programme created to improve the safety of patients across Scotland (NHS Scotland, 2010a). Four groups were created to manage patient safety, one of which was established to supervise care within an acute adult setting (NHS Scotland, 2010a). During my practice learning experience a male patient was brought into the accident and emergency department following a serious assault, he had suffered severe lacerations to his head, face and hands. Prior to arriving, ambulance staff did not call to warn nursing and medical staff. As a result, the team were unprepared and the patient was brought into the wrong area within the department. The patient should have gone straight into the resuscitation area where the appropriate equipment is available, in case of patient deterioration (Brooker and Nicol, 2011).
There was inappropriate staffing in the Emergency Room which was a factor in the event. There was one registered nurse (RN) and one licensed practical nurse (LPN) on duty at the time of the incident. Additional staff was available and not called in. The Emergency Nurses Association holds the position there should be two registered nurses whose responsibility is to prov...
A charge nurse working the night shift overhears loud talking coming from a nearby room within the unit. Upon locating the room where the noise is coming from, she recognizes that it is a patient with dementia who is becoming increasingly confused, agitated, and combative. The family member at bedside who is also the primary caregiver is trying to keep the patient in bed, and also appears quite frustrated. The primary nurse is in the room, but seems to be struggling with what to do. The charge nurse instructs the primary nurse to review the patient’s medications, and obtain the one used for agitation. The charge nurse then explains to the family member about using the medication, and suggests they take a break while other alternative methods are attempted. The charge nurse then dims some of the lighting within the room, begins to play relaxing music, and purposefully speaks in a very soft tone to the patient. The charge nurse continues to try to redirect the patient, but also understands that you must not argue the reality with dementia patients. The charge nurse proceeds with light massage to the hands, and feet of the patient, all while ensuring the patient that they are safe. The patient is showing less agitation, and the nurse soon arrives with the proper medication. The patient is calm and resting by the time the family member returns. Both the primary nurse and the family
Pain and suffering is something that we all would like to never experience in life, but is something that is inevitable. “Why is there pain and suffering in the world?” is a question that haunts humanity. Mother Teresa once said that, “Suffering is a gift of God.” Nevertheless, we would all like to go without it. In the clinical setting, pain and suffering are two words that are used in conjunction. “The Wound Dresser,” by Walt Whitman and “The Nature of Suffering and Goals of Medicine,” by Eric J Cassel addresses the issue of pain and suffering in the individual, and how caregivers should care for those suffering.
There are a lot of other healthcare professionals in the patient care team that you have to collaborate with to ensure that the patient receives continuous care. But sometimes, it can’t be helped when the hospital is short of staff or they're unavailable when they’re needed. This is not an ideal situation but nurses still get things done and they do it well.
Although students were not allowed in the recovery unit, I was able to talk to one of the recovery nurses. I learned that a nurse’s duty of care includes monitoring the patient’s vital signs and level of consciousness, and maintaining airway patency. Assessing pain and the effectiveness of pain management is also necessary. Once patients are transferred to the surgical ward, the goal is to assist in the recovery process, as well as providing referral details and education on care required when the patient returns home (Hamlin, 2010).
Wound infections in adult patients after cardiac surgery have been used in several domains. We had searched for it in three different databases which are used in many areas such as in practice, research, and education. The number of articles that we acquired from CINAHL database when we searched Scholarly (Peer Reviewed) Journals from 2011 to 2016 were 21,946 articles. On the other hand, the appropriate articles that we obtained from MEDLINE database (2011 to 2016) were 47 articles. Whereas, when we chose ProQuest Nursing & Allied Health Source from 2011 to 2016 by using wound infections in adult patients after heart surgery, there were 1,684 articles. Many of those articles that we acquired are related to the sternal wound
However, the lack of set accountabilities results in the inability to differentiate when nurses are overstepping and when its necessary to disclose themselves from patient treatment. Medical professionals begin overstepping without established professional boundaries, which results in “negligence of patients needs at expense of their own” (Tyrell, 2016). Because of the long-term treatments and bonds formed throughout the healing process, many patients and nurses confuse this with friendship. As Tyrell and Pryor mention (2016), friendly nurse-patient relationships may be healthy and influencing during rehabilitation, but nurses must remind themselves of the goal at hand which involves helping the patient regain function as soon as possible and allow them to return to their old or altered
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...