Wandering may seem harmless to others, but for the individual experiencing it, it may pose a serious risk for harm. Wandering can be classified as pacing back and forth, repetitive movements, or even trespassing into dangerous places. When a person wanders away and does not return this is consider elopement, which is the most dangerous type of wandering. Typically, wandering occurs in nursing homes, but may occur at home as well. As nurses it is very important to identify risk factors that may cause a person to wander. When assessing wandering in an individual, it is important to carefully evaluate all underlying problems, including medical, psychiatric, and psychosocial. Some risk factors may include: cognitive impairment, side effects of
to be a place to avoid. Few considered it a place to traverse, to spread
Inadequate rest which results in fatigue has major implications on the health and safety of registered nurses and can compromise patient care. Nurses often work three to four 12 hour shift a week without taking any breaks while on duty. They often have difficult workloads and challenges which can take a toll and impact patient care. I will be taking a look at nurse fatigue and the impact it has on the nurse’s wellbeing, work, and patient care.
Staff nurses in many medical settings such as Skilled Nursing Facilities are at the forefront of patient care. Many patients in these particular settings are typically suffering from some type of cognitive impairment often related to dementia syndrome, behavioral disturbances or prior mental health conditions. Many mental health symptoms are managed by second generation antipsychotics. This class of medication placed the patients at risk for metabolic syndrome.
The framework of this model is utilized throughout hospital settings to form a basis for all nursing decisions in respect to nursing diagnosis, care plans, discharge planning, and quality assurance (Reynolds & Cormack, 1991). This conceptual model focuses on the effects of internal and external environments that contribute to someone’s behavior. Pain (being the internal force) in patients with altered mental status usually manifests externally in non-verbal cues. Nursing as the external force can use tools that focus on the non-verbal cues given by the patients to accurately assess the pain and properly treat it.
People have many definitions of the word “traveling”, but Dictionary.com states that traveling is defined as “to move or go from one place or point to another”. This is how Suzanne Berne refers to traveling also. “Traveling Close, Very Close, To Home” is a book written by Berne and in the book she gives many examples about people traveling. The main idea of the book is to explain no matter if we travel far or travel close, we all travel at some points in our life even if we our wandering off in our own little world. Berne then goes on to talk about people and their travels in life with examples and descriptions. Berne’s biggest statement about traveling though, is “while some believe traveling means going far away - imagining a trip to Bangkok
On the Internet, you can find all sorts of accounts of people doing some odd things in their sleep. One man creates beautiful pieces of art while he sleepwalks. On the other hand, one man murdered his mother-in-law and attempted to murder his father-in-law while he was sleepwalking. It’s an interesting sleep disorder and the range of behaviors that occur while people are sleepwalking is huge. It can be as simple as just sitting up in bed to things as scary as murdering others. Charles Brockden Brown captures the eeriness of sleepwalking perfectly in his short story “Somnambulism”. It is also the perfect example of an exceptional piece of literature because it meets plenty of the points that Poe refers to in his essay, “The Philosophy of Composition”.
What is a Journey? If a person off the street was randomly asked this question, he or she would say it would involve taking a trip to a distant location, perhaps as a vacation. For instance, going to Hawaii or the mountains to hike or ski. In “Gestalt’s Paradoxical Theory of Change” by Reg Harris, the idea of a journey referring to a long distance vacation is not the intent of Harris. To him, a journey begins with a person having an open mind, who is willing to take a closer look at themselves after critical analysis undergoes transformation. I agree that the journey is a way to find yourself, but I personally think a journey is more than just looking into yourself. A journey is a collection of events on which the exposure leaves impressions
A journey is the act of traveling from one place to another. There are many types of journeys in life. There are physical journeys and spiritual journeys. Journeys are important because they can create a new meaning your life, make you a better person at the end, make new friends or explore places you have never been to. Sometimes the journey matters more than the destination when you live life to the fullest.
While in a destination the individual just reaches a goal that they can proudly state to others. A journey usually gives an innuendo about how to handle a situation that may occur to the person in the future, which helps them in the long run. For example, if a person is on a journey to help the homeless they learn about the living conditions and events that the homeless go through. This helps them realize how they should never take anything for granted, and that they should be proud of what they have no matter what it is. The journey can also give the person an innuendo by letting them know what should be done if they encounter a homeless person and to always carry a small Ziploc bag that holds supplies that would be useful to the person.
In the recent past, nursing has come to the forefront as a popular career amongst students across the globe. The demand for nurses has kept increasing gradually over the years. In fact, the number of registered nurses does not meet the demand of the private and public health sector. This phenomenon has resulted in a situation where the available registered nurses have to work extra hours in order to meet the patients’ needs. With this in mind, the issue of nurse fatigue has come up as a common problem in nursing. According to the Canadian Nurses Association (CNA), nurse fatigue is “a feeling of tiredness” that penetrates a persons physical, mental and emotional realms limiting their ability to function normally. Fatigue does not just involve sleepiness as has been assumed before. It involves utter exhaustion that is not easily mitigated through rest. When nurses ignore the signs of fatigue, they risk the development of chronic fatigue and other health problems that may not be easily treated. Additionally, fatigue may cause nurses to lose more time at work as they may have to be away from work for several days to treat it. The issue of nurse fatigue has permeated the nursing profession to the extent of causing errors in the work performed by nurses. Fatigue causes a decrease in a nurse’s ability to make accurate decisions for themselves and their patients. It is therefore important to find ways to curb nurse fatigue such that it is no longer a problem. Nurse fatigue is a danger to the patients, organizations and to the nurses themselves and must be mitigated adequately.
Alarm fatigue is a growing problem that causes nurses to feel overwhelmed and not perform to the best of their abilities. Many people don’t understand the concept of alarm fatigue until they are in a hospital and hear the different noises going on first hand. Alarm fatigue occurs when nurses or other health care members have sensory overload due to the alarms, which then lead to ignoring the alarms raising concerns with patient safety (Horkan, 2014).
After a long while of looking at small tools and a lack of sleep, a nurse’s eyes can be weary, just like anyone else. Nurses need rest just as much, if not more than, the rest of the general population. There are only twenty four hours in a day and if one works for a twelve hour shift it does not leave much room to enjoy family or have a social life. Because of this, nurses are often sleep deprived and they find alternative sources of escape. Some of the so called sources or coping mechanisms are medicinal. Nurses have a good knowledge of medications and their side effects, so one might think they would be confident in taking drugs they provide their patients on a regular basis; however, many nurses use that knowledge to abuse these medications. They may take some from work instead of giving their patients their full dose and may overdose on those drugs to escape the stresses of daily
In mental health nursing, as stated above, mental illnesses can affect the physical biological health of the body (same above source). A person may not know they are sick pending they are triggered by their environmental. For example, stressful environments like workplace settings can and bring about an anxiety disorder. Although anxiety is the natural way for the body to cope with stress, the constant triggers of stress can cause a loss of control of one’s anxiety making is disorderly (source) . Similarly, a person can be more at risk if there are genetically predisposed (source ). All in all same, the biological influence shows us the similarities that are seen in general nursing. The notion that one can be biologically sick from a mental health disorder has demonstrated the similarities of care that is provided in both types of nursing. This is because mental health nurses must care for the physical complications coming from the mental disorders and therefore ...
One of the goals of personality psychology is to develop general understanding of each specific trait and the way they interact with each other to create such a variety of personalities. One of the traits that have attracted a considerable amount of attention is impulsivity. Impulsivity is viewed as acting in a spontaneous way, or not giving much thought to potential consequences of actions before they are carried out. Typically viewed in a negative light, Charles Carver and a few other personality psychologists do make an argument that there can be both positive and negative aspects of impulsivity.
While with my patient on the first visit we had set some goals. The goals were for her to walk more with the aid of her walker and for her to recall past events. From the first visit these I identified these issues as problems for the patient. I gave the patient the following nursing diagnoses. Impaired walking R/...