The Use of Technology at the Bedside to Place Feeding Tubes Amy D. Kramer Point Loma Nazarene University Introduction Artificial nutritional support is often necessary to enhance the nutritional status of acutely or critically ill patients. Nasogastric and post-pyloric feeding tubes are relied upon to provide the caloric and nutritional support required. There are approximately 1.2 million feeding tubes placed annually in the United States (Koopmann, Kudsk, & Szotkowski, 2011; Krenitsky,
Introduction This week’s competency is no. 7 - A competent nurse practices relationship-centered care (OCNE, 2013). This week I was at the medical floor at Mercy and the client I focused on was someone with several complications, not to mention unable to speak for himself and confined to his bed. I was very interested in his profile and I thought it was my opportunity to challenge myself. Using the competency between the client and myself was difficult because of the situation, however, I was
There are a number of different methods in which to administer enteral feeding and each have advantages and disadvantages. For short-term feeding, the most common methods include nasogastric and nasoenteric tubes. Nasogastric (NG) tubes are inserted through the nose and deliver formula to the stomach. These tubes are generally used in patients with normal gastrointestinal function, and can be administered through bolus injection or by intermittent or continuous infusions. The main advantage of NG
Chapter Six. God and Judge Jones. Charles Pierce talks to Judge Jones about how he was promoted to his Judge position and how Judge Jones became a Judge. In the words of Judge Jones, “In the first six months,” he recalls, “I had this germ of an idea. I thought, ‘Gee, I’d like to do this.’ That’s not unusual. A lot of lawyers want to become judges. So, I held that thought.” (Page 136) Judge Jones also made a ruling that the public did not agree with and he was put on a protection plan along with his
class, but this essay will be a focus on taking care of bedsore and wound management. What? The patient is 65-year-old man Mr. John Douglas who is suffering from dysphagia and have been admitted to the surgical ward for insertion of a percutaneous endoscopic gastrostomy (PEG). Apart from that, he is a Type 1 diabetes patient and has weakness in his right leg and arm because of right-sided hemiplegia. He is thin in appearance and has stage 1 pressure sore on his right heel.
Parkinson disease (PD), also referred to as Parkinson’s disease and paralysis agitans, is a progressive neurodegenerative disease that is the third most common neurologic disorder of older adults. It is a debilitating disease affecting motor ability and is characterized by four cardinal symptoms: tremor rigidity, bradykinesia or kinesis (slow movement/no movement), and postural instability. Most people have primary, or idiopathic, disease. A few patients have secondary parkinsonian symptoms from
Cascade Valley Hospital’s OR area consists of 3 operating rooms, a pre-op and recovery area nearby. This is in contrast to the much larger operation I previously experienced at Providence Hospital. Pre-operatively patients were brought into the only pre-op room where forms and consent were looked over, allergies verified, proper surgical site confirmed by staff and patient, last minute medication given (antibiotic) and last minute concerns answered. Intra-operatively, the surgeries or procedures
Ethical Issues Ethical issues are “moral challenges” facing the health care profession (Stanhope & Lancaster, 2012, p. 127). Ethical issues is a major concern in the healthcare field because healthcare providers observe ethical issues every day and have to make ethical decisions. Advance directives are written documents that addressed an individual’s medical care preferences. These documents usually take effect when patients no longer can make informed health care decisions for themselves. While
An advanced practice nurse (APN), will be faced with different types of ethical-legal dilemmas that in most cases will require the APN to make urgent decisions that will include both moral and ethical attention. Ethical dilemmas are conditions that have to scenarios course of actions to take that will contradict each other (Westrick, 2014, pp 258-265). The APN will have to choose between the two urgent decisions because each of these choices is deemed to be equally right and urgent. This is the reason
The fifteen year battle over the life of Terri Schiavo dominated popular culture in the early 1990’s until her death in 2005. The heated court cases that were to decide this woman’s fate caused a deep fissure to form between her husband Michael Schiavo and her family, the Schindler’s. This decade and a half crusade was propagated by intuitive Christian mind set of the Schindler’s and their supporters as they presented no evidence to support their claim that Terri was living in a broken body besides
Although many stipulations and expectations of the nursing profession are predetermined through regulatory authorities and organizations, there is a deeper meaning to this profession and the care that it provides. For decades, nursing theorists have had an impact on the care that this profession delivers; however, it is also important for every practicing nurse to explore themselves and their personal thoughts and feelings on the profession they have chosen. As a nurse, I have been able to search