This case report shares nursing experience of caring a patient whose leukemia relapsed early after hematopoietic stem cell transplantation. The patient later received chemotherapy and peripheral blood stem cell reinfusion for graft-versus-host disease induction. Facing long-term, repeated chemotherapy related side effects and poor treatment response, the patient developed desperation. Such hopelessness patients eagerly need nursing intervention to care for their physical, psychological and spiritual health to help them to adjust these.
The patient received nursing care from June 23, 2015 to November 5, 2015. Through observation, conversation, physical assessment and nursing activities, there were some major nursing problems including risk for infection, malnutrition and hopelessness being identified.
To motivate the patient to think positively to strengthen her adaptation ability, we had applied caring techniques to develop a sound and trusted relationship with her. We had also utilized tools and resources to enhance her self-care awareness and skills.
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Through case discussion, the ability to evaluate the need and to discern proper for intervention of health care providers will enhance. Besides, case discussion also promotes the communication skills of team. As a result, healthcare practitioners could more efficiently satisfy the medical needs of patients and their
Jean Russell of Michigan Insurance Company referred this file for medical case management. Instructions were given to meet with Flavia Tocco and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING I met Ms. Tocco at the St. John’s physical therapy department. Ms. Tocco was open to providing me information on her current and prior medical history.
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
Case study of Mrs. A thought her admission to a acute ward, demonstrated the skills that are needed to care for her. 21312829 This assignment is a case study looking at a patient who has been admitted to an acute hospital following a fall. It will look at why the patient has been admitted and what skills are needed to deliver appropriate care.
The feeling of being able to alleviate the suffering of an acutely ill patient is at once incredibly satisfying and immensely humbling. I am constantly in awe of the fact that by coming to work everyday, I have the privilege of helping others who cannot care for themselves. During my time in my Clinical Care Extender Internship, I developed a special interest in caring for the geriatric population and have had the opportunity of serving as a personal caregiver to an elderly woman with dementia. I do not take the trust and confidence that my patient places in me lightly and work hard to advocate and provide for her safety because she deserves no less. Thus, in the interest of patient advocacy, as a nurse in your facility, I will seek to improve the practices that will keep my patients safe and promote their healing.
Module 3 (Week 3) Part Three: Community Health Nursing Intervention Directions: Please complete the following information on this template. If you do not use this template there will be a 10- point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the blocks on the template by continuing to type within each section. Use as much space as necessary to provide your answers.
Dr. Jean Watson’s theory of care addressed the nurse to patient ration, according to the method “nursing is positioned with caring of the sick, prevention of sickness, restoration of health and promotion of health. This process includes the process of assessment, plan, intervention, and evaluation. On the review, the nurse observes, identifies, review problem(s) and forms a care plan that will be used in appropriate nursing care. When the nurse to patient ratio is low, the nurse will not be able to perform this assessment. This will result in a reduction of patients’ outcomes, medical errors, frequent re-admissions, patient deaths.
Evidence-Based Clinical Practice Paper J.D. is a 62 year old divorced Caucasian female. Patient is a reliable historian. She is allergic to Lisinopril. She currently has a desk job at a local call center. She went through menopause at age 50.
Question #6 In advanced practice nursing (APN), consultation has multiple definitions depending on the context and setting. Nurse practitioners (NPs) can be in consultation with a patient or the term can be interchangeable with referral and collaboration.1 The goal of consultation is to enhance patient care through the improvement of skills and building confidence to promote positive interprofessional relationships. Unlike referral and collaboration, the practitioner may not physically see the patient during consultation and the advice given is solely left up to the consultee and patient to accept or reject. In client-centered case consultation, the most common type of consultation, the APRN usually sees the patient in person to complete
Najla Morshidi NURS 301 Case Study Health History and Analysis of Finding A 75 year old female patient alert and oriented X 3, weigh 115 Lbs, her height 5?8?? , has a hearing aid and wear glasses for reading. The presented Patient has a history of hypertension diagnosed with CHF on 2013, positive for Hepatitis B due to contaminated blood transfusion. Had a cervical dysplasia on 1994 resolved by a total abdominal hysterectomy and bilateral oophorectomy the following year.
Everyone in this situation with the exception of the CNO presented a barrier to resolving the conflict at hand. For Dora, her primary barrier that restricted conflict resolution was systematic distrust and satisficing. As previously stated, Dora was a nursing assistant and compared to hierarchy of jobs she was closer to the bottom than the top. She did not feel that in the larger scheme of things that she would be advocated for because in her mind “who is she?” was the impression that she had about the role and this created organizational and systematic distrust. Her motto was come to work, do your job, and go home.
In the past I have shown my strength in this area of nursing care when looking after family members that have fallen victim to sickness. Whenever someone tells me that they are not feeling well, I immediately jump into action and try my best to make sure that they feel “cared for” .The feeling of pride and satisfaction I experience after caring for a person that is unwell is what originally made me choose nursing as a career. Caring is a basic attribute of human growth and development (Griffin 1983). This is why, as a nursing student I know it is such an important strength to be utilised when helping a patient to feel better.
Nursing care for K.H : The goal for the application of the SCDNT to the care of K.H is to know the most appropriate nursing system to meet the self care demand of her condition, the system should be performed to give the optimal positive effect to achieve regulation of K.H. Diagnostic and Prescriptive Operations: Table (1) places the data from K.H case into the self care deficit theory framework, showed a summary of the negative condition of her, However, the effects of early socio-cultural factors (limited education, teenage pregnancies) are related to adult experiences an insecure, and limited resources as their financial support is low; living in the unacceptable environment by K.H , her past history and her present illness represent negative influences on her universal, developmental, and health deviation requisites. Essential universal self-care requisites (air, prevention of hazards, and prevention of harm, have been threatened by a history of smoking, inadequate relationship with husband, and psychological dependency as she is clearly depressed. The health deviation self-care requisites influenced by K.H imbalance in universal self care requisites and developmental self care requisites.
11/23/2015 Florence Nightingale 1. Analyze the Applicability of the Theory a. Structure • This theory is based upon the concept of environment and 13 sub-concepts, which can be manipulated to prevent diseases. • The metaparadigms are well defined; however, the 13 canons/sub-concepts are not described that well. Hence lacking structure and clarity.
It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice.
1. NURSING HEALTH ASSESSMENT 2.PLANNING Once a patient and nurse agree on the diagnosis, a plan of action can be developed. If multiple diagnoses need to be addressed, the Head nurse will prioritize each assessment and devote attention to severe symptoms and high factors. Each problem is assigned a clear measurable goal for the expected beneficial outcome.