The nurse percusses the lobes of the lungs and over the heart to detect any abnormalities. During auscultation, the nurse places her stethoscope over the lungs and heart to detect abnormal breath sound e.g. stridor, rales, rhonchi etc. Assessment of the respiratory system will enable the nurse to detect the respiratory problems and to make good diagnosis for the patients. 5.3 Application in current Job Assessment of the respiratory system is essential and enables me to know the respiratory condition of my patients. During assessment, I take a comprehensive data of my patients to know and understand the patient’s respiratory condition and to know the factors that predisposes the patient
A family history of hypertension may recommend a hereditary predisposition for hypertension. The physical exam may incorporate a few blood pressure readings at various circumstances and in various positions. The doctor utilizes a stethoscope to tune in to sounds made by the heart and blood coursing through the veins. The beat, reflexes, and height and weight are checked and recorded.
Perfusion : Perfusion is the process of a body delivering blood to a capillary bed in itsbiological tissue. The word is derived from the French verb "perfuser" meaning to "pour over or through". Tests verifying that adequate perfusion exists are a part of a patient's assessment process that are performed by medical or emergency personnel. The most common methods include evaluating a body's skin color, temperature, condition and capillary refill.
Our PCP and the nurses focused their approach to each of us individually and assessed each of our needs, perceptions, and understanding of everything that was going on at the time while all of this was going on. They were concerned with my sisters emotional coping strategies and identified she needed some behavioral assistance to help guide her through this trying time in our lives. Therefore, our PCP referred her to the appropriate providers to assist her. They were concerned with me because I was in my second trimester of pregnancy, a nursing student, and the stress was affecting my blood pressure. My PCP and Obstetrics physician, along with the nurses, worked collaboratively to ensure the health of me and my unborn child throughout the course of my pregnancy and after while my parents were still battling cancer.
A thirty- seven year old nurse practitioner was working at an urgent care when a 23-year-old graduate student arrived. Complaining of fever, chest pains, and cough. He had a temperature of 101°F. He also stated that he had been unwell for the last couple of days. The nurse practitioner completed a brief examination of the patient, and gave a diagnosis of bronchitis.
Errors in medication: a literature review on causes, impacts and prevention measures in association to medications errors. The aim of the topic of interest is to address the broad question: in patients below the age of seventeen, how does errors in medication, compared to the right medication influence their risks of developing medical complications during their admission period in the hospital. The literature review’s focus is to describe research presenting current information on medication errors. Exploring information known on distractions and interruptions more specifically on medication administration errors.
Information regarding the reports such as research limitations, level of evidence, research method and design are included in the discussion and implications of nursing. The literature review found that nurse on nurse bullying does indeed effect nurses in a physical and emotional way as well as effecting the adequacy of patient care. Effects of Horizontal Violence in the Workplace on Nurses and Patient Care Introduction Nurses spend approximately 12 hours a day 3-4 times a week working in either a hospital, clinic, or some sort
College of Nursing University of Missouri St. Louis N3205 Adult Health Nursing I REFLECTION ASSIGNMENT FOR OBSERVATION EXPERIENCE Respond to the following questions/statements about your PACU or ENDO observation experience. This assignment is due the week of the observation experience.
In the film, The Fault in Our Stars, we are introduced to Hazel Grace Lancaster, a teenage girl diagnosed with stage IV cancer. She shares her backstory and discusses her cancer diagnosis. Hazel states that it started out as thyroid cancer, but it moved onto her lungs. She explained, “there wasn’t much they could do, but they tried anyway” (Boone, 2014). In the beginning of the film, Hazel and her mother are attending a doctor’s appointment where they are seen meeting with Dr. Maria.
The patient enters the operating waiting room, where the nurse interviews the patient with special emphasis on ensuring the patient has informed consent and has been NPO for at least 6 hours prior to surgery. The procedures are explained and anxieties of the patient and family are addressed, therefore, the nurse develops a rapport with the patient that enhances the operating experience for the patient by building trust and assuring only the best of care will be given. (Goldberg, 2010) Post-Operative
According to the letter from the clothing company Ms. Smith was diagnosed while hospitalized with code 295.10. This code indicates Ms. Smith has Disorganized Type Schizophrenia (4th ed. , text rev.; DSM–IV–TR; American Psychiatric Association, 2000) and is being treated with Risperidone an antipsychotic drug for schizophrenia symptoms (U.S. National Library of Medicine, 2012).
Postoperatively, the vascular surgeon refers these patients to physical therapy for early ambulation training. As a physical therapist, thorough physical assessment including vital signs is necessary; especially blood pressure determination to assure that the bypass graft is getting enough perfusion. Low BP reading can result in low blood flow to the graft site; conversely, high BP can damage the graft due to elevated pressure. Equally important, assessing the skin color, temperature and the pulse of the surgical limb by using a Doppler ultrasound and report findings to the bedside nurse
D-This writer completed the patient 's Orientation II 1:1 as this writer discuss the goals of treatment, what is methadone and it 's myths, common side effects of methadone, risk factor of an overdose, importance of notifying Nursing regarding to medication (prescribed and/or over the counter), discussed exits, fire drills and basic safety during evacuations from building, etc. This writer completed the patient 's tx plan with the patient. Furthermore, this writer provide a list of mental health providers to address her anxiety and PTSD. The patient reports she will call the mental health providers today and will update this writer during the scheduled session. During the remainder of the sessions, the patient discussed traumatic events in
CHADS2 assigns one point each for congestive heart failure, hypertension, age 75 or older, and diabetes, and two points for a previous stroke or transient ischemic attack (TIA). Compared to CHADS2 score, CHA2DS2-VASc score includes three additional factors: vascular disease (prior MI, PAD or aortic plaque), age 65-74 years, and female gender. Each additional factor counts as one point, while an age 75 or older was upgraded to two points. The CHA2DS2-VASc score includes categories of 0 (low risk), 1 (intermediate risk), and 2 or more (high risk). The 2014 AHA/ACC AF Guidelines recommend
Background and overview of the survey The survey used in this paper is from a comprehensive set of different surveys in a project on terminally ill cancer patients and their informal caregivers. The project aims to examine the effect of mental health on patient’s comfort at death and caregiver’s bereavement adjustment. The selected survey was used to collect data of chronically distresses of bereaved caregivers after the death of their beloved ones at the follow-up study one year after the baseline study. The survey was designed based on the Inventory of Complicated Grief – Caregiver version (Prigerson et al, 1995; Prigerson et al., 1999) with Cronbach’s α= .90 or above (Beery et al., 1997; van Doorn, 1997).