The study elucidated the lived experiences of critical care nurses experiencing compassion fatigue. Eidetic or descriptive phenomenology alone was not enough to suggest intervention or be a basis for such. It is because it is considered “weak” evidence by some. However, such a study is a great basis for future studies (Polit and Beck 2012). With the advent of studies about compassion fatigue, the researcher highlighted its effect on the health care facility especially in a critical care setup.
(Abdulla, Al-Qahtani, & Al-Kuwari, 2011). One study revealed that burnout syndrome is common among critical care nurses, because they work with more critical and traumatic patients burnout syndrome is not only affect the nurse but extend to their quality of care that delivered for their patient. (Moss, Good, Gozal, Kleinpell, & Sessler., 2016). Organizational and environment factors such as excessive workload, staffing shortage, lack of empowerment lead to burnout which compromise nurse’s ability to provide high quality care. ( McHugh, Kutney, Cimiotti, Sloane, & Aiken., 2011).
The following case study is conducted in regards to a 34-year-old women diagnosed with pheochromocytoma after an episode of malignant hypertension. Pheochromocytoma has been studied extensively, and the pathophysiology has been determined to be a result of a rare tumor that starts in the cells of the adrenal glands and causes increased and inappropriate hormone secretion. The resulting symptoms of the tumor are unspecific and includes, high blood pressure, sweating, irregular heartbeat and headache. The vague signs and symptoms of pheochromocytoma lead to a difficult and commonly misdiagnosed disease. The treatment options are limited to the surgical removal of the tumor.
For the Technical Communications Rhetorical Analysis assignment, I have reviewed two instructional documents. The first document is an instructional document for patientsreceiving steroid pulse therapy for the treatment of autoimmune diseases and the effect of instruction on patient knowledge by Yu-Chu Pai who works for BioMed Central Ltd. The second document is also a letter about blood transfusion errors by American Society of Registered Nurses. The purpose of this memo is to outline the similarities and differences that I have discovered during my rhetorical analysis of these two pieces. I will provide an audience analysis and a situational analysis, along with a discussion of the conventions and appeals of the two project proposal documents.Audience
She started joint pain on the right side of her knee and then the pain migrated to the left side of her body and affecting all the major joints. Her other symptom is vomiting and the mother also stated that her daughter’s body felt warm to touch. From her past medical history, we learned that this patient has had generalized hives 4-5 times per year, and the etiology has not been identified. She also had a bundle branch block 10 years ago. Her ER report
Pain less delivry (to be answered by gynecologist) Q how can I have a pain less delivery? Ans Epidural anesthesia allow mother to have pain less delivery in a natural way. It involves placement of a very fine tube thriught an injection in the lower beck. Drug can be injected at regular interwals through this arrangment we can make the patient comfurtable. Q does pain less delivery has any complications?
When Mr. C begins to arouse as a result of the anesthesia is wearing off, he started to grimace and his blood pressure shut up above the target level. By applying Kolcaba’s comfort theory I would chose to treat Mr. C’s blood pressure with medications designed only for blood pressure. Now since that I am accustomed to assessing comfort needs, I would recognized that Mr. C’s BP is high suggestive of increase in pain, and I would administer the Morphine as per doctors order. I would place a warming blanket for Mr. C, to ensure he achieve nomorthermia. This close monitoring and intervention of treatment such as for pain represent a comfort intervention that addresses a particular care and it is a relief form of comfort.
For instance, an inexperienced nurse may not be conversant in the alternative forms of labor pain control such as the utilization of a birthing ball, position changes, Lamaze breathing techniques, massage, and warm showers (Gayeski, Brüggemann, Monticelli, & dos Santos, 2015). Another area of the data to explore is the 39% decrease in inadequate pain relief of the laboring patients. This may be due to an experienced nurse laboring the patient, or the patient experienced pain for less than three hours then delivered. Another possible reason for the decrease is the retirement of a nurse anesthetist in the second month of the studied data. The LDU nursing staff noticed that more patients experienced poor labor pain relief was from epidurals placed by this particular nurse antitheist in comparison to the other nurse anesthetists.
Name: E.L. Occupation: Registered Nurse Source of History: Patient Reliability of Historian: Reliable Age: 59 Date of birth: 1/15/1955 Race: Filipino Religion: Christian Subjective Data: Chief complaint: E.L. is in her usual state of good health until 5 days ago when she felt pain and swelling of right leg. Patient states that the swelling is more prominent after her work with pain mostly in her right groin. History of Present Illness: 59 y/o Filipino female with Type II Diabetes diagnosed in 1998. She noticed slight swelling of her right lower extremity about one month ago after prolonged standing.
This is a 42-year-old female with a 2/7/2015 date of injury. A specific mechanism of injury has not been described. DIAGNOSIS: low back pain; Lumbago with sciatica right side; Myalgia 12/01/15 follow-up visit identified lower back pain. Patient rates the pain as 7/10. The pain is characterized as burning.
DOI: 6/21/2014. The patient is a 52-year-old right-handed female technician who sustained a work-related injury to when metal paper holder sprung out and hit her. She did not lose consciousness but was disoriented and confused. Based on the latest medical report dated 02/27/16, the patient reports that after the injury, she had headaches on the right side of the head and had tinnitus almost right away. She developed blurry vision the next day, nausea disruptions to balance and hearing changes on the right side.
DOI: 6/25/2007. Patient is a 37-year-old female store manager who sustained injury when a tote slipped off shelf and struck her left side of the body. Per OMNI, she is status post ulnar nerve decompression on 03/11/08, left De Quervain’s release on 09/08/09, spinal cord stimulator implant on 08/03/11 and shoulder surgery on 01/19/15. Per the PT attendance report dated 05/07/15, the IW has attended a total of 30 sessions for the left shoulder from 02/05/15 through 05/01/15. Based on the medical report dated 06/24/16 by Dr. Angermeier, the patient presents for evaluation of left hand numbness and tingling.