During one of my early shifts, with the help of my preceptor, I recognized a neurological change in the status of my patient. He had increased confusion and a slowed pupillary reflex. This change caused us to call the intensivists and order a stat head CT to check for bleeding in the brain. While there was no new bleeds identified following this CT, this experience taught me just how important it is to have a solid baseline assessment of a patient and how important it is to re-preform specific assessments based on a patients condition. According to a study by Rothman, Solinger, Rothman, and Finlay (2012), nursing assessments can act as a longitudinal source for quickly identifying indicators of a clinical problem a patient may encounter.
People may bring about expenses to help with enhancing their motor skills, such as, physiotherapy and aqua aerobics. – Nutritional supplements and Food: Eating a lot of nourishment and healthful supplements to neutralize poor ingestion that is regularly an issue for patients with cystic fibrosis. This can help with expanding levels of energy in order to keep focus during schooling and work. – Hospital Visits: Attending frequent and long (10 – 14 day minimum) hospital visits, often multiple times per year. This implies patients and their families should pay for convenience, travel costs, parking, day care and loss of
On Bills admission to the unit after suffering an acute ischaemic stroke, a comprehensive care plan was devised using the Nursing Process to accommodate his various issues associated with the stroke. This framework, involving the assessment, diagnosis, planning, implementation and evaluation of nursing interventions guided practice on the two issues focused on in this essay. Issue 1 - Thrombolysis A stroke, is the “rapidly developing signs of focal (or global) disturbance of cerebral function with symptoms lasting 24 hours or longer” (World Health Organisation,1998). In the event of a stroke blood supply to the brain is occluded by a thrombus or an embolus from the heart (Fitzpatrick and Birns,2004). A treatment option for those who have suffered an ischaemic stroke is thrombolysis.
I believe that Occupational Therapy is what I wanted to do for the rest of my live. In one of the research I found an article by Andrew C. Persch “P4 Medicine and Pediatric Occupational Therapy”, after read this article caught my attention in this field. Pediatric Occupational Therapists always face new challenge and with them arise types of therapy (Persch et al., 2013). In 2004 the medicine adopt a new method of health care that aims to increase wellness from reactive to preventive disease. The meaning of P4 is predictive, personalized, preventive
Arrange potassium rich diet or supplemental potassium as needed. Patient teaching- Record intermittent therapy. When possible, take the drug early so increased urination will not disturb sleep. Take with food or meals to prevent GI upset. Weigh yourself on a regular basis, at the same time and in the same clothing, and record the weight on calendar.
The Galenic “non-naturals” in today’s world can be described as patients controlling: their food intake and what they drink, the amount of sleep they get and when they wake up, amount of exercise compared to rest, normal regularity, and their mental health/stability. All of these played a big role in how Galen produced his type of disease treatments. Most of these in that medical era became known as bleeding, purging, cupping, blistering, starving, and taking high doses of medicines. Galen thought that disease could be treated by bleeding patients out for several times a week, as this would rid them of the condition. He also felt that mixed drugs were an important part of treatment because then all of the ingredients are getting at the
Oterhals and his colleagues used the qualitative approach to discuss life adaptations of the 20 participants with mechanical aortic valve surgery. Their study presented real life experiences, challenges, adaptations, modifications and accommodations taken by patients who have mechanical heart valve surgery in their own different ways. They found that these patients needed to continuous monitoring, and they emphasized the need to continuously teach and inform patients about their health situations, infection prevention, medication therapies, drug interactions, proper nutrition (diet), exercises, and scheduled routine physician follow up. They also observed the need for adjusting the mechanical valve sounds to lessen the fear and stigmatization
If in any case a future situation requires another teaching strategy, I would change my approach. This is to ensure that my patient recovers from his heart disease. The discharge plans include giving the patient an instruction to call 911 if he feels discomfort or pain in his back, neck, jaw, stomach and arm and if he experiences nausea, vomiting and difficulty in breathing. Also, he should seek care immediately if he observes that he has gained 1.4kg in a day and that is heartbeat is uneven all the
Queueing Theory has been studied in health care settings since 1952 . A considerable body of research has shown the use of queueing theory in real world health care situation. McClain  reviews research on models for evaluating the impact of bed assignments policies on utilization, waiting time and the probability of turning away patients. Nosek and Wilson  review the use of queueing theory in pharmacy application with particular attention to improving customer’s satisfaction. Customer satisfaction is improved by predicting and reducing waiting times and adjusting staffing.
Recording their height/weight, measuring their blood pressure, taking their temperature, and detaining the reason for the visit. Quickly becoming versed in terms and procedures, I had not known before, I was in heaven. It soon became second nature to write abbreviations like Complaint of (C/O), History of (H/O), Hypertension (HTN), Weight (Wt. ), or Rheumatoid arthritis (RA). I was relishing the chance to learn and take in a variety of different diagnosis to discover each day.