Clinical Problems In Nursing Practice

(McMartin, 2013). The nurse involved in this article did not demonstrate effective planning of Ian’s discharge. As the role of the RN is important in planning the discharge, she could have done certain things differently to accommodate Ian and Judi. One aspect would be improving the comprehension of discharge instructions. By explaining medications and making sure they understood when and why he has to take them, as for the unhealed wounds setting up a discharge plan for community nurses to come see him and to teach Judi how to redress and look for signs of infection could benefit them as this could be a long term

Patient safety, depression and caregiver strain are other factors that need to be addressed with this patient. The Geriatric Depression Scale (GDS) can be used to assess the patient for depression. (The Hartford Institute for Geriatric Nursing 2012). Mr. Ocampo is the primary care giver and he is under considerable stress. We must provide support for him.

She makes sure she is specific on what the clinician has done correct. She also introduces her clinicians to services the company provides through job shadowing. She believes in written supervision so there is no miscommunication and the employee understand what was discussed. The next question was about what clinical consultation means to her and she said “Clinical case consultation, to me, would be the staffing of a clinical case to discuss diagnostic criteria and modalities of treatment (A. Tuggle, personal communication, December 2, 2015).” The next question was about clinical consultation and she said she does not have one theory to clinical consultation. Another question I asked was what model of clinical consultation do you use or identify with in your supervisory experience and she responded with the same answer as “clinical case consultation, to me, would be the staffing of a clinical case to discuss diagnostic criteria and modalities of treatment (A. Tuggle, personal communication, December 2, 2015).” The last three questions is about emergency management system (EMS).

This allows future leader to learn engage in coaching, how and why decision are made within the institution involved in decision making. Observe how committee lead and members identify issues, problem solve and resolve issues. After being on the committee awhile, soon we can realize who follows through on assignments, whose idea usually work and whose opinion are respected. The nurse manager can minimize escalating conflict by educating nurses to learn how to effectively resolve conflict themselves. Managers usually arrive after a dispute is in evolution, they may not have a clear understanding of the issue.

Critical Thinking: Tanner (2006), had introduce the term ‘thinking like a nurse’. When I read this article I was wondering what it means and takes to think like a nurse, I am a nurse by profession and yet I don’t even know what it means. In order to be a professional nurse, nurses are required to learn to think like a nurse. To my surprise, to be able think like a nurse, a nurse got to clearly defined and understands what is critical thinking and clinical reasoning. Both terms are powerful terms and these terms explain the mental processes nurses use to make certain that they are doing their most excellent thinking and decision making for their patient’s better outcomes.

Not only did this impact patient safety but also the safety of nursing staff. Therefore bridging this gap and the movement towards uniform communication is highly warranted in prevention of adverse effects among unit handoff

It is through this that an appropriate nursing plan care is used. For example, in the decreased cardiac output, heart sounds and blood pressure should be monitored. Veri (2013) asserted that murmurs in the heart sounds may indicate a valvular incompetence. Further, chronic blood pressure may be elevated and as a result, profound hypotension may occur (Vera, 2013). In the case study, I have observed that barriers to teaching and learning include a lack of knowledge about the disease itself.

It is essential that I understand them fully and manage the changes for my team essential easing the transition so I doesn’t impact on the young people I we care for. As a manager I need to be able to accept the change and see it as an opportunity to learn and develop alongside my staff team. The reason for the changes with health and social care provision is multi agency driven and some are difficult to achieve. These reasons range from financial factors, social awareness, clinical development and operational and environmental policies. These changes should be evidence based as this will enable a smoother transition, promote the benefits and minimize negativity.

Reporting medication errors is beneficial to improve the learning process for nurses. The factors of workload, ineffective communication, and distraction all contribute to medication errors (Sears et al., 2013). Nurses often excuse the behavior of colleagues when a medication error occurs, or nurses will pass the buck to a senior nurse to report the medication error (Haw, Stubbs and Dickens, 2014). Implementing a no blame policy for reporting medication errors, and providing nurses with the knowledge and training to report medication errors will result in an increase of medication errors reported. References Haw, C., Stubbs, J. and Dickens, G. (2014).

Consent is one of the key principles that guides health care professionals in the NHS constitution, this reflect the needs and preference of patients, their families and carers where right decision will be made and will be informed on all decision of their care and treatment, (DH ,2012), however healthcare professionals need to share information with the family and carer with the patient consent, and ensure a confidentiality policy is in place and followed by all staff (DH, 2003). It was important to explain to Mary-Jane of her need to be in the chair as it was a part of her ongoing treatment which was put in by the physio-therapist, as it was Mary-Jane right to accept or refuse this part of her treatment, (DH ,2012). In keeping with (NMC, 2013) code the student nurse gaining consent before taking Mary-Jane out the bed had to fully respect her right to decline or to accept as long as she fully understand what was said to her (Mental Capacity Act, 2005) as this shows that the patient decision was been respected. This indicates that the client is being protected