I did review her ECHO report that she had not heard from and we are very pleased with the normal ejection fraction. We also discussed her foot. I will try to get her an orthopaedic surgeon here at UT who may be willing to look at her foot while she is pregnant. I did order a left foot x-ray in the event that this may help them make decisions and we will get her a referral here at UT for an orthopaedic surgeon. She is otherwise scheduled to return in 4 weeks in our office for ongoing evaluation of fetal growth due to a history of postpartum pericardium cardiomyopathy.
As Far as I can remember, I always wanted to become a Pediatric Oncologist. A Pediatric Oncologist, is a doctor that takes care of adolescents that have been diagnosed with cancer. They’re in charge of the patient treatment plan depending on what cancer is being developed and what stage it is on. As an oncologist you’ll have to work at an agline pace, because you’ll have to be seeing your patient on a daily basis and as well evaluating them during each check up to see if the cancer spread or multiplied during the patient 's chemotherapy or radiation. You’ll also have to keep in mind that some of your patients will be kids, and some will be quite boisterous.
If the mother test positive for GBS, which my patient did, she will be prescribed antibiotics such as penicillin or ampicillin and will continue this medication until delivery. In a pregnant mom, GBS can cause cystitis, endometritis, and stillbirth. In the newborn, you will typically see the symptoms before age day 7. The symptoms include the most common which is sepsis, pneumonia, or meningitis. The GBS test is done to all expecting mothers’ between 35 and 37 weeks of gestation.
The scope of practice of a family nurse practitioner enables them the ability to serve as a primary care provider for families. This includes providing care for each member of the family individually and for the entire family collectively as a whole. Family nurse practitioners typically work in either a family practice or community health setting, where they are often responsible for the care of the entire family. Within each setting, there are numerous cultural variations that a family nurse practitioner might encounter. It is important that the family nurse practitioner is able to meet the families’ and are culturally competent when doing so.
Investigation of Preeclampsia And Hellp syndrome Student name: Amer Binessa. Student number: D13123451 Subject: Biochemistry Lecturer: Dr Frank Clake Date:01/11/2016 Clinical information A 35 years old female presented at the national maternity hospital (NMH) at week 12 gestation for liver function test (LFTs). According to the NMH reference ranges the patient had normal LFTs (1). The expected date of the delivery was 15/10/2016. In the week 37+2 gestation the woman felt pain and called the community midwife office they took her immediately to the delivery ward in NMH and they found that she has a high blood pressure 142/90, high urate and proteinuria which indicate preeclampsia disease.
Caring helps influence the ways in which people think, feel, and behave in relation to one another (Ozan, Okumus, & Lash, 2015). Caring in the nursing practice provides the presence of a touch, listening, spiritual caring, relieving pain, and a support system. Jean Watson 's Human Science and Human Care Theory includes transpersonal caring and relationships (a moral idea), carative factors (what to do), carative process (how to do), and the human care paradigm (Hood, 2018). These tools are necessary to use in a nurse’s daily life. Watson’s theory focuses on caring as the moral ideal of nursing and helping a person understand meaning in sickness, pain, and existence.
However, I am aware that the beginning of effective leadership would be by developing a vision of the organization where a nurse leader serves. Coming up with a picture of what would be a future of excellence in delivering nursing care in the organization would be crucial in motivating and raising commitment among the other nurses. As a nurse leader, the vision that I would hold dear would be to ensure I have the capacity to make sure that the systems in place benefit individual needs of the patients in a manner that patients are always handled with respect and dignity while the work that nurses perform is respected and valued. For this to be met, there is a need for the nurse leader to assist the other nurses grasp the envisioned picture and remaining at the forefront in directing the others on where to go. Subsequently, I would want to be the kind of a nurse leader who can enable the staff to grasp the vision, to make sure the appropriate people assume the nursing roles and to model the behaviors that are desired of the other
New policies, rules, and regulations must be followed and implemented once PFCC become an approach to use to deliver care since families can have organizational roles and be more involved in the care process. Just as support services are avaible for patients, similar services should be provided for families who may need comfort or someone to talk to ensure they understand that the organization cares about their needs as well. For example, there can be an advocate provided for families. Changes in employee training and orientation must take place to fully implement PFCC approach into the organizational culture. Support from internal and external stakeholders must be established to make sure all stakeholders are onboard and prepared for the system change.
The report, emphasises that carers knowledge is a vital source of information and that nurses need to listen to what they have to say in order to provide optimum care. A community learning disability nurse in the UK, Phillips (2012) discussed how they rely on carers to support them, by asking them to fill out a patient-centred assessment on the person's needs and preferences in order to plan appropriate care. Although this study only discusses how they care for people with intellectual disabilities in their service, it successfully explains how when everyone supports each other, patients tend to have more
“Evidence-based practice (EBP) is the integration of patient preferences and values, clinical expertise, and rigorous research to make decisions that lead to improved outcomes for patients and families” (Melnyk and Fineout-Overholt, 2015, p. 171). The need for evidence based practice will help ensure the patient will receive the highest level of quality of care. Each member of the health care team, work together with the common goal of identifying the needs of the patient and offering the most safe, efficient, and effective care. Patient and family centeredness is one of the values identified with the decisions that are being made on the behalf of the patient with evidence based practice (Melnyk and Fineout-Overholt, 2015, p. 176). By focusing