Goals & Interventions: 1. Nursing Diagnosis: Impaired gas exchange r/t exacerbation of COPD a.e.b. wheezing in patient’s throughout. Goals/outcomes: Patient will maintain adequate ventilation and have clear breath sounds within 24 hours upon auscultation. Goal met within 24 hours of initial respiratory assessment and maintained over a 24 hour period 10/26/2015. Plan Terminated. Interventions: 1. Establish baseline vitals and assess pt q2h. While auscultating sounds of lung fields no wheezing was found, and VS were within normal range for patient as determined through comparison of chartings on 10/23/2015 thru the morning and lunch VS of 10/26/ 2015 before impaired gas exchange was detected. 10/26/2015 2. Administer O2 @ 2L N/C …show more content…
This allowed staff to become an emotional and in some ways spiritual support for patient. Patient did not desire religious spiritual leader, because he is agnostic. Also, by providing staff that knew that patient’s non-verbal cues this helped increase communication between staff and patient. …show more content…
(2013, October 1). Correlation between lower gastrointestinal tract symptoms and quality of life in patients with stable chronic obstructive pulmonary disease. Retrieved October 22, 2015, from http://www.ncbi.nlm.nih.gov/pubmed/24660583 Lachman, V.D. (2009). Practical use of nursing code ethics: part II. Retrieved from https:// ol.baker.edu/bbcswebdav/pid-16728715-dt-content-rid-46195238_2/courses/nur205- f2015-ca-u-i0.001/Practical-Use-of-the-Nursing-Code-of-Ethics-Part-1.pdf Mandrola, J. MD. (2013, August 13). Atrial Flutter — 15 facts you may want to know. Retrieved October 21, 2015, from http://www.drjohnm.org/2013/08/atrial-flutter-15-facts-you-may-want-to-know/ Martin, D., & Grocott, M. (2015). Potentially Harmful Effects of Excessive Oxygen and Hyperoxemia. Retrieved October 27, 2015, from http://www.medscape.com/viewarticle/778505_3 Sheila, R., & Cynthia, T. (2014). Nursing Diagnosis Reference Manual (9 th. ed.). Wolters Kluwer Health| Lippincott Williams & Wilkins. Taylor, C., Lillis, C., Lynn, P., & LeMone, P. (2015). Fundamentals of nursing (8th
These ICN code of ethics elements have been utilized throughout the nursing profession and have been displayed within simulation scenarios. Montgomery College produced a youtube video displaying a situation in which a patient was going into septic shock, and the elements of the ICN code of ethics were displayed throughout the video (Montgomery College, 2018). The use of these elements of the ICN code of ethics allowed for the nurses to optimize patient outcomes and prioritize patient care. Throughout the simulation video, the ICN elements of the code were utilized by the main nurse and the nurse practitioner within this scenario.
CC: Dyspnea. History of Present Illness: Mr. Hebert is a very pleasant 60-year-old gentleman who was referred from the Naval Shipyard clinic for the evaluation of dyspnea. At the present time, Mr. Hebert feels well, however throughout most of the summer, he stated he had been complaining of a persistent cold that manifested primarily with nonproductive cough, plus and minus wheezing but was most disturbed by his conversational dyspnea. He was prescribed Advair and found near immediate relief within three to four days.
She is currently required to have oxygen inhalation 2 liters via nasal prongs. Due to her present medical
And have I given everyone an equal opportunity to succeed? With respect to this reference, my personal code of ethics, the relationship between nurse and patient is important. Because it is responsible to the safety of the patient, it is a nurse after all. In order to play an important role to the safety of the patient, nurses to
1. Introduction Ventilator associated pneumonia (VAP) is severe complication among patients with mechanical ventilation (ventilator) occured 48 hours or more after intubation and initiation of ventilator. It is common infection and potentially fatal (Chulay 2005), onset occurs within 48 to 96 hours of intubation (Pruitt & Jacobs,2006). Ventilator associated pnuemonia bundle is prevention strategies approach in intensive care unit apply to patients on ventilator underlying chronic illnesses with respiratory problem or neurological problem which lead to respiratory distress. Ventilator care bundle are composed as preventive strategies for preventing the incidence and prevalence of VAP and improving outcomes of patients (Pruitt & Jacobs,
only 10 research articles were included in this study. The 10 articles published from 1996 to 2014 were selected and formed the basis for this review. The earliest study included was published in 1996, with most studies published in 2014. The articles were published in nursing and Medical journals .
Nurses can develop moral distress when they feel forced from supporting for the patients’ interests due to situational or administrative pressures. When there is a greater emphasis on the technical aspects of nursing care, this leads to less of a stress on the ethics of care. Gerow et al. (2009) however, identified that “the greatest source of moral distress was related to the ethical issues surrounding death, dying, and the aggressive delivery of care to patients who would not benefit from treatment” (pg. 1079). It is likely that moral distress will become more intense as technology expands and that continuing to ignore this problem can affect the quality of patient care and other roles of the nursing and health care
This proposal will address the reasons for the clinical neglect of respiratory rate assessment in acute setting despite of its importance such as detecting early deterioration in patients. Reasons include, inadequate knowledge and skills, patient acuity and lack of time. Does it reflect the dimensions of quality (Week 4 Lecture) is it safe, effective, person-centred, timely efficient and
Chronic Obstructive Pulmonary Disease (COPD) is a common illness and growing cause of morbidity and mortality throughout the world especially the United States. Currently, COPD is the third leading cause of death in U.S. COPD is often preventable and treatable. Patients with COPD often become symptomatic during the middle adult years around 40 years and above, and the occurrence of the disease increases with age. Majority patients with COPD seek medical attention late in the course of their disease. Clinical disease of COPD is characterized by recognizable clinical sign and symptoms distinguish by three main symptoms, cough, sputum production, and dyspnea on exertion.
Nurses follow an ethical code to ensure professionalism is maintained while caring for patients. Nurses need to provide compassionate care with respect and dignity regardless of personal values and economical status (Brown, Lachman & Swanson, 2015). Patients and families trust nurses to advocate for their rights, safety and wellbeing. Nurses are held to a high standard when it comes to promoting a culture of safety, ensuring clinical judgement and maintaining confidentiality for our patients (Brown, Lachman & Swanson, 2015).
Civil and criminally due to nurses having a duty of care to the public and to ensure harm does not come to patients while under their care. Employability law due to nurses working within polices and guidelines of their employer, working outside policy risks litigation (Guy H, 2010). Additionally nurses are accountable professionally, morally and ethically and should withhold the NMC code of conduct (2015), by not withholding the code while practicing, nurses become at risk of struck off the nursing register. The next section will focus on a case example. 104 words Case example: patient came out of orthopaedic hip replacement surgery and had a low temperature of 33-34°C.
Her inhaler technique was assessed and deemed correct. PMH: Asthma SH: Patient is single and currently lives with her parents. She consumes 3-4 cups of coffee daily, drinks socially, and denies any tobacco use.
As a nurse, it is our duty and obligation to give the best optimal care to our patients. Therefore, it is also our duty to protect our patients from being harmed by sub-optimal care done by our fellow healthcare professionals. Therefore, ethical dilemmas arise when an ethical principle is breached, especially when there is potential harm to patients. CASE STUDY:
The physical therapist assistant (PTA) was the first clinician scheduled to work with the client. PTA got the client up to ambulate the halls and was constantly monitoring his effort, but aware enough not to over-exert. The client ambulated from his room to the back hallway, where he took several more steps before returning to his room. Student nurse Kelvin placed a pulse ox on the patient immediately after returning to his room. He recorded the pulse ox reading, and placed the client back on two liters of oxygen via nasal cannula.
Evidence has shown that in order to wean a patient off the ventilator without any complications, patient should show adequate oxygenation without a high Fi02 and/or PEEP. With this knowledge, my nurse and I, followed the evidence