Impaired Gas Exchange Case Study

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,

The guidelines set by the NP’s Core competencies involves educational programs for nurse practitioner and are referred to as essentials behaviors for all NPs (The National Organization of Nurse Practitioner, ([NONPF],2017). As a future NP, this course has echoed the importance to critically examine information given by finding evidence to support and manage care for the individual or the population, which I will apply to my practice. This, in turn, will offer better treatment plan and optimize better patient outcome. Using the differential diagnosis to pinpoint the best possible diagnosis for individuals has helped me to use critical thinking about my patient and to find the appropriate plan of care.

Our culture can have a definite and profound effect on how we interact with others, and also how we relate to the healthcare system.” (Anderson, 2012, How Culture Affects Healthcare section, para. 1,3) In my practice, I had a palliative client who’s a member of Jehovah’s witnesses by religion. While doing a chart rounds, I noticed about her religion

Clinical Medicine Insights: Circulatory, Respiratory & Pulmonary Medicine, (4), 15-23. This article discusses what an actual DNR order is and what it means. The article emphasizes the importance of communicating and having a DNR discussion with the patient. The article also presents questions that should arise when having the DNR conversation with patients and also explains the strengths and weaknesses of the DNR order.

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.

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.

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

This helps nurses to make informed decision to improve nursing practice and patient outcomes. Since guidelines are based on the best available research evidence, a meticulous literature search is needed to identify evidence from

Principles of biomedical ethics. New York, Oxford: Oxford University Press, 1994 Garrett, T. (2010). Health care ethics: Principles and problems (5th ed.). Upper Saddle River, NJ: Prentice Hall.

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.

The May 2011 issue of Nursing Times contained an article written by a Director of

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

Accountability: A literature search was carried out to find a definition of accountability using the BNI and CINHAL (Cumulative Index to Nursing and Allied Health Literature) ‘accountability’ was inputted into the databases. 18,114 results from search engine BNI and 16,725 results were produced from CINHAL respectfully. Results were reduced as filters were applied (see appendices 2). Filters were applied, before titles, abstracts and whole articles were reviewed, this was the case for Mullen (2014) on CINHAL.

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).

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 .