A hospital stay is normally associated with only increasing a patient’s overall well-being. However, that is not always the case. While the health-care team is fully taking care of a patient’s needs, human dignity can sometimes be lost. Hospital acquired infections, such as catheter associated urinary tract infections, can also pose a threat to a patient’s well-being. Nurses must be trained to combat both of these problems simultaneously.
However, considering the cross-infection risk, dressings changes are carried mostly out in the patient ward. Speaking of the ideal criteria for optimal analgesia for burn dressing changes we have to ensure that there are adequately staffed and safe environment in which to care for sedated patients. The control for severe acute pain due to nociception (inflammatory response) while painful dressing change is applied (i.e. dressing removal, wound cleansing) should be alleviated by titrating analgesics agents to individual requirements. One must avoid over sedation during and following the dressing change, but always ensure enough post-procedural analgesia by considerably amount of pain assessment and monitoring of vital signs. The ideal analgesia method also need to reduce prolonged fasting as little as possible while adequate nutrition and hydration are important for the healing process.
When the nurses are communicated among themselves, there is a risk to decrease to medical errors and malpractice. “Current research indicates that ineffective communication among health care professionals is one of the leading causes of medical errors and patient harm” (Dingley et al. 2009, 1). In examining the importance of communication at the workplace, other researchers have found associations between better nurse-staff communication and collaboration and more positive patient outcomes; for example, lower mortality, higher satisfaction, lower complications, and lower readmission rates. Promote communication is to improve patient safety and quality of care delivered. Assertion is a specific skill that can be used to communicate effectively by any team member to avoid mistakes, focus issues and resolve differences.
If so, how would your patient care change? ` The performing of a higher quality in the treatment of Rashid Ahmed’s case will require the presence of less errors. As priority, I will wash my hand as soon enter the patient room and put gloves while measuring the patient output. In addition, I will assess the IV site for any redness, swelling, infiltration or drainage before the medication administration. The performance of all this nursing skill will prevent patient complications such as hospital-acquired infections.
The “No Pass Zone” means that if a nurse, nurse assistant, or health care staff see a call light going off they cannot ignore it and must see what the patient needs. However, if the care staff is unable to fulfill this request on their own they must alert the appropriate staff. The impact this goal had on patient outcomes was that it improved patient satisfaction and was even showing a reduction in patient falls. Often, most patients calls are for beeping IV pumps or needing to use the restroom.
Greater understanding of health care practices and health care practitioners can bridge communication between the two worlds. Being respectful and education centered around the cultural needs is essential to patient's wellness and nursing care. Identification of patients perception of pain and illness is crucial in developing an understanding of cultural relationship between spiritual and medicinal care (Purnell, 2002). High-Risk Behaviors Although we may see some activities as high risk behaviors in the yup’ik culture maybe a daily occurence.
(Claffey, 2018) The best way to reduce the risk of medication errors is to enquire about which orders wouldn't be appropriate to give to the patient based on their condition. (Claffey, 2018) In addition to successfully completing a physical assessment on the patient, the practitioner must also view the patient holistically, and always report near-miss medication errors. (Claffey, 2018)
An environment can predispose or help prevent illness. For example, if an illness is prevalent in a particular community, the state of the environment can aid in understanding the dynamics of the disease transmission. Also, the hospital environment can be a source of stressors to individuals in the hospital. Therefore, nurses need to ensure that the environment is safe and conducive for patients to receive treatment. Health is a state of wellness.
The following nursing diagnosis would be applicable in this case: ineffective health maintenance (Ackley & Ladwig, 2014, p. 412). Nursing interventions and rationales include: assess influence of cultural beliefs, norms, values and client’s ability to modify behavior; assess the effect of fatalism on a client’s ability to modify behavior; clarity culturally related health beliefs and practices; provide culturally targeted education and health care services (Ackley & Ladwig, 2014, pp. 413–414). Ideally nurse would possess certain level of knowledge about the patient culture or asked the coworkers to assist. On the other hand it would be impossible to posses knowledge about every culture and its customs. Nurse should explain details of procedures or necessary changes that would bring positive healthy results, withhold the judgement and attempt to understand the patient
It taught me about the compliance of risk management for fall and the consistency of skills required based on the standard of nursing practice so that as a nurse, it will help us to improve our quality of care and keeps risk management skills updated. Besides, it taught me about how to be a careful nurse at the same time try to fulfill the patient’s needs. Decision making is important. As a nurse, we need to think the rationales before you provide your care to or for the patient. Risk management do help us decrease the nursing liabilities, but it also remind us to always follow the protocols and principles of nursing practice or on the other words ‘not to break’ it.
If you are reluctant to go through treatment, but want to stop on your own, you should consult with a physician and let them determine the best way for you to go through detox. For maximum safety and comfort, a medically monitored detox process in a licensed treatment clinic is by far the best option. As you body adjusts to the lack of alcohol, medical professional will be standing by to minimize the effects of withdrawal with medication and nutrition. Detox at New England Recovery Center
One study by Arnold et al. (2010) directly compared the two drugs in question for this project and provided credible information to the development of an evidenced-based answer to the problem (Arnold et al., 2010). A second systematic review by Akl et al. (2014) researched the effects of the two drugs in question in the thromboprophylaxis treatment of patients (Akl et al.,
Due to the impaired judgment, intense emotion and overt psychosis, there is an increased risk of violence in mentally ill patients during a relapse. Therefore, verbal de-escalation was crucial in eliminating the possible aggression during the first few home visits. Madam MA appeared frustrated the moment she saw the community team going to her house. She could not see the reason for the home visits. After the verbal de-escalation, she appeared calmer and was able to talk with the community team.
Medication adherence refers to whether a patient is taking their prescribed medication as directed. Many chronic illnesses can be fought of and beaten with the use of pharmacotherapy. However, many patients cease to take their prescription, which could happen for a number of reasons, ranging from the patient, to the physician (Brown, Bussell, 2011). This is a very big problem, as developing, manufacturing, and distributing drugs costs a lot of money, and even human lives, that will go to waste and be destroyed if people do not take their medications.
Recognizing, acknowledging, and understanding medication safety is important when administering medications. Understanding which medications are high-risk ones, being familiar with the medications being given, remembering the five most important rights when administering medications, communicating clearly, developing checking habits, and reporting the medication errors will lead to safe outcomes for the residents. However, errors do occur from a lack of experience, rushing, distractions, fatigue, doing too many things at once, not double checking, poor communication, and lack of team work. It is not only the staff that commit errors, but also the work environment that contributes to the medication error. Two examples are poor reporting systems