TEXILA AMERICAN UNIVERSITY.
CAPSTONE PROJECT.
CAPSTONE PROJECT ON INCIDENCE OF SPINAL ANAESTHESIA FOR CAESAREAN SECTION.
SUBMITTED BY: FUNMILAYO BOLANLE AGUNBIADE (MRS). ADMISSION NUMBER - 14212. SUBMITTED TO THE TEXILA AMERICAN UNIVERSITY IN PARTIAL FULFILLMENT FOR THE BACHELOR OF SCIENCE IN NURSING DEGREE
JUNE ,2015.
ACKNOWLEDGEMENT. My sincere appreciation goes to all who have helped me in one way or the other to complete this CAPSTONE PROJECT, especially every member of staff of the nursing and anesthesia department
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Spinal anesthesia involve s introduction of a small amount of local anesthetic via injection into the Cerebrospinal fluid . The injection is given at the lumbar spine below the level at which the spinal cord terminates. [L2]. It is easier to perform and has the ability to provide appropriate operating conditions for surgery below the umbilicus. The anesthetist must have knowledge of the anatomy and physiology with that of safe anesthesia to benefit the patient and the surgeon. ADVANTAGES OF SPINAL ANESTHESIA.
-COST- This is reduced in comparison with that of general anesthesia in terms of the drugs and the gases used.
-PATIENT SATISFACTION-Most of the patients are very happy with this technique because of the recovery that is rapid with the absence of side effects.
- RESPIRATORY DISEASES- It produces few side effects if unduly high blocks are avoided.
-PATENT AIRWAY-It minimize risk of airway obstruction and MELDENSON'S SYNDROME.
-DIABETIC PATIENTS-There is minimum risk of unrecognized hypoglycemia in an awake patient.
-MUSCLE RELAXATION- It provides an excellent muscle relaxation for lower abdominal and lower limb
Justin is the registered nurse that has been given the handover for Kelly Malone’s postoperative care in the surgical unit. Kelly Malone is a 49 female patient who has had a septoplasty and a right ethmoidectomy. Justin is working with Kelly to identify Kelly’s needs in order for Kelly to be discharged from the hospital. Kelly’s postoperative observations were a temperature of 36.2 degrees celsius; heart rate of 68 beats per minute; respiratory rate of 18 breaths per minute, blood pressure of 111 systolic over 73 diastolic millimetres of mercury; oxygen saturation at 93 percent of room air and a self-rated pain score of two out of ten. Kelly has a history of ‘not being able to breathe well through her nose’ and a history of disturbed sleep.
Highly motivated to impact patient safety and quality of care. Experience with project management within Bellin’s refill pilot team, involving one-one training with orientation, competency assessment completions, evaluation of knowledge and understanding, in addition to implementation of evidenced-based practice involvement with protocol utilization. Achieved bachelor’s degree in nursing from Marian University May 2013. Part-time nursing master’s student at Marian University graduation anticipation December 2019. Licensure/Certification: WI Nursing License (File Number: 198659-30), CPR/AED Certified, NIH Stroke Scale Certification (2015), Pain Management Course Completion.
I had believed that they were safer for both the mother and the baby. I personally was delivered by C-section, so hearing this spiked my interests even more. The series provides a different perspective on caesarian sections and gives
Her medical diagnosis of ARDS from overdosing and pneumonia are the cause of her deteriorating condition. Then, it moves on to the first two primary nursing diagnoses of impaired gas exchange and risk for infection, followed by the lower ranked ones of impaired tissue integrity, anxiety, and finally decrease cardiac output. The case study then explored her expected outcomes, the interventions used for her primary two nursing diagnoses with literature reviews, and finally an evaluation of the plan of care. The learning from this patient is that it is not our place as nurses and medical personnel to judge, but to treat with fairness and compassion. It is easy to look down on this patient for her chronic illnesses that affect her long-term health, but she needs help, and now may never be back to her pre-hospitalized state.
The details of the study included literature review, purpose, method, data analysis, results, discussion, limitations, nursing implications, recommendations for future research and conclusion. The results were clearly presented. Study limitations were identified. The conclusion was based on study results. This review was of good quality.
Shah addresses the reader with caring motives and understanding of how physically demanding and life-changing pregnancy can be. ‘’I am acutely aware that even women with healthy pregnancies can develop life-threatening hemorrhage, fetal distress, or other unanticipated emergencies during labor.’’ Shah recognizes the risk associated with pregnancy and tells the reader of his concerns. He even recognizes the amount of financial expenses and stress associated with C-sections. ‘’Nearly, half of the of the caesareans we do in the US currently appear to be
The determination of spinal stenosis is based upon the patient 's history of symptoms, an imaging test, and an exhaustive physical examination. Not at all like a MRI, is an electrodiagnostic study generally seen as a more dependable technique for social occasion data on stenosis. To diagnose spinal stenosis emerging from an infection
After observing these providers, I became increasingly intrigued by the profession. After a lot of research into this profession and shadowing multiple anesthetists, I knew I had found my calling. During my time at the Children’s Hospital, I learned that the Anesthesiologist Assistant is a skilled medical professional who works as part of the anesthesia care team in the operating room and receives direction from an Anesthesiologist. They have an extensive amount of training in the induction and maintenance of different anesthetics and also advanced monitoring techniques that allow them to keep the patient safe throughout the procedure. They are skilled providers who have training in inserting invasive catheters used for monitoring patient’s vitals, trained in advanced airway and life support techniques, and prepare an anesthetic plan with the licensed Anesthesiologist.
Certified registered nurse anesthetists (CRNAs) are compassionate and driven people tasked with performing a job that requires vigilance, mental acuity and dedication to improving the provision of health care. The decision to research this career is based on the growing need for affordable health care and the CRNAs’ dedication and continual ability to meet these demands. CRNAs demonstrate intelligence, indelible work ethic and an unsurpassed desire to advocate for the patients under their care. CRNAs provide ease and peace of mind throughout the perioperative period by including patients in the discussion and formulation of anesthetic plans. Intraoperatively, CRNAs are charged with the task of providing amnesia, sedation, immobility and analgesia
Studies note that protracted stress has significant physical and mental consequences for healthcare professionals that can affect health, sometimes to the point of disability, and may even affect patient care.” In a clinical setting, the CRNA is responsible for more than putting a patient to sleep. Referring to the American Association of Nurse Anesthetist, CRNAs are responsible for preanesthesia assessment, medication, cardiopulmonary resuscitation management, airway management, and much more. Consequently, CRNAs are monitoring the patient's vital signs and making sure they are responding to the anesthetics applicably and intuitively have to act quickly on their feet because a patient’s life is literally in their hands, which in my opinion is an incredible responsibility but yet frightening. However, this aspect of the job is inevitable.
American Association of Colleges of Nursing. (2006). Essentials of doctoral education for advanced nursing practice. Retrieved from: http://www.aacn.nche.edu/publications/position/DNPEssentials.pdf Beck, L., & Johnson, C. (2008). Implementation of a nurse-driven sedation protocol in the ICU.
ANNOTATED BIBLIOGRAPHY Berman, A., Kozier, B., Snyder, S., & Frandsen, G. (2015). Kozier & Erb 's fundamentals of nursing: Concepts process and practice (10th ed.). Hoboken, NJ: Pearson Education.
Advanced Practice Registered Nurses(APRNs) have expanded in numbers and competencies over the past several years. Because of the increasing needs of APRNs, they are being highly valued and became an integral part of the healthcare system. APRNs include Certified Registered Nurse Anesthetists, Certified nurse-midwives, Clinical Nurse Specialists and Certified Nurse Practitioners. Each has a distinct history and context but shares the commonality of being APRNs. They are educationally prepared to presume responsibility and liability for health promotion or maintenance, assessment, diagnosis and management of patient problems which includes the use and prescription of pharmacologic and non-pharmacologic interventions.
A patient presented to the labor and delivery unit in labor. The patient was a gravida four and para three at 35-weeks gestation with a history of precipitous labors and a previous cesarean section. Upon vaginal examination, the patient was dilated to a six and the physician ordered for the patient to be admitted. The standard protocol of admitting a labor patient, which included lab work, patient history, the signing of consents, and establishing an intravenous (IV) access. During the admission process, the patient’s labor progresses and requests an epidural for labor pain control.
Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.