Perineal Care Observation

Evidence based practice is a big part of the medical field and what we as nurses use to take care of patients in the hospital. An example would be the sterilization technique of catheterization and the importance of pericare before inserting a catheter into a patient.

According to Kaufman, & Ingrid (2015), a need assessment is a systematic process for investigating the current practices and to determining the best practices. A gap analysis is a strategic tool to help an organization to understand where the company is and where you would like to see the business be. Furthermore, a gap analysis is the present state of doing something to a desired state, and to learn the steps to undertake to improve that state. During my clinical preceptorship at New York Presbyterian Hospital, many patients that came into the hospital with urinary retention a catheter was inserted to determine the amount of urine in their bladder or post-void residual (PVR). Many patients later developed pain and a urinary tract infection or Community Acquired Infection secondary to frequent cauterization. Therefore, the gap identified was related to a knowledge deficit of the current practice that inserting a

Urinary tract infections (UTIs) are usually caused by bacteria and are common. Symptoms of both upper and lower infections are similar; therefore, it is important for advanced practice nurses (APNs) to be able to determine the pathophysiology of upper and lower UTIs. The purpose of this discussion is to evaluate the similarities and differences between upper and lower UTIs, clinical manifestations, treatments, and factors affecting all of these things.

Justina Toland- Tennant Unit 4 Assignment Chapter 4 Exercises and Review Chapter 4: Exercise 4.26 #4 49521 Hernia repair, inguinal, incarcerated Chapter 4: Exercise 4.31 #4 50920 Fistula, closure, ureter cutaneous Chapter 4: Exercise 4.34 #10 54322 Hypospadias, repair, one stage, meatal advancement Chapter 4: Exercise 4.37 #8 58956 Hysterectomy, abdominal, total Chapter 4: Exercise 4.41 #4 61312 Craniotomy, evacuation of hematoma Chapter 4: Exercise 4.43 #8 67700-RT Incision and drainage, abscess, eyelid Chapter 4: Review: Coding for Facility # 12 11305-LT Shaving, skin lesion Appendix C: Case Number #9 52630 Prostatectomy, transurethral 9. 52601 Prostate, excision, transurethral; or Prostatectomy,

So, what is the definition of health care associated infections? They are infections that patients acquire while being hospitalized to receive treatment for their conditions either medical or surgical. Many of the HCAIs are preventable. In the modern healthcare, there are many types of invasive procedures that is used to treat patients to help them recover, also some devices are used, and all can be a potential risk for transmitting an infection to the patient while receiving the treatment.

Clostridium difficile is becoming a major problem inside of hospitals. There are many reasons as to why the bacteria is becoming a top priority while treating patients mainly inside of the hospital setting. Hospital-induced infections, lack of a proper diet, and even when people do not perform proper hygiene is causing this bacteria that is considered normal biota, to flourish and cause gastrointestinal distress. Bacteria have spent millions of years growing and their whole goal is to keep doing that.

According to Mayo Clinic, an overactive bladder is just that: a bladder-storage problem resulting in sudden and frequent urges to urinate. Often these "urges" may be so strong that they cannot be stopped leading to incontinence.The amount of urine released may be a small trickle, or it may be a complete emptying of the bladder. The National Library of Medicine notes that the number of seniors with an overactive bladder continues to grow. It is well over 10 percent today and may reasonably be expected to reach a full quarter of seniors in the next two decades. The result of urinary incontinence in seniors is often social isolation, anxiety, fear, and depression linked to the embarrassment of having

In the review of the literature regarding National Patient Safety Goals and the reduction of healthcare associated infections by the implementation of evidence-based practice, one article addressed the education of patients and family to prevent catheter-related bloodstream infections (Dela Cruz et al., 2012). MD Anderson Cancer Center Infusion Therapy Team places 600 central venous catheters (CVC) and PICC’s and 100 implanted ports each month at their facility (Dela Cruz et al., 2012). Volume like this has lead to an extensive formal education program to assist the patient and family with care and maintenance of their CVC to reduce the number of catheter-related bloodstream infections (Dela Cruz et al., 2012). The education program consists

The increase of contracting infections in acute settings and intensive care units is currently of great concern. If these infections go untreated, it can consequently cause the loss of life, and increase mortality and morbidity. Centers for Medicare and Medicaid Services (CMS) will not pay for infections that were acquired during a hospital stay. This affects hospitals, preventing them from being financially fruitful.

For the senior/sophomore experience I had many different roles. I helped the students get logged into the computer at Regional Hospital and also helped them get into Meditech. Since it was the first clinical for the sophomore group, many passwords didn’t work. Therefore, I had the chance to show a few students where the IT department was and help them get assistance on getting their passwords figured out. The students were very limited as to what they could do during the clinical. They had not been checked off on vital signs or any part of physical assessments yet. Therefore, I assisted students and their patients with the proper way to ambulate and get non-independent patients on the commode or to the bathroom. Overall, I felt that my biggest

2. Discuss catheter-associated urinary tract infection & apply evidence-based principles for inserting and removal of a catheter.

On April 21st, 2017, I was assigned to the operating room (O.R) unit of Arlington Memorial Hospital. My main goals for the day was to observe the procedure and learn the activity done by the doctor and the nurse. The surgical suite has the strict rules and procedures. Before entering the unit, we had to change our clothes and wear the scrub provided by their unit. The purposes of the surgical scrub and surgical attire are to promote patient safety by helping to prevent environmental contamination. Therefore, I followed all the procedure and wear the scrubs provided by them. I wear the mask, gown, and gloves and enter the unit. As I enter the unit, I was very nervous and excited to see the surgery. I saw the nurses transferring the patient in

Urinary incontinence, the loss of bladder control, can also be called enuresis is a problem with many different age groups. This is caused by sympathetic dysfunction. Sympathetic dysfunction affects many systems of the body such as the the cardiovascular, reproductive, and even urinary. Enuresis is a medical term used more towards children meaning involuntary urination, referred to bedwetting most of the time (Silverthorn, 2013). The International Continence Society defines incontinence as “a condition in which involuntary loss of urine is a social or hygienic problem and is objectively demonstrated (Viktrup, 1993).” Incontinence is also very common once a woman becomes pregnant and throughout postpartum. Postpartum is the six week period

In the study ‘‘The experience of community-living men managing fecal incontinence’’, the authors, Peden-McAlpine, Bliss, Becker, Sherman (2012) demonstrated Fecal incontinence as a health problem which can influence men’s daily life. This study premised on previous studies and displayed the negative impact of FI on women like isolation from personal and social relationship, loss of self-esteem and self-confidence, lack of courage to disclose, depression, embarrassment, lack of sexual arousal. (Chelvanayagam & Norton,2000; Colling & Norton, 2004; Peden-McAlpine, Bliss & Hill,2009).

Incontinence can be an embarrassing problem that becomes more frequent with age. Research suggests that up to half of women over 60 deal with issues of incontinence, and nearly half of women who have gone through menopause will face issues related to frequent urination. Many of these problems can be associated with hormone changes, and life events such as childbirth may also increase the likelihood of incontinence.