Perineal Care Observation

Patient teaching is the most significant nursing intervention in the healthcare setting. Effective patient teaching is very important because it helps the patient to prevent or minimize complication and ensure quality outcomes. I believe, it important including patient teaching as routine nursing care because it increases quality patient care the healthcare setting. Another important thing I have noticed in the intra-operative room was maintaining the sterile field and managing the risk factors in the operative environment. Everyone who enters an OR wear personal protective equipment (mask, non-powdered gloves, gown and head covering) because in the OR patients are at risk for impaired skin tissue integrity, infection, anxiety, altered body temperature, and dehydration.

When considering and discussing vulnerability, it is important to immediately acknowledge that any person entering a healthcare setting for treatment and care puts themselves in a vulnerable position. However, the perception of vulnerability greatly differs from person to person dependant on experience and individual factors (Phillips, 1992). As such there is a continuum of vulnerability that encompasses a myriad of factors such as potential, circumstance, permanence and inevitability (Copp, 1986) As a nurse, it is vital that we consider, understand and assess all factors relating to the patient with regards treatment and advocacy in relation to their care plans and beyond. Vulnerability refers to the difficulty or inability of an individual to cope with external risks and shocks to their person or their circumstances. Combined with internal factors, such as a feeling of helplessness, a patient will be unable to cope without damaging loss; where loss is defined as someone who becomes physically, mentally or emotionally weaker as a result of these internal and external factors (Chambers, 1989).

As a student, one of my competency to achieved to become a professional nurse is medication administration. Since medication error can kill, there is the need to be vigilant at all time in dispensing under supervision. I have managed to disperse quite a few times but occasionally get muddled with the whole process by doing little errors and the pace at which I administer needs to be faster due to factor of time and the amount of patient lined up for medication. I have noticed some errors that needs to back up all the time. I have discussed with my mentor {and all areas of weakness have been recognized as a great opportunity for improving my experience in medication administration.

To help caregivers understand the importance of their role in controlling hypertension in CKD. 3. TO determine how to improve the management of hypertension in CKD patients and overall quality of life on the patients. 1.7 SCOPE/DELIMITATION OF THE STUDY This research is limited to National Hospital Abuja. The questions in the questionnaire are capable of illuminating sufficient information on the phenomenon under investigation.

Colombel et al (2010) provided that nurses are required to modify the planning process to the needs of individual patients and the implementation of MACROS can enable the nursing staff to ensure that plan is considering the measurability, achievability, realistic aspects, written results, and focused on the client. It was found that the pain of Allen was due to the causes leading to Crohn’s disease. The inflammation was planned to be treated with the intravenous hydrocortisone, which is the anti-inflammatory drug and prescribed for reducing the inflammation. Fisher et al (2008)further reflected that the initial doses of this planned drug are required to be forty to sixty grams on daily basis and she was prescribed for forty grams. Hill (2015) reflected that once the reduction in the pain is achieved the doses are reduced leading to

Importance of patient education Patient education (PE) describes a variety of methods to inform the health care consumer (1). Most commonly these methods are used by doctors and nurses to educate patients during hospitalization and shortly before releasing the patient from the hospital. This is especially valuable as patient education is often to be seen as part of the treatment plan and studies suggest that it increases patient compliance and therefore lowers readmittance to the hospital (2, 3). The educational instructions include not only the basic information about the disease, but furthermore what is to be expected after the release, when to seek medical advice and how to conduct proper self-care (3). Patient education might especially

errors can also occur as a result of poor oral or written communications. The informed consent process should be used as a patient safety tool, and the patient should be warned about material and foreseeable serious side effects and be told what signs and symptoms should be immediately. . Faculty systems must be redesigned, and seamless, computerized integrated medication delivery must be instituted by health care professionals adequately trained to use such technological advances. Handwritten prescriptions should be replaced by computerized physician order entry, a very effective technique for reducing prescribing/ordering errors, and an effective change would involve writing all drug orders in plain English, rather than continuing to use the elitists' arcane Latin words and shorthand abbreviations that are subject

Meanwhile, healthcare providers should listen and respond immediately to patient’s report of pain and manage pain appropriately. A part of it, all hospital staff should be continually educated and aware about pain assessment and management. Thus, standardizes pain assessment tools must be applied consistently with accurate documentation in vital sign charting and carried out nursing intervention effectively. Consequently, the improvement of implementation pain 5th vital sign shows that nursing actions depending on the pain score. Hence, these standards required nurses to refer Pain Flow Chart in order to response pain score assessment as documented in Pain Free Hospital

Introduction Infection control is the major concern in healthcare industrial. According to World Health Organization (WHO), infection prevention and control measures are to protect vulnerable group who might be acquire an infection both in the general community and while receiving care due to health problems, in a range of settings (World Health Organization, 2015). In perioperative setting, infection control is particularly important because surgical intervention provide a portal of entry for pathogenic microorganism as it interrupts skin integrity, which is the body’s first line defense against microorganisms. Poor infection control will lead to postoperative surgical site infection result in delayed recovery that lead to increased length

Research is an important source of knowledge in nursing practice but the same important factors are clinical experience and patients’ value and preference. Nurses can make a decision by consider the research and their own experience but nurses should also concern the feeling of patient. In this essay, there is prove that the importance of evidence-based practice and the limitation in Hong Kong medical system. Research is an examination and investigation aimed at the discovery and interpretation of facts, modifying of accepted theories or laws base on new facts, or practical application of such new or revised theories or laws (Polit, D. F., & Beck, C. T., 2008). It is important in nursing practice for continuing advancements for promote

In my facility, the safety of our patients is our top priority. We use a set of interventions using clinical indications to ensure the safety of patients with indwelling catheters. These indications are strict intake and output (I&O), patients monitored for acute renal insufficiency or failure, sedated patients with critical illness, and neurological patients monitored for syndrome of inappropriate antidiuretic hormone (SIADH) or diabetes insipidus. Patients suffering from acute urinary retention, or bladder outlet obstruction with the inability to void, as well as select surgical patients, are also indicated. Indwelling catheters are also used in assisting the healing of open sacral or perineal wounds in incontinent patients with a stage III or IV pressure ulcer on the coccyx or sacrum.

In many cases, ED nurses are the first health care provider to assess patients; therefore, it is essential that they have the clinical knowledge necessary to identify those at risk for sepsis, or exhibiting signs of early or even late sepsis. Quality improvement initiatives in the ED should include thorough educational efforts to ensure that nurses understand the sepsis condition in relation to the pathophysiology; the clinical triggers; its progression and implications; and the appropriate treatment that is best supported by evidence based research. Additional quality improvement measures should include the implementation of tools, processes, protocols/guidelines, and procedures required to assist nurses in the early identification and treatment of sepsis. Frontline nurses play an important role on the health care team, and perhaps are the key to reducing the morbidity and mortality of septic patients. The purpose of this quality initiative is to provide measures necessary to facilitate the frontline ED nurses in the early identification and treatment of sepsis.

However, some doctors consider infections of the urethra and prostate to be lower (Iman, 2016). Upper UTIs usually consist of diseases of the ureters, renal pelvis, and interstitium. The differences are that upper infections can lead to kidney failure, and lower UTIs result in necrosis. E. Coli and Staphylococcus cause the lower infections, whereas the upper infections are usually due to Proteus, E. Coli, and Pseudomonas. Lower UTIs have symptoms frequency, urgency, dysuria, back pain, hematuria, cloudy urine, and flank pain, whereas upper infections have signs of frequency, urgency, dysuria, costovertebral tenderness, and hypertension (Huether, 2012, p.

4.6- It is accepted that practitioners in health and social care settings can be affected by the stressful nature of the work. (Godden 2012) When discussing challenging situations with supervisees we need to ensure they feel supported and have received the necessary training such as DMI and have completed their induction. Ensure they understand they have to adhere to the behaviour management programs and relevant risk assessments. If a specific incident has occurred reflect with them the effects of events and consequences and actions that occurred, using the records of incidents, A B Cs and tick charts for reference if needed. Help them to understand how they might have caused and influenced events and work out the most effective way to handle

Michaela P. Capulong NU 333-01: Physical Assessment for the Nursing Professional June 29, 2015 Journal 7 When I do my assessment on admission, I always include the assessment findings that I expect to be abnormal if the patient has definite cardiovascular problem. I notify the MD and the nurse practitioner immediately if I find abnormal findings or values. I ensure to chart the education and the correction in response of the abnormal findings. In addition to that, tests and labs should be done to rule out problems. It is essential to know the patient’s health history before conducting the physical exam.