Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients. In addition, she is most frequently assigned any change of shift admissions.
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
It primarily focused on prevention as well as directing focus on the current problems of our country. For this reason, integrating motivational interviewing into nursing practice is essential for the promotion of behavioural change. Motivational interviewing incorporates
There are different evidence-based model that utilize a process for developing a question, finding, considering, evaluating, and repeating as required. As PICO elements involves; Problem/ Patient/ Population, Intervention/ Indicator/ Comparison, Outcome, and Time frame/ type of study. However, this paper will do PICO analysis of the study “Hospital Acquired Infection is Inversely Related to Utilization of Isopropyl Alcohol and Tissue Paper Pulls–A Prospective Observational Study,” which is related to hand hygiene compliance and infection. Therefore, for hand hygiene compliance and infection, the researcher has developed a PICOT question, mentioned below; PICOT Question Does usage of tissue paper rolls and isopropyl alcohol decreases nosocomial
These are two potential of nurses one is misconduct when guidelines are not adhered to and second is the factors that might promote or inhibit guideline adherence among nurses. (Davies, Edwards, Ploeg, & Virani, 2008) According to Ismaile Samantha (2014), there are similar and different promoter and barriers to adherence with clinical Practice guidelines. The two main factors that impact to adherence with clinical practice guidelines among nurses, one is environmental factors that are patient, organization, standard guidelines, and second is personal factors which included knowledge, attitude, and skills, intention. The primary promoters for adherence to clinical practice guidelines among clinicians ( Nurses) that can be helpful to utilizing the evidence base clinical practice guideline are focused on standardized patient care, optimize outcomes of patient care, clinicians are familiar with guidelines according to habit and routine, and guidelines are readily accessible and easy to utilize. (Keiffer,
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
Nursing Education Nurse’s resistance against using sedation protocols or daily interruptions in sedation has been identified as a barrier to the implementation in many intensive care units (Rock, 2014). Reasons given were that “Sedation is necessary for patient comfort” and characterized mechanical ventilation as “uncomfortable and stressful” (Rock 2014). Suggestion that sedation protocols such as light sedation or analgosedation with daily interruptions strategy can be utilized in treating mechanically ventilated patients to prevent PSTD. But in order to achieve success in current practice guidelines, education on the relationship between PSTD and sedation is eminent to increase the acceptance of such protocols. In The Bahamas to utilize such protocol, more training and continued nursing
statistics /data collected via medical/ healthcare records are indispensable to creating a health history on clients who offer biologic samples for the determinations of front-line disease forecast research. Nurse detectives / investigators employed to work across diverse client populations targeting to forecast disease, thwart disease, or promote health are expected to request answers to questions that necessitate data from Hospitals or facility medical
When care is not documented in the patient’s medical record, there is an assumption of an even more serious departure from professional standard (Guido, 2014). The process and timing of the nursing documentation of the above incident failed the standard of nursing practice. It is significant in documenting observations and unusual occurrences in a timely manner to avoid omission of the important and pertinent information of the incident. The nurse-defendant could have provided a late entry in a reasonable time frame, and a reason for the delay of the documentation. More so, an immediate provision of care to the patient by accelerating the physician’s evaluation and intervention could have avoided injury and damage to the
Therefore, I considered that it is necessary to clarify the appropriate way of nursing records in order to use them effectively. Our ultimate goal is to clarify the current situation of nurses' electronic health records from the three perspectives of nursing practice, education, and research in order to develop an application model of nursing records more effectively. This application model is intended not just to show the recorded content for improving the content of nursing records but to visualize the appropriate way of nursing records in order to use them for the practice, education, and research of nursing. As the first step, this research aimed to examine how to put nursing records in electronic health recording system for clarifying problems through the analysis of the appropriate way of recording nursing process. In this presentation I am going to talk about the content of inputted information and the tasks for its use about nursing diagnosis and plans through the assessment of nursing
Accordingly, all health care providers should have education on opioid dependence to avoid such addictions. I would use this scholarly journal in my essay with quotes from the section titled “Significance of Research”. These quotes would help with my argument that the topic of opioid abuse needs to be better researched. For example, “Patients may begin nonmedical use of opioids due to
These questions on the topic of how often Lovenox injections are required to be therapeutic versus how often heparin needs to be injected and the resulting patient satisfaction during the hospital stay. With the emphasis on patient satisfaction and the government guidelines for preventable hospital acquired problems, finding a solution to DVT prevention is important for nursing. 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.
The expected outcomes are standards against which nurse judges if goals have been met. Evaluation of client response to nursing care requires the use of evaluative measure simply as the reassessment of patient symptoms. Vital signs and auscultation of breath sounds. Observation of client skill performance and discussion of how they feel. Lab results such as chest x-ray to confirm whether pneumonia diagnosis is still present.
Problem based Learning assessment Nursing diagnosis is a clinical judgement based on a thorough nursing assessment to existing or possible health/life problem. Nursing interventions are then selected by nurses to which they are accountable for, to achieve a desired outcome. (Herdman, p. 515). The paper “Problem Based Learning “is a detailed nursing care plan for Julie, 22year old female, first presentation to a psychiatric unit, with a provisional diagnosis of acute psychotic episode. 1.)
I am going to have her also do a trial of a proton pump inhibitor either Nexium or Prilosec over-the-counter to use for about a week to see if that helps her symptoms, also. She will follow up in one to two weeks with Dr. Murray or myself with sooner follow up as necessary. She is aware of what to watching for in the meantime. If she does develop any new symptoms or concerns, she will contact me so we can address each issue as they arise. She does understand also down the road, further evaluation with CT may be necessary, if her pain persists.