1. Admit the patient using critical thinking skills to assess and prioritise nursing interventions related to Audrey’s. • Comfort and Safety. Audrey who is diagnosed with fractured left NOF (neck of femur) must be evaluated using pain assessment to obtain the optimal pain management intervention. Analgesics and non-pharmacologic approaches will be helpful to ease her pain and anxiety(Fink, 2000). As for her safety, the bed must be lowered down, side rails up if necessary and all her needs must be placed within her reach. In addition, nurses should use the appropriate antibiotic prophylaxis, as she will be undergoing arthroplasty to prevent postoperative infections. (US Department of Health and Human Services, 2001) She will also be given …show more content…
Moreover, address Audrey’s anxiety by reassuring her, explaining the procedures and making sure that she understands every procedure. Also, refer her dog to AWL or any animal welfare to look after Rufus while Audrey is recovering (Animal Welfare League). 2. Provide an explanation of the 8 diagnoses referred to in Mrs. Smith’s past medical history. Indicate how they affect the care that you provide to Audrey. 1. Atrial Fibrillation – It is an aggravation of the heart 's electrical framework. The issue begins in the upper chambers of the heart, which is the atria and causes these chambers to fibrillate, instead of beating normally. This means that the heart does not pump blood around the body as effectively as it should (Heart Foundation). With Audrey’s condition, blood pressure should be controlled and monitored as well as her cholesterol levels and heart rate to prevent stroke (John V Amerena, 2013) Digoxin and Warfarin medication will be given as per doctors order. 2. Hypertension means that the blood is pumping with more force than normal through the arteries, which are the vessels that carry blood from the heart to the rest of the body (Better Health Channel, …show more content…
Type 2 DM results from association between hereditary, natural and behavioural risk factor. Type 2 DM is due primarily to lifestyle factors and genetics. A number of lifestyle factors are known to be important to the development of type 2 DM. These are physical inactivity, sedentary lifestyle, cigarette smoking and generous consumption of alcohol (Abdulfatai B. Olokoba, 201). With these reasons, Audrey will be advised to stop or limit her alcohol consumption. She will be referred to dietician and Metformin 500mg BD will be given as ordered by the physician. 4. GORD (Gastro-oesophageal reflux disease) It happens when stomach acid breaks from the stomach and up into the oesophagus. (Health Direct Australia, 2013) With her current condition, she will be assessed for dysphagia, heartburn, acid reflux and upper abdominal pain(Gareth Nickless, 2009/2010). Audrey will be given Esomeprazole 40mg OD as ordered by the physician. In addition, encourage her to have a healthy lifestyle by smoking cessation, healthy eating, and to moderate her alcohol intake. Also, instruct Audrey not to lie down after meals. Bed will be raised to semi-high fowlers
LP2.1 Assignment: Verbal Communication In Chapter 9 of Kinn’s The Medical Assistant textbook, read the 9-1 Critical Thinking Application on page 141. Answer the questions below. 9-1 Critical Thinking Application: Ashlynn has a tendency to speak a little fast in her normal conversations.
Received a request by Josephine Sullivan to consult with Joe Chapman an extremely agitated and pacing patient waiting to see Dr. Nuthi. Mr. Chapman was alert and oriented to person place and time. He was pacing in the hallway when I arrived and accompanied by his daughter, Dorothy McCollum who was sitting in the doorway of her exam room waiting to see Dr. Katoch. Josephine explained that I was there to assist Mr. Chapman in determining his needs, to enable him to more efficiently express them to Dr. Nuthi.
We will monitor her blood pressure. I am concerned about the combination of _____(HETT) and prednisone, and with regards to her potassium. 3. Health maintenance. The patient is up to date.
Introduction to Atrial Fibrillation The most prevalent clinical arrhythmia is atrial fibrillation, which can be defined as irregular heart beats caused by uncoordinated activation of the atria. Atria are the two upper chambers of the heart. During atrial fibrillation, the cardiac muscles that make up the walls of these atrial chambers, receive disorganized activation signals. This causes them to fibrillate, which means rapid and irregular contractions. This results in inefficient pumping of blood from the atria into the ventricles, the lower two chambers.
To answer these questions, I researched each disease and asked each person how they think they got the disease and what they would’ve changed so that never got the disease in the first place. My paternal grandfather had a heart disease and my grandmother had lung cancer. I asked my father how he thinks his parents could’ve prevented their deaths from these diseases and he said my grandmother smoked cigarettes and my grandfather didn’t like to go to the doctor. Simple changes could’ve saved my grandparents life but like I learned in the Escape Fire Documentary even if people know they know how to prevent a disease they are sometimes too stubborn to help themselves. My maternal uncle is 45 and the only person in our family with diabetes type 2, he is a veteran, smokes cigarettes and doesn’t take his medicine correctly which adds to him not being that healthy and his condition getting worst.
She uses Biotene toothpaste and mouthwash, artificial tears, a special nasal rinse, and sometimes prednisone to suppress inflammation. The special toothpaste and mouthwash is to prevent tooth decay as this can be common with lack of saliva in the mouth. However, none of these medications worked for her better than yoga and meditation which she began to practice a few years after being diagnosed. She realized stress and anxiety were factors in the triggering of her signs and symptoms.
Optimum care and patient safety is a nurse’s main goal, and therefore, affects each and every nurse. With falls being such a critical part of a patient’s hospital stay as well as the nursing profession, nurses must perform adequate assessment and implementation
It is imperative to emphasise to Mr Thompson to realise that taking the correct dose and consistent with his medications such as, metformin, Angiotensin-converting enzyme (ACE inhibitor) and testing his blood sugar as they will assist him in achieving normoglycaemia, Metformin and ACE inhibitor will assist to lower blood pressure and is not a quick fix but also require to lose some weight (NICE 2009). He should also be informed about other potential problems related with his conditions such as erectile dysfunction, neuropathy, depression and retinopathy. He should be supported to manage his own conditions including self testing blood glucose and urine through monitoring, which is essential to identify and minimise occurrence of aggravated
Throughout the essay, the author has carried out a holistic assessment of the patient including objective and subjective data which allowed for the formation of actual and potential nursing diagnoses. Upon identifying all actual and potential nursing diagnoses, the author then identified the priority nursing diagnosis for John. Watkins et al (2015) found that carrying out nursing assessments can improve patient safety as they provide an early recognition of patient deterioration which leads to timely treatment e.g. frequently assessing vital signs, as appropriate, can allow the nurse to provide appropriate nursing interventions in response to abnormal vital signs. Providing preventative and timely care allows the nurse to provide nursing interventions
In the case study, it shows that the nurses did not treat the patient according to his/her needs. The nurses have failed to deliver an ongoing assessment of the pressure area, and this has resulted in harm to the patient. 2.1 Risk assessment form One of the tools not used to safeguard patient safety was the risk assessment form. When a patient is admitted to a hospital, risk assessment should be done at-least within 8 hours of admission and frequently continue throughout patients stay (ACSQHC, 2012). Risk assessments consist of Braden scale, which is used to provide a prediction of the patient’s risk of pressure areas outcome, based on causes for example mobility.
This patient has many factors that are affecting her from properly managing her condition. To begin with she has not been properly educated on her condition and how to effectively mange it. In order for her to have the proper education we would need to bring in an interpreter so we can communicate effectively with this patient. Fostering a environment that makes the patient feel safe and comfortable will facilitate the educational process. If we can build a rapport with this patient we may be able to have her become more complainant with her plan of care.
Nutrition is really important for those patients. Because these patients produce lots of mucus in the intestine, the mucus interfere with the appropriate absorption of vitamin, fats, and nutrients
Since this is my patient, I am informed with her case and can see the changes that have occurred. Since there isn’t a rapid response team
The patient is a 64 year old female who presented to the ED with acute psychosis. The patient denies suicidal ideation, homicidal ideation. Patient endorses seeing others in her hospital room and speaking with them. Patient does not appear to be exhibiting signs of agitation, aggression, or responding to internal stimuli. At the time of the assessment the patient appears not to be oriented with time, place, and situation.
The disadvantage of this medication is the patient’s requirement to adhere to a low-fat diet. Failure to do so will cause severe gastrointestinal discomfort as Orlistat is a lipase inhibitor which blocks dietary fat through malabsorption. Negative side effects can include gas, bloating, fecal urgency and incontinence as well as abdominal pain (Austin, et al., 2012). The final discord with pharmacological methods is the discouraging fact that most insurances will not cover the cost of the medication. The length of treatment is often extended due to the amount of weight loss required and many patients are unable to afford the out of pocket expenses of medications.