1-800-MALPRACTICE Website Nursing Home Neglect/Abuse Falls (link to Falls in Cases section?) Every second of every day in the United States, an older adult falls, according to statistics from the Centers for Disease Control and Prevention (CDC). This makes falls the number one cause of injuries and deaths from injury among older Americans. With close to 2 million people over 65 living in nursing homes, falls, and the serious consequences that often result, have become a serious problem in these facilities. Falls can result in a variety of critical outcomes that include broken bones, hospitalization, infections, fear of subsequent falls and loss of independence.
(Lampela, Lavikainen, Huupponen, Leskinen & Hartikainen, 2013)” Several risk factors must be taken into consideration when assessing fall risk. Physiological factors include dehydration, muscle weakness, impaired mobility, unstable gait, poor balance due to pain, musculoskeletal deformities and neurologic disorders. Endurance and sensation alterations include activity intolerance, foot problems and neuropathy. Also, impaired vision related to glaucoma, cataracts and poor depth perception can lead to falls. It is also necessary to take a patient’s medication history into consideration.
This numbers brought awareness to me that we nurses as researchers need to find ways to reduce the rate of incidence of medication errors which greatly affects the safety of our clients. The nurses main role is to promote safety and healing of the patient. Florence Nightingale stated in her book entitled “Notes on Hospitals published in 1859, “ the very first requirement in a hospital is that sit should do the sick no harm”. The sterile cockpit technique is now being integrated to the field of medicine for it can greatly reduce the number of errors present in our current situation by eliminating interruptions
used 13 different studies from various countries compiling the rates of the three categories used in the Maslach Burnout Inventory. Of the studies used, 20-44% of emergency nurses reported high emotional exhaustion, 23-51% reported feeling depersonalization towards their patients, and those nurses with a feeling of low personal accomplishment were between 15-44%. The rates among emergency nurses are comparatively even with those of intensive care nurses. The workloads of emergency nurses and intensive care nurses differ significantly but both types of nurses are predisposed to develop burnout syndrome. Among intensive care nurses, 61-67% had symptoms of emotional exhaustion; depersonalization towards patients
Burnout tends to increase the rate of turnover, decrease the quality of care that is provided, as well as negatively affecting the health of the caregiver (Dewa, 2017). In a research study, it showed that about 37% of nurses that worked in nursing homes suffer from high emotional exhaustion while 35% of nurses that worked in a hospital setting also suffer from high emotional fatigue (Dyrbye, 2017). Through research, it was indicated that turnover rates for nursing homes ranged from 40-75% (Cohen-Manfield, 1997). Burnout is due to several issues such as employees being overworked or having to deal with traumatic situations on a daily basis such as death (Kompanje, 2015). Consequently, some of the healthcare workers have PTSD as a result of what they have experienced (Kerasiotis, 2004).
She analyzes the benefits of identifying and diagnosing delirium, the short term and long term effects of delirium on a patient, and nursing interventions to prevent and manage delirium (Volland, 2015). At Johns Hopkins, using the acronym DELIRIUM allows ICU nurses to identify risk factors including, “dementia; electrolyte disorders; lung, liver, heart, kidney, brain; infection; rx (prescription) drugs; injury, pain, stress; unfamiliar environment; metabolic” (Volland, 2015). With ICU nurses better trained in identifying these risks, they can alert the medical team and interventions can be implemented to decrease the effects and length of psychosis. Effective interventions studied were: addressing any underlying medical issues; creating a more relaxed environment that is conducive to sleep and decreased anxiety; distinguishing between night and day by adjusting the lights and announcing the day and time to the patient; and conversing with the patient (Volland,
The Comfort Theory by Katherine Kolcaba would address not only pain, but help the nurse understand anxiety levels of the patient and parents, therapeutic interventions such as the use of ice packs, warm blankets, distraction techniques such as blowing bubbles and having parents engaged with the child who may be experiencing pain (McEwen & Wills, 2014). This theory also shows the importance of how families view the operations of the institute and if their child is not having their pain addressed then this may result in a negative connotation of the hospital. The overall goal of this theory looks at the outcomes of comfort and shows that comfort can be measurable, positive, nurse specific, and positive in nature (McEwen & Wills,
For instance, consumer teleconference services link the vulnerable newborns in the neonatal ICU to their respective families. This technology allows the parents to keep track of the progress of their patients in the ICU. Also, the time-saving sensors in the ICU alert the clinicians as well as the nurses to perform critical tasks to the patients on time. For example, in previous technology, the nurse would be required to monitor the bed angle required for the patient manually. This would require a frequent visit to the patient area to check on the angle of the bed to ensure proper positioning for the patient to promote comfort.
Expected Patient Outcome: The patient will verbalize 3 resources that can support with increasing knowledge of disease process by the end of teaching secession. Nursing Interventions: 1) Assess patients knowledge base of STI 2) Teach patient ways to prevent transmission of STI to others 3) Provide informational brochures or websites to obtain information such as CDC 4) Observe patients ability and readiness to learn 5) Establish an environment of mutual trust and respect to enhance learning 6) Provide sufficient time during teaching to allow the adolescent to ask questions. 6) Document teaching in patients medical record Scientific Rationales: 1) This provides an important starting point in education. 2) Sexual abstinence is indicated during the communicable phase of the disease. 3) Some may prefer written over visual materials, or they may prefer group versus individual instruction.
Nurses got to ensure that patients have the required knowledge and skills before discharge (Collins, 2014). Wagner et al. (1996) had argued that, for chronic conditions patient’s they learned to empower self management by gain knowledge and skill from nurses whom had done the plans for discharge. Lorig et al. (2009) had agreed that, the concept of empowering patient in self management is crucial.
Patients who get burned are considered fall risks for multiple reasons; from the opioids they will receive while staying with us, to mobility issues due to their injuries. This is especially true with older adults. Fall assessment is always at the forefront of our clinical practice. “Falls among older adults tend to occur
Patient with critical condition need to be considered as they need to be closely monitor by health professionals in the hospital. The Consultation document ‘Care in the Community’ (DHSS, 1981) made several suggestions for moving people who do not need nursing care out of long -stay hospital (Social Policy and Social Welfare, 1983). By limiting services, NHS is trying to increase its care to what it may be refer as ‘treatment’. Giving priorities to both conditions are necessary but doing this by choosing the right environment and what is best for patient is more important. In family members, it might affect elderly people that might require help such as nursing care.
If an infant has swollen hands, feet and abdominals they might have anemia the swelling is due to the sickle shaped cells blocking blood flow. The lack of blood flow can also slow down the body’s process of growing this is most common amongst children and teenagers. This disease can also affect the formation to the retina of the eye which is the part of the eye that processes images; this might also cause a yellow tint to the