They should initially be prioritised by immediate needs of airway, breathing and circulation (Ackley and Ladwig, 2014). All of John’s actual and potential nursing diagnoses were identified by the author. The author then prioritised John’s care and determined a priority diagnosis of ‘ineffective breathing pattern related to effects of anaesthesia’. This priority diagnosis was appropriate as it followed the theory of prioritising the immediate needs of airway, breathing and circulation. Although other nursing diagnoses were identified for John, they were not compromising his activities of daily living.
the Gap Moule et al states that for health practitioners to provide excellent care they must be research orientated (2011). For nurses to provide excellent care they need to be able to critically assess the quality of the research which is relevant to their practice (Freshwater and Bishop 2003) p 3. It is of paramount importance that the most up to date research and information
Continuous monitoring of heart rate, blood pressure and ECG trends are mandatory. If intra operative MI is suspected, this emergency situation should be discussed between the surgical and anesthetic team. The main anesthetic aims in managing intraoperative MI are oxygenation, maintain hemodynamics, minimize cardiac work, treat arrhythmias, consider use of aspirin and heparin, consider use of gylceryl trinitrate, and an intra aortic balloon pump (where available). Use of intra operative TEE to be considered for diagnosis.
According to the existing non-clinical and clinical studies for abiraterone acetate drugs, such as Zytiga, a risk management plan should be filed in details of safety concern, agreed pharmacovigilance activities, and agreed risk minimization activities. For instance, the major identified risks for abiraterone drugs are hypertension, hypokalaemia, fluid retention, hepatotoxicity, and cardiac disorders. When these side effects occur, company should follow the pharmacovigilance routine, including long-term trial extensions and follow-up with reporters in order to determine the next action to minimize the risk activities. If the adverse reactions are anticipated as pharmacodynamic consequences, actions such as co-administration with other drugs, reduction of doses, and guidance provided by physicians will step in to minimize or eliminate the side effects (Kluetz et al., 2013). Other potential risks, such as osteoporosis, cataract, drug-drug interaction, and increased exposure with food, are also observed in certain populations and the risk minimize actions should follow the risk management plan same as
We consider the proposed by the European Pressure Ulcer Advisory Panel in 2009 as the most relevant one.6 It classifies PUs according to the level of tissue destruction into four stages (Table 1). Pressure sores classified as stage I and II can be treated conservatively by using the optimal non-surgical ulcer treatment and by eliminating the local and general conditions that adversely affect healing. However, if stage III or IV pressure ulcers are present, the surgical management is normally required.
Established in 2002 by the Joint Commission to address the issue of safety in healthcare were various patient safety goals which dealt with many safety problems the accredited organization might face including medication and communication errors. The Joint Commission has also established National Patient Safety Goals for accredited organizations to follow in order to encourage patient safety by reevaluating the sentinel events data collected every year and revising the goals by omitting achieved goals and creating new ones. Hospitals evaluated by the Joint Commission must demonstrate compliance with the NPSGs as part of the accreditation process (Ellis & Hartley,
The understanding of nursing sensitive indicators are measures that focus on increasing quality and safety in patient care. Understanding nursing sensitive indicators can help the nurse can identify the issues in the scenario. One important nursing sensitive indicator is complication from pressure ulcers, restraint prevalence, and patient satisfaction. It was evident that Mr. J has the beginning of a pressure ulcer. In the scenario Mr. J had what can be perceived as a stage 1 pressure ulcer, he has redness over a bony prominence (Hughes, 2008)
Week 3: Objective 3-Analyze the literature search of a selected topic (Continued). This week I focused my research on obstacles present, in our current healthcare system, which may inhibit the implementation of holistic care practices. Unfortunately, I believe in order to effectively incorporate holistic practices understanding of their importance, in caring for the whole individual, will require a new mind-set from the “top down” within medical facilities.
Describe three specific examples using the web as well as the textbook to illustrate the connection. In support of the first example, the International Steering Committee of the Centre agreed: Look-alike and sound-alike medication names, patient credentials, communication during patient handover, correct procedure and body site, electrolyte solution concentration management, medication precision, catheter and tubing misconnections, needle reuse and vaccination tool safety, and hand sanitation are all areas the need to be put under scrutiny and examined to catch complications and create new methods to ensure safety. Assisting the second statement, the addition of interventions such as advanced “rapid response” teams called at the first sign of patient decline, evidence-based care for critical myocardial infection, prescription reconciliation as means to avert unfavorable drug interactions, steps to avoid central-line contamination, defensive use of preoperative antibiotics to
Even with being observant and watching for the obvious signs and symptoms of a UTI, it is important we also are aware that UTIs can be symptomatic or asymptomatic (Hälleberg Nyman, Johansson, Persson & Gustafsson, 2011). Signs and symptoms of a UTI can include frequent pain and/or burning during urination, polyuria, increased urgency, nocturia, hematuria, incontinence, and suprapubic, back, or pelvic pain (Paul, Day & Williams, 2016). UTIs need to be treated promptly to prevent renal damage, and/or potential septic shock. We also need to be aware of the different risk factors that
In this paper, computerized physician order entry (CPOE) systems will be discussed. The reduction of medication errors as a result of CPOE will be addressed, as well as, the possible errors or problems that it can still cause. The ease of use and how clinician input affects the efficiency, usability and safety will be included. Lastly, possible solutions to the problems and issues that arise from CPOE will also be provided. CPOE systems are very effective at reducing errors and assist with workflow.
SAFETY IN THE NURSING PROFESSION It is the belief of many medical professionals that proper safety protocols in the medical environment is paramount. There is nothing more important in a hospital setting than overall safety. This goes for both patient safety as well as the safety of the hospital staff. Both patient and staff have their own precautions that must be taken and steps that must be followed to ensure there are no mishaps.