Note book reflection 1. It would be extremely interesting if you could critically analyses the pro and crons of using these models in your nursing practice. Give examples from your work experience on how you could or are using any of the nursing models discussed in this unit. Pro (strength) • The phases provide simplicity regarding the natural progression of the nurse patient relationship • The simplicity leads to adaptability in any nurse patient interaction, thus providing generalizability • Informs knowledge through research of others • Focuses on getting to know the client • Help a client who has felt a need • Clear and simple Mr. Y ,55 year old coming with post angiogram finding 3VD and need of urgent CABG. During admission, patient …show more content…
Cons (weakness) • Health promotion and maintenance were less emphasized • The theory cannot be used in a patient who doesn’t have a felt need such as with withdrawal patient • Some area are not specific enough to generate a …show more content…
Spike temperature due to inflammatory process secondary to pneumonia Identification phase( planning) Plan a goal to achieve after detect the problem. The patient will participates and interdependent with the nurse, patient has feeling of belonging and selectively responds to those who can meet their needs. So patient will express need to get relief from breathing problem ,need for improving the health condition and reduce of fever then them will more express need to know more about prognosis, discharge and home care with follow up. Example goal for patient Mr. Z for the problem 1 and 2 diagnosis 1st diagnosis goal as to minimize the secretion, clear the airway and maintain normal airway, after nursing intervention patient will more easy in breathing with result of relieve of congestion and improve breathing pattern thus promote gas exchange. 2nd diagnosis goal as to reduce the temperature will within normal limit with patient feel comfortable, less lethargic and temperature in range 36 to 37 ᵒc. Exploitation phase( implementation) Carried out the plan and intervention. Patient actively seeks and draw knowledge and expertise of those who can help, patient also cooperate and participate in performing deep breathing and coughing exercise. Implementation for the diagnosis 1st and 2nd
Goals & Interventions: 1. Nursing Diagnosis: Impaired gas exchange r/t exacerbation of COPD a.e.b. wheezing in patient’s throughout. Goals/outcomes: Patient will maintain adequate ventilation and have clear breath sounds within 24 hours upon auscultation. Goal met within 24 hours of initial respiratory assessment and maintained over a 24 hour period 10/26/2015.
Module title: Principles of assessment and management of the acutely ill adult Module Leader: Briege King word limit: 500 student 's name: Hema Elizabeth Philip This particular case study shows the assessment and management of an acutely ill adult who presented to the emergency department. This will explain pathophysiological cause of the illness, the assessment and the treatment given to the patient consent received from the patient and my manager as I am discussing the patients information. I am using mrs.Smith as patients name as I do not want to reveal the patients original name due to the confidentiality(an bord altranais 2012). Mrs.Smith 80 years old female brought by ambulance with complaints of increased shortness of
Patient Care Conference 72 Hour Reflection What went well? At the beginning of this shift, we listened to the report from the night shift nurse and went over the patient chart to get some information about the patient who we were going to be interacting with. We also went over DSM-5 about depression and took notes about expected findings we might see on this patient.
The hospital and care team need to be ready to handle any situation; as such, the above policies must establish in the hospital emergency manuals and each personnel must be trained. The plan to use a medical interpreter serves the purposes of efficiency and comfort. The hospital stands to save time and valuable resources while the patient feels a sense of satisfaction as the medical interpreter share information using language and terms the patient can understand. The policy to provide patient education also helps relieve patient anxiety while helping the patient to make an informed decision. The plan to grant family authority as the decision maker is
I was on my rehabilitation clinical placements at the Bundoora Extended Care. Mr John, 84 year old man, was admitted to the clinic 2 days past to my day of work. He had been experiencing retention of urine and was in extensive pain. My buddy nurse and I were educated amid handover that we would be taking care of John on this specific movement and might we be able to change the dressing on his right leg as he had an ulcerated leg because of affliction from a condition known as Peripheral Vascular Disease. My buddy nurse requested me to get him washed and changed.
My goals for this course is to gain a better understanding regarding health care initiatives and health promotion. Take the practical information, tools and incorporate into everyday practice. Since I have been working associate degree nurse (ADN) for 21 years. The topic for my first paper was "Why BSN are better nurses than ADN nurse" my first thought is their not. I took away after research that ADN focuses more on the task at hand and BSN have a better understanding of theory and
Background: Describe a nursing situation you encountered this week. Today we attended clinical for second time. Our main focus was patient with COPD or any gas exchange difficulty. We assessed the patients with gas exchange problems.
Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.
Dr. Sanner and class, the models that would be most important to my nursing role is the Decision Making Models. When we make decisions, we select the best alternative from the available set of alternatives. This 7 step model consist of seven steps which include establishing objectives, classifying and prioritizing objectives, developing alternate actions, evaluating alternatives against objectives, tentative decisions to most appropriate alternatives, evaluating tentative decisions for more consequences, and decisive actions taken and additional actions to prevent consequences. This Rational model consist of a structured four step sequence, which include identifying the problem, generating alternative solutions, selecting a solution, and implementing
What is reflection? Reflection is described as the process individuals use for self-development in their future career. The process of reflection has been used for many years in professional health fields such as midwifery and nursing (Lillyman. S & Merrix. P, 2012). Florence nightingale pioneered the practice known as reflection-on-practice, this is a tool that is needed in developing improvement and knowledge to enable an individual to grow in their nursing profession.
During these past weeks at the Archbold ER, I had the opportunity to put into practice many of the content learned in class. This included but was not limited to the proper placement of a Foley catheter using sterile techniques, insertion of an NG tube, and assessment of patients. Even though I attempted to complete some of my initial goals for this internship, I noticed that I couldn’t complete a few of them due to lack of time and lack of experience in the field. Therefore, some of my goals that I’ll need to address during the following three weeks include improve my assessment skills, have better communication with my patients, and improve my questioning to get a better understanding of the cause that brought them in. One the most beneficial
Introduction This essay is a reflective piece of writing about the critical indecent of a medication error that occurred during my placement. It is a very concise piece of writing due to limited word count of 1500 words. Duke and Appleton (2000) did a literature review and devised a framework of critical reflection, which illustrates eight stages as compare to Gibbs’s (1998) reflective model that consist of six stages. I chose Gibbs reflective model not only it is easy to comprehend but also to illustrate a critical incident.
Taking vitals and their chief complaints and working them up as needed. There at Frisco Urgent Care we had a protocol to follow. If a patient came in with cough we were allow to run a flu test, strep test and get bloodwork and even a chest x-ray all before the doctor step in the patient room. It being an Urgent Care meant anything could happen. We are trained in what to do accordingly to a patient depending on symptoms or how they came in .
Evolution from Novice to a Beginning Professional Nurse Looking back when I started my nursing school, I can proudly say that I have evolved both physically and psychologically. I was not sure if nursing was the right choice for me at first because I had difficulties interacting with people outside my family circle. The first semester was challenging for me because I did not know how to interact with my class mates and felt isolated each time there is a class activity. I joined a study group later that semester and it has been an excitement ever since.
Nursing interventions revolved around patient education as Mr. L lives in the community, he needed to receive the appropriate information. The teaching information came from the Centers of Disease Control and Prevention guidelines on neutropenia and risk of infection (2015). The patient taught about the importance of hand hygiene, to avoid overcrowded areas and people with respiratory infections, and he was instructed to wash raw fruits and vegetables thoroughly before consumption (Neutropenia and Risk for Infection: What You Need to Know, 2015). The patient was taught signs as symptoms of infection such as: fever, chills and sweats, new cough, and shortness of breath (Neutropenia and Risk for Infection: What You Need to Know, 2015). The patient