Family theories have been used throughout the history of nursing to help guide patient care and provide the best patient outcomes. Certain theories may be more applicable to the specific patient encounter; however, each theory has benefits and drawbacks to their use. The purpose of this paper is to examine two selected theories, comparing their strengths and weaknesses. I will also discuss a theoretical family in relation to one theory, and how that theory can be best integrated into the care provided by an Advanced Practice Nurse (APN). Description of Theories The Calgary Family Assessment Model (CFAM) focuses on the theory that one patient’s illness affects the entire family.
Literature Review Physical therapy is the practice of healing various injuries with exercises instead of drugs. People have to attend physical therapy for various reasons, such as after facing a stroke, after a surgery, or if someone is experiencing pain anywhere in their body. From the International Association for the Study of Pain, pain can be defined as “an unpleasant sensory and emotional experience, unique to every individual, associated with actual or potential tissue damage” (Keefe, 2017). Many reports have shown that over 100 million Americans suffer from persistent pain, (Keefe, 2017). These people who are experiencing pain must be referred to a physical therapist’s office.
There are symbolic of pain: breathing independent of vocalization, negative vocalization, facial expression, body language and lastly is consolability. For using this pain assessment tools, nurse has to observed the advanced demented patient both at rest and during activity with or with treatment. For each of the five components select the score (0,1, 2) that demonstrated on the patient’s behaviour. Added the score in each component then giving a total maximum score of 10. The score range from 0 to 10 indicated higher number showed more severe pain.
Initially, the patient used to smoke, but has since stopped the habit. Actually, the last time the patient smoked was some 22 years ago, which shows a case of improved lifestyle habits. From a social perspective, John lives alone, which makes it harder to seek additional information from friends and family members. However, the patient makes an effort to record his attacks, thereby providing critical medical information for a much better intervention. Presently, the patient’s condition is deteriorating following a recent breathlessness attack in addition to a productive cough that alludes to a bacterial infection that requires an antibiotic treatment.
Route of hysterectomy include abdominal, vaginal, laparoscopic or combined approaches. Uterine size, shape of the vagina and uterus, accessibility to the uterus, the need for concurrent procedures, patient characteristics and surgeon training and experience are the main factor to choose the route of hysterectomy. 24 Adnexal surgery and colpoperineoplasty are the most common concomitant procedures related to hysterectomy. 9 It is the most common major gynecological operations performed to treat severe benign gynecological condition in women. It is an effective procedure for curing a number of gynecologic diseases such as uterine fibroids, pelvic organ prolapse, dysfunctional uterine bleeding and malignant condition.
The theoretical framework gives a detailed reason to why the highlighted research ques-tion exists. Orem’s self-care deficit theory of nursing is the theoretical framework relat-ing to this research because the theory is further divided into three sub-theories in which requisite are line with the following: Individual stages of development and goals, Health conditions, Developmental states, Energy consumption and expenditure, Atmospheric conditions and also the theory gives room to investigate possible causes of malnutrition alongside nurse’s intervention by assessing the need for care, approaches and required interventions. According Orem in 2001, nursing can be viewed as part of the health sector that provides authorized care to individuals.
Besides those advantages, it was mentioned that the advantages of a simultaneous bilateral TKR are that it ensures a single anaesthetic exposure, single postoperative course, a single rehabilitation period and enables a more efficient use of resources and increased patient satisfaction (Gurunathan, 2013). Setting the Context In setting a clear direction and structure to the essay, some assumptions has to be made to provide a realistic picture of the subject. A review by Stubbs et al. (2015) found that the factors associated with knee osteoarthritis were low physical activity, the non-white ethnicity, being female and increasing age. Thus, it is assumed that the lady is a Singaporean lady with bilateral osteoarthritic knees who lead a sedentary lifestyle.
If blood glucose levels were within the target range insulin was omitted and if not, STAT dose with short acting insulin was given based on GRBS values through intravenous route. Insulin to OHA and OHA to insulin conversion was seen in some cases which were based on physician judgment. Thyroid supplements were continued on the day of surgery in all cases. In very few cases, thyroid supplements were continued even when patient is nil by mouth which indicate variation from
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
However, in smaller, regional hospitals, it may be more likely that patients are known to each other. The extent to which bedside handover is appropriate in these situations remains unknown. A previous survey showed that almost 30% of 74 patients perceived the presence of other patients in the room during bedside handover as somewhat disturbing.30 it appears that nurses need to carefully consider how sensitive information is shared during bedside handover. Nurses perceived bedside handover in a positive light, believing it improved the accuracy of the information they handed over, however no comparison was done with other handover types, so this perception may not be accurate. Our participants said that patients’ presence not only prompted outgoing nurses to remember information that should be passed on, it also prompted oncoming nurses to ask questions and seek clarification, which may account for the perceived accuracy of bedside handover.
The patient was transferred to the intensive care unit after finding that her hemoglobin was less than 6, she was symptomatic, and required numerous blood transfusions among other products. I later learned that TXA is used to reduce blood loss in major surgeries, including joint replacements; although its use is based on surgeon preference. The PICO question I formulated for this evidence-based paper is as follows: In patients undergoing joint replacement surgery, does the use of TXA intraoperatively reduce blood loss or the rate of postoperative blood transfusions as compared to no pharmacological
Rest and medications help alleviate the pain. Activities at home and work worsen the pain. Numbness, tingling, and burning sensation are reported with increased pain throughout the week. The patient is requesting medication refills and reports limitations with gripping, grasping, pushing, pulling, and lifting 10 pounds. Activities of daily living are limited due to pain, as
That means taking time out of our busy day to counsel each patient on their medications instead of just ringing them out. Some low-income patients are able to set up monthly payment plans to pay for their scripts when money is an issue. If a patient is out of a medication and has no more refills, we give them a few pills to get by while we wait on the doctor’s office. We have a free-of-charge delivery service where our delivery driver will deliver prescriptions to elderly people who have no means of transportation. It is providing legendary customer service that really sets Hy-Vee pharmacies apart from
Anaesthesia was maintained with O2, Isoflurane, and N2O on spontaneous ventilation with closed circuit. Anaesthetist explained to the author that Isoflurane was suitable for Sibert because of his age and healthy status. Furthermore, Smith et al., (1992) also mentioned that Isoflurane is a good anaesthetic agent for adults and causes less cardiovascular effects. Again, Frink et al.,(1992) emphasised that Isoflurane when used on patients with ASA grade 1,the incidence of post-operative nausea and vomiting is very less even though it causes respiratory