...history of Bipolar Affective Disorder and previous suicide attempts, resulting to numerous psychiatric admissions. She was on lithium for approximately 18 years, which now resulted for her thyroid to become toxic and her kidneys to completely stop functioning. She has been recently diagnosed of End Stage Renal Failure (ESRF). This recent diagnosis has left her more anxious and depressed. As her family and the Community Mental Health Team (CMHT) from the POA unit had worrying concerns regarding her increasing inability to cope at home and recent suicide attempt, they have decided to refer her to Golden Living Centre (GLC) for respite. GLC is a nursing home where I did my 8-week specialist placement. The CMHT from the POA unit visits Serena on a weekly basis ensuring continuity of care. The community mental health nurse (CMHN) comes in to the nursing...
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...This is a case study of S.A. who is 35 years old female who is brought to the ED at NY Medical Center (NYMC) by EMT via ambulance in the reason of altered mental status. S.A. was pacing in circles outside her apartment building in the middle of the night and she was speaking incoherent sentences to “imaginary people”. S.A. has past medical history of tonsillectomy, adenoidectomy secondary to frequent Strep. throat, and diagnosed with asthma, scoliosis, and depression. She had back surgery for herniated disk and stenosis in May 2015. She also has past history of alcohol poisoning and drug overdose. Since then, she began Alcoholic Anonymous and she was “clean” for six months when she admitted beginning drinking alcohol occasionally. After she returned to work in September 2015, she was found that she lost focus on three different occasions when she was working in the surgery room. She admitted that she had addiction problem since...
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...The health system is dedicated by providing continuous support to nurses through the chief nurse executive together with the nursing leadership team. Nurses are encouraged to critique the status quo of the existing practice, they are given free access to library resources and they are also provided with enough time to conduct their research. The problem solution strategies therefore, fit the health system culture and it will ease the implementation exercise. The staff experienced nurses will be empowered to use EBP as a way of improving their practice and safety of nursing care. The organization effort of empowering the experienced nurses will make it more effective for them to offer more to the novice...
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...Research Critique, Part 1 XXX Grand Canyon University: NRS 433V XXX Research Critique: A Qualitative Study Researchers completed a study seeking out barriers to the implementation of non pharmacological interventions for patients with dementia by nursing home staff. To better recognize and understand these barriers and to in hopes of providing a stronger evidence base for cultural change, researchers elicited nursing staff, recreational therapists, activity personnel and medical directors in a study titled “Its About Time: Use of Nonpharmacological Interventions in the Nursing Home.” Problem Statement Dementia is one of the most common diagnoses on the rise amongst the geriatric population. Alzheimer’s The most common form of dementia is Alzheimers, affecting well over 5 million people nationally. Institutionalization is common amongst this population as the disease begins to progress, typically bringing on behavioral and psychological symptoms of dementia (BPSD) including agitation, aggression and depression. This population is recognized as vulnerable and fragile, both mentally and physically. Many frequently have physical comorbidities along with dementia. This issue of suffering from comorbidities brings on the prescribing of multiple medications, which over time interact and accelerate their functional decline (Kolanowski, Fick, Frazer, Penrod, 2009). Due to the lack of beneficial effects when weighted against both short and long term adverse effects of various...
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...The patient is an 89-year-old female, a patient Dr. Jeffrey Gold, who was seen in the ED St. Joe's Wayne on 11/7/2016 after a fall at home. The workup there was negative for acute fractures. The patient was sent home. The patient is known to have dementia. She is known to have bilateral knee replacements, hypertension, gastroesophageal reflux disease, anemia, dyslipidemia, coronary disease, congestive failure, a fib, history of previous falls, history of previous a prior right proximal humeral fracture and inferior pubic rami fracture. When seen in the office by Dr. Gold he sent the patient immediately back to ED for further eval. As for the health aide who is a 24-hour live the patient was able to walk to the bathroom. Although they...
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...1. What other questions should the nurse ask about the fatigue? The nurse should ask the patient to describe the fatigue, assess the fatigue as it may relate to one’s lifestyle, and assess how it affects her activity of daily living by asking these questions. - Do you get tired easily? - How does it feel? - Are you able to keep up with your family? - Can you explain your sleeping and resting habits? - Can you explain your eating habit and changes in appetite or weight? - How the fatigue affects your activity of daily living and lifestyle? Are you able to get up from bed or cook a meal when you feel fatigue? - How do you feel during and after an exercise? - How does the fatigue affect your sleep quality? - Do you feel depress or anxious? Do you have pain? Different causes of fatigue happen on different time. Patient with fatigue caused by decrease cardiac output will experience worse fatigue in the evening. On the other hand, patient with fatigue caused by anxiety or depression will experience fatigue the whole day or worse fatigue in the morning. The nurse should also ask the patient about the onset of the fatigue and how it happened by asking these questions. - When did you start feeling fatigue? - How long does it last? - What makes it better or worse? - Does it cause any symptoms or side effects? Any pain? - Did it happen suddenly or gradually? - Do you have any recent change occurred in energy level? - What do you do about it? What do you do about it? - Do you take any medication...
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...and flexible staffing; and policies that protect both the patient and the nurse from inappropriate assignment or delegation of nursing responsibilities, activities, or tasks (American Nurses Association, 2015). How I accomplish these duties as the manager of the department...
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...3) What impact did the abuse have on the patient? • Ms. Annie lost her trust • She got frightened 4) What actions should a nurse take in order to prevent/stop this kind of abuse? • One nurse should approach the client at a time • Discuss the bath schedule with the patient and listen her concerns • Asses the reasons behind the client’s behaviour. • Find how often the client took a shower before admission. • Take little to time to create a trust worthy relationship and establish a therapeutic communication with the client. • Redirect the client. • Seek additional education program about the management of dementia clients. 6) Sexual Abuse Video SUMMARY: • Two nurses are providing care for a male client. • They laughed, made sexual comments...
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...W5 Application: Patient Safety Risks Nursing Home Setting This paper will focus on geriatric patients group with increased fall risk at nursing homes. A nursing home is chosen by as the selected healthcare setting. Nursing homes are not only for geriatric population, but for anyone who requires 24-hours care. Nursing homes focus their services for people who cannot be cared at home. Most nursing homes have nursing aides and skilled nurses on hand 24 hours a day. Many of them are set up like a hospital setting. This type of facility provides interdisciplinary medical care, such as physical, speech, and occupational therapy, or even specialized care units. Patient Safety Among the key challenges of patient care, quality, and safety is to ensure that there are no injuries to patients from the care intended to help them. Another challenge is to provide care that is respectful of and responsive to patient preferences, needs, and values. Since the nation's health care system is prone to errors which can be detrimental to quality and safety. In fact, a variety of stakeholders are responsible of ensuring that patient care is delivered with the highest quality standards and that no harm occurs to patients. However, the possibility of errors is...
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...Healthcare is experiencing significant and rapid change and dramatic change is still to come. Healthcare organizations must ensure high levels of technical and professional expertise during these challenging times. Nursing leadership that promotes creativity and innovation will succeed in change that is growth-producing, renewing, and invigorating for nurses and healthcare organizations, improving patient care and outcomes (Huber, 2014). An essential leadership competency to achieve this trend is, highly developed collaborative and team building skills. Relationship age leadership focuses on the relationship between the leader and his/hers followers, on discerning a common purpose and working together cooperatively to achieve a desired outcome...
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...The case study we have been given is about a women named Sarah who is 38years old married women with two children age, eight and ten. Five years ago she developed multiple Sclerosis, the progress in her illness have been very rapid, and she now needs support in most of her daily living activities. She has a carer that comes in every morning to help her get up, get dressed, wash and make breakfast for her and her two children. She can eat independently as long as the food preparation is well thought-out. Sarah has to use a catheterization for bowel movements. She can walk with two sticks on a good day and on a bad day she uses a wheelchair because she can barely walk. She used to work full time in a school but now because of her illness, she...
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...demands. She keeps a notebook record of her sister’s care, including medication, times of care, intake and output, and personal assessments. In addition, sister is threatening to file a complaint against the hospital staff and the doctors. Her demand is that her sister is not receiving proper care. Burkhardt & Nathaniel 2011, “The principle of beneficence is one that nurse to act in ways that benefit patients” (p. 61). Which means demonstrate beneficence by helping patient to reach their highest level of wellbeing. Miss G is religious person. During my care of Miss G, I assessed her physical, as well as, her spiritual needs. I built my nursing framework for her care based on nursing code of ethics. As a nurse I practices providing care with...
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...Does Freire’s theory inform our work in this arena? The Doctor of Nursing Practice (DNP) is to advocate for policies to decrease health disparities, right social injustices, and assist vulnerable populations (American Association of Colleges of Nursing [AACN], 2006). Access to health care services is not enough to address care disparities; there must be understanding of the situation the marginalized groups faces and change the paradigm. Oppression is a process that evolved over time and it will take time to resolve the mindset of the groups involved. Freire (2014) illustrates the need for patience and understanding on a deeper level. The foundation of his theory of cultural action is education. Transformation for both the oppressor and the...
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...A COMPARATIVE STUDY OF THE PHILIPPINES AND U.S.A. B.S. NURSING CURRICULUM In Partial Fulfilment of The Final requirements for the Subject CURRICULUM DEVELOPMENT ________________________________________ Prepared and Submitted by: ROTSEN J. JAMBONGANA, RN CHARMAINE S. DACLES, RN ANA TESSA SOLIGUEN, RN STEPHANIE VARELA, RN TRACY SARMIENTO, RN MICHELLE CAñA, RN PEARL DOLALAS, RN ________________________________________ Respectfully Submitted to: MRS. MERLE SALVANI, MN Professor MASTER IN NURSING University of St. La Salle March 2011 Abstract At the undergraduate level, individual college and university administrations and faculties sometimes mandate core curricula, especially in the liberal arts. But because of increasing specialization and depth in the student's major field of study, a typical core curriculum in higher education mandates a far smaller proportion of a student's course work than a high school or elementary school core curriculum prescribes. In the United States, most control over education rests with the various state governments. Each state has different laws and objectives for education, but the states generally permit schools and colleges to operate with considerable independence and autonomy. As a result, American educational institutions can vary widely in the type and quality of their programs. To maintain consistent standards of education, the U.S. Department of Education officially recognizes private accrediting agencies...
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...Professor and Class, In my opinion, this is how I believe that we can encourage all nurses to broaden their knowledge of the community to identify health risks, needs and resources...pertinent environmental factors. Nurses can encourage other nurses to join the professional organization such as the American Nurses Association (ANA), where they can subscribe to nursing magazines and journals. According to ANA (2010), registered nurses have three professional resources that inform their thinking and decision-making and guide their practice. They are as follows: Code of Ethics for Nurses with Interpretive Statements, the Essence of the profession and Nursing’s Social Policy Statement. Healthy People 2020 is also another great source for...
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