...Comprehensive Simulation Reflection Seven seconds… The heroin coursing through his veins. Empty bottles and track marks provided an escape. A 38-year old Caucasian, male found on the bathroom floor by his nine-year-old daughter. This simulation provoked the need to prioritize nursing assessments and interventions for a patient presenting with a heroin overdose and alcohol toxicity. Genetic and genomic considerations were taken into account regarding substance addictions. By evaluating the life of another, personal strengths and weaknesses were discovered. Twelve minutes… The time spent lying on the bathroom floor. The patient was found unconscious. Cardiopulmonary Resuscitation (CPR) occurred and Narcan was administered. Pinpoint pupils,...
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...The ability of making a clinical judgment is essential in the nursing career. It safely and effectively meets the patient’s health care needs. We are given an insight into Josie Elliot’s pain management in postoperative care in which, Tanner’s model of clinical judgment is used holistically provide Josie’s optimum patient care. This provides a framework to enhance the process of making a clinical judgment in several situations. The importance of Josie Elliot’s pain management and potential effects of uncontrolled pain in postoperative care are discussed to provide full recovery for the patient’s needs. The importance of pain control is to provide patient comfort during the healing process in postoperative care. (Douglas & Schoenwald, 2013) Pain is considered the 5th vital sign during observations therefore the pain scale should be recorded during observations after surgery. Pain intensity is also assessed, as it is a quantitative estimate of the severity of the patient’s perceived pain. (Douglas & Schoenwald, 2013) Nurses also use pain scales to determine the pain intensity. (Ersek & Irving, 2012) For example, the numerical rating scale allows the patient to rate the level of pain from 0 -10. Nurses use a holistic approach to help the patient on how to deal with pain, helping them regain their physical, mental and spiritual health. (Seliman & Andosy, 2011) Family & patient education is also important as Lorig (2001) views it as a schema designed to improve...
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...Pain Assessment and Management G u i d e l i n e f o r Marlene Walden, PhD RNC NNP CCNS Sharyn Gibbins, PhD RN NNP P r a c t i c e , 2 n d E d i t i o n Pain Assessment and Management Guideline for Practice, 2nd Edition This guideline is an outline of the pain assessment and management practices that currently are accepted and documented by experts in the field of neonatal care. In addition, it summarizes and recommends pain assessment and management practices based on the best evidence for the nursing care of infants. This guideline does not preclude the use of manufacturers’ recommendations or other acceptable methods of assessing and managing pain in infants. The use of other practices known to improve the quality of neonatal care is encouraged and not restricted by this document. The National Association of Neonatal Nurses (NANN) developed this guideline in response to members’ requests. Broad in scope, it can provide a foundation for specific nursing protocols, policies, and procedures developed by individual institutions. Authors Marlene Walden, PhD RNC NNP CCNS Sharyn Gibbins, PhD RN NNP Reviewers Daniel Batton, MD, American Academy of Pediatrics Sandra Sundquist Beauman, MSN RNC Jim Couto, MA, American Academy of Pediatrics Mary Ann Gibbons, BSN RN Melinda Porter, RNC CNS NNP Ann Stark, MD FAAP, Chair of AAP Committee on Fetus and Newborn Carol Wallman, RNC NNP MS, NANN/AWHONN Liaison to AAP Committee on Fetus and...
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...to the local hospice. For the purpose of this assignment the focus will be on pain, the importance of being pain free and what this would mean for Charles will be discussed through-out this case study. The World Health Organization (2008) say that freedom from cancer pain must be regarded as a human rights issue. Charles's pain was poorly controlled on admission so it took several hours for the nurse to assess and come to an agreement with Charles about how to manage his pain. The End of Life Care Strategy, written by the Department of Health have published the following guideline; " Ensure that pain amongst people approaching the end of life are kept to an absolute minimum with access to skilful symptom management for optimum quality of life." (Department of Health, 2008, p33). Historically, pain was seen as an emotion rather than a sensation that was experienced by the heart and not the brain (Meldrum, 2003). Pain in today’s society is seen as an unpleasant sensory and emotional experience associated with actual or potential tissue damage (International Association of the Study of Pain, 2011). Therefore, pain is not only experienced on a physical level such as intensity, location and quality but also with emotional feelings such as anxiety, frustration and depression. Pain is a multidimensional phenomenon and many health care professionals today adapt a more practical definition that states “pain is what the patient says it is and exists when the patient says it does” (Tollison...
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...Running head: CASE STUDY LS Mental Health Case Study LS Nicole Castro College of Southern Nevada Division of Nursing Mental Health Nursing Clinical NURS 243C-S10 Micki Lin Mongogna-Alarcon, MA, BSN, RN October 18, 2010 Mental Health Case Study DM Demographic Data: LS is a 44 year-old female of African and Hispanic decent. She was born in California but moved to Las Vegas as a teenager. She stated that she attended Clark High School and went to a “stewardess college” in California. She worked as a stewardess for 4 years and quit in 1986. Her father was African-American and her mother is Hispanic. She has 4 brothers and 2 sisters. She is married and lives with her husband and his son in their private home. She has two children, fathered by her ex-husband, who are now in custody of LS’s mother. Her children were taken away from her, by the court, due to her abuse of drugs and alcohol. LS stated that her father abused alcohol and that all of her brothers and sisters abused drugs and were diagnosed with bipolar disorder. LS stated that she started noticing symptoms of what she thought was depression 6 years ago but was diagnosed with bipolar disorder in 2005. Her chart stated that she has had an 11 year history of bipolar disorder. Presenting Problem: LS stated that she had not been taking her medications for four days because her husband forgot to pick up her medications from the pharmacy. However, her chart stated that she was off of her medications...
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...Alcohol and Drug Addiction Liberty University Abstract This paper is a reflection of addiction in the United States and the statistics that prove addiction is a major issue within the country. Discussed in the paper will be first the primary causes of addiction and risk factors that may lead to an addiction in an individual. Going further into the problem, the cycle of addiction and how to break free of the cycle and an individual’s addiction is talked about. Since there are different drugs that can cause addiction, a breakdown of certain drugs is given. These drugs include alcohol, prescription drugs, heroin, and marijuana. Next, the side effects of drug addiction to the drugs chosen are described in depth as well as the signs that can be viewed in screening for drug addiction. Resources available to drug addiction are touched on and treatment options to explore what can be done if an individual does suffer from drug addiction. Finally, what human service professionals are doing to assist individuals who are addicted and how they can improve on training to ensure that addiction can be caught early enough to make a difference? Introduction to Drug Addiction Addiction is a chronic disease of brain reward, motivation and memory in individuals who submit to any number of different drugs available to them. Such chronic need for the drugs leads to manifestations biologically, psychologically, spiritually and even socially in any given individual (ASAM, 2014). These, however...
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...Reflection on Understanding and Treating PTSD Xxxxxxx xxxxxx EmpireState College I have read and am aware of the university requirements regarding academic honesty Instructor: Bernard Wakely December 21, 2012 Introduction What is now known as Posttraumatic Syndrome Disorder has a long history and list of names. It has been suggested that Homer form the Odysseus described symptoms of PTSD upon his return from the Trojan War. More recently it has been given many names. During the civil war it came to be known as Soldiers heart. During WWI it became known as “shell shock” and “war neurosis”, changing again during WWII to “battle fatigue” and ‘combat neurosis”. During this war the condition was so severe during this war psychiatric discharged soldier outnumbered new recruits. The name once again morphed during the Vietnam War to “post-Vietnam syndrome” and finally settling to its current moniker Posttraumatic syndrome disorder. Despite the many name changes one thing has remained constant and that is the condition causes suffering Over View Post Traumatic Stress Syndrome is an anxiety disorder that is caused by exposure to a situation or environment that is violent or life threatening to an individual or others. Its symptoms include flashbacks, hyperarousal and avoidance. It was originally believed that PTSD represented a natural and normal response at the extreme end of a response continuum based on the severity of the trauma. This response is the flight...
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...PN MENTAL HEALTH NURSING EDITION . CO NT ASTERY SERI ES TM N E R EV MOD IE W LE U PN Mental Health Nursing Review Module Edition 9.0 CONtriButOrs Sheryl Sommer, PhD, RN, CNE VP Nursing Education & Strategy Janean Johnson, MSN, RN Nursing Education Strategist Sherry L. Roper, PhD, RN Nursing Education Strategist Karin Roberts, PhD, MSN, RN, CNE Nursing Education Coordinator Mendy G. McMichael, DNP, RN Nursing Education Specialist and Content Project Coordinator Marsha S. Barlow, MSN, RN Nursing Education Specialist Norma Jean Henry, MSN/Ed, RN Nursing Education Specialist eDitOrial aND PuBlisHiNg Derek Prater Spring Lenox Michelle Renner Mandy Tallmadge Kelly Von Lunen CONsultaNts Deb Johnson-Schuh, RN, MSN, CNE Loraine White, RN, BSN, MA PN MeNtal HealtH NursiNg i PN MeNtal HealtH NursiNg review Module editioN 9.0 intellectual Property Notice ATI Nursing is a division of Assessment Technologies Institute®, LLC Copyright © 2014 Assessment Technologies Institute, LLC. All rights reserved. The reproduction of this work in any electronic, mechanical or other means, now known or hereafter invented, is forbidden without the written permission of Assessment Technologies Institute, LLC. All of the content in this publication, including, for example, the cover, all of the page headers, images, illustrations, graphics, and text, are subject to trademark, service mark, trade dress, copyright, and/or other intellectual property rights or licenses...
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...● To compare the scores obtained in studies of different patient population both before and after treatment ● To review the methodology of outcome measurement ● To consider what is actually measured by this and similar instruments ● Study Design. The Oswestry Disability Index (ODI) has become one of the principal condition-specific outcome measures used in the management of spinal disorders. This review is based on publications using the ODI identified from the authors’ personal databases, the Science Citation Index, and hand searches of Spine and current textbooks of spinal disorders. Objectives. To review the versions of this instrument, document methods by which it has been validated, collate data from scores found in normal and back pain populations, provide curves for power calculations in studies using the ODI, and maintain the ODI as a gold standard outcome measure. Summary of Background Data. It has now been 20 years since its original publication. More than 200 citations exist in the Science Citation Index. The authors have a large correspondence file relating to the ODI, that is cited in most of the large textbooks related to spinal disorders. Methods. All the published versions of the questionnaire were identified. A systematic review of this literature was made. The various reports of validation were collated and...
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...thought to be a good way of airing out issues. It is unfortunate that at times a patient in our care may die no matter what we do. Profound ethical questions on end of life issues confront the medical personnel as they watch and wait helplessly. This paper touches on ethics, law, social and public policy as they affect nursing practice. Setting: This is a conference proceedings report augmented with a case study of Nelly from a local setting and compares it with two others from elsewhere which were also presented during the conference. Conference was organized by Federation of African Medical Students Associations (FAMSA), Eldoret 2011. The author was a presenter and discussant. This paper is a compilation of the ideas, inspirations and reflections of the significant sessions and also fulfills some of the recommendations resulting from the distinguished panelists. Objectives: - i) To explore ethical dilemma issues on end of life which have a heavy bearing on Nurses and other health care providers. ii) To explain euthanasia as it relates to...
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...Human immunodeficiency virus infection / acquired immunodeficiency syndrome is a disease of the human immune system caused by infection with human immunodeficiency virus . During the initial infection, a person may experience a brief period of influenza-like illness. This is typically followed by a prolonged period without symptoms. As the illness progresses, it interferes more and more with the immune system, making the person much more likely to get infections, including opportunistic infections and tumors that do not usually affect people who have working immune systems. HIV is transmitted primarily via unprotected sexual intercourse, contaminated blood transfusions, hypodermic needles, and from mother to child during pregnancy, delivery, or breastfeeding. Prevention of HIV infection, primarily through safe sex and needle-exchange programs, is a key strategy to control the spread of the disease. There is no cure or vaccine; however, antiretroviral treatment can slow the course of the disease and may lead to a near-normal life expectancy. While antiretroviral treatment reduces the risk of death and complications from the disease, these medications are expensive and may be associated with side effects. Genetic research indicates that HIV originated in west-central Africa during the early twentieth century. AIDS was first recognized by the Centers for Disease Control and Prevention in 1981 and its cause—HIV infection—was identified in the early part of the decade. Since its...
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...GUIDE FOR TRAVELLERS know before you go Contents Heading overseas? Before you go Departing Australia Aviation security Departing by sea Departing by pleasure craft Arriving in Australia by air Arriving in Australia by sea Arriving in Australia by pleasure craft Using your mobile phone and camera Baggage searches Prohibited and restricted goods Travelling with medicines What do I have to declare to ACBPS? Duty and tax Duty-free concession limits Exceeding your duty-free concession limits Tourist Refund Scheme (TRS) Where can I get more information? Complaints and compliments 1 3 3 4 5 5 6 9 9 10 10 11 12 14 20 20 23 25 27 29 Heading overseas? Are you one of more than 31 million travellers getting ready to pass through an Australian international airport or seaport this year? If you are, this guide will help you prepare for your trip and give you an idea of what to expect when you pass through Australian Customs and Border Protection Service (ACBPS) at an international airport or seaport. ACBPS officers play an important role in protecting Australia’s borders from the entry of illegal and harmful goods and unauthorised people. Activities undertaken by ACBPS include: • • • • • • checking passports as travellers arrive and depart Australia checking arriving and departing travellers’ documents questioning and searching arriving travellers and their baggage for prohibited or restricted goods searching aircraft or vessels for prohibited or restricted goods seizing prohibited...
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...Chapter 1: Ethical Theory Meta-ethical positions include: * Ethical non-cognitivism (concept that ethics is a matter of feelings) * Ethical relativism (concept that ethics is relative to a particular point of view) * Ethical objectivism (notion that ethics is objective in nature). Meta-Ethical Positions Ethical Non-cognitivism The basis of ethical non-cognitivism is that ethical disagreement can be a highly emotional affair where no amount of reasoning is likely to convince the other party. * Example: “Let’s just agree to disagree” Ethical Relativism * Ethical relativism says that while ethical statements are cognitively meaningful, they do not hold in any objective sense because they depend on our point of view. * If we accept ethical relativism, then ethical disagreement among people who do not share the same perspective becomes impossible. * It assumes that if people agree on something, then it must be true. * Ethical relativism is suspect for a pragmatic reason: it is fundamentally at variance with our social practice. * Example: “To each his own”, or the belief that what’s right for one group isn’t necessarily right for another Ethical Objectivism * Ethical objectivism holds that right and wrong are objective phenomena. * Example: “I’m right and you’re wrong” What is Ethics? * As a discipline, ethics is a branch of philosophy. * It deals with questions of right and wrong conduct, and with what we ought to do and what...
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...both central and peripheral nervous system. (Carolyn Jarvis, Physical Examination and Health Assessment, 3rd ed., pages 688-692 Structure and function of the CNS and PNS --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- Potter and Perry, Fundamentals of nursing (8th), Chapter 16 p. 210-211 Types of Data --There are two primary sources of data: subjective and objective. Subjective data are your patients’ verbal descriptions of their health problems. Only patients provide subjective data. For example, Mr. Jacobs's report of incision pain and his expression of concern about whether the pain means that he will not be able to go home as soon as he hoped are subjective findings. Subjective data usually include feelings, perceptions, and self-report of symptoms. Only patients provide subjective data relevant to their health condition. The data sometimes reflect physiological changes, which you further explore through objective data collection. --Objective data are observations or measurements of a patient's health status. Inspecting the condition of a surgical incision or wound, describing an observed behavior, and measuring blood pressure are examples of objective data. The measurement of objective data is based on an accepted standard such as the Fahrenheit or Celsius measure on a thermometer, inches...
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...Practice Examination One Part One You will have two hours and 30 minutes to complete Part One. 1. The nurse is instructing an unlicensed assistant on how to collect a urine specimen from an indwelling catheter. Which of the following statements indicates that the assistant understands the instructions? A. "I will empty the catheter drainage bag, have the client drink some water, and an hour later collect the urine that drains into the bag. " B. "I will get a sterile syringe and remove urine from the catheter through the collection port to place in the specimen container. " C. "I should collect urine from the catheter drainage bag at the end of the shift and place it in the specimen container. " D. "I will disconnect the drainage tube from the catheter and let urine run from the catheter into the specimen container. " 2. Linda is a 19-year-old primipara who delivered a viable male neonate 2 hours ago. She has decided to breast-feed. Her 22-year-old husband supports her decision. She tells the nurse, "My mother breast-fed all of her children, but I'm going to need lots of help with breastfeeding. I'm worried that I won't be able to do this. " Which of the following should the nurse include when assessing the client? A. Determine the client's level of motivation to breast-feed. B. Perform a complete physical examination to determine her need for help. C. Assess her body-to-fat ratio and nutritional status before beginning...
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