...The Significance of Having a Multidisciplinary Team 3 Abstract The growing prevalence and hospital acquired pressure ulcers is an immediate concern. The major challenge is the A major challenge is the lack of knowledge and skills in wound identification, management, treatment and prevention. This, along with other factors, creates poor patient care and vast costs to the pertinent facilities. The solution is to have interprofessional collaboration. The utilization of current advanced practice nursing staff as a resource for floor nurses and other involved healthcare workers is a must. This would obtain certification in wound care and be responsible for the ongoing continued education for wound prevention, monitoring and maintenance. The staff will be educated and trained at quarterly intervals on wound identification, staging, prevention, maintenance and monitoring. Key words: wound care, evaluation, pressure ulcers, multidisciplinary, specialist, evidence The Significance of Having a Multidisciplinary Team 4 Problem Identified The Centers for Medicare & Medicaid Services (CMS) declared in October of 2008 that it will no longer provide reimbursement for hospital acquired pressure ulcers (HAPUs) because it is a preventable occurrence (CMS, 2014). Even though the percentages of occurrences have declined since then, HAPUs continue to cause financial strain on institutions (estimated $9.1- $11.6 billion dollars loss annually)...
Words: 14473 - Pages: 58
...across America for some time. They can be caused by several factors such as pressure, friction, or shear. In 2008, The Centers for Medicaid and Medicare (CMS) began withholding payment for hospital acquired conditions such as pressure ulcers ("Centers for Medicare," 2012). Hospitals have placed a priority on identifying those patients that are high risk for nosocomial wounds as well as protocols for preventing the wounds. Background of the Project Nosocomial wounds are a possibility for any patient that is admitted to the hospital. Patients are admitted to hospitals in various physical conditions and nosocomial wounds are caused by several factors. According to the Mayo Clinic (Mayo Clinic staff, 2011), nosocomial wounds are a result of pressure on the skin that inhibits the blood flow to skin and underlying tissues. This may come as a result of different problems such as: 1. Sustained pressure from the skim being trapped between a boney prominence and a surface such as a wheelchair or a bed. 2. Friction from moist skin being pulled across a surface 3. Shear from two surfaces moving in the opposite direction such as the bed and the patient. This movement damages the tissue making it more vulnerable to sustained pressure. Add to this the compromised nutritional status of the patients and developing a nosocomial wound becomes a very distinct possibility for many patients. Pressure wounds may develop in many different areas. When a patient is lying supine...
Words: 5365 - Pages: 22
...district of nurses, I have gone through some of the most complex situations that often leave me with complex decisions. Ideally, some of these situations have greatly impacted on my understanding of various patients who I handle on my day-to-day activities in the health care sector. While working with District Nurses who are involved with visiting patients in various homes in the community, I encountered patients with various psychological and physiological disorders. Prudently, it is worthwhile to note that the patients who we visited had various health problems that ranged from individuals who were housebound and could not travel to seek medical attention. Besides, some of the patients had nursing needs such as leg ulcer dressing, wound dressing, pressure ulcer dressings, and catheter insertion as well as its removal. Description One of the most complex situations that I experienced was trying to take blood from an elderly patient with dementia. Since the patient was at her residential home and had never seen me before, she was not aware of my main purpose for visiting. Moreover, I had no prior knowledge of her state with dementia. At the time of my arrival, the patient was comfortably sitting in her chair while cradling her dolly. Her attention was mainly drawn to the dolly’s hair as she sang her various songs. One member of the care staff helped me take blood from the patiently by distracting her with songs and books but the patient ran out of patience and began being anxious...
Words: 2876 - Pages: 12
...district of nurses, I have gone through some of the most complex situations that often leave me with complex decisions. Ideally, some of these situations have greatly impacted on my understanding of various patients who I handle on my day-to-day activities in the health care sector. While working with District Nurses who are involved with visiting patients in various homes in the community, I encountered patients with various psychological and physiological disorders. Prudently, it is worthwhile to note that the patients who we visited had various health problems that ranged from individuals who were housebound and could not travel to seek medical attention. Besides, some of the patients had nursing needs such as leg ulcer dressing, wound dressing, pressure ulcer dressings, and catheter insertion as well as its removal. Description One of the most complex situations that I experienced was trying to take blood from an elderly patient with dementia. Since the patient was at her residential home and had never seen me before, she was not aware of my main purpose for visiting. Moreover, I had no prior knowledge of her state with dementia. At the time of my arrival, the patient was comfortably sitting in her chair while cradling her dolly. Her attention was mainly drawn to the dolly’s hair as she sang her various songs. One member of the care staff helped me take blood from the patiently by distracting her with songs and books but the patient ran out of patience and began being anxious...
Words: 2876 - Pages: 12
...publication. © COLEG – Material developed by Cardonald College. This publication is licensed for use by Scotland’s colleges as commissioned materials under the terms and conditions of COLEG’s Intellectual Property Rights document, September 2004. No part of this publication may be reproduced without the prior written consent of COLEG and SQA. © COLEG 2 Calculations and Practical Techniques in Health Care F0K9 34 Contents Section 1: Introduction to this teaching pack Information about the HNC Health Care Group Award Information about this Unit Why the packs have been written How the pack is organised How to use the pack Scottish Credit and Qualifications Framework (SCQF) and the HNC Health Care Section 2: Session Plans Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 Week 11 Week 12 Week 13 Week 14 Week 15 Week 16 Introduction / Mentor / Holistic care / Models Roper-Logan-Tierney Model / Safe practice in placement Respiration / Peak flow / Oxygen saturations Blood pressure / Pulse / Temperature Height / Weight / Body Mass Index / Fluid balance Specimen collection/ Urine testing Explanation of Skills Booklet Calculations between different units of measurement Calculating decimals, fractions and percentages Administration of medicines Recording of results Interpretation of results - Deviations from normal values Factors affecting reliability of results: Knowledge and understanding of reporting procedures Submission of Skills Booklet Formative...
Words: 22521 - Pages: 91
...People Experience a Midlife Crisis in | 8 Their 40s or Early 50s Myth #9 Old Age Is Typically Associated with Increased Dissatisfaction and Senility Myth #10 When Dying, People Pass through a Universal Series of Psychological Stages 3 A REMEMBRANCE OF THINGS PAST Myth #11 Human Memory Works like a Tape Recorder or Video Camera, and Accurate Events We’ve Experienced Myth #12 Hypnosis Is Useful for Retrieving Memories of Forgotten Events Myth #13 Individuals Commonly Repress the Memories of Traumatic Experiences Myth #14 Most People with Amnesia Forget All Details of Their Earlier Lives 4 TEACHING OLD DOGS NEW TRICKS Myth #15 Intelligence (IQ) Tests Are Biased against Certain Groups of People My th #16 If You’re Unsure of Your Answer When Taking a Test, It’s Best to Stick with Your Initial Hunch Myth #17 The Defining Feature of Dyslexia Is Reversing Letters Myth #18 Students Learn Best When Teaching Styles Are Matched to Their Learning Styles 5 ALTERED STATES Myth #19 Hypnosis Is a Unique “Trance” State that Differs in Kind from Wakefulness Myth #20 Researchers Have Demonstrated that Dreams Possess Symbolic Meaning Myth #21 People Can Learn Information, like New Languages, while Asleep Myth #22 During “Out-of-Body” Experiences, People’s Consciousness Leaves Their Bodies 6 I’VE GOT A FEELING Myth #23 The...
Words: 130018 - Pages: 521
...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...
Words: 83801 - Pages: 336
...College of Nursing End Stage Renal Disease 20 to Diabetic Nephropathy Presented by: Balgos, Rachelle Ann Dayto, April Feranil, Daniel Fulinara, Janice Fuentes, Maila Joy Garrido, John Paolo Mendoza, Kenneth Robert Nazareno, Jhon Ryan Olfindo, Kristine Joy Sombilon, Jorgette Kim *** In Partial Fulfilment of the Requirement in NURS 60 for the Degree Bachelor of Science in Nursing TABLE OF CONTENTS I. Demographic Data 4 II. Chief Complaints 4 III. History of Present Illness 4 IV. Past Medical History 5 V. Developmental History 6 VI. Heredo-familial History 15 VII. Gordon’s Functional Health Patterns 16 VIII. Physical Examination 22 IX. Diagnostic Test 43 X. Anatomy and Physiology 75 XI. Pathophysiology 81 XII. Case Management 82 XIII. Nursing Care Plan 107 ABSTRACT “"The divine is not something high above us. It is in heaven, it is in earth, it is inside us..." - Morihei Ueshiba We, group 2 of Level III section 2, have chosen this case to gain more knowledge about the mechanism of End Stage Renal Disease and its process. Our patient C.C is a 51 -year old male who was diagnosed to have diabetes mellitus seventeen years ago and now has End Stage Renal Disease due to Diabetic Nephropathy. His disease leads to fluid accumulation to his lungs and edema on his extremities. Our group chose the case because it is also our...
Words: 13019 - Pages: 53
...1 HLTH 21: Health Education Spring 2012 Course Orientation This course is all about what YOU want and need to know about personal, family, and community health with an emphasis on epidemiology of disease, nutritional behavior, communicable disease, disease prevention, mental health, and substance abuse. It's really up to you to decide how much you want to get out of this course in terms of meeting your personal and professional goals. Learning Outcomes By the end of this course, students should be able to: Assess health behavior choices, apply that information to everyday life for the improvement of individual, family, and community well-being. Identify preconceived ideas about knowledge, values, and behavior that affect health and compare with established research and accepted scientific evidence. How to be Successful in this Course Plan to spend at least 9 hours per week on this course. Login and keep up with readings, discussions, and quizzes on a weekly basis. Click on Course Map and get familiar with it. First, introduce yourself in the Discussion Forum. Before you begin with the Module readings, take some time to get to know your classmates. Click on the Discussion and Private Messages link to the left of your screen. Click on Discussion Forum titled: Introductions Post a message to tell us a little bit about yourself such as your major, degree plans, career goals, hobbies/interests, and why you are taking this course. Read your...
Words: 26857 - Pages: 108
...Mortality, February 2005; 10(1): 69 – 81 Tube feeding: Prolonging life or death in vulnerable populations? ELAINE J. AMELLA, JAMES F. LAWRENCE, & SUZANNE O. GRESLE Medical University of South Carolina, Charleston, SC, USA Abstract Tube feeding can be an appropriate and effective means of providing nutrition for individuals who are unable to achieve adequate nourishment orally because of various medical problems. However, the delivery of nutrients by tube feeding can cause ethical dilemmas in cases where the effectiveness of tube feeding diminishes and medical complications increase. The decision to tube feed is often influenced by regional and cultural preferences, as well as the high cost of providing mealtime assistance. The effectiveness and appropriateness of tube feeding has been the subject of much debate as it applies to those with severe cognitive impairments and those who are in a persistent vegetative state (PVS). Recent research shows that in these vulnerable populations, tube feeding alone does not necessarily prevent malnutrition and risk of infection or improve functional status and comfort. While advanced directives allow an individual to make decisions about his or her care at the end of life, court cases and religious doctrine examine the individual’s right to autonomous decision making in opposition to preserving the sanctity of life. As long as the outcome of this debate is largely undecided, the process of dying may be prolonged for...
Words: 8277 - Pages: 34
...Stress at Work A report prepared for The Work Foundation’s Principal Partners Ricardo Blaug Amy Kenyon Rohit Lekhi Contents Executive Summary Introduction 1. What is stress? 1.1 Defining stress 1. Explaining stress 1.3 Stress and ill-health 2. An epidemic of stress? .1 The extent of stress . The costs of stress .3 The victims of stress .4 The causes of stress 3. Why now? 3.1 Stress, work and contemporary life 3. Stress and happiness 3.3 Stress and social status 4. The sceptics 4.1 Problems of method and measurement 4. Putting stress in perspective 4.3 Therapy culture? 5. Legal and policy contexts 5.1 Stress and the law 5. Stress and public policy 6. Interventions 6.1 What does the evidence say? 6. Focussing on prevention Conclusion Bibliography 4 12 14 14 17 19 25 5 6 8 31 35 35 38 43 47 47 5 58 62 6 68 71 71 79 88 89 Stress at Work List of Tables, Figures and Boxes Table 1: Effects of stress on bodily functions Figure 1: Model of work-related stress Figure : The impact of workplace demands on physiological and psychological performance Figure 3: How stressful is your work environment? Figure 4: Overwork concern in organisations Figure 5: Self-reported Illness accentuated by work Figure 6: Estimated days lost due to self-reported work-related injury or illness Figure 7: Work-related mental ill-health Figure 8: Percentage of organisations where workers identify stress to be the leading hazard of concern by sector Figure 9: Percentage reporting...
Words: 27280 - Pages: 110
...___________ OUTCOMES-BASED EDUCATION AND LANGUAGE TEACHING 1 1.1 INTRODUCTION 2 1.2 WHY DID SOUTH AFRICA'S EDUCATION SYSTEM NEED TO CHANGE? 3 1.3 WHAT IS OUTCOMES-BASED EDUCATION? 3 1.3.1 What are the characteristics of outcomes-based education? 3 1.3.2 The difference between the old and the new approach 4 1.4 OUTCOMES-BASED EDUCATION PRINCIPLES AND TERMINOLOGY 6 1.4.1 Learning area 6 1.4.2 Critical outcomes 7 1.4.3 Learning outcomes 8 1.4.4 Assessment standards 9 1.4.5 Assessment 9 1.4.6 Themes 9 1.5 PLANNING AN OUTCOMES-BASED EDUCATION LEARNING UNIT 11 1.6 OVERVIEW OF THE STUDY UNIT 11 1.7 CONCLUSION 12 STUDY UNIT 2 _______________________________________________________________________ TEACHING LANGUAGE IN A MULTICULTURAL CONTEXT 13 2.1 INTRODUCTION 14 2.2 MULTILINGUALISM 14 2.3 HOME LANGUAGE, FIRST AND SECOND ADDITIONAL LANGUAGES 15 2.4 SWITCHING AND MIXING CODES 16 2.5 LANGUAGE TEACHING IN A MULTICULTURAL CONTEXT 18 2.6 CULTURE AND LANGUAGE TEACHING 19 iii 2.7 LANGUAGES WITH HIGH AND LOW STATUS IN SOUTH AFRICA 21 2.8 OVERVIEW OF THE STUDY UNIT 23 2.9 CONCLUSION 24 STUDY UNIT 3 _______________________________________________________________________ IMPORTANT PRINCIPLES OF LANGUAGE TEACHING 25 3.1 INTRODUCTION 28 3.2 PRINCIPLE...
Words: 117690 - Pages: 471
...MINDANAO SANITARIUM AND HOSPITAL COLLEGE SCHOOL OF NURSING A CASE PRESENTATION OF BIPOLAR 1 DISORDER In Partial Fulfillment of the Course NCM 105 Related Learning Experiences January 2013 Table of Contents The Authors Acknowledgement Dedication Objectives of the Study Introduction CHAPTER I -Assessment Psychiatric Nursing History Anamnesis Genogram Mini Mental Status Examination Mental Status Exam Physical Assessment Diagnostic Studies Nurse’s Progress Notes CHAPTER II – Diagnosis and Analysis Psychodynamics Psychodynamics Concept map Life Chart Diagnostic and Statistical Manual of Mental Disorder CHAPTER III – Planning and Implementation Nursing Care Plans Psychotherapist Nurse’s Process Recording or NPI CHAPTER IV – Psychopharmacology CHAPTER V – Discharge Plan CHAPTER VI – Evaluation, Prognosis and Recommendation GLOSSARY REFERENCES THE AUTHORS BSN 3B – Group 1 Bandiola, Maricar Mae Bolo, Princess Venimarie Cristobal, Rosnel Dag-uman, Leslie Ann Fuentes, Rajiv Jun Maglasang, Crizza Mariz Montefalcon, Jessel Nasala, Queency Pranza, Mae Kenneth Quinalayo, Paul Vincent Valiente, Katherine ACKNOWLEDGEMENT People would always say, “Two heads are better than one”. How much more if there are more heads than two? A project like this would definitely never be accomplished without the collaboration of many people. First and foremost, we would like to thank our heavenly father for giving us the knowledge...
Words: 13283 - Pages: 54
...How To Stop Worrying And Start Living By Dale Carnegie Courtesy: Shahid Riaz Islamabad – Pakistan shahid.riaz@gmail.com http://esnips.com/UserProfileAction.ns?id=ebdaae62-b650-4f30-99a4-376c0a084226 “How To Stop Worrying And Start Living” By Dale Carnegie 2 Contents Sixteen Ways in Which This Book Will Help You Preface - How This Book Was Written-and Why Part One - Fundamental Facts You Should Know About Worry 1 - Live in "Day-tight Compartments" 2 - A Magic Formula for Solving Worry Situations 3 - What Worry May Do to You Part Two - Basic Techniques In Analysing Worry 4 - How to Analyse and Solve Worry Problems 5 - How to Eliminate Fifty Per Cent of Your Business Worries Nine Suggestions on How to Get the Most Out of This Book Part Three - How To Break The Worry Habit Before It Breaks You 6 - How to Crowd Worry out of Your Mind 7 - Don't Let the Beetles Get You Down 8 - A Law That Will Outlaw Many of Your Worries 9 - Co-operate with the Inevitable 10 - Put a "Stop-Loss" Order on Your Worries 11 - Don't Try to Saw Sawdust Part Four - Seven Ways To Cultivate A Mental Attitude That Will Bring You Peace And Happiness 12 - Eight Words that Can Transform Your Life 13 - The High, Cost of Getting Even 14 - If You Do This, You Will Never Worry About Ingratitude 15 - Would You Take a Million Dollars for What You Have? 16 - Find Yourself and Be Yourself: Remember There Is No One Else on Earth Like You 17 - If You Have a Lemon, Make a Lemonade 18 - How to Cure Melancholy in...
Words: 115134 - Pages: 461
...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 or centimeters on a measuring tape, or known characteristics of behaviors...
Words: 23163 - Pages: 93
