...3000 word essay on patient with left sided stroke with one identified health need/problem: Dysphagia Student Name: Dashante` Burgess Green Cohort- Group 1 Module: NIP 1000 Word count: 3,010 A stroke is a life changing disease and sudden attack of weakness to one side of the body resulting from a interruption to the flow of blood going to the brain that can be a minor attack and resolved in a few days or major attack leaving the person with physical disabilities and cognitive deficit (McFerran 2008). Therefore, stroke can affect the quality of life of an individual from the lack of communication, mobility and independence and intern can cause one to become depressed. This essay is concerning the case of Mr. Alfred Smith who was admitted to hospital with muscle and facial weakness with asymmetry and no movement to the left side of his body. He was eventually diagnosed with left-sided stroke resulting in right-sided hemiplegia affecting his balance and mobility. With the many health problems associated with stroke this essay will focus more on the problem of dysphagia and the patient’s needs related to this particular problem. Dysphagia is a condition in which the action of swallowing is either difficult or where the swallowed material seems to be held in its passage (McFerren 2008). The assessment, planning, implementation and evaluation (A.P.I.E) of the patient on admission and discharge will be discussed in further and more precise detail throughout the essay while maintaining...
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...examine the challenges of managing Mr. W. Fountain nursing problem on his immobility condition. Developing a care plan for Mr. W. Fountain to aid his recovery due to stroke; resulting to mobility problem. Although, mobility as a result of stroke will be the main focus of this essay but I will also briefly explain the process of developing an effective care plan. I will be relating it to my anatomy and physiology knowledge and show why dealing with my father’s stroke condition some twenty seven years ago make Mr. W. Fountain condition more personal to me. At this stage, I will like to highlight that the nursing management for Mr. W. Fountain will be based on the use of Roper Logan Tierney model in practice. (2003). I will be applying the nursing process that includes delving into the phases and cycle of nursing assessment, planning, implementing and evaluating (APIE). At the implementation stage, a care plan with appropriate objectives, implementation steps and evaluation strategies will be drawn in ensuring that his care is more focused on his needs. I will also be using a range of assessment tools: such as waterloo score and strip, trips and fall. Dignity and respect of Mr. Fountain will be maintained all through in this essay. In conclusion a copy of care, feedback from the Lecturer and reflective summary will be attached. According to Glasper and Mcewing (2010) Stroke occurs if there is an interruption of blood flow to part of the brain. Without blood to supply oxygen and...
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...INTRODUCTION This essay is all about discharge care planning and will be discussed in two parts, the first part will highlight patient profile, assessment and discharge care planning with evidence based rationale using a framework based on Roper- Logan-Tierney (2000) model of nursing which involve giving nursing care holistically by using 12 activities of living (AL) and also incorporate nursing process to carry out care plan in this essay, which are maintaining a safe environment, communicating, breathing, eating and drinking, eliminating, personal cleansing and dressing, controlling body temperature, walking and playing, mobilising, sleeping expressing sexuality and dying. Also with the above mentioned framework, factors influencing the activities of living which include biological, psychological, socio-cultural, environmental and political economic will be considered. Also demonstration of how discharges are planned and problems identified will be discussed, which will involve members of the multidisciplinary team (MDT) and their roles in the patients care, education and support for family/carers. The second part will explore how recent health service legislation has influenced this care plan and its impact on caring of older people with long term condition. In this essay, issues on professional values according to Nursing and Midwifery Council (NMC) Code of Professional Conduct (2008), which include consent, confidentiality, respect and dignity will be undertaking. For the...
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...will be focus on the aspects of communication while the second part will be concentrate on the nursing care. In both parts of this essay the focus will be on the same patient Mrs D Campbell which is not her real name. This is to make sure that the patient privacy and confidentiality will be maintain at all times. According with NHS England, confidentiality Policy, (2014) all members of the staff need to understand the safeguarding of patients confidentiality and respect their privacy concerning information. All information that recognise a patient identity must be avoid unless absolute necessary. The name of the ward in which this patient was admitted also will be change to “silver unit” which is a stroke and rehabilitation ward. In this place the staff is specialised in looking after individuals suffering from acute and chronic problems (strokes) as well as help them with their rehabilitation and social needs. Mrs D Campbell is an 82 years old widow from Jamaica, who lived in London for several years with his daughter and son in law, she was a very healthy independent person that was capable of doing everything by herself and also exercise very often. Mrs Campbell was admitted to silver ward with Left Middle Cerebral Artery Stroke (L MCA). In health settings such as hospitals it is indispensable that the health professionals like nurses, doctors, physiotherapies, health care assistants amount others understand the importance of communication, to make sure that the patients...
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...Admitting Problem/Diagnosis Unstable Angina Chief Complaint (Why did the patient come to the hospital – in patient’s own words) “My chest was constantly hurting and I couldn’t figure out what was causing it and now my back is killing me.” Past Health History Asthma ________ Emphysema _______ Bronchitis ________ Pneumonia ________TB________ Angina ______ MI ______ Anemia ______ Hypertension _______ Rheumatic Fever _______ Pacemaker _______ Peripheral Vascular Disease _________ Blood Disorders _________ Stroke _________ Skin Disease ______ Bladder Infections _Kidney Disease ___________ Ulcers ________ DM _________ Dental Problems _________ Fractures _________Congenital Heart Defects Surgeries Family Health History Condition Family Members Condition Family Members Heart Disease Mom died of heart attack Tuberculosis Hypertension Asthma Stroke Mental Illness Diabetes Alcoholism Cancer Aunt died of mylethoma Kidney Disease Other Health Problems in Family: _________________________________________________________________ Medications Prior to Admission: (List) Prescription: She only takes aspirin and pain medications, but she doesn’t know the exact medications. Nonprescription: None Allergies and Reactions: Identify the drugs allergic to and describe the client’s response to them: 1.) Penicillin – Drug: causes...
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...NMHD 5003 Practice & Pharmacological Issues in Mental Health Nursing By Neil Drummond Essay 3048 words Care Plan 1676 words Overall wordage 7186 The aim of this essay is to show how I have formed, maintained and disengaged from a therapeutic relationship within a practice setting. This will include a profile of the client from their perspective. For the purpose of this essay, the therapeutic relationship was formed within the community mental health team. Their role is the primary intervention service promoting awareness, growth and helping people to work through difficulties (Mind.org, 2013). The interventions provided aim to facilitate comfort, support and a provision of care. The client I have chosen to write this essay on is called Angelo. Angelo is a fictitious name created to protect the individual’s right to confidentiality (NHS, 2012, N.M.C, 2008). The interaction was conducted because of a 6 month cognitive enhancer medication (galantamine) review. I will show an understanding of the importance of a therapeutic relationship building and the values that influence the formulation of mental health nursing assessment and care planning (Schultz and Videbeck, 2009). Appendix 1 will show the plan of management including risk and relapse. Appendix 2 will show the individualised Risk Assessment (profile). In my conclusion I will reflect upon my therapeutic encounter and will address the importance of knowledge and qualities needed to form, maintain and disengage...
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...Name: | | | | Date Submitted: | 2nd May, 2016 | | By submitting this assignment, I certify that the work presented follows the guidelines set out in the Programme Handbook and is my own original work. We reserve the right to withhold marks or request further information if we are not satisfied that the work presented is the student’s own, or has been referenced appropriately. Introduction A nurse has a crucial responsibility to make accurate and appropriate clinical decisions in an acute setting working in partnership with health consumers across varies lifespan (Crisp, Taylor, Douglas, Rebeiro, 2013). The assignment aims to help develop the clinical skills of a nurse by demonstrating key aspects of client-centered nursing care in an acute setting during the placement. This assignment is based on a health consumer; that was encountered during clinical placement who is of non-Pacific identity as permission was sought from the tutors before the start of the assignment. To begin with, the assignment will introduce the health consumer and incorporate his relevant present and past medical information with known cause, family details, education, employment, and relationship. All information used from the client will maintain client autonomy and confidentiality by...
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...J. A. Care Plan Tamara Parker South College Medical Dx: Depression Allergies: Demerol, Oxycodone Hx: 91 y/o female brought to Shannondale from Blount Memorial with multiple fractures which she sustained from falling out of her bed. Patient suffers from chronic back pain and has hx of osteoporosis, muscle weakness, glaucoma, hyperlipidemia, kyphoplasty with bone fusion, back fusion, stemi, OA, and depression. |Neuro: |GU: | |Alert and oriented x3. Little confusion |No bowel movement since 3/2/16. Urine x1. | | | | |EENT: |MS: | |PERRLA, normocephalic, presbyopia. |Generalized weakness, uses wheelchair, needs little assistance with ADL’s. | | ...
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...FLORENCE SMYTH 09TH MARCH 2015 HEALTH AND SOCIAL CARE LEVEL THREE. Unit 3 ENABLE RIGHTS AND CHOICES OF INDIVIDUALS WITH DEMENTIA WHILST MINIMISING RISKS 1. UNDERSTAND KEY LEGISLATION AND AGREED WAYS OF WORKING THAT SUPPORT THE FULFILMENT OF RIGHTS AND CHOICES AND THE MINIMISING OF RISK OF HARM FOR AN INVIVIDUAL WITH DEMENTIA. 1.1 EXPLAIN THE IMPACT OF KEY LEGISLATION THAT RELATES TO FULFILMENT OF RIGHTS AND CHOICES AND THE MINIMISING OF RISK OF HARM FOR AN INDIVIDUAL WITH DEMENTIA. The key legislations include , Human Rights Act 1998 , Mental Capacity Act 2005 , Adults and Incapacity Act 2000 , Mental Health Act 1995 , Safeguarding Vulnerable Groups Act 2006 and Carers Equal Opportunities Act 2004.Each and every individual is under a legal obligation to work within legislation and work within the agreed ways of organisation ensuring that the individual with dementia gets treated within their human rights protected from any form of abuse and that their dignity privacy and respect is maintained, allowing them to have a choice , make decisions living a fulfilled life while keeping them protected at all times. Individuals who are involved in the care of dementia suffers must always be observing their deterioration so changes can be made to minimise risk to the individual while still protecting their human rights and keeping everything in-line with the key legislation taking health and safety into consideration at all times. Together these legislations form...
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...have learned so far, but who ultimately helped me realize that I can and will became a great nurse in the near future. My clinical experience has been taking place at Presbyterian Hospital, thus far I have really enjoyed my time there. My clinical instructor has been extremely positive, helpful and encouraging. While I have been there I have encountered a couple of patients that have left an impression, but there was one particular patient that tested all the knowledge I have learned so far and required me to use all my personal skills to use in order to build a trusting relationship with her. I was assigned to a patient that I would work with for the majority of the day, and I would also have to complete my care plan on this particular patient. The Nursing care plan requires a combination of subject and objective data, it is a long questionnaire that requires the participating patient to disclose Page 2 a lot of personal information. Having this in mind, I knew that in order to receive the most truthful information I would have to build a...
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...Journal Today I felt like I am not ready for the clinical. I was worried about tomorrow exam and my focus was more on exam then clinical. We had a pre-conference as usual which gives us information on what we are going to focus on while taking care of a client. We discussed about oxygenation and about medication. I was assigned with a client who has pneumonia, seizure disorder, and second degree MVA. Soon I entered the client room I washed my hand, introduce myself, checked client id and started assessing the client which I was lacking before example checked whether the tubing are intact or not. After that I took vital signs which were easier than before. I learnt something new while giving a bath to a client. I learnt to put on the condom catheter to a client with the help of the professor. I was scared while changing the condom catheter since it was my first time but at last I did it. I gained little self-confident after doing it. Changing the bed sheet was challenging one since I have to turn and lift my client. At last we had a post conference where we took some data from the client record and we discussed about what we did so far. We talked about our client and related nursing diagnoses. This conference gives much knowledge and it is really helpful. Two questions: Q1. How would you determine if the client has adequate fluid intake? Q2. What kind of feelings are there when giving a bath to a...
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...Assessment tools are useful for nursing care as they can act as a guideline while trying to assess patients. Finding the right assessment tool to match the nursing care going to be given is important. All assessment tools may not match the type of care going to be given. It is important to evaluate the assessment tool not only to match the care, but also to make sure the tool is thorough and useful. The three assessment tools discussed in this essay are an admission assessment by Pamela Craig, a nursing needs assessment tool by the Department of Health Social Services and Public Safety, and a physical assessment tool by F.A. Davis. The admission assessment by Pamela Craig was designed through evaluation of the previous admission assessment tool in which Pamela Craig redesigned it to fix the flaws of the old one. The tool begins with baseline vitals upon admission, with the inclusion of how the patient was brought to the facility and from where. The tool includes allergies, with a section specific to latex allergies. It includes who the information is obtained from, in case the information is not able to be obtained from the patient. There is a place for family history information, as well as history of past diagnoses for the patient. There is a section for nutrition that includes questions about weight loss, nausea and vomiting, enteral feeding, and changes in appetite. The physical assessment part of the assessment tool covers each system. There are boxes to check within each...
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...Putong, Jonathan 4 y/o Post incision and drainage Cues | Diagnosis | Inference | Plan of care | Nursing Interventions | Rationale | Evaluation | Subjective:“ sakit sugat ko dito ma” as verbalized by the patientObjective: * Localized erythema and edema * (+) pruritus on the site of the incision. * (+) Facial grimace * (+)Irritability * (+) Guarding behavior * (+) Crying * (+) VS normal T= 36.8 ‘ c PR= 77 RR= 25 * Pain assessment>Location: Right post auricular area>Interval: frequent | Acute pain related to tissue trauma secondary to incision and drainage as manifested by * Localized erythema and edema * Pruritus on the site of the incision * Facial grimace * Irritability * Crying * Guarding behavior * Frequent interval of pain | Nociceptive stimuli(wound/inflammation)↓Nerve fibers (nociceptor) ↓ ↓A-delta fiber C-fiber (fast) (slow) ↓ ↓ Spinal cord & Dorsal horn pain modulating circuit (primary touch...
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...While the Registered Nurse, be it ADN or BSN, provides similar care as regards skill level, medicine administration, and composition of care plans, the LVN is more limited in scope. The LVN is not permitted to hang or push IV medications, perform admission assessments, write nursing care plans, or flush PICC/Central lines. Differences between ADN and BSN are often more subtle as regards both learning and application. Bachelor level nurses typically demonstrate a higher level of competency when dealing with patients of greater comorbidity and acuity as well as a more sophisticated approach to decision making. Medical terminology indicates comorbidity as multiple system diagnosis of disease, such as a patient with both acute renal failure and congestive heart failure. Such an individual presents a unique challenge in that blood pressure control is at risk via both systems. While both ADN and BSN may approach the nephrologist regarding use of a diuretic, the BSN will have a superior understanding regarding risks/side-affects as pertains to each system, ideal length of use, and related laboratory results to communicate to each physician specialist. This difference in ability stems, in part, from additional hours exposing them to extensive pathophysiology, pharmacology, and research involving all aspects of the profession. Acuity reflects patient stability and while list of diagnosis, patient history, and physical may contribute a more intimate knowledge of client needs, the...
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...S.S.N.M.M COLLEGE OF NURSING SEMINAR ON UNIT PLAN SUBMITTED TO; SUBMITTED BY; PROF:MRS.SAMPATH ANEESH S P VICEPRINCIPAL 1st yr Msc Nursing SUBMITTED ON: 11.11.2011 INTRODUCTION With in the last two decades , more and more educators have come to accept the unit as the basis of organization of learning. They recognize the facts that learning in units more effectively meets the needs of the students than traditionally daily lesson-assigning and lesson learning procedure. The concept of unit learning is still in the stage of development. Consequently , it has come to mean different things to different teachers . the situation has caused the evolution of various names which are used to differentiate between the several interpretations ,such as contract plan , Dalton plan ,project method , unit assignment ,Winnetka plan and others . The basis of unit idea can be traced to JOHANN FRIEDRICH HERBART (1776-1841) . herbart stressed 4 essentials in learning process 1. Clear apprehension by the student of each individual fact . 2. Association or comparison of the facts. 3. Systematization...
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