10-Item Knowledge Test

The issue of anxiety was chosen as a topic because anxiety has become a significant subject in health care. According to Social anxiety association (SAA) anxiety disorder become the third largest mental problem in health care, which affects about 7% of the population. In social health in particular clinical care, hospitalization and surgery are a critical negative life occasions that chief to the experience of significant anxiety in patients (Karanci and Dirik 2003). This project will be focussing on preoperative anxiety in children, because, children are more defenceless against the anxiety of surgery because of their cognitive impediment, reliance on others, absence of self-control, and also restricted individual life background and information of the medicinal health care service (Li

An A to E assessment is the approach to access a deteriorating and critically I’ll patients, each letter stands for an assessment nurses will undertake A- airway B- breathing C- circulation D- disability and E- exposure (Thim, Krarup, Grove, Rohde, & Lofgren, 2012). This essay will look at disability in the A to E assessment of a critically ill patient which will focus on the Glasgow coma scale. The essay will discuss what is the Glasgow coma scale?, Glasgow coma scale is the most common source in monitoring and assessing the neurological statues of a critically ill patient, despite the fact the Glasgow coma scale has limitations on execution it remains the main standard in comprehensive neurological assessment of patients. It

Being a dependable organizational citizen includes being honest and fair. Therefore, it is important for employees to demonstrate these values by treating coworkers and customers fairly and keeping their word when working with these individuals.

Patients were assessed at admission and discharge of ICU and assessed using Braden Score and APACHE II score.

Enhanced assessment and nursing implementations to better prevent and detect ICU delirium will bring improved outcomes for this particular patient population. There are many ways to assess for ICU delirium. Two of the most reliable and easiest methods are basic observations from the bedside nurse and The Confusion Assessment Method (CAM). The CAM includes nine different criteria for delirium (1) acute onset and fluctuation, (2) inattention, (3) disorganized thinking, (4) altered level of consciousness, (5) disorientation, (6) memory impairment, (7) perceptual disturbances, (8) psychomotor agitation or retardation, and (9) altered sleep-wake cycle. A delirium diagnosis is given when criteria one and two and either three or four are present. The second assessment tool for delirium detection is made from nursing observations. The nurse observes the patient throughout their

How I think my culture affected my results of my Keirsey assessment test. To start this off when I took the test, I took the online sorter two version. My results were that I was an idealist. An Idealist is a person that is passionately concerned with personal growth and development, self-knowledge and self-improvement. An idealist is a person that is naturally attracted to working with people. But to break the idealist down even more my four letters are ENFP. Those letters represent and Idealist Champion.

Reliability refers to coherence, stability and dependability in test results, generally using internal consistency to express the levels of reliability in the test. The higher reliability indicates the higher level of accordance, stabilization and dependability in test results. Reliability is the precondition of validity (Guba and Lincoln, 1981). The same findings may not generate if the same research is repeated, because many influencing factors may work in the process of research. The process of establishment in reliability research includes: the research rigorously collect and explain data in consistent investigation (internal checks); the process is transparent (sample design, field work, inquiry and rational data). Patton (1987) suggests that the use of triangulation in multiple approaches can increase the reliability in results.

Generally, the risk factors for delirium affecting individual ICU patients are different from patient to patient and therefore an individualized delirium prevention strategy is an ideal approach. Nevertheless, three risk factors in particular, including sedatives,

Several factors can influence the duration of delirium which are the age of the client, the rate of symptom resolution. According to Aguirre’s article (2010), a 72 years old female admitted in the hospital for after a hip fracture experienced signs and symptoms of delirium during her stay. He also mentioned that the client was pleasant while progressing through therapy and her pain was managed with a 1 or 2 Percocet tablets every 6 hours as needed. In addition, the client experienced her first episode of urinary incontinence due to narcotics, anesthesia and previous use of Foley catheter. However, Mrs. B suddenly became confused, paranoid and accused the staff of hurting her while trying to help her get out of bed. The staff checked the client for delirium due to patient’s high vital signs, change in behavior and function and risk for delirium which are anesthesia, narcotics, and a recent Foley catheter (Aguirre, 2010). The patient’s urinalysis result is positive for infection and was started on a course of antibiotics to treat her infection (Aguirre, 2010). The patient’s cognitive symptoms cleared after 24 hours and were able to resume physical therapy without further incident (Aguirre, 2010). In other cases delirium may be cause by dehydration or electrolyte imbalance. Once the underlying cause of delirium is treated and resolved, symptoms starts to diminish over a 3 to 7

In the past, I have worked in an LTAC setting with ventilated patients. Specifically, eight years ago, in which I had a different skill level as an LVN, as well as, did not understand the ramifications of induced delirium due to certain medications. In addition, RN’s were the licensed staff to implement certain IV medications and as an LVN would manage patients and give meds per peg under RN direction. Since skill level of course differs, it was hard to research or even have any training in LTAC setting with delirium patients. This would be an interesting topic to enlighten staff from different skill levels on how to manage and cope with the effects of delirium, especially induced by medication. When I was a clinical

When evaluating a research study, it is important to understand the design of the study and how that design impacts the study, analysis and conclusion. The article chosen for review of a quantitative study was, “Strategies to Alleviate Anxiety Before the Placement of a Stereotactic Radiosurgery Frame” by Ufuoma Avbovbo and Susan Appel from the Journal of Neuroscience Nursing. The purpose of this study was to determine whether pre-procedural education would reduce/alleviate anxiety in patients undergoing stereotactic radiosurgery undergoing a head frame placement (Avbovbo & Appel, 2016). This study utilized a pretest/posttest design at a single-center with a nonequivalent control group to assess the impact of pre-procedural education on anxiety. This type of

Harvard professor Chris Argyris promoted the concepts of espoused theories of action and theories-of-use. Espoused theories of actions reflect what people say governs their behavior, while theories-of-use reflects how they actually behave.

The Health Anxiety Questionnaire (Lucock & Morley, 1996) was used to identify the participant’s level of concern regarding their health. In order to promote research in the health anxiety area, a reliable and valid measure of health anxiety based on sound theoretical background was needed. The construct was also developed to demonstrate its distinctiveness from measures of general anxiety (Lucock & Morley, 1996).

Pain is the number one reason for delayed healing after surgery; even verbal patients can have a hard time making their need for pain management known. Pain is subjective data and can only come from the patient, therefore it is important that nurses make accurate assessment to make sure patients are properly medicated. Nurse has to make sure the source of information is reliable so the patient has to be alert and oriented. Even patients with mild to moderate dementia can be a reliable source for their pain. But sensory impairment has to be taken into account when weighing the reliability of the patient.

Reliability is defined, within psychometric testing, as the stability of a research study or measure(s). Reliability can be examined externally, Inter-rater and Test-Retest, as well as internally; which is seen in internal consistency reliability methods.