A Plan Of Care For Kevin Johnson

The nurse care for the hemodynamically unstable patient as well as the equipment required to conduct hemodynamic monitoring. It is essential that the nurse is able to interpret the data and make clinical decisions on that date. The nurse must know how to detect and prevent complications of this clinical tool.

I would like to gather more information regarding the patient support system. I would find out whether the patient has a family, friends, or significant others who can be there when he finds out about his diagnosis. According to the John Hopkins University (2016), a strong support system during a crisis has positive impact on the emotional health of patient. The patient was depressed and loss hope during BKA, thus it will be beneficial to make sure that the patient has a support during this hospitalization to reduce stress, mental distress, and feeling of hopelessness. In addition, I would also want to gather more information on his mental status and to make sure that the patient is mentally stable and will not harm in anyways after receiving the bad news.

This author’s personal philosophy in practice is to provide holistic care to my patients and their families. This author feels that encompassing the whole family or the patients support framework in the plan of care is the best approach to returning the patient to their optimum state of health. It is important to this author to evaluate the all of the aspects of the patient’s lives that they will share. It is important to evaluate the patient’s learning style,

2.7 Monitoring physiological measurements it´s important to make sure the individual health status and also necessary after surgery, as patients in intensive care units require continuous monitoring, and sometimes have medications that requires physical measurements taken. These are measurements we take to ensure that they are functioning in the way they are supposed to. When we carry out physiological measurements, such as measuring temperature, pulse and respiration, we are monitoring for signs of abnormality. Then be able to draw conclusions about the health status of the individual and any treatments they may

Vital observations were carried out efficiently, they were recorded every 15 minutes and a cardiac monitor was attached to continuously monitor for any deterioration. As a student nurse I assisted by recording vital observations using NEWS and assessing consciousness by using the Glasgow coma scale to ensure there were no signs of brain trauma (Le Roux, Levine and Kofke, 2013). In line with the NMC, my mentor supervised and countersigned my observations (NMC, 2011b). I promoted good patient safety as deterioration would be recognised early and appropriate care provided. Throughout the treatment process I witnessed and provided person centred care. Nursing and medical staff continuously checked patient comfort and obtained consent for treatment being provided.

Some of the units in my hospital are equipped with monitors. One of such units is the Intensive Care Units (ICU) where critically ill patients who may need intubation and require their vitals to be monitored round the clock are admitted. In my unit, we use a vital signs machine. The type we use can take the four most important vitals with a push of one button. These four most important signs are taken to assess the general physical health of the patient. The four vital signs are:

Recording observations for patients is vital. It is a way for nurses to communicate to each other about what signs the patient is displaying but also when and how much food and/or medications have been administered. Observations include:

This data should be the most accurate date in our patient's chart, however, this data is inaccurate. Often times, nurses become busy with the other client's tasks and forget to take and record this information. The lapses in the can interfere with patient interventions, thus possibly causing harm to our clients. Monitoring and recording a patient's vital signs can alert the nurse that there may be clinical deterioration with the

The purpose of this assignment is to illustrate the ability in a nursing context, to take information given on an assigned Case study scenario and carry out a complete documentation are plan for the patient, on her specific problems that is an issue at the present time.. For the plan of care, I will look more in-depth at the scenario and case study provided for Mrs Greta Balodis, focusing on Day One post op care as requested for the documentation provided by the course co-ordinator. Assessing relevant care of Greta, with a view to the information from the case study. Using a full and complete care plan, the information will present in more detail, the SMART mode is applicable to show two long term and two short-term key goals and the rationale of the goals. Included, as an appendix is the documented care plan for the patient. Legal and ethical considerations pertinent for the case study and the rationale of why with detailed information and supporting referenced material is included for legal and ethical considerations, this will be to ensure that a understanding of the legal and ethical issues surrounding Greta Balodis are present. A list of the Inter-professional team that would be included in the treatment of the patient , rationales behind, why each is included and a detailed look at one of the professionals. The conclusion illustrates learnt information that contributes to a nursing student’s educational learning from the assignment and an overview and

This essay critically examines the main health issues of John Ryan. Recent referral from a health care team have heightened the need for John Ryan to the community nurse to do a home visit for an initial assessment and review. So, as my first visit to John as a community health nurse it is my role to integrate several nursing skills which includes assessements, carry out direct care, educate John, encourage health improvements and work together with other health care professionals to advance health. (reference here). This essay has been divided into four parts. The first part gives a brief overview of the current health history of John Ryan focusing particularly on the most current issues of his deteriorating health. The second part focuses and discuss on the priorities that will need to undertake as part of the initial home visit which include assessments, and therapeutic interventions, followed by the rationale reason of the mentioned priorities. After examining the priorities of the visit, the third part of this essay will critically evaluate a range of management strategy for goal of care for John.

Vital signs that are commonly used for the assessment of a patient’s health include pulse rate, respiration rate, blood pressure, and oxygen saturation. Assessment of the pulse rate is for measurement of the rhythm and circulation of

INFORMATION: Vital signs are used to complete an accurate assessment of an individual’s health. Temperature, pulse, respiration, blood pressure, oxygen saturation, and pain are vital signs. To analyze vital signs a nurse must be able to interpret the data (Williams, 2018).

Vital signs indicate the measurement of the basic functions of the body. There are four major vital signs which are routinely monitored in health care. They include Body Temperature (BT), Blood Pressure (BP), Pulse or Heart Rate (HR), and Respiration rate (RR). Vital signs vary with age, weight and gender. Recording the values of all vital signs daily at least once is a primary standard in acute wards in hospitals. However, recent multicentre studies found that the level of documentation of vital signs in many hospitals is poor. Among these vital signs, the respiration rate is not commonly recorded even when the patient mainly has respiratory problems. Respiratory rate is the quantity of breaths taken by a man for each moment. Respiration rate

The nurse’s primary goals were to provide continuous monitoring over patient’s weight, administer prescribed medications and provide teaching on purse lip breathing, using the incentive spirometer and living with COPD. In order

In healthcare, there is a functional and purposeful relationship that exists between the nurse, the doctor and the other interdisciplinary team. This relationship established by the healthcare team comes with a responsibility aimed at achieving a goal, which is to assist the patient to be able to gain independence and progress after hospitalization or rehabilitation. What is paramount to the healthcare team is focusing on the basic human needs of the patient gearing towards health which is a building block of health and wellness. With this being said, the writer chooses Virginia Henderson’s theory of needs because it gives an insight or guides the nurse for what to look for in caring for our patient’s needs with her 14 components of nursing care which still apply to modern nursing care and practice up till present day . As Licensed Practical Nurse (LPN) working in the Transitional Care Unit (TCU), her theory is made visible through my patient’s recovery process experienced every single day. “Henderson 's principles and practice of nursing fall under the category of grand theory that can be applied to many types of nursing” (Nicely & DeLario, 2011).