Annotated Bibliography On Patient Care Essay

10. Taking S.P.’s RA into consideration, what interventions should be implemented to prevent complications secondary to immobility?

He is to be on bed rest with low mobility due to need for elevation of extremities to prevent thrombus from developing into an embolus. Tell him to change positions periodically to

Most mobile patients are able to reposition themselves, while others who are critically ill are not able to feel or respond to pain. Therefore, nurses need to assess those patients in repositioning to decrease the risk of developing pressure ulcers (REF).

I recommend everyone using physical techniques of any kind be trained on the risks of positional asphyxiation. Whenever, I physically restrict a person’s movement there is a risk of injury, and no physical holds are 100% safe. In this book, I cover body positioning for physical interventions, standing holds, and seated holds. I do not authorize or encourage a prone restraint without the proper training; and this type of restraint is not covered in this book. However, the SafeClinch Training System does allow for “prone containment” for those organizations allowed to use it; once SafeClinch instructor certification has been achieved. Here is an example of what the prone position looks like. Notice, since the person is in the prone position

Marcovitch, S. G., Gold, A., Washington, J., Wasson, C., Krekewich, K., & Handley-Derry, M. (1997).

The problem is in the critical care unit it is difficult to turn and reposition the patient due to dynamically unstable patient.

Furthermore, the hand position is required in the middle of the chest during compressions (Riley, 2013) as having the hand at the lower end of the sternum can cause this to break. A study by Jiang et al (2015) examines the effects of dominant or non-dominant external compressing hand position during CPR. These results justified the dominant hand position gave higher compression rates, depth and delayed fatigue. However, individuals performed with what made them feel comfortable whether this was the dominant or non-dominate

Hooton, T., Bradley, S., Cardenas, D., Colgan, R., Geerlings, S., Rice, J., Nicolle, L. (2010).

Schmidt, S. W., Shelley, M. C., Bardes, B. A., Maxwell, W. E., Crain, E., & Santos, A. (2010).

Courtney, M., Edwards, H., Chang, A., Parker, A., Finlayson, K., & Hamilton, K. (2009). Fewer

E- Initially in clinical Hope outlined the key concepts to positioning a patient successfully, following Diane demonstrated. Additionally, we separated into groups of three to practice each position. I felt overwhelmed due to all the possible pillow placements and the potential consequences if an area is not supported. I also felt it was difficult to notice subtle adjustments to further the alignment of the patient. Brooke and Ashleigh first practiced putting me in each position. This was helpful because I could feel where the pillows were and what structures they were supporting. After Brooke and Ashleigh positioned me in each position, we followed the same procedure with Ashleigh as the patient. Our plan was to relax the muscles by identifying the structures requiring support from pillows and

PHigh is the airway pressure that the patient breaths spontaneously at. A good starting point is 25-35cmH2O, but if you know the MAP you can add a couple. So, if the MAP is 18 then start the PHigh at 20. Plow is the airway pressure when the release occurs. This can be set from 0-10 cmH20. Tlow is the time spent at Plow and is usually started at 0.6-1.0 seconds. Thigh is the time spent at PHigh and is initially set at 4-6 seconds.” As with any ventilation strategy in ARDS, the goal should be to ventilate the lung on the steep portion of the pressure-volume curve, where mean lung volume and pressures are adequate for oxygenation and ventilation, and the tidal volume lies between the lower and upper inflection points” ( Daoud, E. G., Farag, H. L., & Chatburn, R. L. 2012,

Following the selective immobilisation pathway, a number of themes were frequently acknowledged. One aspect is the avoidance of prolonged immobilisation on hard surfaces. Spinal boards or scoop stretchers should only be used as method of extrication or during short travel times to hospital. During long travels a vacuum mattress or ambulance stretcher would be

This submission is going to focus on the nursing care that I gave on two placement simulations and one shift on placement, placing emphasis on oral care, bed bathing and medication management. It will outline the fundamental aspects of clinical nursing skills that have taken place in my setting. This will also highlight the learning process taken place and how it helped me to enhance my knowledge, and ethical values in order to deliver quality and safety of care. Using other sources of current literature, I will use a reflective model to discuss how I have achieved the necessary level of learning outcome. By utilising this model I hope to demonstrate my knowledge and understanding in relation to these skills as well as

A twist on the "patient's perspective" approach is to describe a time when medicine failed to save or heal someone close to you. The purpose of this tactic would not of course be to rail against the medical profession, but rather to show how a disappointing loss inspired you to join the struggle against disease and sickness.