Antipyretic Treatments

The temperature decrease results in alterations of the autonomic sympathetic response[11] and in impaired conduction velocity of the electrical signals through the

Management of the acutely ill adult is a complex and perplexed procedure. It requires underpinning knowledge of the pathophysiology of the disease currently affecting the patient, as well as ensuring that professionals are equipped to deal with the development of a rapid deterioration. The National Institute for Clinical Excellence (2007) explain that patients are sometimes inadequately treated due to staff not acting in a sufficient time manner, and so a systematic assessment of the patient recommended by the Resuscitation Council (2006) should initially be followed (Jevon, 2009).

Nurse’s care for several patients in a day and it is important to understand the patient as a whole person to treat them effectively. The purpose of this assignment is to explore a patient’s disease to understand the nursing judgments and interventions involved, the medications for this diagnosis, and to understand the disease. The patient described in this paper will be referred to as Jonathan to ensure patient confidentiality.

The purpose of this paper is to conduct an in depth exploration of the nursing care considerations of patients in a specific clinical area. Through the synthesis of prior knowledge, clinical experiences and skills, evidence based best practices, and care of patients a comprehensive care and teaching plan will be composed. Integration of critical thinking and clinical reasoning skills, combined with evidence-based research will provide confirmation of nursing process comprehension. The inclusion of reviewed literature will further support knowledge and understanding.

Those two theories are Florence Nightingale’s theory of the important of the environment and Katharine Kolcaba’s theory of comfort. Both of these theories are lacking in the emergency room because of the lack a therapeutic environment for these patients. The goal for most emergency room physician is to keep the patient safe until the patient can be moved to an inpatient pscyharitic unit (Nicks & Manthey, 2012, p. 2). By the physicians having this mentality, it does not allow the patient to start his or her healing process in the emergency room while the patient is boarding waiting for an inpatient bed to become available. With the implementation of both of the nursing theories mentioned above this writer believes that it will change the environment that the patient is in and will teach the physicians to start to treat these patients and in turn, it will provide the patients with the quality care that he or she

i. Hypothermia may also trigger thermoregulatory vasoconstriction; the consequent reduction in cutaneous blood flow leads to subcutaneous tissue hypoxia and failure of humoral immune defense systems to reach target areas to fight infection. (Hart et al., 2011)

Generalized Anxiety Disorder (GAD) is a very common anxiety disorder; symptoms include nervousness, worrying and tension. The anxiety is not linked to one thing and patients can be overwhelmed by a general feeling of dread. A patient with GAD will worry about the same things as any unaffected person, for example, their health, personal relationships or work. What sets them apart is that the degree of worry or tension is higher than normal levels. The worrying can be both persistent and debilitating. Symptoms are moderate but long lasting persisting for longer than one month. Possible treatment methods for GAD include Cognitive Behavioural Therapy, Psychopharmacological Therapy, and Acceptance Based Behaviour Therapy. It will be argued that CBT is overall a better treatment for GAD and has been found to be effective and tolerable in the treatment of GAD.

The pediatric clinic provided well check-ups, sports physicals, vaccinations, sick visits, referrals. These services are by appointment, if a walk in comes in they will schedule them for an appointment or recommend going to the urgent care. When a patient called with a child running a 103 degree fever the nurse recommended to go to St. Fancies children’s hospital Emergency room.

As stated on the clinical assessment, Sam has recorded a temperature of 37.8oC, “body temperature averages 37C +/- 0.5C and with a range of 35.8-38.2C” as published in (Marieb & Hoehn, 2011, p950), so I would assess Sam’s temperature as initially a low grade fever. As the majority of fevers in hospitals are due to infections (Marshall, 1993, p208). Low-grade fevers can occasionally accompany serious medical conditions with symptoms such as Sam’s difficulty breathing, confusion, decreased levels of consciousness and rapid heart rate. http://www.healthgrades.com/symptoms/low-grade-fever

Patients seek medical attention for preventative measures, as well as, diagnostic measures. Patients must have a trusting rapport with their collaborative medical team, as the nurses and the doctors are the people who they trust their lives with. Patients do not always present to hospitals, urgent cares, walk-in clinics, or even doctor’s offices only when they are sick; patients visit to ensure their good health will continue, treatment regimens are of benefit, changes that may be needed in regimen. When someone thinks of a patient they may think of some of these characteristics: illness, disease, hospital, medications, health, and prevention.

Notably, the essential nursing diagnosis is Impaired Comfort and readiness for enhanced Comfort. This diagnosis is proper on the grounds that the patient can easily catch colds at anytime, because of her beta thalisemia gene. Moreover, due to just being 6 years of age, her immune system is additionally her immune system would be compromised faster as she is still young. Subsequently, this interview occurred in the patients’ toy room where she was playing with her most loved Play-doh. As a matter of fact, the environment was entertaining, as various toys exceptionally encompassed us. Furthermore, some barriers amid the assessment were the patient consistently being dynamic and getting diverted by her assorted toys, and also, needing to play

Nurses are expected to place the care and treatment of each patient as their highest concern, but they may disagree on the exact method to use. Theory-guided practices involve patient care practices that are often too new to have developed research supporting their effectiveness, while evidence-based practices rely on tested and tried techniques to enhance patient care. Nursing practice theories are the narrowest in scope, detailing specific responses to situations that nurses may face, such as detailing a number of specific tasks a nurse can perform to reduce a patient 's stress while under the nurse 's care. Evidence-based nursing practices use tests techniques in patient care, such as specific rules dictating a nurse 's reaction to specific situations, exacting guidelines and tested techniques that are supported by research. Evidence-based practices work to provide reliable and efficient care techniques to each patient. “Evidence based medicine is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. This practice means integrating individual clinical experience with the best available external clinical evidence from systematic research”. (Wiley.com). Theory-guided nursing establishes general ideals for nurses to follow, allowing individual nurses to make decisions based on a single accepted standard of care. Nurses work with a level of autonomy, applying the accepted theory for her facility

As nurses we deal with several different patients in a day and it is important to understand the patient as a whole person to treat them effectively. The purpose of this assignment is to explore a patients disease to understand the nursing judgments and interventions that go with this patient, to understand medications for this diagnosis, and to understand the disease the patient was diagnosed itself. The patient described in this paper will be referred to as Jonathan to ensure patient confidentiality.

Objective Analyze the application value of all-round nursing care in an infantile febrile convulsion. Method Ninety-eight cases diagnosed with infantile febrile convulsion from February 2013 to October 2014 in our hospital were selected to participate in this study. This study has been approved by the hospital 's ethics committee and has obtained the informed consent from the patients as well as their families. The patients were divided into a control group (n=48 cases) and an observation group (n=50 cases). Patients in both groups were offered anticonvulsant treatments. Simultaneously, the control group was offered general nursing care while the observation group was offered all-around nursing care. We compared and analyzed the nursing

The school clinic is a site managed by kind and understanding nurses, who are willing to help any students of staff in need of help. The purpose of the school is to provide a safe and comprehensive environment for the students on campus. The main role of the nurse is to promote compassionate and safe nursing care to students with diverse health care needs. In the school clinic there is various equipment that is often found in a hospital or other health care facility, such as gloves, bandages, thermometers, medication, and stethoscopes. The type of equipment used often varies on the reason for the student being there, however, a thermometer is mostly always used to check the student does not have a fever. The technology I observed include Computers, Thermometer, Hearing screening, Vision screening.