Application To Nursing Practice: A Case Study

From a pediatric perspective, the family is an integral part of the healthcare team. Parents are the primary ally and resource in providing individualized care for their child. Even in adult patients, who they are is impacted by the relationships that they have. Serious or chronic illnesses and injuries affect the entire family. The family, then, becomes the patient, particularly when it is necessary to make lifestyle changes.

Nursing care is a dynamic field of practice. The way it looks today is far out greater intense and very structured. It advances itself by the use of nursing theories and evidence based practice. Policies and procedures constantly change with the advancement of technology and science. While caring for the patient in the given case studies, a nurse involved utilizes practical knowledge, a culture care model and transpersonal caring relationship to attain a caring environment (Smith & Parker, 2015).

Another big role in a pediatric nurse’s job is telling the parents disturbing news when it is necessary. Telling the family any bad news is more of a process than anyone might think. The pediatric nurse responsible for this task must first think ahead, plan for the worse, and plan for the reaction of the family. The pediatric nurse must set time apart from their busy day to be able to spend it with the family of the patient. One is never sure how the family will react or how long it will take to explain all the details and answer all the family’s questions. , According to Crawford in his journal “It is also helpful in many cases to have a witness to what was actually said as sometimes, despite all the care and attention to detail, mixed messages can be conveyed” (Crawford 3). In the article, it also states that the pediatric nurse should give open and honest information to the family. The nurse should start the conversation off letting the family know that they are here to support and encourage. The nurse should be straight forward from there on out and should refrain from using elaborate or confusing words with the child’s family. The nurse should avoid not only confusing the family but also excuses, jargon, elaborate reasoning, and the temptation to speed through the bad news without making 100 percent positive the family understands what they are being told. When the nurse has properly told the family the bad news, he or she must

children and families cope and adjust to the challenges of hospital visits. Although a child life

This essay will discuss the topic of communication, providing an overview of the topic in relation to professional practise within adult nursing and then about children’s nursing and why it is important. Further outlining how communication influences all the choices we make, and how we adapt these skills to meet the needs of the patient. The similarities between these two fields of nursing and the differences and what skills are required when applying this in clinical practise will be expanded on. Further to this, this essay will discuss

Hello, I am Angeline S. Bernard, licensed practical nurse, with Aetna’s utilization management department for long-term care. I am a 20 year veteran in the health care industry, primarily in the field of nursing, interested in pursuing a management role. With 15 years spent in the acute hospital environment, as a nurse, I have also practiced in other settings. School nursing, occupational nursing, quality management, and utilization management, are all additional areas of practice.

Some practical obstacles that hinder the delivery of proficient and economical services include differences in language, cultural and knowledge of health issues. However, the prudent advanced practice nurse (APN) considers these obstacles to communication when providing patient-centered care. Nevertheless, when language barriers are not addressed, the provision of quality care to patient and families are undermined, which then transcends to both economic and ethical dilemmas. According to the centers for disease control and prevention (CDC, 2016), the gateway to healthcare is often hindered to a great extent by the lack of the ability to communicate medical necessities due to language barrier. In any clinical setting, efficient patient communication is essential in the delivery and accessibility of quality care and safety.

Early in the 20th century, the medical model of health dominated the thoughts of clinicians and illness was seen as a malfunction of the body that needed to be rectified (Coon and Mitterer 2011). Patients were traditionally treated in hospitals as standard practice. Children in particular would be admitted to hospital and treated by healthcare professionals with minimal input from family members (Alsop-Shields 2001). Glasper and Richardson (2006) suggest that the presence of parents on the ward was seen as a hindrance by nurses and also felt that children would not settle under parental supervision. Therefore parents and families were actively discouraged from visiting the patient and in most cases were prohibited from visiting their children.

The College of Practical Nurses of Alberta (CLPNA) is a self-regulating organization that administers and enforces the framework of Licensed Practical Nurses (LPN) in Alberta. The mission and mandate of the CLPNA is to provide the utmost level of care, while safeguarding Alberta healthcare users. Accordingly, the college oversees the standards, ethics and guiding principles required from SPNs and LPNs. The CLPNA ensures that healthcare professionals meet or exceed the proper level of education, have the necessary qualifications and are competent.

Throughout treatment the caregiver should be involved in the plan of care for the child. It is shown that children do best in a supportive, familial environment. The caregivers and the nurses have a large impact on the child’s ability to get better and reach optimal health (Everhart, Fiese, Smyth, Borschuk, & Anbar, 2014).

Mrs. Cote 57-year-old female here today to establish care. She is a former patient of Marni Nicholas, MD.

Mr. Mustard fell down on his driveway three weeks ago. He has now presented to the clinic of Nurse Practitioner (NP) with chief complains of worsening left-sided headache, photophobia, unequal pupillary reaction, and dysphasia. Mr. Mustard takes Coumadin to lower the risk of stroke due to atrial fibrillation. Mr. Mustard’s presenting symptoms along with his higher age (70 years), history of hypertension and being on Coumadin regimen, should be considered as red flags and need urgent attention and evaluation. Based on the subjective interview, Mr. Mustard denies any previous history of brain injuries, which is also confirmed by the NP during physical examination. The NP considers that Mr. Mustard has suffered from traumatic brain injury likely

On arrival, Joe’s mother Catherine was distressed and throughout every stage of Joe’s care it was important Catherine was provided with clear information in order to empower her to make informed choices regarding Joe’s care (Glasper et al. 2010). Parental involvement was introduced after the Platt Report in 1959 which recommended that parents should be allowed to stay with their hospitalised child. The report has led to significant improvements in interactions between parents of hospitalised children and the staff who care for them (Priddis and Sheilds 2011). Sousa et al (2013) carried out a study that found communication between parents and children’s nurses is vital. Sousa et al (2013) found that almost all parents who participated in the questionnaire agreed it was a priority to get information on their child’s health condition. This indicates that is important for nurses to manage the child and family as a whole holistically (NMC 2015). Catherine

Families believed it would have been more helpful and a relief if they would have had the same team of staff members. Support provided to the siblings was mentioned. Resources such as support groups, hospitals that have playrooms to utilize during visits, and respectful acknowledgement from staff. Lack of time allowed to spend with siblings and should participate in discussions. Language barrier interfered with proper access to important information which resulted in lack of comprehension of the child’s diagnosis, plan of care and status. Lack of presence of an interpreter. These families reported feeling a level of isolation, disoriented, and suspicious of the facilities system. Families felt important, as if they still mattered after receiving bereavement follow-ups via phone, mail or face to face. Especially if they had a strong connection with the hospital staff. Pain management was an issue, parents felt horrible witnessing their child in pain and lack of response to the pain medication and lack of response from the caregivers responding to the patient’s

Mrs Banks was then taken back to the consulting room to be with her husband. From the health history and physical examination findings, a definite diagnosis was not obtained and it was explained that further investigation were needed to establish the cause of the pain and bleeding. Upon reviewing the differential diagnosis, the possibility of ectopic pregnancy was identified, this presents a major health problem for women of childbearing age. Without timely diagnosis and treatment ectopic pregnancy can be a life threatening situation (RCOG 2016).It is the leading cause of maternal death in the first trimester of pregnancy accounting for 10-15% of all pregnancy related deaths (National Institute for Health and clinical Excellence (NICE) 2015)