Bloom Research and Response Paper

There was no need for this procedure at this time since Sue did not need suctioning. She was still mobile and was not showing the signs of needed to be suctioning. I came to this conclusion that she did not need to be suctioning based on his careless response. “I just want you to know what we’ll be doing when your condition gets worse” (16). Suctioning can be painful for the patient especially if the pressure setting are too high. During my time in the hospital rotations, respiratory therapists and other staff always communicated what they were going to

Tova Bloom is a Jewish girl growing up in New York during the American revolution. Even though there was not a lot of Jews in New York in the 1770's, tova kept herself busy with all her chores and had great company from her five sisters. She is a strong and independent young woman. One day while she was picking berries with her sister, she had a question, are they loyalists or Patriots? After a long discussion she realized she and her family where Patriots, she couldn't understand why King George was so mad put she did understand that she wanted to live in a free country, she wanted this because it would help the Jews live a Jewish life after having many laws and restrictions against them In Germany. When they went back home, they found their

Shallow breathing and pain altered this patient’s comfort. Therefore, one of the nursing diagnoses can be stated as “Breathing Pattern, Ineffective r/t pain and anxiety, as evidenced by respiratory depth changes" (Ackley & Ladwig p. 175). We briefly discussed the specifics of incentive spirometry use before initiating the intervention. After return demonstration, the patient was ready to use his incentive spirometer.

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Pt approached staff 2200 stating, she was having a hard time breathing. Pt also stated her tongue was swollen from an allergic reaction. Mild tongue swelling noted. After assessing the patient, she had bilateral audible wheezes and o2 stat at 96%. No s/s of respiratory distress noted. Pt received a nebulizer treatment at 2205 and was fine after tx, stating "my breathing improved." Prn Bendaryl was also given after a swallow evaluation. No further medical complaints. Slept well through the

A problem-focused trigger was identified using the Iowa Model for Evidenced-Based Nursing Practiced. This problem-focused trigger was a safety/quality improvement concern. The problem was observed during a clinical experience at a local hospital on a medical-surgical floor.

I started my morning by reviewing his Kardex and noticed that chest pain had been noted and that he had an ECG and CT of his chest. I went into his room to find him wide-awake in bed. I performed my safety check and took his vitals. His resp rate was quite high at this time and his Sp02 was on the lower side. MK expressed through nodding that he was having chest pain during that time. I also did a respiratory assessment because I was concerned with his SpO2 and resp rate. I found decreased air entry to his bases, expiratory wheeze, and a visual use of accessory muscle to breath. His breathes where short and labored. When asked if he was experiencing SOB, he nodded and this directed my care for that morning. I reported to my instructor with my findings as this was the first time I had a client say yes to chest pain. I quickly addressed his SOB with his PRN bronchodilator using a spacer and put him on two liters of O2 via nasal prongs. I checked back in after 5 minutes and his resp rate had lowered and his SpO2 had risen to a more adequate level. I noticed he did not have audible wheeze any longer and was not using his accessory muscles. Overall he looked way more relaxed in his bed after addressing his respiratory distress. Unfortunately, he still was nodding yes to chest pain in that moment. The RN on my team left a doctors note about another CT and ECG and noted that the client was still

“We need to transfer her to the ICU”, said the attending while holding a nebulizer mask up to the infant’s face. It was organized chaos at its finest-- EKGs, X-rays, and labs were being drawn almost instantaneously. My 5-month-old patient 's respirations had become labored and needed care more advanced than we could perform on the inpatient cardiology unit. As the bedside nurse, I was responsible for communicating my assessment findings and concerns about the patient to the team.

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Cognitive domain involves six categories and you must build on each one for it to be effective. They are knowledge, comprehension, application, analysis, synthesis, and evaluation. Cognitive domain described by Randall (2011), “Is the recall or recognition of specific facts, procedural patterns, and concepts that serve in the development of intellectual abilities and skills” (2011). This domain is applied in respiratory education in the form of comprehending information and being able to apply and assess information. An example of this would be placing a patient on optiflow, you must have the knowledge to deliver the correct oxygen concentration and flow to meet the patient’s needs. If the patient does not tolerate or this therapy or becomes

To test the intervention, a safety simulation class will be set up to challenge the nurse to problem solve and utilize critical thinking skills. The simulation will have conscious sedation medication, monitoring equipment and teaching tools. During the simulation, the nurse will utilize clinical judgement the what if in a situation, decision making and a thorough assessment. The nurse will be able to ask questions, practice without causing harm and criticism. Feedback that the nurse will collaborate with the interdisciplinary team to focus on improvements, monitor the severity and the high RPN, ensure the risk is at an acceptable level, and a corrective plan is implemented. The organization will conduct a monthly analysis to ensure the plan

The statement mentioned above is part of the Bloom's argument in defending his notion of mastery education and his position on the weakness of the alternatives confirmed by education professionals.

One of the ten National Safety and Quality Health Service Standards developed by the Australian Commission on Safety and Quality in Health Care to ensure the improvement of quality health care service in Australia is Recognising and responding to clinical deterioration. While this might have been an established standard, its implementation must still be frequently examined. That’s why researches that tackle about this topic are very much essential. The first article talks about spotting clinical deterioration in emergency setting. It further examined how frequent deterioration happens and how MET and ED CIC has been utilized for these events. The findings of this research are very much useful since it has established the need for EDs and healthcare institutions to review and evaluate their systems in recognising and responding to deteriorating patients. On the other hand, the second study is very much essential in determining the effectiveness of using simulation as a tool in preparing the students in the actual, often chaotic, clinical environment. Even though, the result was limited due to the sample size and settings used, the findings has outweighed the limitations as this research verifies the benefit of the simulation experience for all the participants, regardless of their diverse nursing experience or prior learning. The outcome also validated that the objective of the simulation learning, which is to empower the registered nurses of tomorrow specifically in terms of being able to recognise clinical deterioration and knowing how to respond appropriately, were met. Lastly, the third research investigation is very much of help in establishing how frequent the signs of clinical deterioration have been overlooked in the ED despite being able to document

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At the start of her admission, Mrs. J is going through many complications throughout most of her systems. I would follow the rules of ABC and control her respiratory problem first. Mrs. J has an oxygen saturation of 82% and is probably going to continue dropping. She will require oxygen first, possibly a nonrebreather mask. The symptoms she is facing is of a person going through acute heart failure which includes shortness of breath, coughing/wheezing, weight gain, swollen ankles, rapid heart rate,