Case Study On Stress Management

Scenario: An elderly woman showed symptoms of near syncope and was admitted via ambulance to a small community hospital. She experienced an inability to move on her own and almost lost consciousness while watching her grandson play basketball. Her symptoms occurred during a visit to her daughter’s home, which is approximately 150 miles from Liza’s home. When Liza was admitted to the hospital, her daughter explained the numerous types and dosages of medications her mother was taking. She also mentioned that Liza had not been taking her Coumadin as directed by her physician for the past week or so. Liza was admitted to the intensive care unit for evaluation. Over the course of hospitalization, Liza’s condition worsened.

After surgery, Mr. Baker is taken to a room on the medical-surgical floor. He has an IV infusing at 125 ml/hr, a PCA pump, and a nasogastric tube connected to low suction. He is receiving oxygen through a nasal cannula.

lethal dose of drug is given to the patient with the permission of the patient or the family.

Furthermore, prompt infusion of antimicrobial agents ought to be priority and this may require extra vascular access ports (Dellinger, et al., 2008). Early goal-directed resuscitation has confirmed to improved survival for emergency department patients presenting with septic shock in a randomized, controlled, single-center study. Resuscitation lessen 28-day death rate (Dellinger, et al., 2008). In a reviewed conducted by Dellinger, et al., (2012) advocated administering one litre of crystalloid or 300-500ml of colloid more than 30 minutes, to accomplish a central venous pressure (CVP) of 8 mm Hg to 12 mm Hg. Volumes ought to be increased if there are huge indications of hypoperfusion (Dellinger, 2014).

There was no documentation of complications with bleeding or any other abnormal findings. You were kept overnight for and admitted to acute inpatient level of care with a discharge the next day. There was no hemodynamic (blood), pulmonary (lung), neurological (nervous system) or metabolic (chemical process) reasons for the acute level of care. The services and interventions provided could have been done in the observation setting. There were no positive test results or other findings after evaluation by the doctors that would have requested an acute level of care. You could have been kept in observation according to guidelines and with no documented complications confirmed through evaluation and testing you could have been discharged from observation with an ambulatory plan of

Clinical Skill Assessment Part C: Critical Reflection Description In a clinical skill assessment during week 5, I chose to perform the skill based on the case scenario number 2. I was performing under the supervision of Bianca, giving subcutaneous injection for a patient, Grace Kelly, who had undergone abdominal surgery. At the beginning, I have read the case scenario, look at the medication chart and calculate the drug before administering to the patient for 2 minutes.

Mr. B.’s procedure after sedation (was accomplished) was successful and his sedation level continues. Nurse J then applies an automatic blood pressure machine to measure every 5 minutes and a pulse oximeter, however the nurse does not apply any respiratory monitor or heart monitor which are protocol after a sedation procedure. The nurse then rushes out of the room leaving Mr. B. with his son with no medical personnel at the bedside to monitor the patient. No sedation score or neurological assessment of Mr. B. is noted, which should be performed after any procedure including sedation. This data is either missing, not documented or not performed by Nurse J. Mr. B.’s alarm for low saturation is alarming and the LPN enters the room briefly,

Eddy was transferred to Tucson Medical Center and placed in the cardiac unit there. When she first arrived, her room was prepared for her and the PCT was waiting to introduce herself, obtain vitals and inform her on who her nurse was. The nurse did not enter the room until about two hours after she had arrived at the hospital to perform her initial assessment. Over those couple of hours Eddy’s chest pain was at a tolerable level after the medication she received from the previous hospital, but she

On February 16 upon entering a room to assist with a transfer, I quickly check in on my post operation patient who was previously stable, I noticed their health status had rapidly changed. Moreover, my patient was found sitting in a very ridged positon looking pale, sweating, appearing anxious and in distress with a clenched jaw and intensely vibrating left leg. At this time, I was currently with my instructor and we immediate began to assess and comfort the patient. Our assessment found an increased blood pressure and heart rate and the patient reported numbness and twitching in their left leg. Subsequently, the patient

Identify four major ongoing stressors in your life. For each stressor, describe why it is a stressor for you. You need to discuss a variety of areas such as personality, lifestyle, self-talk, and/or beliefs.

We informed the physician about the situation and he asked us not to put on seclusion or restraints and wait for another hour since the medication she took will take few hours to get into her system. Patient

“Two days later, the patient was found unresponsive. The resident ordered stat blood cultures, electrolytes, and

Throughout life stress is a common problem whether it’s at work, school or home. The many negative effects of stress in fact affect individuals differently varying from health issues to work performance. Therefore, all individuals have different views of stress and various ways of handling it or otherwise managing their stress. Stress is when any living thing feels endangered and its homeostasis is at risk (Varvogli & Darviri, 2011, p. 74). Ways of dealing with stress are efforts of cognitive, behavioral, and psychological nature that allows a person to manage stress. Although there are different causes of stress, there are also many techniques for relieving it. The following articles are intended for the reader to

Nurse gives antipyretic to keep the fever down, to give oxygen therapy as ordered. Nurse should encourage the patient to turn and reposition to prevent pressure ulcers, patient in a semi or high fowler’s position to help promote breathing comfort

As I went through this last mental checklist, the sound of the gurney rolling in the suite was at my back, along with the reassuring comments my colleagues gave the patient. ‘We will take good care of you,’ ‘we will make sure your family knows how you