Once the victim is able to heal both physically and psychologically enough to transition into life outside the shelter there are still more programs that assist with rent, furniture, daycare, vocational training, and continued counseling. Though some of these are government funded many of them are donation generated by compassionate people who
The aim of this assignment is to critically discuss the nurse’s role in planning care. The case of care is a 60-year-old lady named Mary. The names in this assignment have been changed in order to remain confidentiality in line with the Nursing and midwifery Council (2015). Mary has a son and lives with her husband of 30 years. Mary was diagnosed with type one diabetes mellitus when she was 18 years old. Mary also has a leg ulcer which is effecting many aspects of her life. Although Mary has other health problems I will be mainly focusing on the leg ulcer.
Reflecting on experiences and composing nursing care plans are just two of the many fundamental skills involved in nursing (Day, Trotter, Hill, Haines & Thompson, 2014). This essay will include four nursing care plans, two related to actual nursing problems, and two related to potential nursing problems. Additionally, included within this essay, using Gibbs reflective cycle (Gibbs, 1988), will be a reflection recounting a situation the writer experienced while on practical placement in a local rest home.
This week, I was given the opportunity to care for two female patients – 205(1) and (2). The first patient, 205-1, was admitted with respiratory distress and had a past medical history of hypertension, schizophrenia and bipolar disorder. She was initially put on 2 L/min of oxygen and placed on oxygen titration protocol with orders to maintain O2 saturations between 88-92%. The patient was oriented to person and place, but had difficulty with time. She was also obese (BMI 30) and deemed a moderate assist with ambulation. Her care plan included total assistance with ADLs, smoking cessation and oxygen protocols, limited salt intake (3mg), and chronic pain management. The second patient, 205-2, was admitted with a right pelvic fracture and had
Implementation of a practice change requires the innovator to be able to describe the process of implementation, specifically addressing the methods utilized, with an assessment of the key components of the implementation plan. The Daily Safety Briefing (DSB) initiative does not gather new information, but it does present information in a new way. There is no requirement for subject consent, as safety reporting is already covered under the umbrella of a consent to treatment, which patients sign at the time of admission (Hughes, 2008). Existing safety reports will be summarized into a one page document that will be presented at the DSB.
DOI: 7/20/2015. The patient is a 56-year-old male elementary school worker who sustained a work-related injury while moving tool and materials in a milk crate between floors.
Ensure a safe place for medications and adapt medication regimen. Provide for patient education and screen the children for physical and mental problems. Most especially, the clinical nurse specialist needs to collaborate and coordinate with ancillary care as the family will have ongoing issues. Health teaching must include all the psychosocial aspects of care and certain problems experienced by the family will require advocacy. Nutrition should be the first concern after shelter and the strategies may involve coordination, referrals and advocacy as well as guidance and teaching. Lack of good nutrition and an adequate daily diet is a source of impairment in all areas. The clinical nurse specialist will also act as advocate both for individual homeless families and all families that require solutions to problems brought on by homelessness.
I am applying to the Walden M.S. in Clinical Mental Health Counseling Program. I plan to practice as a licensed professional in counseling and Higher Education. I have always wanted to be a Clinical Mental Health Psychologist, working with individuals to help improve their mental and emotional health is something that I am committed to. Starting this program now is the best time because the information that I learned from my undergrad career would help me to be more successful in my grad career by learning more but at an advanced level. Once I receive my degree I plan to go back to school to get my doctorate degree in psychology, and utilize the skills that I have learned to open my own private practice that helps individuals who suffer with mental and emotional disabilities, within my practice I plan to let each individual patient talk about their issues and come up with a strategic plan for treatment. The personal qualities that I possess are having self-confidence and the ability to work and collaborate with others having the ability to be receptive to feedback while maintaining a positive attitude.
The majority of abusers will respect a protection order. Courtney Griffith is the case manager for Preble County’s YWCA. She states that people need to know the importance of obtaining a protection order. This order remains on the suspect’s record and can be useful in a court of law. Griffith says that when a victim of domestic violence avoids going to a shelter, he or she is still in danger; even though seeking refuge may seem like an easy decision, it is not because the victims are expected to walk away from everything they
Shields was explained her rights under the New Jersey Prevention of Domestic Violence Act, including her right at this time to obtain or apply for a temporary emergency restraining order. At this time, Ms. Shields stated she did not want a temporary emergency restraining order or to sign criminal charges, and signed the attached victim notification form. A check of the Domestic Violence Registry revealed no past or existing orders between the two parties. A check of Shield’s person revealed no obvious signs of an injury, and she had no complaint of pain. No further police action required at his
When a woman takes responsibility to leave an abusive relationship, she is still vulnerable and at risk for injury or death. She accepts the fact that her partner will not, or cannot stop their abusive behavior, she decides she will no longer submit to it and begins to start a new life. Abused women are in the greatest danger when they leave their abuser, she may be stalked, threatened, attacked, and even killed. When a woman chooses to file for a retraining or protective order,
Chronic Kidney Disease (CKD) is a disease that is described as a loss of kidney function gradually over time. As kidney function decreases, the waste collection in the body’s blood becomes high and makes the individual feel sick. This disease can lead to other complications in the body such as anemia, poor nutritional health, high blood pressure, and nerve damage. These complications will begin to progress and show as CKD progresses to advanced stages. Early detection of this disease is essential when it comes to treatment. If CKD is diagnosed early enough the disease progression can be slowed down and managed. This disease will eventually lead to failure of the kidneys
Ineffective breathing pattern related to decreased oxygen saturation, poor tissue perfusion, obesity, decreased air entry to bases of both lungs, gout and arthritic pain, decreased cardiac output, disease process of COPD, and stress as evidenced by shortness of breath, BMI > 30 abnormal breathing patterns (rapid, shallow breathing), abnormal skin colour (slightly purplish), excessive diaphoresis, nasal flaring and use of accessory muscles, statement of joint pain, oxygen saturations of 85-95% 2L NP, immobility 95% of the day, and adventitious sounds throughout lungs (crackles) secondary to CHF, hypertension, pain caused by gout and arthritis, and obesity
Since the early 1900’s nurses have been trying to improve and individualise patient care. In the 1970s this became more structured when the nursing process was introduced by the general nursing council (GNC), (Lloyd, Hancock & Campbell, 2007) .By doing this their intentions were to try and understand the patient in order to give them the best care possible (Cronin & Anderson, 2003). Through the nursing process philosophy care plans were written for patients. It was understood that this relationship would ensure the patient received the best care possible to suit them individually. This would consist of not just the patient as a physical being but their spiritual emotional and holistic being also (Cutler, 2010). The
A nursing diagnosis identifies an actual or potential response of a patient to a health problem (Jones 2009). Nursing diagnoses are important because they provide the foundation for the selection of nursing interventions (Walton 2008). This care plan is the concluding half to the initial care plan that identified nursing diagnoses and goals with the aim of promoting the holistic wellbeing, mental health, and independence of a 68 year old Mr. Bertoli who has returned home from hospital after experiencing a stroke. Particular emphasis will be placed on proposed interventions to achieve Mr. Bertoli’s healthcare goals and the provision of rationales. This is important to justify the significance of the interventions and indicate