Cross Bridge Nursing Case Study Essay

1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act.

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

1. Monitor the patient's oxygen saturation frequently (once per hour) at rest and after exertion on room air

R.O. is a 43-year-old female Latino patient who has been living at home alone since she got divorced three months ago. She does not have any living or available family in the United States. She is the oldest of three children. Her parents died of an accident when she was little. Two of her sisters live in Mexico. She has lost contact with her family in Mexico when she got married and move to the United States. She also has stopped communicating with her ex husband since they got divorced. Although she does not have any support from her family, she states that her church member has been very supportive. Moreover, R.O. states she was a homemaker until the divorce. Currently, she has been working as a dishwasher near her house.

DOI: 8/6/2015. Patient is a 51-year-old female licensed vocational nurse who sustained a work-related injury to her back and hips while moving a client. As per OMNI, she was diagnosed with muscle spasm, pain over the low back and thoracic region. She is status post right carpal tunnel release on 02/26/16.

Nursing has become one of the most important professions in healthcare however; there are many aspects as to what is needed for nurses to become more efficient in their skills. The IOM report has much information as to the impact of nursing in regards to nursing practice, education, and leadership. In each of these, the IOM report explains the importance of these subjects as well as the impact it has on future nursing. In this paper, the explanations of the importance of each of these skills are explained as well as what suggestions should be implemented to improve nursing practices.

Mr. Brann is a 42-year-old male here today for followup from his left cerebellar stroke and left vertebral artery dissection, status post hospitalization in May of 2015

Mosby’s medical dictionary defines an advanced practice nurse as “a registered nurse having education beyond the basic nursing education and certified by a nationally recognized professional organization in a nursing specialty, or meeting other criteria established by a Board of Nursing. The Board of Nursing establishes rules specifying which professional nursing organization certifications can be recognized for advanced practice nurses and sets requirements of education, training, and experience. Designations recognized as advanced practice nursing include certified nurse-midwife, certified registered nurse anesthetist, clinical nurse specialist, nurse

----- Clinic presents a black male 68 years old. Currently experiencing dyspnea and lethargy. For the past week he has been having a increase of difficulty breathing. Complains of alternating periods of sweating and chills. Other symptoms he has been experiencing is a productive cough with expectoration of thick yellow sputum. Patient is a ex- smoker, he was a 40 pack year history, denies smoking, stopped over 10 years ago. Medical history includes chronic bronchitis, hypertension, MI five years ago, has had a angioplasty, and denies chest pain since having angioplasty. Current medication combined albuterol/ipratropium MDI, nebulized albuterol prn, captopril, and hydrochlorothiazide.

While doing to assessment there are focus areas of chronic condition that the nurse should assist

The quality of care given by the advanced practice nurse (APN) is been assessed by the employers, patients, health care auditors, government quality improvement programs, peers, and researchers (Rhodes, Bechtle, & McNett. 2015). However, good quality is equated by different merits, for example; to an employer, good performance could be equated with high billings and Medicare may include a great performance in the Merit-Based Incentive payment system (MIPS) (Rhodes, Bechtle, & McNett. 2015. There could be some discrepancy with quality performance and cost measurement since the assessment of performance are not been evaluated equally, therefore setting a treatment code using a fee for service practice might be helpful (Rhodes,

According to Hall and Ross-Kerr (2006) teaching is an interactive process that promotes learning. Generally, teaching and learning begin when a person identifies a need for knowing or acquiring an ability to do something. A nurse, who embodies the role of a teacher provides information that prompts the client to engage in activities that lead to desired change. Teaching is most effective when it responds to the learner’s needs (Potter, Perry, Ross-Kerry, & Wood, 2006, p. 318). In this paper I will include an assessment of the learner, teacher, and resources with a teaching plan. I will provide evidence of implementation along with discussion of teaching material used in the presentation, including the rationale for its use. The paper will

In the given scenario, I am a family nurse practitioner in a busy emergency room. Early in the evening hours, I am presented with a concerned mother who is seeking medical attention for Paige, her six-year-old daughter. The mother reports the patient has been displaying cold symptoms for a few days with a cough that continues to worsen. The issue that the patient faces is limited access to healthcare providers in the area who accept Medicaid, which is Paige’s health insurance provider. After discovering Paige’s physician’s office does not have any appointments available for three days, the concerned mother decides to seek care for her daughter at the emergency department. Considering the patient’s condition is considered non-urgent, and our

Urine screen done in the office today showed specific gravity of 1.015, moderate blood, trace leukocyte esterase, otherwise negative.

A 35 year old female went to the ER with complaints of dizziness, double vision, numbness in the legs, but also on the right side of the body. She was treated for a severe headache with Vicodin and instructed to see her primary care physician if symptoms persist.