Cross Bridge Nursing Case Study Essay

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. 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.

CHIEF COMPLAINT: This is a post op note from a procedure performed July 21, 2015 by David Lin, MD.

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

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.

Mrs. Wilson is seen in her room at Glenbridge Nursing Home on 02/28/2018. She had an episode last night of chest pain. She is so ebullient and distracted that it is hard to get a straight history, it came on when she was asleep but she may been sitting up. She was seen by a nurse, a sat was taken. I am not sure if there were other orders taken, but there is none on the chart. She says that she spent most of this morning in the bed and still feels tired, but she does not think she broke out in a sweat. She was more short of breath. She is calling it is a "stroke." I had tried to begin tapering her diazepam by discontinuing the morning dose and apparently all daytime clorazepate was discontinued by error and she gets it only at night.

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.

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

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

----- 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.

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

Hill and Howard McQuirter, LCSW. They both shared the disposition that the patient should be discharged pending his agreeing to to follow up with outpatient services. Patient has agreed to follow up with outpatient services as recommended. His grandmother has been made aware of the plans concerning the patient. Patient contracted for safety, was given outpatient referral information, and completed a crisis plan. It should also be noted the patient has an up-coming appointment at DayMark 4/17/17 for groups and 5/1/17 to meet with his Psychiatrist. He has been given a list of shelter in the local area as

2. If a healthcare team member didn’t wash their hands before assessing my loved one, I would kindly ask them to please wash their hands before they start in order to keep my loved one from getting any possible germs that might be on their hands.

Nursing theory provides a resourceful and demanding organization of philosophies that venture a universal observation of care. By applying nursing theory in our daily care, nurses grow understanding pertinent to humanizing patients’ health condition. The four categories from the most abstract to the most specific are Metatheory, grand theory, middle range theory, and practice theory.

This assignment will present a nursing care study of a patient on a cardiac ward. The patient will be referred to as Ann to maintain confidentiality (NMC, 2008). Ann’s consent was gained prior to starting this care study. The care study will be developed using the Nursing process and the Roper, Logan and Tierney model. These will both be outlined. The assignment will focus on the assessment process and one problem identified during the assessment and the nursing care which followed this.