From what I have understood, I would say the contributing factors for dysphagia would have been because she has suffered from a stroke that has possibly contributed in the difficulty to chew or swallow foods and liquids, that may have been the lead cause of her malnutrition. Ignatavicius, & Workman (2016) found “studies indicate that as many as 50% of patients are malnourished at 2 to 3 weeks after a severe stroke” (p.942). complication from tube feeding may include fluid and electrolyte imbalance or even fluid overload from too much tube feeding. In order to limit complication from tube feeding the nurse must assess signs and symptoms of circulatory overload for example peripheral edema. Keeping the tube site free from infections, auscultating lung sounds and also observing for signs of dehydration. The Albumin levels from Mrs. Smith is low normal rage is between 3.5-5.0 so she may have fluid excess. Also, her pre-albumin is low and could be a result of protein and calorie malnutrition. The priority nursing diagnosis I would choose for Mrs. Smith would be Imbalance nutrition less that body requirement …show more content…
My initial assessment would start with her medical history, asking about changes in eating habits, such as changes in appetite, recent weight changes then followed by a full set of vital signs, a head to toe assessment. Also, a psychosocial assessment such as her living, arrangements and mental status. List the nursing assessments the nurse will complete in order to plan for her discharge. I would assess Mrs. Smith vital signs, make sure her tube feeding sight has not signs of infections, no skin breakdown, and providing resources that she may need. Also, that her weight and nutritional status is within a normal range. How are they different from the initial assessments? The initial assessment is what the nurse may need to know before determination what is wrong with the patient.
Question 7. Mrs Smith’s condition has been deteriorating and she is now in need of nursing care. She is being transferred from your care setting to a home that can meet her nursing care needs. You have been asked to sort out her medication for transfer. Explain the procedure you should follow and identify any information that must be recorded about the medications:-
The second step that I used in the nursing process was diagnosing. Based on my results from my assessment, I was able to use that information to come up with a couple nursing diagnoses. This step is used to offer effective nursing care because it helps me set an intervention and plan of care to help my patient’s health outcomes for the better.
The nurse must initially evaluate the patient’s charts for any bacterial precautions and fall risks. As the nurse walks into the patient’s room, the nurse begins by making sure the environment is clean and safe. The nurse would do this by gathering equipment, washing hands thoroughly, and wear gloves. The nurse is then to greet the patient, introducing self, then let them know exactly what you came to do. The nurse should first ask the patient for his or her name, birthdate, location of where the patient is currently at, and the reason as to what
and vomiting (N/V). She has also had coronary artery disease (CAD) for several years, and 2 years ago
She probably is malnourished and has health complications because of it like low blood pressure and drastic weight loss.
It is essential for nurses to understand which appropriate method and tools should be utilized for an individual and their families when performing discharge teaching in order for the patient education to be successful which in turn will promote proper healthy healing (Bastable, 2014). The purpose of this discussion board is to develop two objectives from my teaching plan and describe the instructional methods that will help Tina with meeting these objectives, identify which evaluation method I will utilize to help determine if the objectives were met and explain why I chose this particular evaluation method for Tina. And further discuss any potential barriers that might be expected and discuss how I plan to address these potential barriers.
The nurse's assessment findings include right sided weakness, slurred speech, and dysphagia. The nurse identifies that Mrs. Rusk is at high risk for several problems.
Alice needed an assessment of her needs and to have a care plan that is regularly reviewed by professionals. Assessment is the decision making process, based upon the collection of relevant information, using a format set of ethical criteria, that contributes to an overall estimation of a person and her circumstances (Barker, 2004). I was going to get most of the information from Alice. Barker (2009) suggests that wherever possible information should be obtained directly from the person, either in the form of some kind of self report or via observation. Good communication and a systematic approach to data collection are needed for a successful assessment.
Dysphagia is defined as a difficulty moving food from the mouth to the stomach. Dysphagia can come and go or slowly worsen over time depending on the other disorders present. When a person has a cerebrovascular accident (CVA), dysphasia can appear and later go away. If a progressive neurological impairment is the cause of the dysphagia, the swallowing problems can worsen over time and never go away (Logemann, 1998). Dysphagia is a commonly diagnosed for at least a short time after a CVA has occurred and individuals are more likely to aspirate liquids with a lower viscosity (Murray et al. 2016).
I enjoyed reading your post. I agree that when conducting a comprehensive assessment, it depends on what area of the hospital you work in. I work in the PACU, assessing a patient is much different than when I worked in the ICU. When I worked in the ICU, I would gather the necessary information from the ED and conduct my initial assessment based on prior documentation. I would do a complete head to toe assessment and physical assessment. For example, assessing a patient’s skin completely for pressure ulcers was mandatory. Working in the PACU, our patient usually receives a telephone interview prior to their surgery, which entails obtaining medical and surgical history, medication, support systems, allergies, living arrangements, etc.
Plan: The primary goal for the nurse is to ensure Caroline is discharged able to administer and monitor her medications as well as recognise the indication, desired effect and potential side effects and adverse reactions for each drug. The nurse must apply health literacy principles, consider verbal and non-verbal communication techniques as well as apply adult learning principles to achieve this goal.
It is important to focus on treating the cause of your loved ones dysphagia as well the dysphagia itself.
Nursing interventions that are appropriate for Mrs. J. at the time of her admission includes comprehensive nursing assessment
There are many factors to be considered when nurse Hernandez planning Mrs. Franklin-Jones discharge for one, the nurse should consider Mrs. Franklin Jones cultural background, the fact that she is Jamaican plays a major part when in the discharging process. Another factor to consider is the fact that Mrs. Franklin Jones mother died from hypertension. Also, the fact that Mrs. Franklin Jones always forget to take her medications on a regular basis. Another factor Nurse Hernandez also need to consider when planning Mrs. Franklin Jones discharge is the fact that she does not take her blood pressure on a regular basis even though she has a history of hypertension. Also the fact that Mrs. Jones had to study what food to eat and not to eat is a very important factor to consider when the nurse is planning her discharge instructions. Another important factor to consider is the fact that Mrs. Franklin Jones is working two jobs and has to rely on family members to cook. And the final
The case study I picked was case study number one. This case study is about an 80-year-old man who has developed dysphagia which is difficulty swallowing. He is in good health meaning he is very alert, mentally intact, and orientated. He lives by himself in an apartment and doesn’t ask much of anyone. Mr. L has a granddaughter who is very worried about her grandpa and lives not far from him. His granddaughter is the one that drives Mr. L to places that he cannot himself. When they both were at the hospital, Mr. L was convinced to undergo an exam, and they found a lump in his throat. If the lump is found to be cancerous, they need to go through a biopsy and radiation and chemotherapy. They told the granddaughter that, and she has requested