Nursing Case Study Essay

Although most people think they can get away with picking an easy topic for their senior projects it turns out to be a little more complex than that. Growing up my ideas and passions would always seem to be changing but when I finally became set in my ways at least in knowing what I would like to pursue the Nursing Program was up to par. I chose to do mine on Nursing in the ED (emergency department) because this is a field I would love to go into so I can be of service to those in need of any medical care, to always have a stable job to rely on, and further more to be able to excel in the field of medicine. I would love to be one of the people on call to respond to the needs of another individual in their time of need. Anyone could only

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.

Most hospitalized patients of 65 years and above have been established to be more vulnerable to falling within their homes or in a facility. These falls have been attributed to various causative agents that need to be assessed and managed in an attempt to completely avert falls (Wilbert, 2010). Prevention of falls should be mandatory since they cause more danger to patients, including breakage of the main bones and even death. As a result, the patient may develop a more serious condition such as decrease functional immobility in addition to that which caused hospitalization. Most of these falls have been found to be caused by therapeutic impacts and ignored diagnostic information (Naqvi, Lee & Fields, 2009). For instance, a great number of elderly people who are hospitalized are diagnosed with dementia at the time of admission; hence, such information needs to be taken into consideration during the care of such a patient. Dementia is likely to cause disorientation and confusion which may result in recurrent falls. Therefore, falls may be described as the abrupt and unintended loss of uprightness that leads to body displacement towards the ground falls (Wilbert, 2010). The purpose of this paper is to develop a falls prevention, management program that will reduce the number of falls occurring within an organization.

When a person suffers from dementia then they are at an increased risk of falls. People with Alzheimer’s and other types of dementia tend to be at a high risk of falling. They are more than three times more likely to fracture their hip when they fall, which leads to surgery and immobility. The rate of death following a hip fracture for those with Alzheimer's is also increased. Thus, fall prevention for people with dementia is critical. There are many causes for a person with dementia to fall over and jeopardise their health, the first is Physical Weakness, Gait Changes and Poor Balance, Lack of Physical Exercise, Memory Impairment, Poor Judgment and Visual Misperception, Alzheimer’s can affect the visual-spatial abilities, a person can misinterpret what he sees and misjudge steps, uneven terrain, shiny areas on the floor or changes in floor color. Be sure to have his vision checked regularly.

2.3 You need as much information as possible about the individual's communication needs to ensure that their wishes and needs are met. Talk to the individual, their family/carers, other professionals involved in their care. If aids are needed (hearing aids, picture cards, pen and paper) make sure that these are available. If language is a barrier maybe learning a few words of their language would help. If their needs change you need to adapt to the changes. Using the internet, reading books, Journals, reports and reviews are good way of obtaining information providing you know what you need.

Several patients suffered from dementia and some had accompanying diagnoses, such as hip fracture from falling or upper and lower extremity weakness. Dementia is a decline in memory and greatly affects how activities

My practicum setting will be an associate degree nursing program, Joliet Junior College (JJC), one of the oldest community colleges in Illinois. The mission of the school is focused on offering students an affordable, accessible valued education for a lifelong profession in nursing, and to serve the community (Joliet Junior College [JJC], n. d.). Accordingly, the school’s philosophy is based on preparing students to be exceptional providers in the growing healthcare system, providing safe and high quality care (JJC, n. d.). The foundation of the JJC nursing program is based on four major principles: client, environment, health and nursing (JJC, n.d), while their conceptual framework is grounded in the fundamental structure of three major theories which forms the basis of the concepts, skills, and principles of the nursing practice (JJC, n. d.). The three major theories are: Maslow’s Hierarchy of Needs, Levels of Prevention and the Nursing Process (JJC, n.d.). Joliet Junior College nursing school offers a competitive program and combines the traditional classroom experiences, in-class high-fidelity simulations labs, online augmentation theory lectures, and clinical experiences in health facilities throughout the community (Joliet Junior College [JJC], 2016).

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

The Indiana State Board of Nursing is a body of nine selected members, comprised of a mixture of RNs and LPNs. This board listens to cases regarding university nursing programs, certified RNs fighting for their license, and individuals who are trying to obtain a nursing license. It is up to their discretion whether certain actions of a nurse are permissible or not. They also make adjustments to the curriculums or higher education schools to ensure that they are producing good quality nurses.

Honoring the person’s life is necessary and the caregiver and family must make choices with the patient in mind. The Alzheimer’s Association states, “When a person with severe (late-stage) Alzheimer’s — a degenerative brain disease — nears the end of life and is no longer able to make decisions, families must make choices. Ideally, the person with dementia has put in place advance directives to specify his or her wishes. Without such directives, or if certain issues have not been addressed, families must make decisions based on what they believe the person would want. End-of-life decisions should respect the person’s values and wishes while maintaining his or her comfort and dignity” (Alzheimer’s Association 2). Understanding different treatment options, keeping updated with doctors and the suggestions for the patient, as well as different living situations are crucial. There are different medical treatments and options that are usually needed when it gets towards the end of patient’s life. Understanding the differences as well as the patient’s preferences is imperative. Sometimes hospice care is even necessary towards the end if it becomes too much to handle for a caregiver. Granting the person with AD’s wishes is significant when making an informed decision on behalf of the person with AD. There are plenty of outlets to seek when needing help and guidance on making

Lewis, S.L., Dirksen, S.R., Heitkemper, M.M., Bucher, L., Camera, I.M. (2011). Medical-surgical nursing: Assessment and management of clinical problems (8th ed). St. Louis, MO: Elsevier.

“Fall may be defined as an unexpected event in which the person comes to rest on the ground, floor, or lower level” (Struksness, Lindström, Lord, Slaasletten, Johansson, et al., 2011). In older populations, falls are quite common, but with a mental illness such as dementia, the problem is worsened. This cross-sectional study showed that the most common causes of falls reported by nursing staff were individual factors like physical impairment and mental impairment.

Keefe (2011) describe case as a safe way for nurses to utilize theoretically and real knowledge to an actual or possible scenario. Case study also examines the in-dept of a nursing situation and apply decision-making skills as well as critical thinking to analyze the situation, and develop a cognitive reasoning abilities without harming a patient. According to Billing and Halstead (2012) case study is beneficial in that it stimulate critical thinking, retention, and recall. Case study also aid students in recalling pertinent information by associating the practical with theoretical. Developing a case study may be difficult and time consuming and may be deemed as disadvantages for faculty. Students may also desire the more traditional lectures

Introduction Nurses are responsible for a significant portion of clinical decisions made within the hospital setting and their ability to clinically reason and make educated choices is vital to patient safety and outcomes (Gillies, 2013). This essay will present a case study of a clinical decision made by a third year nursing student working in the Emergency Department (ED) of a Gold Coast Hospital, using the first seven steps of the Levett-Jones et al. , (2010) clinical reasoning cycle. Factors influencing her methods will be taken into account, and the essay will draw from current literature to rationalise and support claims. Background to the Case Study

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.