Hemodynamic Case Study

Vital observations were carried out efficiently, they were recorded every 15 minutes and a cardiac monitor was attached to continuously monitor for any deterioration. As a student nurse I assisted by recording vital observations using NEWS and assessing consciousness by using the Glasgow coma scale to ensure there were no signs of brain trauma (Le Roux, Levine and Kofke, 2013). In line with the NMC, my mentor supervised and countersigned my observations (NMC, 2011b). I promoted good patient safety as deterioration would be recognised early and appropriate care provided. Throughout the treatment process I witnessed and provided person centred care. Nursing and medical staff continuously checked patient comfort and obtained consent for treatment being provided.

A solid understanding of nursing-sensitive indicators can assist the nurses in the case of Mr. J in identifying issues that may interfere with patient care. Knowledge of appropriate restraint use, as well as the care involved while caring for a patient in

The literature provided speaks of the nurse’s responsibility in creating a safe environment for the patient and a healthy work environment for individuals of the organization. Part of providing safe and competent care to patients is for the RN to ensure that she is clinically capable of providing care at the skill level necessary for an assignment, especially when she floats to other units. Otherwise, she must decline the duty to care for that patient, make it known to the charge nurse that the assignment is beyond her competency level, and ask for an alternative assignment that matches her skill set (California Board of Registered Nursing, 1998). In addition to knowing the nurse’s

In health and social care recordings and use of measures are a vital signs for determine a patients state of health. This is so important which will decide the appropriate treatment a patient need and in which condition this patient health is at present. Nurses see the patient more than any other care provider. For that reason. Nurses are in the best position to observe the patient’s development, finding problems early and judge what care is needed to resolve the problem. The care provider always checks the charts and recordings before entering into the

This essay sets out to discuss the importance of comprehensive and accurate assessment on a registered nurses’ ability to make excellent clinical decisions. It will examine what factors can change a nurses’ capability to be aware of, and act on abnormal assessment findings. As well as assessment being part of the nursing process that is used in every day nursing, it is also a critical part of patient safety (Higgins, 2008). Assessment findings are used to determine what needs to be done for the patient next. Early warning scoring systems currently exist to aid in the early detection of patient deterioration (Goldhill, 2005). The rationale for the use of these systems is that early recognition of deterioration in the vital signs of a

The nurse will use the deliberate nursing process to evaluate the patient. The time spent between the nurse, and the patient will bring out known problems. Orlando’s (1961)

Nurses should feel empowered to pilot methods to improve efficiency of patient monitoring, utilizing nursing judgment to guide management of parameters in order to prevent alarm fatigue and patient harm.

Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care.

Data collected by the nurse includes biographical information, past medical history, surgical history, allergies, family history, diet, exercise, and sleep patterns. Objective data such as the patient’s demographics, vital signs, lab work, diagnostic imaging, might be included in the patient’s record. The objective data obtained should be measurable and utilize the nurses’ skills to record the patients’ appearance, behavior, and perform an assessment of the patients’ vitals and body systems

The nurses were required to attend to the personal needs of the patients by asking if they want to use the bathroom or bedpan and any other needs that the patients want to be attended to. In addition to the above, the nurses check position and ask patients if there is anything he or she could do to make his or her positioning comfortable. These include identification of risks for skin breakdown and attending to such risks by providing hygiene and skin care.

Nursing is dignified profession involving holistic care of the individual, families and community to obtain optimal health and quality of life. As a member of health care team we all nurses are responsible for providing quality, safe, effective and person- centred care to the patient . High quality care refers to safe, effective, person-centred ,timely, efficient and equitable care that resulted excellence in health care (Institute of Medicine, 2001). This high quality nursing care could be delivered by appropriate skilled workforce who have received education and skill regarding critical care and able to perform the core standards set for quality critical care service.

75-year-old patient with the diagnosis of Congestive Heart failure. These three questions would ask the student nurse; what should you do if you see that your patient is having shortness of breath, tachycardia, and sounds very congested? What would you do if you see that the patient’s weight increased 3 pounds since yesterday and has three plus edema on his ankles and feet? What would you do if your patient is very anxious and wanted to know what is wrong with him? By asking these three questions, the student nurse should be able to critically think and prepare herself. The student nurse would know the cause of the disease, the sign and symptoms of the disease, and what are the important steps to manage the patient with CHF like, apply oxygen if saturation is low, inform the doctor and administer the medicine prescribed

Studies \cite{RANGER2014519,ranger2013multidimensional,BARTOCCI2006109,slater2008well} have shown that there is an association between changes in cerebral oxygenation and pain. The most popular methods to measure the cerebral oxygenation changes are Functional Magnetic Resonance Imaging (fMRI) and Near Infrared Spectroscopy (NIRS). fMRI is a safe method for measuring the brain hemodynamic activity. It produces an activation map that shows which parts of the brain get activated during an emotional event such as pain. NIRS is similar to fMRI but it’s less invasive and more suitable for bedside monitoring. It measures, using small probes attached to the head, subtle changes in the concentration of

Urgency of acute care varies depending on the situation but can range to anything from emergency surgeries, to injuries, chronic illnesses, and also for the recovery of those procedures. Majority of the patients in acute care settings are critically ill. Nursing responsibilities in acute care settings are vital to patient’s recovery due to the front line position nurses play as well as the wide variety of tasks carried out. Assessments are made during every encounter the nurse has with the patient along with monitoring the patient’s progress. Nurses are responsible for recognizing symptoms the patient may be experiencing due to illness or injury and whether they fall in the spectrum of normal reactions. Vital signs are measured routinely and can be indicators of the patient’s current status. When vitals are questioned diagnostic tests can be arranged to further assess possible comorbidities the patient may have. Care plans are made to plan interventions the health care team can take to help patients through challenges they face, both physical and mental. Nurses administer medications as well as first aid as needed. They are responsible for maintaining special equipment patients may require including monitors and ventilators are well.

Recently, hemodynamic monitoring is a functional tool used for assessing pathophysiological process of the diseases with the aims to alert the health care team to aware of impending cardiovascular crisis before the development of organ injury [15]. In addition, it can be used to facilitate diagnosis leading to provide effective management and to monitor response to therapy [15, 16]. The appropriate modality of hemodynamic monitoring depends on factors including availability of the monitoring technique in the institution, accuracy of the device and patient’s condition with contraindications. As patients with dengue has potential risk for bleeding, non-invasive hemodynamic monitor should be considered for a serial assessment in order to