I Had Been Out Of The Hospital For Two Weeks Essay

My first encounter with a Certified Registered Nurse Anesthesia (CRNA) was during my undergraduate nursing OB/GYN rotation. I was impressed with the CRNA when she placed the epidural to the patient in labor. I remembered patient had difficulty staying still due to the contraction, but the CRNA took her time to explain the procedure while comforting the distressed patient. Once the epidural was in placed and the medication started working, I could tell the relief the patient experienced. I realized then that a CRNA goes beyond the delivery of anesthesia, pain management and monitoring of patients. Thus, obtaining this degree will prepare me to ease the patient’s mind through education, pain management, monitoring, experience and compassion.

A number of emotions were felt during this experience, in regards to transitioning from a student nurse to the registered nurse role. Primarily, the transition in role from student nurse to registered nurse was similar to any clinical experience I have had at Midlands Technical College. I was placed in a medical-surgical rotation. I felt slighted that not only were we required to complete a data tool but we also participated in the teamwork model demonstrated in prior semesters. Personally, I did not feel a transition during this particular clinical experience.

The aim of this assignment is to critically discuss the nursing assessment individualised care and nursing interventions of the acutely ill patient. The patient discussed developed severe sepsis due to a urinary tract infection and her condition deteriorated during the recovery process in the nurse’s care. Lovick (2009) defines sepsis ‘as a known or suspected infection accompanied by evidence of two or more of the SIRS criteria’. SIRS is outlined as a ‘systemic inflammatory response’ consisting of two or more of the following symptoms ‘temperature >38 degrees Celsius or 90 beats per minute, respiratory rates greater than 20 breaths per minute and white blood count higher than 12,000 cells per microliter or lower than 4000 cells per

I am comparing two health care plans. Health insurance Plan A is Tokiomarine HCC Life Short Term Medical. Plan B is United Health One Short Term Medical Value.

You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.

Public health nursing is an important aspect of nursing field, which contributes tremendously to the safety and health of our society. Public health nurses work hard to assure our communities are healthy and are able to attain needed support to be self-sufficient. However, it seems their hard work goes unnoticed by vast majority of our society. This of course, is my opinion, but I would say that if I were to survey various communities, most people would say that “Nurses just work in the hospital”. I could be very wrong.

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 hospital readmission (HR) may be regarded as an indicator of the quality of hospital care and, indirectly, of primary care. Some factors may foster HR, such as low quality of supportive care, early discharge, lack of treatment adherence on the part of users and their families, age, absence of specific guidance and post-discharge follow-up, as well as socioeconomic and cultural conditions. Therefore, in order to perform a resolute care, one needs to know the profile of admissions and of HR, thereby enhancing the planning and the implementation of strategies. In order to raise the aforementioned questions, this study had the purpose of analyzing the profile of readmissions of children treated in the pediatric sector of the Regional Hospital in Ceilândia (HRC) in March, April and May 2015. This

Readmission is defined as “an admission to subsection hospital within 30 days of a discharge from the same or another subsection hospital” for the same diagnosis or for a complication related to the initial diagnosis (American College of Emergency Physicians, 2015). According to the Robert Wood Johnson Foundation (2014) report, the annual cost of hospital readmission in the nation is about $41 billion. More importantly, hospital readmission disrupts patient’s life and decreases the quality of life (Padhukasahasram, Reddy, Li, & Lanfear, 2015). Consequently, due to the human and economic burden of hospital readmission, the Center for Medicare and Medicaid (CMS), in 2012 implemented penalty on hospitals that exhibit a high readmission for diagnoses of Heart Failure, Pneumonia and Septicemia. This action has resulted in the reduction of readmissions to hospitals specifically associated with

The aim of the study was to explore family members’ experiences with the use of a diary when a sick relative did not survive the stay in the ICU. The overall study findings revealed that the diary was experienced as a medium for interpersonal communication, where it was perceived as a social medium maintaining communication and the relationship with the patient. But the diary was also a common interest affecting writers and readers in different ways, thus sharing information, emotions and thoughts enabled relationships, which grew. Not only relationships developed but also participants as humans due to the course of events and finally the death of the patient. The experience was compared to taken on a journey but in an existential way by the participants. To understand the unfamiliar in a way different from the way in which it has been understood so far, also include a way to understand him/herself in a new way (Gadamer, 1989).

To demonstrate understanding of how theories relate to and inform nursing is part of what it means to be an Advanced Practice Nurse. Analysis of how nursing theories inform one’s own practice is not only a way to identify responsibilities and opportunities as a nursing leader, it is also a means to build disciplinary knowledge. As Chinn and Kramer explain, “Once nursing practice is described, it is made visible… [this] imparts value to what has been intangible (2008, p. 23). By describing my personal clinical practice area, and providing an analysis of how nursing presence, interpersonal relations and caring theories can be utilized, I will attempt to accomplish all of the above.

I was put into the inpatient unit and stayed there for 10 days. I received medication on my second day which angered my family because the doctors didn’t ask permission, but calmed down when they saw my mood improve during Visiting Hours. On my last day, my therapist, Megan, suggested I go to the Outpatient Unit for more treatment. I went to the day program and went there three months. I liked it, but I didn’t like it. I got bullied for a while and came home crying because of it. It was resolved and made my time in Outpatient better. My treatment was cut off in March because my insurance wasn’t renewed and since I wasn’t going to Outpatient, I couldn’t go back to school. I got worried that if I wasn’t released from Outpatient properly, I couldn’t go back to school. However, my therapist, Melissa, told me that wasn’t the case and that I could go back to school. Melissa recommended more treatment, so I went to the Outpatient Unit and was put in group therapy. My group therapist, Meredith, changed my

I grew up listening to these words over again, until they became a part of me. As the oldest, it was my responsibility to take care of my younger brothers when my parents were on call. Our apartment in Toronto was opposite the hospital so this happened quite often. My parents' lives as doctors seemed like rollercoasters that never came down. They always had fascinating stories to tell, as well as interesting patient profiles. Sometimes, my mom took us to work. Her office always intrigued us, especially because the hallway had motion sensor lights that we'd never seen.

A twist on the "patient's perspective" approach is to describe a time when medicine failed to save or heal someone close to you. The purpose of this tactic would not of course be to rail against the medical profession, but rather to show how a disappointing loss inspired you to join the struggle against disease and sickness.

I have personally been affected by the mess that America calls a health system. In the same year, I had severe food poisoning and my stomach and intestines swelled. I had to be hospitalized for a day each, and was then sent home, even though I was still very ill. The reason? My family has no health coverage. Both my parents are very hard workers and own their own business. One would think that my household could afford health coverage, but we can't, despite the many hours a week and hard labor. So, without coverage, there are heavy bills to pay. My mom and I have calculated that my parents will be paying hospital bills long after I graduate from college. Because of two days in the hospital, six bags of saline, and a bagel from the