ICU Nursing Case Study

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.

Gangrene is a term that is used to identify when a large amount of tissue undergoes cell death (necrosis). Gangrene essentially means death of tissues due to lack of blood supply and invasion of deeper tissues with infection (Porth & Gaspard, 2015). There are two main classifications of gangrene, dry type and wet or moist type (Porth & Gaspard, 2015). There are several other types of gangrene that are rarer, however, all types of gangrene manifest either as dry or wet form (Porth & Gaspard, 2015).

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

Topic: Nurse Practitioner the Role they hold in our Health Care, how changing their scope of practice may help with the demand.

As a nurse, I would prioritize by who is at risk for an emergent situation. I would prioritize the following:

20. Analyzes and interprets initial assessment findings and collaborates with the client in developing approaches to nursing.

Examining the competencies for the training for the SpNS nurses has raised questions about the direction of the program and the RNST competencies project. We will meet next week (12/8) to discuss the program, refocus the project and examine what we have done so far. I will be working on the concept and structure of a survey to determine the in-house training capability and resources of CHDs, which I will send for your consideration.

I am Delcina Augustin Doreus. My hometown is Miami, but I am now residing in Tampa, Florida. I am a Registered Nurse working as a Clinical Nurse Educator at the James A. Haley Veteran Hospital. I started my career in 2002 working as an Emergency Room Registered Nurse holding only an Associate degree in nursing. In 2010, I attended South University and in 2011 earned my Bachelor of Science in Nursing. In 2013, I once again graduated from South University with a Master in Public Administration. I am married with two girls soon to be three years old.

B.Hooper was non-compliance on 7-26-15 she would repeatedly leave her assign sleeping area, wanting to see the nurse, B.Hooper claimed that she had permission to check her blood pressure anytime she needed to. This was well after shutdown approximately 10:50pm B.Hooper asked Tara Calhoun if she could visit the nurse Tara Calhoun replied by stating ,that she would inform the nurse after the completion of the meds counting and Terrance , would transport her down once ever was accounted for Nurse Jen Leonberg said that B.Hooper would be fine and that she just consumed a lot of hot sauce and ranch for her dinner meal which B.Hooper admitted to night staff workers Terrance Whitted and Lindsey Toy B.Hooper would then return to her assigned

For all new admissions each shift is responsible to accurately complete at least two care plans in order to be incompliance with federal guidelines of having a care plan in place within twenty-four hours of admission. The following are the six categories to choose from:

In today’s society, healthcare is constantly evolving and the pressure to provide high quality cost effective healthcare is in our face. In fact, several organizations and physicians are being measured in terms of their outcomes they provide to their patients, as well as, the reduction of acute care hospital admissions. A former employer sought to overcome this challenge by instituting a series of training programs. The following essay will describe the programs strengths and weaknesses as it related to changing behavior, in addition to, suggestion for improvement.

A female patient seeking contraception options needs to select a method that is best for her and her partner. What questions and/or discussions would be important for the nurse practitioner to ask the patient when counseling her about contraception methods?

This journal entry relates to a case study scenario that provides situations we may face as future nurses. We compare the material provided to us about Mr. Martinez to the determinants of health according to Healthy People 2020, and determine health literacy and competency concerns, health policies, and set SMART goals while using Tanner’s model. Two wellness nursing diagnosis will be formulated for Mr. Martinez in order to determine the problem and set up goals with promising outcomes. Lastly, primary, secondary and tertiary prevention are encompassed in accordance to the Public Health interventions Wheel.

Polen KN et al.,(47) in an earlier study suggested a relation between prenatal venlafaxine exposure and congenital anomalies as cardiac anomalies and anencephaly which agreed the findings in the present work. Moreover, a population-based study of more than 2,000 exposed pregnancies was parallel with the results in the present work and stated that overall maternal use of SSRIs in early pregnancy was associated with a 1.7-fold increased risk of congenital cardiac malformations. (48)