In-Service Issues In Nursing Care

Nursing care is a dynamic field of practice. The way it looks today is far out greater intense and very structured. It advances itself by the use of nursing theories and evidence based practice. Policies and procedures constantly change with the advancement of technology and science. While caring for the patient in the given case studies, a nurse involved utilizes practical knowledge, a culture care model and transpersonal caring relationship to attain a caring environment (Smith & Parker, 2015).

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 Understand the requirements of legislation and agreed ways of working to protect the rights of individuals at the end of life.

The healthcare system in America, is a system that the nation is working hard to improve and perfect. This means the rules and regulations in healthcare continue to change, and often times change rapidly. In the years to come, nurse practitioners (NPs) are predicted to hold a prominent role as healthcare providers. Currently, there are many rules and regulations that prevent NPs from practicing to the full extent of their educations. While the NP certification is standardized nationwide, regulations vary from state to state and many NP are still fighting to be recognized as highly qualified care providers. These current issues make uniting the voices of NPs everywhere important for the progression of the NP career.

Mrs. Wilson is seen in her room at Glenbridge Nursing Home on 02/28/2018. She had an episode last night of chest pain. She is so ebullient and distracted that it is hard to get a straight history, it came on when she was asleep but she may been sitting up. She was seen by a nurse, a sat was taken. I am not sure if there were other orders taken, but there is none on the chart. She says that she spent most of this morning in the bed and still feels tired, but she does not think she broke out in a sweat. She was more short of breath. She is calling it is a "stroke." I had tried to begin tapering her diazepam by discontinuing the morning dose and apparently all daytime clorazepate was discontinued by error and she gets it only at night.

----- Clinic presents a black male 68 years old. Currently experiencing dyspnea and lethargy. For the past week he has been having a increase of difficulty breathing. Complains of alternating periods of sweating and chills. Other symptoms he has been experiencing is a productive cough with expectoration of thick yellow sputum. Patient is a ex- smoker, he was a 40 pack year history, denies smoking, stopped over 10 years ago. Medical history includes chronic bronchitis, hypertension, MI five years ago, has had a angioplasty, and denies chest pain since having angioplasty. Current medication combined albuterol/ipratropium MDI, nebulized albuterol prn, captopril, and hydrochlorothiazide.

The complainant, Nursing Service, RN John Allen alleges on August 18, 2015 that Patient Mr. Ulysses Grant Jr. checked in for his appointment without checking in with VA Police personnel. In addition, Mr. Grant was not accompanied by a uniformed VA Police Officer as directed. by XXXXLETTER???XXX dated XXXX.

Midway during my first semester of nursing school I found out that my former husband was dying of cancer, specifically CLL- Chronic Lymphatic Leukemia; I was torn between the rigors of nursing school and doing what was best. Despite our shortcomings and however frightful our divorce was many years ago, I decided to care for him during his dying days. I felt that it was the right decision and my moral obligation to “do the right thing”; it was in my heart and for my children.

While doing to assessment there are focus areas of chronic condition that the nurse should assist

Simply providing three square meals a day to a service user, doesn’t mean the meals are eaten, service users may have difficulty feeding themselves, illness or medication may cause loss of appetite or problems with eating or swallowing or they may just not like the meal they have been given. Research has shown that the average nursing home resident takes 40 minutes to eat a meal, carers may be expected to provide support for between 5 and 20 people in an hour making it almost impossible to meet each service user’s needs. Therefore care plans, risk assessments, policies, procedures and guidelines must be in place to ensure that the service users receive the highest possible quality of care possible.

Now, Ms. Matson claims her current disabling medical conditions are to her lower back which inhibits her from not walking not more than ten minutes at a time while using a walking cane. Furthermore, the pain to the left side of her neck because of her left shoulder injury has caused the nerves from her left shoulder travel up to the left side of her neck which is now painful enough where she cannot turn her head to the left.

4. From the investigations in section 2 of Chapter 5, there is reason to believe that

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

Planning activities for different types of care facilities can sometimes be a challenge. As a director, assistant, or volunteer, we want our activities to be successful and improve the quality of life for our residents/participants. When planning activities we take into consideration the physical capabilities and cognitive level of our residents to ensure they benefit from all aspects in the activities provided.

I will stay with the resident and call for help immediately, once help arrives, I will transfer the resident to the bed or chair safely. Let the charge nurse know immediately and help fill out the incident report by providing all the details related to the fall.