Essay on Lvad Teaching Device

i. Does the patient need to use the restroom, urinal or ambulate to bathroom and if so, assist them to prevent falls and stay with them until completed

If care provided to a patient is not safe, than the intervention is ineffective and therefore not helping to improve that patient’s quality of life. To help provide a safe environment, observation and communication are extremely important. Inform the patient and family of any interventions before proceeding with them to insure the patient

I am currently studying HNC Health Care and as part of my course I have to complete a graded unit, this will entail three stages; Planning, development and evaluation. This will be carried out while on placement within a hospital setting, within the planning stage I have to choose a patient and assist them with a nursing activity. I have chosen to follow Roper Logan and Tierney twelve activities of daily living the reason for this is that I find it to be the nursing model that is most effective as each activity has its own importance to the survival of life; also it follows the objectives of my graded unit. I have chosen the AL of eating and drinking as the patient I have chosen has severe Rheumatoid arthritis and has lost the use of her

When a patient is

• Relate hazard to the appropriate manager, simple issues to a senior carer, dangerous issues to manager a.s.a.p.

The device/equipment should be personalised to meet the individual's need and set up correctly. The individual and others supporting them should receive training on how to use the device. The individual should be supported to read and understand the instructions and to follow any health and safety advice on how to use the device correctly.

Patient death or serious disability associated with the use or function of a device in patient care in which the device is used or functions other than as intended

Use at least two patient identifiers when providing care. Double checking of ID bands and ID/Driver’s license of patient if possible. Using labels to mark all materials /items needed for the procedures. A two person check off procedure must be implemented. Items requiring labeling include: patient records, signed consents, and all assessments, diagnostic tests and x-rays. Also included should be any item that is needed for the procedure (blood products, devices, and equipment). Using a matching system, so that all items in the procedure area are matched to the patient. The matching system must be completed by a minimum of two staff members. These staff members should include a qualified staff member, nursing staff involved in the procedure, recovery room staff, and discharge staff.

21. Report any unusual or major changes in your patient’s health, cleanliness, physical care, actions and

At 10am I did a fifteen-minute check of the specialised battery operated wheelchair a resource that Mr X required to use during the outing. I believed after my checks that everything was in good working order, I also asked maintenance to double check of my findings that they were indeed correct and was safe for Mr X to

keeping supplies and equipment in order taking and recording observations such as temperature, pulse and breathing

The interventions that I observed was the use of contrast bath for the Chronic Regional pain, E-stim, Ultrasound, hot packs for the pain management as well as to decrease the stiffness and swelling. The activity that I observed were ROM arc to increase movement in the bilateral upper extremities, sand box to increase core strength, Theraputty, peg boards, cognition pattern puzzles, visual perception puzzles, arm bike (rollator), bolts and screw for fine motor coordination, mini mental test to intact orientation as well as memory. I observed how therapist were teaching the patients to increase independence while transferring from bed to wheelchair to commode. I observed the use of adaptive devices to make the patient as functional as possible with their daily activities such as long handled shower brush, Reacher, sock aid, leg lifter, adaptive heavy weighted utensils and many

Utilize AIDET which stands for acknowledge, introduce, duration, explanation, and thank you. One must acknowledge the patient and introduce one’s self by name and role for the day. Always explain to the patient what is going to take place, how long it will take, and when should they expect to see you again.

The Activities of Daily Living have been refined for over 30 by the authors and were first published as part of the publication “The Elements of Nursing” in 1980. Today the model is widely used by students and healthcare professionals from different backgrounds including Occupational Therapists, Physiotherapists, Nurses and others. It is useful for health care professions and others when using parts of the model in direct relation to a person’s healthcare needs in an individual area such as breathlessness, and as mentioned previously allows for the start of an evidence based approach to the patients difficulty.

Throughout this essay, the chosen nursing model of assessing a patient’s social needs and medical history; Roper, Logan and Tierney (R-L-T model) Activities of living (AL) will be outlined (Holland et al, 2008). Through the use of substantial and relevant theoretical literature, AL will be highlighted i.e. biological, psychological, political economic, environmental and social-cultural issues. This will include theoretical highlights of care given to a patient admitted in hospital holistically. Basically by assessing and examining the importance of model and framework in nursing practice will help to understand the patient and rationale. A framework of Assessment, Diagnosis, Planning, Implementation and Evaluation (A. D. P.I.E) will be