Narcosis Case Study Essay

The next opportunity that I have, I would provide information to the client about the nicotine patches and why he is unable to use them at this time, just in case he and the housekeeper has had a conversation about it. At that time if he wants to relay the information to the housekeeper he can do so.

Last year there were over 64,000 reported opioid-related deaths in the United States – making it the leading cause of accidental death in people under the age of 50 in this country (Katz). Opioids, also referred to as painkillers, have become a growing problem over the past two decades particularly in rural communities all across the country where the death rates are higher per capita compared to the death rate in cities (“America’s Opioid Epidemic is Worsening”). These narcotics, such as codeine, fentanyl, hydrocodone, morphine and oxycodone are extremely addictive and, as a result, this silent killer has quadrupled the overdose death toll since 1999

The nurse found Mrs Smith to be tachypnoeic, her respirations were recorded as 24 breaths per minute it was observed as being fast and it appeared that her accessory muscles were being used. Mrs Smith’s pallor also appeared flushed and her saturations were documented as 93%. The nurse used the stethoscope to check for wheeze the patient’s lungs were clear and chest rise was symmetrical. Mrs Smith was commenced on 100% oxygen through a non-rebreathe mask, oxygen as an intervention is necessary as Creed & Spiers (2010) highlight ‘metabolic demand for oxygen throughout the body is hugely increased by sepsis and is essential to ensure the supply of oxygen is maximized’ .The nurse monitored the patient closely because in her confused state the patient may try to remove the oxygen mask.

Oxygen can be a comforting, life sustaining treatment and a potent killer. As one of three components of the fire triangle (heat, fuel, and oxygen), it has the potential to cause great injury and even death in those who ignore the risks and fail to follow safety guidelines. The Joint Commission has identified the risk of medical oxygen home fires as serious enough to include it as the 2015 National Patient Safety Goal (NPSG) 15.02.01. It states a home care organization must “Identify patient safety areas: Find out if there are any risks for patients who are getting oxygen. For example, fires in the patient’s home.” (The Joint Commission, 2015). This work is a review of available literature on the issue, its link to nursing administration, the significance to quality and safe nursing practice, as well as potential opportunities for improvement and recommendations for strategies to improve the safety of patients, families, and nursing staff. According to 2003 – 2006 data from the Consumer Product Safety Commission’s National Injury Surveillance System, medical oxygen in the home was a factor in and average of 1,190 thermal burns seen annually in U.S. emergency rooms (Galligan, et al., 2015). Smoking is the leading cause in these incidents and several studies suggest that the incidence of burn

To help with the quick admission, intranasal administration is a convenience to those who have to administer Naloxone because intranasal Naloxone has a preset dosage. While intranasal Naloxone is easier to administer, intravenous and intramuscular Naloxone administrators have a choice on the dose to give. Advanced EMTs have enough knowledge to choose the dose of Naloxone to give the patient to keep the patient alive. Intranasal was not approved until November of 2015 when the FDA approved a highly concentrated spray form of Naloxone (Strang et al. 576). Intranasal administration only allows one dose to be given compared to Intravenous administration which allows a more adjusted dosage of Naloxone to be given. According to Ott, an

The counselor met with the patient for her scheduled Addiction Severity Index assessment. The patient is a 54 year old black male. The patient states he is single with no children. He report currently lives with sister in law of his decease brother. The patient reports having a 14 years of education however no degree. The patient report receiving disability for mental health disorder. The patient reports he is currently not on probation. The patient reports he last use Cannabis 7/17/15 and started using at the age of 13 and smokes 3 to 4 times a week at least 2 joints. He also report using Alcohol 7/20/15 a 40oz beer and usually drank a couple a day. The patient denies any issues with HI/SI. Patient also reports he is taking his medication as prescribed. The patient appear to be in the pre-contemplation stage of change. The patient next scheduled individual session with the counselor is on Monday, July 27, 2015 at 02:30p

Throughout the Mexican revolution, songs from northern Mexico emerged telling stories of heroism and defeat. Moreover, these corridos, translated into English meaning ballads, were influenced by 14th-century romantic Spanish notes. Further, these ballads, commonly performed by individuals who lack formal musical training and embrace the use of the accordion and tuba in the melody (Madrid 2013, 92). The result of these factors is a musical genre considered unrefined and unsophisticated by most of Mexico until the music’s growth in popularity in the 1970s.

A cousin of mine, Susan, approached me after her father received open heart surgery. Susan’s father, age 59, has been a chronic smoker since the age of 19. What went from two cigarettes a day quickly become two packs a day, with no end in sight. During July of 2015 he complained of feeling dizziness, shortness of breath,

Narcotics Anonymous is a support group program that assist in helping individuals, men and women, into recovering from drug related issues that affect a person mentally, physically, and emotionally. This type of program helps individuals who are drug addicts to stop their use, urge, and to overcome their drug addition issues. Narcotics Anonymous support group is known to be present worldwide in several locations that offers their assistance to drug addicts to recovery. Some individuals in this support group acts as “sponsors” helping the person he/she is sponsoring to remain drug-free. This support group not only pertains to individuals with drug related issues assisting others with the same problem, it also welcomes family members as additional

Opioid medications are frequently prescribed for severe pain. Opioids includes the pain medications like oxycodone, hydrocodone, morphine, and fentanyl as well as the illegal drug heroin (American Society of Addiction Medication, 2016). Many people rely on these drugs to relieve their pain from surgery, active cancer, chronic pain and end of life care (WebMD, 2017). Studies from the 2012 National Health Interview show that over 11% of adults report having chronic pain (Dowell, Haegerich & Chou, 2016). The opioid epidemic is a significant issue for nursing on the main respect that there is currently a problem with over- prescribing of narcotics and the millions of people addicted to opioid medications

Article 11: Chronic pain is associated with impairment in sleep. The relationship between using prescribed opioids and sleep is unclear. The focus of the study was to examine differences in self-reported sleep quality between groups of patients who were different by chronic pain and prescribed opioid status. The use of opioids with chronic non-cancer pain continues to increase. Common adverse effects associated with the initiation of opioids including constipation, nausea, somnolence, and vomiting. Up to 50% of patients stop taking opioid therapy because of intolerance or insufficient pain relief. Research shows that pain often results in disruptions to sleep and impaired sleep itself a risk factor for pain. In a comprehensive review

Today was my first day at metro hospital. I had an interesting situation with a patient. The patient was admitted with a hemorrhagic pseudo cyst and a history of chronic pancreatic with complaints of abdominal pain. After doing a CT scan, they found splenic hematoma. They did a CT scan and found a large gastric mass, with evidence of pancreatitis. That might have been what was causing the pain. This did bring bad memories of the last patient I had. Pancreatitis is not a joke. I went in to meet the patient to find that he was grumpy. I noticed while talking to him that he just wanted to leave the hospital. I even found out that he has been a chronic smoker for majority of his life. Nevertheless, since his admission, he has not smoked since.

I stayed close to the patient during this whole period, but I was not paying enough attention to her low oxygen level. The patient was a healthcare aid and she kept telling me that, “It’s ok, I am always a shallow breather”. However, I should have my own judgement ability and provide more competent care with timely evaluation of the effectiveness of the interventions.

At this stage in life one major physical change people begin to notice: wrinkles, grey hair, alopecia, hyperpigmentation, and fat accumulation in certain body parts. Some middle adults begin to attempt to cover these signs of aging by: using dye to cover grey hair, begin to use special creams for winkles, consider plastic surgery, adjusting hairstyles to mask the signs of alopecia, change nutrition, and start exercising. I currently work on an acute behavioral health unit, last week I admitted a patient that is currently in his midlife, but at the early part of the stage, he is forty-seven years old. I can vividly remember his physical appearance, a Caucasian man, with short brown hair with noticeable balding, receding hairline, and excess fat accumulation around his waistline. I was able to work with him for three days straight while on my twelve and a half hour shifts. This hospitalization was his first hospitalization in his lifetime and his reason for visit was, “unstable mood”, as the patient stated. Upon admission the baseline vital signs, laboratory blood tests were obtained, and a through physical and metal assessment was gathered. The patient appeared to be in crisis, with complaints of decreased appetite and sleep, which is why he stated his wife, insisted on a psychiatric assistance, which leads him to be “admitted to the crazy hospital”. At

H (Pseudonym) is a 32 years old male nurse working on a children’s ward as a temporary bank nurse at the local hospital. He heard of me through a member of our local community whereupon he phoned me towards the end of April 2012, with a long history of smoking up to 40 cigarettes daily, wishing for help to Quit Smoking due to the total ban on Smoking introduced at the hospital and other issues relating to smoking. I could not offer him any help at the time but provided him with contact details of other therapists.