Nursing Case Discussion Paper

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.

Nursing, as the largest health care profession in the United States, plays a tremendous role in health promotion and delivery of care. From the 2.7 million employed registered nurses to the current Deputy Surgeon General of the United States, nursing infiltrates all aspects of healthcare (Bureau of Statistics, 2015). Therefore, as a profession, nursing must understand the intricacies of the Patient Protection and Affordable Care Act (ACA) and within its framework develop strategies to “advance nursing, health, and healthcare through education, clinical practice and research,” (Young et al, 2017). This paper aims to review portions of the ACA as it pertains to nursing, and offer an example of nurse practitioner innovation in practice.

R.O. is a 43-year-old female Latino patient who has been living at home alone since she got divorced three months ago. She does not have any living or available family in the United States. She is the oldest of three children. Her parents died of an accident when she was little. Two of her sisters live in Mexico. She has lost contact with her family in Mexico when she got married and move to the United States. She also has stopped communicating with her ex husband since they got divorced. Although she does not have any support from her family, she states that her church member has been very supportive. Moreover, R.O. states she was a homemaker until the divorce. Currently, she has been working as a dishwasher near her house.

One the most important issues facing nursing these days is the changing healthcare insurance industry. I saw how these changes affected staff firsthand. I worked at Quincy Medical Center for three years until it closed in December of 2014. The Affordable Care Act led to cuts to Medicaid supplemental payments for the uninsured and has forced many hospitals to reduce staff or close like Quincy Medical Center. This is a concern for nurses because under current federal regulations there are no specific requirements for nurse to patient ratios. Multiple research studies demonstrate that lower nurse-patient ratios save both lives and money long term. For example, hospitals that routinely staff with 1-to-8 nurse-to-patient ratios experience five additional deaths per 1,000 patients than those staffing with 1-to-4 ratios, according to the Journal of the American Medical Association. Higher nurse to patient traditions lead to higher burnout

I can remember serving in the Air Force as a nurse and working with the chief of nursing. During my training period, things just seemed so difficult and hard for me to grasp under such a stressful environment. The chief of medical was very detail oriented and she would always pushed us to think outside of the box. We would go through different mock code scenarios as if we were out in the battlefield for two weeks. If we did not respond to the level of her expectations, she would make us redo the mock code scenario over again. There were many days in which we felt frustrated, giving up and crying. In the end, we realized that the chief of nursing was just trying to build our character, instill confidence and prepare us for future of being in a war zone.

Due to delay in meeting with Mr. Reid, the adjuster approved submitting the report after our initial meeting.

What I will be writing about in this paper is going to deal with articles and websites having to do with the nursing field. I'll be mentioning some of the branches of nursing that are more important or are top needed. I'll be mentioning what are the requirements needed regarding nursing. Also, the benefits of being a nurse. The working conditions and locations. Lastly on how important nursing are.

In the given scenario, I am a family nurse practitioner in a busy emergency room. Early in the evening hours, I am presented with a concerned mother who is seeking medical attention for Paige, her six-year-old daughter. The mother reports the patient has been displaying cold symptoms for a few days with a cough that continues to worsen. The issue that the patient faces is limited access to healthcare providers in the area who accept Medicaid, which is Paige’s health insurance provider. After discovering Paige’s physician’s office does not have any appointments available for three days, the concerned mother decides to seek care for her daughter at the emergency department. Considering the patient’s condition is considered non-urgent, and our

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.

My client is a nurse who lives in Pennsylvania and works in New York City. She stays with her brother 3 days out of the week in New Jersey which is closer to New York City and goes back home to Pennsylvania on her days off. Sleep is the body’s built-in recovery mechanism. The protein that builds up in the cerebro-spinal fluid during waking hours can be broken down only during sleep, so due to her poor sleeping habits, she is constantly craving for unhealthy foods which is the main contributing factor to her weight gain. She is 220 pounds as of today and her goal is to weigh 170 pounds.

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

Patient met her milestones as expected. She was considered a “gifted student” and performed outstanding in school. After the divorce of her parents she experienced a lot of instability and lived in a shelter for a short period of time. She moved to California at age 18 to attend USC where she received her Bachelor’s degree in Nursing. She moved to NYC about two years ago and works as a registered nurse part time and attends school full time as she is getting her Master’s in nursing. Her family remains in Kansas and most of her friends live in California. She has two good friends in NYC but has not seen them or talk to them after the recent romantic break up.

Urine screen done in the office today showed specific gravity of 1.015, moderate blood, trace leukocyte esterase, otherwise negative.

There are many pros for Joe taking a position on the same unit that he already work as an aid. Joe is familiar with the unit and were everything is located. He knows the type of patients they have. He is familiar with everyone that works on the unit. He has a relationship with his coworkers and physicians. Joe is familiar with the software and equipment used on the unit.