Nursing Case Study Ama

G4 P3003 (4 Gestations, 3 Full Term, 0 Preterm, 0 Miscarriages, 3 Currently Living); 3 Spontaneous Vaginal Deliveries; Last birth was 7 years ago by SVD, weighed 4000 grams; No previous obstetrical complications or morbidity; No past medical history; No past surgical history; No prior antenatal care

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.

I think you made an appropriate question for nursing students. I agree with your idea. Clinical instructors have to ask their nursing students crucial question that related to the nursing practice so that nursing students can use critical thinking to answer the question correctly. If the question is a general, students might answer it directly and do not think about it too much. Certainly, simulation is a fantastic idea for nursing students to think deeply and acquire nursing skills. It makes also nursing students to learn and understand the environment in the hospital. Questioning students might increase the level of student knowledge and experience. Questioning might help nursing students to learn more about nursing practice

For my interview, I spoke with one of the Nurse Practitioners (NP) that I interact with while working my shift at the hospital. I will call her Terri Smith because although I asked to use her quotes in my paper, I did not think to ask for permission to use her actual name. Where I work, many of our internal medicine physicians are hospitalists. During the night, they are covered by the umbrella of Quest Care. There are several NPs that work under the afore mentioned physicians and are there, on-call, when needed for their clinical expertise. It is nice, because even though I can’t develop much of a relationship with the doctors whose patients I work so hard to take care of, I get to have the opportunity to grow strong bonds with the NPs that I see almost every shift.

When was the last time you were in the hospital or a loved one was in the hospital, and ever wondered where the nurse is, and they haven 't returned for hours. You finally push the assistance button several times, and they open the door and hurriedly say, “I will be right back”, then you don 't see them for a while again. When they come back to check up on you, you explain to them what you need, and then they send in a less qualified staff member to assist you. At this point, you become very annoyed and frustrated not to mention scared to be admitted in the hospital to begin with. Little do you know, your nurse has ten other patients and other non-nursing tasks that they are responsible taking care of. They have been working a double shift and are extremely exhausted, and a large stack of charts that they will have to do before their shift is over. As a patient, you now become frustrated and are not happy about this; as a nurse, they are just as frustrated as you are, not only because the amount of work they have but more importantly they can 't deliver the appropriate care they long to give. For most hospitals they do not hire enough registered nurses for reasons that are good and bad. This is an issue that needs to be addressed not only locally but nationally and on a constant basis. When there are too many patients for one registered nurse to attend to, nurses become exhausted, mistakes are made, and patients are unsatisfied. A minimum nurse to patient ratio needs to be

CHIEF COMPLAINT: This is a post op note from a procedure performed July 21, 2015 by David Lin, MD.

She had an 8-week ultrasound that confirmed her dates. She now is 11 ½ weeks and is interested in a FTS. The nuchal translucency measurement fell within the normal range. The nasal bone was identified, and there was normal ductus flow. She therefore underwent laboratory testing and the complete result of this screen should be available in the next 4-7 days. If the result of this screen returns with decreased risks, we would recommend a good fetal anatomical survey between 18-22 weeks gestation.

Empathy: Carissa is very empathetic to all her patients. She puts herself in their shoes. She is able to identify and share emotions while providing the best care possible. She treats her patients as she wants to be treated (Wilson 2012).

On today’s evaluation, she is 13 6/7 weeks and the crown-rump length measurement is concordant. The nuchal translucency measurement fell within the normal range. The nasal bone was identified, and there was normal ductus flow.

Views today demonstrate a viable singleton fetus at 31 weeks 0 days in vertex presentation with an anterior placenta. Fetal biometry appears symmetric and corresponds with stated EDD falling at the 56%ile. Interval growth is noted; however, the growth percentage did trend down from the 80%ile to the 56%ile. Follow-up fetal anatomy visualized as normal or was previously documented as normal. Ductal velocity today measured at 69.2 cm/se, which falls within normal limits. AFI remains reassuring at 12.6 cm. BPP 8/8. Doppler studies are normal in value and wave form.

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

what I had completed was a development of work contributing to the unjust academic standing... In formality franklin d -- refused entry illness were ignored or deferred. Cost of education or work status rendered unreasonable leading to further delays. for this reason a debt from work and income totaling seventy-eight dollars eighty one full layoff benefits during the affair.

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.

R/s Ja’Niyah (11-months-old) has rectal bleeding. R/s on yesterday Breanna had to pick Ja’Niyah up from daycare because the child was bleeding from her rectum. R/s Breanna did take the child the ER at Tuomey. R/s according Breanna the doctor gave her the option to have the baby admitted or released. R/s the baby was released last night. R/s as of today the baby has not had any medical follow-up. R/s Breanna is expecting and her due date is 07/30/2015.