The purpose of this paper is to conduct an in depth exploration of the nursing care considerations of patients in a specific clinical area. Through the synthesis of prior knowledge, clinical experiences and skills, evidence based best practices, and care of patients a comprehensive care and teaching plan will be composed. Integration of critical thinking and clinical reasoning skills, combined with evidence-based research will provide confirmation of nursing process comprehension. The inclusion of reviewed literature will further support knowledge and understanding. Introduction The patient is a 72-year-old female who arrived to the emergency department in cardiac arrest. Emergency medical services reports the patient was last seen eating breakfast at her nursing home and was found an hour later face down and unresponsive. After it was determined the patient was in asystole, an intravenous catheter was started and two rounds of Epinephrine was administered. Upon arrival to the emergency department the patient had pulseless electrical activity with sinus tachycardia on the monitor. Airway management was in process with a bag valve mask on 100% oxygen and chest compressions in progress. After intubation and stabilization the …show more content…
Both rapid, shallow breathing patterns and hypoventilation effect gas exchange. Arterial blood gases will be monitored and changes discussed with provider. Alteration in PaCO2 and PaO2 levels are signs of respiratory failure. Patient’s body position will be properly aligned for optimum respiratory excursion, this promotes lung expansion and improved air exchange. Patient will be suctioned as needed to clear secretions and maintain patent airways. The expected outcome is that the patient’s airway and gas exchange will be maintained as evidence by normal arterial blood gases (Herdman,
Nurse practitioners are advanced practice registered nurses who have received special courses and training. They usually work closely with doctors and can perform many high-level primary care tasks. They often specialize in specific types of practice such as pediatrics, psychiatry, or obstetrics. Some establish private practices; however, most work in doctors' offices, hospitals, or neighborhood health centers. Their duties often include taking detailed medical histories and performing complete physical exams, providing diagnoses and recommending treatment plans, treating common medical conditions, illnesses, and injuries, prescribing limited medications, and counseling patients and families. They also care
When I arrive to the Trauma ICU 4800 unit, all of the nurses were already being followed by other students. The nurse in charge had me follow several different nurses, so I was able to observed several different patient cases. The first patient had received a triple bypass open-heart surgery. The patient had received a creatinine blood test. The patient had a dialysis machine next to them, which was used to function as the kidneys since the patient’s kidneys were not functioning correctly. Also, the patient’s body temperature was lowered from having a taken cool liquids so the nurses were keeping him warm with a bair hugger, which was a machine that helped regulate the patient's’ body temperatures.
These potential psychosocial issues relevant to Jenny, create different nursing care interventions also relevant to Jenny. Education and emotional support for the patient and family is a necessary role for nurses to paediatric patients with cancer and chronic illnesses (Kieran, Meyler & Guerin 2010, p.16). It is important that nurses involve the appropriate health professional through referrals for social workers, psychologists, psychiatrists and more (Kieran, Meyler & Guerin 2010, p.16). When caring for Jenny, nurses and health professionals need to consider that the legal age for consent to medical treatment is sixteen (reference) and Jenny is nine. Therefore, her parents need to be involved and addressed in every decision throughout Jenny’s care. Family centered care is the dominant type of nursing care for children with cancer as it
There are many interventions that can assist an ME sufferer in improving their occupational imbalance and regaining a sense of identity.
The health care industry is experiencing a surge in the number of baby-boomers needing health care and increased demands on the physicians providing the care. This trend has made the role of Advanced practice providers more important (cite). It is imperative to understand the differences and similarities in the advanced practice provider roles as it pertains to healthcare. This paper will identify specialty nursing roles including advanced practice registered nurses (APRN). It will further compare and contrast the advanced practice nurse (APN) and physician assistant (PA) roles in practice.
This process paper will evaluate the complex relationship between disease pathophysiology and how it has progressed to the patient’s current state of health. It will include a comprehensive discussion of chronic and acute problems leading to the patient’s hospital admission, a complete description of interrelationships and pathophysiology for all medical diagnoses, a comprehensive discussion of the client’s signs and symptoms and results of all diagnostic studies to the underlying pathophysiology, and a comprehensive listing of all medications ordered at the time of admission with explanations of why each was ordered and identification of the most common side effects which may
Hello Students, my name is Teresa Damien MS, APRN-BC. I have been a registered nurse for over a decade and currently practice as a psychiatric mental health nurse practitioner at an academic institution clinically focused in addiction psychiatry. I have worked in multiple areas of nursing over my career prior to mental health that include medical-surgical nursing, respiratory nursing, hospice nursing, home care pedicatric nursing, and nursing education.
Quality patient care relies on having an educated workforce. There is a growing body of evidence that shows that the Bachelor of Science Nursing graduate brings unique skills to their work as nursing clinicians and play an important role in the delivery of safe patient care. In addition to having basic nursing fundamentals nurse’s today are expected to take a huge part and lead professional initiatives that drive towards improving the safety, quality, and efficiency of care that is delivered to patients.
The American Association of Colleges of Nursing has identified nine essentials that are incorporated into master’s nursing programs to help direct the practice of advanced practice nurses (APN’s). Essential II outlines how an APN can utilize organizational and systems leadership to promote safer and more cost effective care. By incorporating effective leadership skills, APN’s can help transform healthcare and make quality improvements for the patient, the institution, and the community. According to the American Association of College of Nursing (2011), an effective leader assumes and applies “the skills of communication, collaboration, negotiation, delegation, and coordination” (p. 11). APN’s must be able to establish and maintain a healthy
IntroductionThis article touches up on many main points in Nurse Assisting. Authors talk about manynew ways to implement change in Long Term Care Originations. They talk about teamwork,training, and enhancing work strategies. I definitely agreed with this article, with wanting to be aCNA and depending on where I end up working I think it is good that people are wanting tomake these changes.DevelopmentSome key points in this article were how integrating new recruits to manage heavyworkloads in LTCOs can be hard to manage, the enhancements of informal work strategies, andthe debate on if teamwork is a “deterrent to change” or a “lever for change”. Somethings I foundstriking about this article was the heavy load management. In the article one nurse assistantexplained that during training they are told to take all the time the need, but when you startworking in the organization they are told they have 45 minutes with a resident, but actually haveno more than 15 minutes.
Allowing nurses to conquest more duties could help to save billions of dollars in medical care costs, which is why it’s appropriate for advanced practice nurses to complete more care on patients. Advanced practice nurses should complete care on patients at the furthest level of knowledge and training that the nurse has completed, then pass the rest of care onto the physician, that has completed further knowledge and training on the subject of matter. Different types of advanced-practice nurses, consist of nurse practitioners, nurse anesthetists, and nurse midwives. Due to a variety of different advanced-practice nurses, specialty nurses could help lower the cost of medical care by nurses completing
The national league for nurses defines critical thinking in the nursing process as “a discipline specific, reflective reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns” (Kozier, 2008). This definition is imperative to help a nursing student learn how to think in terms of nursing care. Nursing students must achieve a comprehensive understanding of critical thinking in order to understand the nursing process. The purpose for this paper is for nursing students to learn how to use the nursing process, how to properly document their findings and assessments, and correctly implement APA formatting in a formal paper.
The aim of this essay is to explore evidence based nursing intervention in the care and management of chronic obstructive pulmonary disease (COPD) in an acutely ill patient. The acutely ill patient involved in this essay was admitted to hospital due to cerebrovascular accident and had a past medical history of myocardial Infarction, left Ventricular failure, peripheral vascular disease and duodenal ulcer as well as chronic obstructive pulmonary disease. This essay will provide a rationale for the chosen aspect of care (COPD) and reason will be given why it is a priority. In particular the essay will examine the significance of the underlying pathophysiology of the disease relating to the acutely ill patient other
According to the Arslanian, Hicks, Whall and Algase (2005) nursing theories have unique views. Advanced Practice Nurses (APN) not only focus on diagnosis and medical intervention but also considers family, environment and patient responses in their plan of care. This makes them different from other health care providers like physicians and physicians assistants (Arslanian et al., 2005). I agree that it is important for us as an APN to use theories to guide our own advanced practice because theory gives identification to nurses, and distinguishes nurses from other profession by its unique contribution to the clinical practice. Nursing is an autonomous profession (Kenny, 2013). Nursing theory provides various information to understand the patient
The nursing profession has been around for a very long time. Through many changes and reforms, it has drastically evolved into the nursing profession we have today. Nurses have an important role within the healthcare industry in the treatment and medical care of the sick. These trusted healthcare professionals continue to make up the largest majority of the healthcare field, as well as the fastest growing occupation. Nursing is a job that allows people to not only care for the sick but also to experience, learn and further their interest in the human body. This course has definitely provided me an insight to the roots of the profession I would like to pursue. I think it is important to know the history of nursing to understand fully on the problems that are affecting the profession. I believe that we cannot effectively address important issues without a foundation of historical knowledge. In other words, by examining the nursing history, I will be able to appreciate my important role as a nurse in the healthcare system. The topics I will be including in my reflection are the works of Florence Nightingale, the affects of World War II, the challenges of Filipinos aspiring to be nurses, and excerpts in Chapter 10 of “A History of American Nursing.”