Nursing Interventions: A Case Study

The patient will require surgery to repair the hole in the intestines, and subsequently will have a drainage tube, NG tube, and feeding tube. All drains will need to monitored for placement/movement, and drainage. Input and output will be closely monitored and recorded. The patient will remain on NPO, or nothing by mouth, to rest the bowels along with frequent assessments to monitor for infection and bleeding. The nurse will need to monitor for bowel sounds, vital sign changes, temperature changes, pain, abdomen girth, and wound/incision inspections. The following labs will require monitoring: CBC, H&H, albumin, BUN & creatinine, glucose, and ABG’s and lactic acid if sepsis is suspected. Careful and frequent monitoring of labs will alert the nurse if the patient develops sepsis, or hypovolemia due to excessive bleeding (Belinhof, et al., 2012). In addition to vital signs and labs, the nurse will also include patient assessment into consideration before drawing conclusions by means of critical thinking. After the full assessment has been made, the nurse will report any findings to the health care provider that require further investigation or

1. Monitor the patient's oxygen saturation frequently (once per hour) at rest and after exertion on room air

Conrad, A., Grotejohann, B., Schmoor, C., Cosic, D., & Dettenkofer, M. (2015). Safety and tolerability of virucidal hand rubs: a randomized, double-blind, cross-over trial with healthy volunteers. Antimicrobial Resistance & Infection Control, 4(1), 1. doi:10.1186/s13756-015-0079-y

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.

It has been repeatedly stated that oral care is important in the prevention of ventilator-associated pneumonia (VAP). Endotracheal intubation predisposes patients to developing VAP. The tube acts as a conduit from the mouth to the lungs – a perfect track for bacteria to descend upon. Khezeri, et al. (2014) suggest that “the presence of an endotracheal tube (ETT) inhibits normal coughing, normal swallowing, and the protection of the trachea contact by epiglottis closure.” In addition, an endotracheal tube keeps the patients mouth open – leading to dryness. Bacteria are not washed away by saliva. Also, Landgraf, et al. (2017) mention that the presence of an endotracheal tube in the mouth causes “changes in the oral epithelium” which “might indicate risk for infection in intensive care patients

However “The Mental Health Act defines mental disorder as an abnormal state of mind where the person may be of serious danger to their own, or others’ health and safety” (CAB, 2016). From what we know about Sally, she is showing an inability to take care of herself and is endangering her own health in the process. From a student nurse perspective, I could not in good faith and adhering to professional responsibilities let Sally leave the hospital, even if she is presenting to the hospital informally. I believe Sally is showing enough signs of concern to be admitted formally as she has not eaten or

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

Keeping the patient comfortable, by whatever means possible, is the priority; this also includes accepting the patient no longer wants to eat or drink, preparing for the probability of bowel/bladder incontinence, vigilance for skin breakdown, and frequent mouth care should all be taken into consideration when planning care and comfort. It’s important

Nursing care is a dynamic field of practice. The way it looks today is far out greater intense and very structured. It advances itself by the use of nursing theories and evidence based practice. Policies and procedures constantly change with the advancement of technology and science. While caring for the patient in the given case studies, a nurse involved utilizes practical knowledge, a culture care model and transpersonal caring relationship to attain a caring environment (Smith & Parker, 2015).

Two priorities for patient education are safety and pain management. For safety, she needs to understand that she is NPO, which means she cannot have anything by mouth, including foods, drinks, or medications. She also needs to understand that she is not supposed to pull out her foley catheter.

After establishing the community goals, resources and constraints, two public health nursing interventions were identified. The first intervention includes a one-hour mental health education class held for school-aged children at the local Boys and Girls Clubs. This class will be provided by nursing students from the University of Arizona. The students will then facilitate a cognitive-behavioral therapy activity that will address mental health, and emphasize different coping skills and how to deal with bullying. Therapy will include an art project where the participants will write negative thoughts or feelings on a drop sheet. The drop sheet will then be hung as a target and the participants will throw water balloons filled with paint at the

The nursing intervention strategy that I will use to promote health for my friend’s family is the use of ritual/routines and family time. The easiest ritual a family can participate in, is eating together at a table for mealtimes. Routines build rituals in which rituals build a stronger family bond (Marquenie, Rodger, Mangohig, & Cronin, 2011). Families sitting and eating meals together are most likely to eat a well-balanced meal (Kaakinen, Gedaly-Duff, Coehlo, & Harman Hanson, 2010). Regular family shared mealtimes, helps children to feel like they belong and can build a trust. This also gives the family a feeling of being part of a group, allowing the sense of comradery (Kaakinen, Gedaly-Duff,

In year 2000 and 2010, an estimated 1 million hospitalizations for Congestive Heart Failure (CHF), of which most of these hospitalizations were for those aged 65 and over, the share of CHF hospitalizations for those under age 65 increased from 23% to 29% over this time period (Hall, Levant, & DeFrances, 2012). According to Held (2009), acute decompensated heart failure (ADHF) ensues when cardiac output fails to meet the demand of the body’s metabolic needs. The fluid volume overload makes the unstable condition necessitates instant treatment for the reason that it impairs perfusion to systemic organs, endangering their function.

Children between the age of Five and Seven will be tested with a new drug to reduce hyperactivity. In this experiment, there should be three groups with three different ages: Five years, Six years, and Seven years old. There has to be an equal number of boys and girls in each age group for each group there will also be a control group. The children will be chosen through random assignment to be placed in an experimental group or the control group. All six groups will be in a kid-friendly environment such as a playground or park for one hour.

Situate passage into the plot of the story. Marlow has just come across a part of Thames which he refers to as a part of darkness too. Conrad had just went on to list a lot of English seamen before Marlow does. Marlow refers to the “knights” Conrad speaks of as “no colonists” but as “conquerers” which is nothing to brag about, This is in stark contrast to what the narrator of the book had just finished stating, thus suggesting that the narrator is the average persoective while Marlow expresses Conrad’s true thoughts. Moreover, Marlow describes what he dislikes so much about these “conquerers” and even makes his opinion clear: that we shouldn’t classify people as brutes just because they look different from us.