Nursing Interventions: A Case Study

Mrs. Pink, aged 75 was admitted to the orthopaedic ward after suffering a fall at home, resulting in an intracapsular fracture of the hip at the femoral neck. Mrs. Pink has a history of cancer and cardiac diseases and has severe rheumatoid arthritis. Due to ageing patients putting a great deal of strain on the health care system, the incidences of hip fractures in the elderly are a major concern and requires careful consideration regarding treatment. Known as a major cause of disability in the elderly, hip fractures and their subsequent need for surgery result in chronic pain and an altered quality of life (Strike, Sieber, Gottschalk & Mears, 2013). Although important to improve a patient’s quality of life and physical independence, pain related to a total hip replacement (THR), also known as hip arthroplasty (HA) can lead to delays in ambulation, longer hospital stays, poor functional outcomes and quality of life. The purpose of this essay is to identify the rationale behind nursing interventions provided to post-operative THR patients as well as the pathology of a femoral neck hip fracture and their procedure for assessment and diagnosis.

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

As for the second simulation, the initial assessment was the same, so a head to toe was done on the patient and it was determined that she was in active labor. Next, she entered the traditional

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

In the last few decades, a lot of sleep research studies have been done. Most of the studies have been looking at the structure of sleep and the need of sleep for the body to function properly. In the 1990s, sleep disturbance was identified to be a major issue by the American Association of Critical Care Nurses. The nurses called for more studies to establish how sleep disturbance could be reduced in order to promote sleep (Hellström & Willman, 2011). To solve the problem, studies were conducted to investigate whether evidence-based interventions could help. Using cancer patients, evidence-based interventions for sleep-wake disturbances were investigated as part of the “putting evidence into practice” project. However, these interventions

The Institute of Medicine’s Roundtable on Evidence-Based Medicine has been convened to help transform the way evidence on clinical effectiveness is generated and used to improve health and health care (Institute of Medicine, 2009). Hence, health care providers and teams pursue methods in which enriched education can provide purposeful and collaborative care to patients along with their providers; care which creates and enhances systems to naturally teach preventative interventions to maintain the utmost safety, quality and value in care that is offered. The goal set forth by the IOM is that by 2020 all tangible healthcare clinical decisions will be practiced in a manner of timeliness, accuracy and efficiency to

Nursing intervention of patients with valvular disease incorporates a number of nursing diagnoses. Nursing management interventions mainly focus on achieving adequate cardiac output, maintaining fluid balance and education on the patient and the family members.

A person with a sensory impairment (hearing or vision) might experience loneliness at the love and belonging level. A person with hearing loss might not be able to communicate well and become withdrawn because they can’t hear. A person with vision loss might also become withdrawn because if they will not feel as if they belong. (Treas, 2014) A nursing intervention would be using active listening skills, establish a relationship with the patient, and spend time with them. (Ladwig, 2017) This intervention could help the person feel loved and that they do belong to something. Sometimes that is all that someone needs to just for someone to listen and to be there for them during a difficult time.

The global population is divided into different sections that have special needs and in the same way they need to be supported and assisted in a unique way. From the perspective of the health care worker, the idea of needs varies significantly based on location and principal factors associated with the individual in the society. The needs can be addressed by understanding the primary cause related to a particular issue rather than generalized interventions. The nursing interventions are critical in offering the unique support required by the individuals requiring the interventions (Westphal & Convoy, 2015). The veterans have been identified as a special needs population. Therefore, the method used for intervention should be special considering

The power of connection is achieved from networking, knowing people and being able to gather information within organization (Huber, 2014 pg. 163). Personal affiliation and networking can begin between a nurse in one facility and another by exchanging information on effective nursing interventions used by their institutions to help to be competitive and stay current. The use of personal networking can help the leaders to boost their career as nurses. As leaders attend conferences or convention, they can meet their opportunity because these are some of the places some leaders can advance their careers or meet well connected people that can help them to achieve their goals. Informal networks have always been important in the workplace to get

Once interventions are put in place to help improve communication between staff in the hospital they must be evaluated to find if the interventions were successful. Evaluating can show whether there are improvements or not. If there were improvements it would indicate the intervention worked. If there were no improvements it would indicated the interventions were not successful and other interventions should be attempted.

When implementing interventions, the nurse must use her clinical judgment as to which is the priority. Evaluation is the last step in the nursing process. It lets us see where the patient stands. The nurse evaluates to see if the patient-centered goals were achieved or if we need to make changes to the

Using the evidence and recommendations from nationally recognized programs along with quality management programs, we can effectively devise strategies and efforts to reduce these preventable infections. By implementing strict infection control guidelines we can see a reduction in the rate in the future and enhance the quality of care in these end stage patients. Through training and retraining we can encourage employees to actively participate in the process. Being able to effectively design a quality improvement program using leadership and management strategies to monitor the effectiveness of therapeutic nursing interventions along with integrating research findings and evidenced based practices in managing the care of this vulnerable population

After Max transferred to a ward from PARU, there are list of nursing interventions to care for Max. First of all, Farrell and Dempsey (2011) explains that nurse in charge of Max must check the record from PACU such as operation performed, presence and locations of any drains, anaesthetics used, postoperative diagnosis, estimated blood loss and medications administered in the recovery room. Furthermore, check surgeon’s postoperative orders such as IV solutions and IV medications, position in bed, food and fluid restriction, medication order, test results, intake and output and activity permitted. (Farrell & Dempsey, 2011). Once checking information is done, nursing interventions can be performed. When nurse introduces and inform patient about

With reference to the above disorder, I find myself almost into the 13th month since the urology department was first informed of this condition. During this time I have had two flow tests and one meeting with a consultant. This meeting largely concluded that the condition was likely the fault of the prostate, which, when this condition first began, the cancer unit carried out flow tests and another test that I cannot remember. However, the resultant decision on these tests, by one of the consultants, was that the condition was not due to the prostate. I’m not sure that having very recently been given the all-clear concerning my prostate that this might have had any bearing on the decision.