Possible Health The Patient Could Be In. Lastly, The Patient

This was my first shift back from having a few days off and I returned to work on a night shift. Patient A was admitted to the hospice that day. She was admitted for general deterioration and she had tried to maintain her independence up until breaking point. It was handed over she has aphasia.

Client advocate: ensures clients, families and communities are well-informed and included in care planning and improving care. Also serves as an advocate for the profession and health care team. Educator, Information manager: able to use information systems and technology. Systems analyst/Risk anticipator: able to participate in systems review to improve quality of client care delivery. Team Manager: able to properly delegate and manage the nursing team resources and serve as a leader. Member of a profession, and Lifelong Learner: recognizes the need for and actively pursues new knowledge and skills as one’s role and needs of the health care system evolves.

When I arrive to the facility this morning I was informed that one of the patients had passed away during the night, which was quite sad. Today I was in the acute ward all day and was able to watch the RN perform an ECG on a man that was bought in via ambulance who was complaining of chest pain. I watched as she placed the ECG leads on different positions of the chest. The RN showed me what a normal heart rate should look like. I also went around the ward taking OBS and notice that one of the patient's O2 levels were very low at 73%, the RN then gave the patient some ventolin through a mask to increase oxygen levels and they rose to 95%. The RN also showed me the medication charts and how they are to be read. I went around with her watching

The patient was initially admitted due to terminal cancer, his family wanted him to have a procedure, but he elected not to do so due to the risk of being in his mid-eighties. Instead, he remained in the hospital for comfort measures because the pain was unbearable without medication. His son did not accept the fact that his father was dying and this created family arguments about the care of the patient because the family did not believe the patient knew what he was doing by declining treatment.

As time goes by, people get infected with new diseases or current prevailing diseases. Consequently, new drugs are produced in an attempt to overcome these diseases, which results in patients with complex health needs. The complexity of the patients’ healthcare therefore needs to be addressed by more than one discipline. Interprofessional collaborative care is a type of health care that involves people from different professions working together and relying on each other to provide effective care to patients. Interprofessional collaborative care is important and predominantly a focus of the health care reform because it improves healthcare outcome for the patients and reduces disagreements between different professions. I was able to experience interprofessional care when my grandma was diagnosed with cancer. The physician and the pharmacist worked together in ensuring that she got the proper medication that would not have any side effects on her. In addition, the physician would call the pharmacy every two weeks to check on my grandma’s progress and to ensure that she had picked up her medications. Both my grandma and I were grateful because we felt that our needs were taken care of appropriately. Moreover, interprofessional health care is important in a curriculum because if helps the students to be better prepared to work as a team. This is achieved by teaching students about their own profession while receiving an understanding of the other professions and the roles they

Within this case study I am going to use two of the Chapelhow et al. (2005) enablers to discuss and reflect on the care of a patient I have been involved with on placement over a period of 5 weeks. ‘Enablers are the essential and underpinning skills that come together to provide expert professional practice’ (Chapelhow, C et al. 2005, p.2). These include; assessment, communication, documentation, risk, professional decision making and managing uncertainty. The enablers work together to provide a holistic approach to the care of patients in health care settings. I am going to focus on and discuss two of the enablers, linking them both together, which will be assessment and communication as I believe these two enablers can be related most to my patient.

operate as a service provider. From this I will be able to gain a greater understanding of patient care. This collaboration between disciplines and the resulting improvement for the patient was identified by Hill (2006). Since I have started working within the NHS over the last year, I have had more opportunities to work with members of different professions both in the NHS and voluntary sector. This experience has helped me develop a better understanding of how patient care is made up of a multitude of smaller parts.

Two types of data were collected through surveys, both before and after implementation of the combined approach (Sand-Jecklin and Sherman,2014). The first data was on nurses’ point of view with regards reporting process, and the second on patients view regrading nursing care. The baseline survey included 233 patients and 148 nurses, while the survey three months into the implementation period included 157 patients and 98 nurses. The final survey, 13 months into the impanation, was completed by 154 patients and 54 nurses. The patient survey also included responses from patient families. These were 70, 72, and 53 responses for baseline survey, three-month postimplementation surveys, and 13-month postimplementation surveys.

In the video the patient is visibly distressed and in severe pain. The patient is trying to explain to her current Nurse that she is dissatisfied with the care provided by the previous nurse. The patient expressed her apprehensiveness over

During this month, I finally understand why she is a tough patient to others. It’s really hard to get in contact with Mrs.V to set up a visit with her. It took me several calls over couple days to set up our first visit of the month. On the day of the visit, I was unable to call Mrs.V to let me in the house. As I was about to leave the place after waiting for 45 minutes, a lady drove into the driveway and opened the door for Mrs.V to step out. It turned out that she had completely forgotten about the visit. At this point, all of my frustrations I had toward her just evaporated. I realized sometimes impatience could cloud my judgment since I had not considered the possibility that she might not remember due to her old age.

Gemma is a 75 yr old female patient. She had her first Total Hip Replacement (THR) surgery due to arthritis. Although Gemma’s pathway appears to be quite normal according to the transition record, she has some issues need to be addressed. She is old, had a major surgery of trauma score 5 orthopedic, history of Asthma and hypertension, and high BMI. She needs to be monitored for complications since she is not only a surgical patient but also an orthopedic patient. The shift started at 1600 on post operation day one. The care plan for Gemma for the PM shift will employ clinical reasoning cycle: including nursing problems in order of priority, interventions with rationales and evidences, evaluations on Gemma’s performance. This

It was 9:35 am, which was approximately two and a half hours into my shift. Dr. Nutakor had said, “Let’s go see this patient.” I grabbed my pen and pad and followed him to room 14. I walked in and saw the patient, Becky, sitting on the bed undergoing breathing treatment. She turned to her boyfriend and mother and waved them outside. “They drive me crazy,” she said while smirking to me. The doctor asked, “how long have you been sick?” It was apparent that she was sick: her eyes were tearful, she was wheezing, and she was gasping for air with every word she exuded. As she went to take off her mask, “Keep your mask on,” the doctor said. Becky continued to say that she has been sick for 30 days and was diagnosed with COPD 4 days ago. Tears

Urine which is formed in the kidneys is one of the major avenues of fluid loss, so an inadequate urine output or excessive loss is potentially critical and requires attention from the nursing team as this could affect a patient’s other vital signs like temperature, pulse, blood pressure.

Simmons (2009) states “clinical reasoning guides nurses in assessing, assimilating, retrieving, and/or discarding components of information that affect patient care” (p. 1151). I feel that without clinical reasoning nurses would just be going through the motion of caring for a patient with no specific outcome in mind. Because of the autonomous work of the nurse in many settings clinical reasoning is a skill that must be fine-tuned. There will not always be others to collaborate with on the care of patients and therefore the

My role in the health care industry will be helping others to receive the best quality of care because I plan on either taking the role as an administrator of a hospital or an assistant. Either way, my responsibility will be to the patient’s well-being and making sure that they get the proper treatments and will not have to wait a long time to get those treatments. I will make sure that they get treated, properly. I will make sure that the staff members will do their jobs, properly and will always be there for the patients and residents. I will make sure that the staff members have everything they need to do their jobs, properly. I will make sure that the residents and the patients have everything they need to get treated, properly.