Psy 270 Week 5 Nursing Care Plan

Since the early 1900’s nurses have been trying to improve and individualise patient care. In the 1970s this became more structured when the nursing process was introduced by the general nursing council (GNC), (Lloyd, Hancock & Campbell, 2007) .By doing this their intentions were to try and understand the patient in order to give them the best care possible (Cronin & Anderson, 2003). Through the nursing process philosophy care plans were written for patients. It was understood that this relationship would ensure the patient received the best care possible to suit them individually. This would consist of not just the patient as a physical being but their spiritual emotional and holistic being also (Cutler, 2010). The

Internet or Professional Article Research and how the info in the article applies to your patient.

An Esmarch bandage was used to exsanguinate the leg and a tourniquet time ended up being 27 minutes. Three portals were used for this procedure. The first was placed along the superior anterolateral aspect and a third along the inferior anteromedial aspect of the knee. We distended the knee with Lactated Ringer's solution. We examined the suprapatellar pouch and the medial and lateral gutters. She had significant chondromalacia starting al the patellofemoral joint. We did use shavers to trim and debride some of the chondromalacia on the trochlea. We then moved to the medial compartment and noted large areas of chondromalacia. We used a combination of basket forceps and the shaver to try to

Reflecting on experiences and composing nursing care plans are just two of the many fundamental skills involved in nursing (Day, Trotter, Hill, Haines & Thompson, 2014). This essay will include four nursing care plans, two related to actual nursing problems, and two related to potential nursing problems. Additionally, included within this essay, using Gibbs reflective cycle (Gibbs, 1988), will be a reflection recounting a situation the writer experienced while on practical placement in a local rest home.

This week, I was given the opportunity to care for two female patients – 205(1) and (2). The first patient, 205-1, was admitted with respiratory distress and had a past medical history of hypertension, schizophrenia and bipolar disorder. She was initially put on 2 L/min of oxygen and placed on oxygen titration protocol with orders to maintain O2 saturations between 88-92%. The patient was oriented to person and place, but had difficulty with time. She was also obese (BMI 30) and deemed a moderate assist with ambulation. Her care plan included total assistance with ADLs, smoking cessation and oxygen protocols, limited salt intake (3mg), and chronic pain management. The second patient, 205-2, was admitted with a right pelvic fracture and had

by a nurse equivalent is equivalent to care provided by a physician.. In addition, the

Based on the progress report dated 03/28/16 by Dr. Bakhos, the patient presents for follow-up of his right knee

The client has completed our graduate program and is currently working part time. The client will be moving into an apartment with her two by the end of the week. It must be noted that the client is now optimistic about her future and more cognizant about her strengths. My work with the client was based upon a helping relationship. During the intake session goals were created based upon the client’s needs. My role as a social worker was explained in detail to ensure that the client was aware of the contracting process. I could communicate my expectations within the boundaries of a collaborative relationship by allowing the client to make modifications and changes based upon expert knowledge of her situation (Poulin, 2010). At no point are services with a client terminated. We continue to make follow-up phone calls each month, to make sure that the client is doing okay.

The patient was a female on her 80s who was admitted to the hospital because of the COPD exacerbation. She had a history of stroke with minor residual effects, smoking, hypertension, and schizoaffective disorder - a chronic mental condition that is manifested mainly by the symptoms of schizophrenia, such as hallucinations or delusions, and mood disorder symptoms like manic or depressive episodes (NAMI, 2017). Patient length of stay was more than 300 days. She had two daughters who visited her everyday.

I believe the best way for Ron to effectively respond to what the client’s concerns are but before doing so, Ron will have to plan as well as prepare before meeting with the client (Johnston & Marshall, 2009). Before starting the negotiating process, Ron will need to identify what is important to the client, this includes determining goals, areas for trade as well as alternatives to the stated goals (Kelchner, 2018). Ron will have to be able to listen to what it is that the customer needs and if possible try to meet those same needs. The client knows that you will do whatever it is to keep them satisfied, so they may work with you to see if you are able to provide their needs. The next thing Ron will need to do is to say what he means, and

Implementation of a practice change requires the innovator to be able to describe the process of implementation, specifically addressing the methods utilized, with an assessment of the key components of the implementation plan. The Daily Safety Briefing (DSB) initiative does not gather new information, but it does present information in a new way. There is no requirement for subject consent, as safety reporting is already covered under the umbrella of a consent to treatment, which patients sign at the time of admission (Hughes, 2008). Existing safety reports will be summarized into a one page document that will be presented at the DSB.

Based on the progress report dated 08/23/16, the patient complains left knee pain upon walking. Discomfort was described as aching, tingling, intense, severe, continuous, pain, discomfort, increasing with movement and varying with activity. Pain is rated as 5/10 without medications and 4/10 with medications.

An example of how I have used evidence-based care for a patient was using the stroke protocol. As soon as the patient arrives to the ED whether it was by EMS or private vehicle and is suspected of having a stroke(CVA), a code white is called. The nurse that will take care of the patient at first will transfer the patient over to get a CT scan, a tech will assist as well to get all the patient information they can to enter them into the computerized system, and a physician will go as well. Once the CT scan is finished the physician will determine if it is a hemorrhagic stroke. If it is they will have an emergency surgery to save the patient’s life. If it is not hemorrhagic they will be transferred back to the ED and the physician will determine if the patient has a thrombus or

Health History: A 25-year-old male injured his left knee in a recent skiing accident. The patient stated that he lost his balance because the inner edge of his right ski got caught while skiing. This resulted in the right leg being externally rotated followed by and audible “pop” as he lost footing. By evening, the right knee joint had become swollen, causing intense pain. The primary care physician referred the case to an orthopedist.

Ineffective breathing pattern related to decreased oxygen saturation, poor tissue perfusion, obesity, decreased air entry to bases of both lungs, gout and arthritic pain, decreased cardiac output, disease process of COPD, and stress as evidenced by shortness of breath, BMI > 30 abnormal breathing patterns (rapid, shallow breathing), abnormal skin colour (slightly purplish), excessive diaphoresis, nasal flaring and use of accessory muscles, statement of joint pain, oxygen saturations of 85-95% 2L NP, immobility 95% of the day, and adventitious sounds throughout lungs (crackles) secondary to CHF, hypertension, pain caused by gout and arthritis, and obesity