Reflection, Activities of Daily Living

The oxygen saturation was recorded to be 84% on air using a pulse oximeter. The nursing goals planned for Jack were: that his breathing would be within his normal limits, for his oxygen saturations to be maintained over 90% and for his cough to be less problematic. To assist in achieving these goals Jack would be fully involved with the planning of his care. The nursing and medical staff would perform lung function tests to determine the cause of his symptoms. It was ensured that prior to any medical test detailed explanations would be given to Jack. Hayward (1975) suggests that information given to and understood by the patient can aid to reduce anxiety. He was commenced on prescribed humidified oxygen therapy at 24% when required to alleviate attacks of acute dyspnoea. A referral was made to the physiotherapist for chest physiotherapy, which would facilitate the clearing the lungs of accumulated mucus. As Jack was experiencing difficulties maintain his hygiene, it was planned to assist Jack in achieving his personal hygiene needs. He was provided with the facilities daily for personal cleansing at his bedside. To ensure Jack's privacy and dignity the curtains were closed whilst he washed. Jack was advised on how to use the nurse call system to request help if required. It was ensured that his personal items and the nurse call were assessable. Clean pyjamas were provided.

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,

Orem’s Self-Care Model (2001) was developed by the American nurse Dorethea Orem and is very person centred by concentrating on what the patient is able to do independently and focussing care around that aspect (Barratt, Wilson and Wollands, 2012). However, it has been criticised for the use of complex language, terminology and concepts (Murphy, Williams and Pridmore, 2010). RLT was used in this case due to Susan’s main concern of shortness of breath (SOB) affecting all her AL and is the sole model used on the admitting ward and local NHS trust admittance paperwork.

The ‘APIE’ framework consists of Assess, plan, implement and evaluate, the nursing process should include nursing diagnosis and recheck (Barrett et al 2009). Therefor the ‘ASPIRE’ framework was used to create Kora’s care plan, which is as follows assess, systematic nursing diagnosis, plan, implement, re-check and evaluate (Wilson et al, 2014). The problem of SOB had affected Kora’s oxygen saturation level assessment and this needed to be acted upon promptly as it could quickly be detrimental to the patient’s health. The nurse caring for Kora completed the local trust single assessment process (SAP) holistic assessment document to gather a range of information about Kora and her medical history, if the patient had any dependant relatives, “presenting complaint, concerns, current medications and social history” (Bennett et al, 2009). This enabled the nurse to gather information which could be incorporated into Kora’s care plan. Furthermore, it highlighted that the patient was worried about the care of dependant grandchildren, which could impact on the patient’s wellbeing. Treatment and care should take into account patients' needs and preferences. People with COPD should have the opportunity to make informed decisions about their care and treatment, in partnership with their healthcare professionals (Nice, 2010).The SAP 1 documentation the nurse involved in Kora’s care completed incorporated RLT

This assignment is a case study of a patient who was admitted to a respiratory ward with acute exacerbation of asthma. This assignment will discuss nursing an adult patient with asthma, also it will aim to critically assess, plan, implement and evaluate the patients nursing needs using the Roper, Logan and Tierney nursing model (1980). This case study will focus on the maintaining a safe environment. It is worth noting that the activities of daily living are interlinked e.g. according to Roper et al (1980) breathing is an activity that is crucial for life therefore all other activities are dependent on us being able to breathe. The nursing management, pharmacological agents and the tools used will be critically

COPD, pneumonia, asthma ,dysplasia or immature lungs in infants,heart disappointment,cystic fibrosis,lung disease, injury to the respiratory framework. To figure out if a patient will profit by oxygen treatment, specialists will test the measure of oxygen in his or her blood. Low levels imply that a man might be a decent contender for supplemental oxygen.

In recent years respiratory therapy has gained a vast amount of recognition. According to "The Bureau of Labor Statistics", the employment of respiratory therapists is projected to grow nineteen percent over the next seven years. Along with increasing advancements in technology and medical research, there is also an ever increasing demand for respiratory therapists worldwide. Breathing is something that every individual must do, however, there are sometimes altercations in doing so, and this is where respiratory therapy comes into effect. In order to learn more about this topic, I enrolled into a Writing and Research course at my college. Upon taking this course, I had the pleasure of shadowing a couple of respiratory therapists at

The most serious health problem that the client has is impaired gas exchange. According to Sue Galanes (2007), impaired gas exchange is result from the balance between ventilation and perfusion is offset by a certain condition which affects the efficiency of the gas exchange. On account of client has congestive heart failure that can contribute to dyspnea, which means the efficiency of gas exchange is decreased. One of the significant defining characteristics of impaired gas exchange is dyspnea (Sabtu, 03 Agustus 2013). In addition, it was hard for the patient to talk in long sentence due to difficulty in breathing. Hence, impaired gas exchange is one of the health problems that the client suffered from. In regards of O2 is the basic element that all of cells and organs need, it can be considered as a fuel of human body. Therefore, impaired gas exchange is the most severe health problem the patient has currently.

The Activities of Daily Living have been refined for over 30 by the authors and were first published as part of the publication “The Elements of Nursing” in 1980. Today the model is widely used by students and healthcare professionals from different backgrounds including Occupational Therapists, Physiotherapists, Nurses and others. It is useful for health care professions and others when using parts of the model in direct relation to a person’s healthcare needs in an individual area such as breathlessness, and as mentioned previously allows for the start of an evidence based approach to the patients difficulty.

One of the main and most frightening symptom in COPD is breathlessness. The sensation of being unable to catch ones breath is uncomfortable and painful. It can increase over time and patients may also suffer with acute exacerbations.(Ek et al. 2010; Sculliion & Holmes, 2011) The actual feeling of breathlessness has been described as being similar to an anxiety attack, but is exacerbated by the patients fear and worry that their next breath will be their last. (Ek et al. 2010) The secondary effects of breathlessness can be quite similar to feelings experienced in the grieving process (Kubler-Ross, 1969) in that the

An important nursing intervention for a patient with COPD is to improve functional capacity of the lungs with oxygen use (ANA, 2012). An oxygen saturation value of 90% or higher is the optimal goal for the patient (ANT, 2012). Patients should be instructed on how to use oxygen properly and safely,

Respiratory therapy refers to both a subject area within clinical medicine and to a distinct health care profession. During the 20th century, there were many health care fundamental transformations. Here are 10 possible predictions of what may occur in the future of respiratory care: (1) Less focus on raising PaO2 as a primary goal in managing patients with acute hypoxemic respiratory failure. (2) More attention to

Chronic obstructive pulmonary disorder (COPD) is defined by the World Health Organisation (WHO, 2010), as a progressive disease of the lungs characterised by airflow obstructions, which complicate the process of breathing. Bellamy and Booker (2004) describe COPD as not being one singular disease but instead being an umbrella term to include other chronic lung diseases within its diagnosis: these include emphysema (which affects the alveoli) and chronic bronchitis (which affects the bronchi). This assignment will take a deeper look into how COPD affects Mr Bright’s life (Appendix 1), particularly how the patient’s breathlessness affects his physical, mental and social wellbeing in his everyday life. This will be followed up by an evidence-based

I stayed close to the patient during this whole period, but I was not paying enough attention to her low oxygen level. The patient was a healthcare aid and she kept telling me that, “It’s ok, I am always a shallow breather”. However, I should have my own judgement ability and provide more competent care with timely evaluation of the effectiveness of the interventions.

The writing I did this semester for Engl 110c has meant alot to me because I was able to pick a topic that has such a huge impact in my life. I was able to do the topic about Navy Wives, which has a huge impact on me. I recently became a navy wife a year ago and my life has changed drastically. I was able to share everything I wanted to about the life of a military wife through my writings, as well as share to my classmates about my topic. I really enjoyed creating my ePortfolio because I could come out of my shell and be me. I made a ePortfolio website that would be for military wives to read. I believe this website would be perfect for any military wife reading it. I was able to give tips and information on what it’s like to be a military wife, how to prepare for deployments and how to stay strong being a military wife.