Skill Validation

Tertiary prevention nursing interventions include: planning follow-up with the people treated for diseases to assure they are following treatment and to offer rehabilitation like activities in order to maintain the best quality of daily life and decrease chances of disease progression; repeat demonstration of washing hands, verbalize proper use of sanitation facilities, and disposing of trash; offering adequate physical and occupational therapy instructions; evaluation of proper medication treatment, dressing changes and wound care; assessing living/sleeping quarters for safety and cleanliness in order to promote healthy/safe practices.

Once the patient is stabilized the nurse can begin to assess the cultural aspects of care for this patient. Noting that the patient is African American the percentage of that ethnicity having adequate health care and education is very low. The last admission may have very well left her without a leg and any means to help care for it. Setting her up for another admission due to infection. She does have a primary healthcare provider but as far as knowing the extent of her home care or education level the patient could have been set up for failure. During the admission, it is the nurses job to educate the patient when appropriate. Clearly, she needs teaching on the importance of knowing her medication, signs and symptoms of infection, and taking proper care of a surgical site. Although since we do not know exactly what her health insurance will and will not pay for it is important for the patient and family to be properly educate before

In every Health and social care setting, each person has a certain responsibility. Each care worker should be responsible for their own actions with regard to protecting themselves and others from infection. Throughout this essay I will be discussing the roles and responsibilities of care and non-care workers, managers and specialist personnel.

There are only a few medical records provided for review. However, a visit note dated in January of 2016 notes that the member is on pump therapy. It does not state which insulin was prescribed at that time. However, pumps typically use a short-acting insulin analog.

Mr. R J is a 70-year-old Mexican American male with a history of type 2 diabetes and hypertension. He came to the emergency room with a left lower extremities blanching, erythema, mild swelling and warmth from dorsum of his foot to lateral calf. He is 5’5’’ tall, and his body mass index (BMI) is 36.6. After he had been admitted to the Medical/Surgical Unit, I walked into his room and introduced myself to him. I let him know that I would be his student nurse for the shift, and I would like to talk about his current medical problem, diabetes.

Stillwell, Susan B. DNP, RN, CNE; Fineout-Overholt, Ellen PhD, RN, FNAP, FAAN; Melnyk, Bernadette Mazurek PhD, RN, CPNP/PMHNP, FNAP, FAAN; Williamson, Kathleen M. PhD, RN

The Women’s Place at Texas’s Children’s Hospital, Pavilion for Women is dedicated to women’s reproductive health. Hormonal changes throughout pregnancy as well as post-pregnancy may affect the woman both emotional and physically. The Women’s Place serves as a program to treat the woman and her family at any point during the reproductive cycle. There are many disorders, issues, planning and management that The Women’s Place can assist with, including; Premenstrual dysphoric Disorder (PMDD), pre-pregnancy planning, infertility issues, fetal center and genetic counseling, prenatal care, psychiatric medication management, postpartum care, assistance during reproductive loss and grief and perimenopause and menopause. Although infection and

They offer educational programs for parents and the public on prevention of illness and when to recognize the need for hospital intervention. They have developed some of the highest quality standards. They led state-wide efforts for the prevention of central line associated blood stream infections by developing standards to reduce these infections. They also developed standards to reduce or prevent ventilator associated pneumonia, medication errors, and surgical site infections. They lead a consortium of hospitals to improve care to babies born dependent on drugs.

During program, it is also important to monitor patients and notice if there are any physical changes either by observation or listening to the participants. Over the course of program one may become ill or have some physical or emotional changes. Therefore, monitoring this can allow for actions to be taken before hand, either by providing something small such as a tissue or brining patient back to their unit/floor for nurses to inspect further illness. By using precautions and being aware of such measures this can help tremendously with the spread of illness and to hopefully keep all patients and clients safe during the delivery and after program.

After 2 weeks, a baseline should be able to be established sufficiently without putting any subgroup at risk of serious infection considering the preventative measures taken. A final CNS should be taken, along with final measurements, and all groups should be compared to see if any quantifiable differences can be noticed, such as the size of the wound, amount of necrosis surrounding the wound, and how many ppm’s of bacteria are present. This is a purely quantitative study. We should note anything the patient says about pain, but only to insist that they intimate this to the physician or

D. Arnone, DM, MRCPsych, J. Cavanagh, MD, FRCPsych, D. Gerber, MRCPsych, S. M. Lawrie, MD, FRCPsych, K. P. Ebmeier, MD, A. M. McIntosh, MD, MRCPsych

The patient’s heart, lungs, skin and eyes will be evaluated. The skin may look flushed and dry. The patient should be evaluated for target end organ damage and unrelenting infections (Bailey, Buttaro, Sandberg-Cook, & Trybulski, 2013).

My first concern with the patient would be his incision has dehiscence and needs to be evaluated immediately by a physician. I would be worried that the incision has broken open and the site that was trying to heal is now open and exposed to new pathogens as well as the graft possibly being shifted which would require surgery to fix. “Potential complications include bleeding, hematoma, or wound infection at the arterial insertion site” (Hinkle & Cheever, 2004, p. 841). I would also be concerned if the patient’s graft has moved, then the patient would be having some internal bleeding. “In the initial hours after admission to the clinical unit, adequate ventilation, hemodynamic stability, incisional pain, surgical site integrity, nausea and

Henderson’s 14 components are used to determine the need of the patient. Mr. Jones is breathing normally. He is drinking and eating well. He is not healing well due to an infection to the graft site which necessitated him to go back for surgery. He is on antibiotics that caused him to have a disturbed

I) Semi-Structured demographic Questionnaire to collect data about age, marital status, educational level, monthly income, residency, occupation, and past obstetric history for women (e.g. age of menopause, number of children, and number of abortion); medication used and family history. Data were collected by the investigator at the initial data collection point. These variables were collected through face to face interview.