Nursing Case Study Essay

The nurse has a responsibility to be aware not only of specific health needs of individual patients but also of broader health concerns such as world hunger, environmental pollution, lack of access to health care, violation of human rights, and inequitable distribution of nursing and health care resources. The availability and accessibility of high quality health services to all people require interdisciplinary planning and collaborative partnerships among health professionals and others at the community, national, international levels.

The healthcare industry has intensely advanced throughout the world, in turn changing the principles that incorporate the practice and culture of nursing practice. Altering the model of care to a patient-centered mode signifies an organizational culture shift and requires the participation of executives at the senior level (Cliff, 2012). To practice this care to provide the best care possible, it goes beyond the nurse to all healthcare professionals and senior leadership. The days of patients and nurses following a physician’s order without favor to care has now loaned themselves to more of an interdisciplinary approach to practice. Though, it is encouraged that the patient makes decisions for themselves, after receiving the proper education and information on their condition. Part of the patient-centered care is to be the patients’ advocate, by letting them know you are there for them when they are unable to speak and advocate for themselves and what is in their best interest. That goes in hand with educating them on “self-management of care, health literacy, patient, and family education through nurse-patient communication and interaction (Finkelman & Kenner, 2016, p. 271).”

The IOM has stressed the importance of the nursing role in educating patients on disease prevention, management of chronic conditions, and health promotion. This is a subject in which this author is in firm agreement. While providing patient care, it is clear there is a lack of education regarding disease process and management. Patients frequently feel lost regarding their illness. Education will be very important when the shift from acute to primary care occurs. Education and health promotion are areas in which this author plans to transform and improve in her practice.

DOI: 8/6/2015. Patient is a 51-year-old female licensed vocational nurse who sustained a work-related injury to her back and hips while moving a client. As per OMNI, she was diagnosed with muscle spasm, pain over the low back and thoracic region. She is status post right carpal tunnel release on 02/26/16.

Mr. Brann is a 42-year-old male here today for followup from his left cerebellar stroke and left vertebral artery dissection, status post hospitalization in May of 2015

1. Monitor the patient's oxygen saturation frequently (once per hour) at rest and after exertion on room air

----- Clinic presents a black male 68 years old. Currently experiencing dyspnea and lethargy. For the past week he has been having a increase of difficulty breathing. Complains of alternating periods of sweating and chills. Other symptoms he has been experiencing is a productive cough with expectoration of thick yellow sputum. Patient is a ex- smoker, he was a 40 pack year history, denies smoking, stopped over 10 years ago. Medical history includes chronic bronchitis, hypertension, MI five years ago, has had a angioplasty, and denies chest pain since having angioplasty. Current medication combined albuterol/ipratropium MDI, nebulized albuterol prn, captopril, and hydrochlorothiazide.

This shift in the setting for health care is moving health care back into the patient’s environment and also requiring people to take a greater role in their individual health management. Nurses can offer professional guidance in this trend as well. Proper diagnosis and treatment will be of paramount importance in the future so that health care funds can be better applied and the nursing experience and knowledge gleaned can be more widely disseminated in the field. (Saver, 2006)

According to Hall and Ross-Kerr (2006) teaching is an interactive process that promotes learning. Generally, teaching and learning begin when a person identifies a need for knowing or acquiring an ability to do something. A nurse, who embodies the role of a teacher provides information that prompts the client to engage in activities that lead to desired change. Teaching is most effective when it responds to the learner’s needs (Potter, Perry, Ross-Kerry, & Wood, 2006, p. 318). In this paper I will include an assessment of the learner, teacher, and resources with a teaching plan. I will provide evidence of implementation along with discussion of teaching material used in the presentation, including the rationale for its use. The paper will

The United States health care system cumbersome and complex; however, there is opportunity to transform the health care system. By providing seamless, affordable, evidence based and patient centered care that is accessible to all, United States will improve patient and community health outcomes. Nursing is the largest sector of the healthcare field and without a doubt has an essential role in addressing the United States health care system crisis. Care within hospital and community settings has become more complex. This requires nurses to make critical decisions associated with care for sicker, frailer patients and work with sophisticated, life-saving technology. Nurses are also being called upon to fill primary care roles and to help patients manage chronic illnesses, thereby preventing acute care episodes and disease progression.

Nurses play an important role in promoting health within the patient, family, and community (Kemppainen, Tassavainen, & Turunen, 2012). The focus of patient care has been transferred from treating the illness to disease prevention (Mchugh, Robinson, & Chesters, 2010). The implementation of consultation, education, and follow up exams can increase the overall quality of life for an individual (Kemppainen et al., 2012). I will discuss the various roles of a nurse in health promotion along with the multiple work environments in which they can be implemented within. I will also reveal the maintenance plan of my own personal health regimen.

Diabetes is a very common chronic medial disorder and expected to be a big medical challenge of the twenty first century (Clark, 2004). It is a condition, in which the glucose level in the blood becomes so high that the body is unable to utilize it properly. This long-term condition results when the pancreas of the victim is either not able to produce enough insulin (sometimes even cannot produce any insulin) or the insulin produced cannot work properly. Diabetes is divided into two main types: Type 1 and Type 2. Type 1, also known as insulin dependent diabetes milletus (Masharani, 2008) cannot be prevent while Type 2 can be prevented but if the patient is at pre-diabetes stage.

Often in practice, we as nurses deal with a variety of diseases and treatments and often have to react to the illness that the patient presents with upon our interaction. While this is an essential piece of our practice, we also have a duty to our patients to be proactive in preventing specific health-related consequences based on their risk factors and to promote their health and well being. Health promotion as it relates to nursing is about us empowering our patients to increase their control over their lives and well beings and includes: focusing on their health not just illness, empowering our patients, recognizing that health involves many dimensions and is also effected by factors outside of their control (Whitehead et al. 2008)..

The workshop for the Doctor of Nursing Practice project was presented on December 11, 2015, at 9:00 am in a long-term care facility in the southern region in the United States. The participants included; a registered nurse (RN), three licensed practical nurses (LPN’s) and an LPN, attending a BSN nursing program. The RN asked to participate in the workshop, and the author believes it was appropriate since she provides patient care. Statistics show numbers and may tell a story, and some of the participants’ comments may validate or support what they had to say. Therefore, the author is going to share some of the participants’ comments. For example, the nursing student plans to laminate the Diabetes Self-Management and Education Assessment Diabetes

The Nursing Diagnosis, being the second stage in the process, involves interpretation of data, which may result in other potential problems (Junttila 2010). Clinical judgements and nursing goals are then made based on the data collected from the assessment stage (Huckabay 2009). For instance, a patient may present with obesity, possibly resulting in high blood pressure or depression. A goal of care may be to promote acceptance of body image and weight loss strategies with the most up to date evidence. Unlike medical diagnoses, a nursing diagnosis is holistic were the nurse considers the health of the whole person. In doing so, the nurse will be able to put in place individualised patient care during intervention. This should enhance and form good