The For The Hygiene Care Of A Resident Essay

The article Infection Control in Home Care was given by Emily Rhinehart in April 2001. This article is about the home care and infection control in the United States of America. This article stated that, in the past decades, the scope and intensity of home care have increased, whereas the strategies and prevention solutions of infection surveillance and control efforts have fallen behind (Rhinehart, 2001). Lack of applicable and consistent methods for surveillance and acute-care practices of prevention are needed to control infections. The article provides an understanding about the appropriate strategy and need of training to assess the infectious disease and their risk. In addition, the author has also stated the

The district nursing team were now to be responsible for the wound care of an ulcer on the sole of her right foot on her impending discharge. She had previously attended the practice nurse and a podiatry service based within her local clinic. Due to a change in circumstances, she was now clearly housebound for the near future due to mobility issues. Prior to an arranged visit, the patient had called the nurse to advise her that she was pyrexial and was experiencing a pain in her right foot that was different from her normal neuropathic pain, which was often problematic. She was also finding it difficult to mobilise and was disinclined for diet but was taking oral fluids.

For clinical week 9, I was assigned to the UMC Wound Care Clinic to view a different field of nursing. As soon as I arrived at the clinic the nurse told me that I could bounce around from patient room to patient room to view as many wounds and burns as possible. The first patient room that I went into was a young Hispanic man who had an infection on his right lateral thigh area that spread from the popliteal area to the greater trochanter. When I asked the patient what had happened he told me he was injured at work and the injury got infected, which he never went to the doctor to have it evaluated. So, basically the infection was eating away at his skin and muscles. The patient has to come to the wound clinic every day to get dressing changes.

Nearing the end of my shift in the Emergency Department, I was requested to accompany a patient while the nurse readied the discharge papers. Upon entering the bay, I met a very small and fragile patient who was anxious to go home. Conflicted between my primary duties and responsibilities to complete training for two inexperienced volunteers, I decided to put forth my interests in teaching by demonstrating compassionate care to my trainees. Although the patient repeatedly refused my assistance, I gave my best effort to calm her as I cloaked a warm blanket around her. As I listened to her confide in me of all of her hospital anxieties, I was shocked from the lack of quality care she had received which made her feel more sick after the first

Maria Niceforo, a 75-year-old woman receiving in-home nursing care, had died of infection due to numerous pressure wounds (Le May, 2016). She was admitted to the hospital presenting with a bleeding pressure wound across her back and legs that had penetrated through the bone (Le May, 2016). It was also observed that the wounds were soiled with urine and dried faeces (Le May, 2016). She was receiving in-home support from registered nurses, who according to her son, were not consistent nor reliable in their care of Mrs. Niceforo (Le May, 2016). Another contributing factor to her death was inadequate communication and documentation of her treatment (Menagh, 2016). For example, one of the nurses had reported not providing treatment to Mrs. Niceforo's bottom as she was not aware of it (Menagh, 2016). I was quite

In the future, I would approach this situation a little differently. I believe that after experiencing this event I now have the confidence and experience to maintain a patient’s dignity as best as I can during and after death. As I have now experienced a death and have participated in the performance of last offices, If I was to see a dead individual again I would not be as scared as I was this time and would be able to take charge of the last offices instead of shying away and leaving someone else to take the patient through the steps by communicating with the dead body.

Giving end of life care to my terminally ill mother has ignited a passion in me to read Medicine and make a real difference to people's lives. Caring for her whilst she was bedridden gave me an invaluable insight into the care of the critically ill. Dealing with death is a crucial part of a doctor's job and I feel that the past year has made me much more aware, sensitive and prepared me to deal with this aspect of the job. I am undergoing an induction for my job as Clinical Support Worker. This will allow me to gain familiarity within the clinical environment. Through work experience which I organised at a GP Surgery and Bedford Hospital, I have gained an insight into life as a doctor; I saw the importance of the surgeon having a high leg excision of a

I arrived to work well rested and ready to start the day. I had just returned after a two week long vacation. Because of the time off, I arrived to 7 East to find that the assortment of patients was not familiar at all. As I began getting reports on my patients, one in particular I started to feel a little anxious and stressed. At first glance I could tell I would be busy for the next twelve hours. Lynda was a 45 year old woman that was admitted almost a week ago after having an emergent tracheostomy placed. Lynda was newly diagnosed with laryngeal cancer with already having several other diagnoses including: seizure disorders, mild mental retardation, behavioral issues, and was legally

I am a second year nursing student in my third week of the practicum placement on a surgical ward with my co-student and the morning shift registered nurses. We had just finished analysing the patients handover report (Levett-Jones & Bourgeois, 2015) and I had been assigned to work with the registered nurse. I was looking after Mrs. Brown (pseudonym) is 82 years old New Zealander was admitted to surgical ward on the 08/06/16 for multiple SCC removals from L) hand and L) foot with skin grafts.

It was almost midnight when I got the call from Dr. Seagraves. She told me to meet her in the physicians lounge at 7 am: we had a case. The next morning began like any other in the operating room. We met with the patient, I received permission to observe and then got suited up for case. The patient was an elderly African American woman, she called me handsome and smiled comfortably. When we made it into the OR I was asked to help lift the patient from bed to table, with a subtle warning of “watch out, it’s gooey.” Dr. Seagraves parted the patient’s gown, exposing a mass of raw tissue that somewhat resembled a leg. The patient had suffered a week’s worth of necrotizing fasciitis, more commonly known as flesh eating bacteria. The wound had a certain odor, a putrid smell you do not forget. Our hearts sank in unison as we realized what we were up against. We had to act fast. Dr. Seagraves began scrubbing the wounded tissue as the Anaestesiologist monitored the patient’s progress. I had observed Dr. Seagraves on multiple occasions and never did she express concern for the outcome. For the first time in our relationship I heard her mutter, “This is not good. This is not good at all.”

I felt extremely self-conscious when standing by the bedside. I did not know how conscious the patient was of the situation around him, so it was obviously important to talk to him. I found it difficult to know what to say and was really conscious of others listening to me and wondered if I was saying or doing the right things. The atmosphere in the room was very quiet, my mentor and other staff present were very concerned he may die whilst we were washing him, so we were all doing our best to ensure the family were allowed back into the room as quickly as possible. The family were obviously anxious and upset at being away from him for any length of time.

During the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy-three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was “hurting” and she rated her pain an 8 on a scale of 1 to 10. She also had some “swelling” that she could not “get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around.” She told the nurse that she had been to see the doctor “yesterday” and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to

Infection control is very important in the health care profession. Health care professionals, who do not practice proper infection control, allow themselves to become susceptible to a number of infections. Among the most dreaded of these infections are: hepatitis B (HBV), hepatitis C (HCV), and human immunodeficiency virus (HIV). Another infection which has more recently increased in prevalence is methicillin-resistant Staphylococcus aureus (MRSA). These infections are all treated differently. Each infection has its own symptoms, classifications, and incubation periods. These infections are transmitted in very similar fashions, but they do not all target the same population.

During my clinical experience, I encountered an unforgettable situation which holds significance to me as a nursing student. My patient had an intracerebral hemorrhage, subarachnoid hemorrhage, as well as dementia. As a result of her conditions, she was a two- person assist. While researching my patient’s health conditions the night before clinical, I became concerned about how I was going to take care of my patient due to the anticipated immobility. When I first met my patient, I began to feel apprehensive because I realized that it was a patient who I had seen on the unit two weeks ago. This patient was groaning and crying at night, disturbing other patients who were trying to sleep. Due to her restlessness, the nurses moved the patient to the nursing station every night and then moved her back into her room in the morning. Looking at

During my first semester student clinical rotation, I was introduced to patient, 76 year old AB who was being treated at an assisted living facility. She was a wonderful patient and someone I immediately connected with. AB had been medically diagnosed with COPD and displayed all the classic physical signs of the disease such as wheezing, deliberate breathing, severe shortness of breath and nutritional deficit. She was my first patient as a student nurse and the first person I was able to complete a health assessment and nursing care plan for. I recognized early on that AB was special and someone who would be a great person to communicate with. With the initial assessment she was a little scared, but