Total Parenteral Nutrition

Infection control is a central concept to every practice of health care providers. Its main objective is to prevent the transmission of infectious diseases from both patients and health personnel (Martin et al., 2010). In dental clinic, infection control is a continuous concern for its professionals. They have to contact patients routinely and be exposed to their blood, saliva, dental plaque and pus that may contain infectious pathogens. It is important for the dental professionals to treat these fluids as if they are infectious and special precautions must be taken to handle them. In this essay, I will highlight the scope of infection control practices in dental clinics and the ways through which infectious microorganisms are transmitted

All healthcare providers including dental hygienists should be knowledgeable when it comes to educating patients and use evidence based decision-making constructed on the research. The focus is to make an effort to find the right article and transform evidence into practice to improve quality and effectiveness of patient’s health care outcome.

Although there have been oral health care models, as well as, best practice concepts for oral health, there is still a host of barriers that prevent this problem from being minimalized. Factors including negative behaviors from both the staff and residents, dexterity, mobility, as well as a lack of dental supplies, often leave the residents or the health care personnel frustrated. Some of the factors that prevent dentists from caring for these residents is a lack of mobile equipment, lack of space, time away from their private practice, and low reimbursement rates (Dirks, 2016). The director of nursing, along with the administrator, must collaborate with dental personnel to change the culture and instill a higher value on oral health. On-site training and education must be included in oral care, along with infection control regulations. Most residents are not able to coordinate their own care and often rely on personnel at the facility for assistance. There needs to be a collaboration between dental personnel, facility staff, and the residents, to cultivate oral care as an integral part of health and wellness for each resident (Chaves,

After a review of the clinical information provided by Integra Partners, LLC, the Medical Director has determined that enteral formula is not medically necessary. Healthfirst covers enteral formulas for members with feeding tubes or who have specific nutritional problems. Where the member is able to take food and fluids by mouth, and there is no clinical information (height, weight, medical problems that influence nutritional state) to support the medical necessity for enteral formulas, the request must be denied. Healthfirst will review additional information you

Maintenance of sufficient nutrition is an essential part of the treatment process for any patient admitted to the hospital. Early identification of patients who have a decreased nutrition status or have nutritional deficits helps to increase healing and overall improves the quality of life for a patient. Nutrition is more than just general food; it includes the overall amounts of

The 2014 final ruling by the Centers for Medicare and Medicaid Services (CMS) regarding therapeutic diet order writing privileges for qualified registered dietitians (RDs) has the possibility of improving both efficacy and efficiency of patient/resident care. It should be considered a victory for the profession as registered dietitians are receiving validation of inclusion as medical staff and fulfilling an equally important role as part of the medical care team. (Schaeffer, 2014). “It allows for nutrition experts who are trained to investigate and establish causal relationships between nutrients/diet and disease to participate in the dissemination of that firsthand information to patients” (Schaeffer, 2014). The step should be additionally

Your post is well articulated. I agree with you nutritional status assessments. In addition, to your assessments, Mr. J takes multiple daily medications such as; furosemide (Lasix), potassium chloride, and phenytoin (Dilantin). A person who takes multiple daily medications is at higher risk for nutritional alterations due to medication side effects, which may alter appetite. Furthermore, he is at a higher risk for altered nutrition due to his history of chronic obstructive pulmonary disease which affects his appetite & also his admitting diagnosis; pneumonia (Sole, Klein, Moseley, 2013, p. 81). The patients’ nutritional status signify that they need intervention which requires the collaboration of the nurse, dietician, physician,

I am a 36 yrs. old female that’s been diagnosis with gastritis. My supplements that I take daily are biotin and other essential enzyme. An overview of my diet history: I have a good appetite, eat with my family on a daily basis, I use fluoride in my toothpaste and rinses daily. As a student I believe I am a candidate for Nutritional counseling, because I eat when I’m stress causing me to gain excessive weight.

The nurses’ role in establishing nutritional care for Tim would be to have a continuous assessment of his needed calorie intake per day and coordinating with the hospitals dietian to help coordinate a diet plan for the patient. By having a dietitian meet with the patient allows the patient to express the foods patient’s likes and dislike. In the role of the nurse he/she would be responsible for routine lab work, daily weights, noting the patients I &O’s and frequently reassessing Tim’s nutritional needs.

After surgery Mr. Hall was placed on a clear liquid, which does not provide ample nutrients. The use of this diet should not exceed more than a few days, for its purpose is primarily for hydration, and it is easy on the gastrointestinal tract. His diet will progress to continuous feedings when there are no signs of gastrointestinal discomfort, and regular sounds of the stomach are present. Continuous tube feedings will be most beneficial with the use of a colostomy to prevent large gastric residuals, and aspiration. While Mr. Hall is in the hospital, his nurse will do the following to prevent any complications; keep the head of the bed at a 30-45-degree angle, flush the tube every four hours, flush the tube before and after administering medications, monitor gastric residuals, consult with pharmacist, assess the osmolality of the formula, keep feedings at room temperature, and use proper hygiene when handling the formula or equipment (Tucker & Dauffenback, 2011, p.

Parenteral nutrition is contraindicated in any child who does not have an intravenous (IV) line either a peripheral IV line for peripheral or partial parenteral nutrition, or central venous access for IV nutrition or TPN. Allergies to the components of the TPN solution and infection could be a contraindication (Gastroenterology and Hepatology journal, 2012).

The literature provides evidence of inadequate prescribing practices by dentists, due to a number of factors ranging from inadequate knowledge to social factors [7]. In addition; studies reported that majority of intern dental students are not aware about difference in prescription for bacterial and viral infections in relation to dosage and duration of therapy[8], some of them use of antibiotics in viral infections[9], most of them were not confident in prescribing antibiotics and analgesics respectively

Resident S.V. was visited in his room during the mid-morning snack delivery. This resident is currently on a VHA Healthy Diet, oral supplementation, an evening snack as well as, receiving Juven to help with his wounds. At the VA Hospital Juven is treated as a medication and delivered to the nurse’s station by the food service workers who are delivering the snacks to the resident’s room. The ward nurse then prepares the Juven for the patient. It was verified with resident that he is receiving the Juven during his mid-morning snack and late afternoon snack along with his oral supplementation. Resident was observed to be consuming about >50% of the nutritional supplementation. It was discussed with resident the possibility of decreasing his oral supplements to once per day since he was at a stable weight and reported to be consuming most of his meals. Resident did agree to the change in his snacks since it will be replaced by other types of snacks to meet his calorie needs.

After disclosing my patient Omar, I took this opportunity to talk about biofilm and the importance of removing it with the proper brushing technique and flossing, and it effects on causing periodontal disease. He had an index plaque of 1 in all quadrants, so I recommended him to pay more attention to flossing and making sure he gets the floss under the gums and against the tooth. Since I did not have enough time I started debridement on the UR and LL quadrants with the cavitron and hand scaling. For his next visit, I plan on finishing the debridement in all four quadrants, polishing, and applying fluoride varnish. For my afternoon patient, I had Aurea Loubriel, a friend who is in the occupational therapy program at LCNE. She has a class at 3PM, so I only had time to fill out the legal forms, the medical and dental history, pharmacological data, habits, and vitals. For her, I had to send a fax with a form requesting her radiographs be sent to the clinic. For her next visit, I want to move on and collect all my assessment data, do her treatment plan and SOAP, and have everything check before she leaves. After my patient left, I had the change to assist Krenar with the suction while he was working

Maintaining your health is essential to living a good life. Doctor visits, surgeries, and prescriptions play a major part in many lives. According to CFNC.org, the health care industry is the “largest and fastest growing industry in the United States.” This industry provides over 10 million jobs in more than 200 careers to people all over the country (CFNC.org). Out of the 200 career options, dentistry is one of the top flourishing fields. This field houses dentists, dental hygienists, and dental assistants. Out of the three, dentists are the ringleaders in their practices. “Dentists diagnose and treat diseases, injuries, and malformations of teeth and gums and other related oral structures, in order to increase the vitality of