Nursing problems (200 words)
There are five nursing problems that may arise as a result of the patient’s primary diagnosis. First problem is she has poorly managed of hypercholesterolaemia, this is a risk factor of stroke. Second problem is she has erratic blood glucose level (BGL), she has type 2 diabetes, and therefore her BGL needs to be well managed. Third problem is she does not believe she is unwell enough to attend to the local indigenous health care services, she needs to attend to the health care services to maintain her health. Fourth problem is Mary’s blood pressure is remained elevated at 140/97. She has hypertension, so she needs a better management of her blood pressure. Fifth problem is Mary has hearing deficit. She may difficult
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Nurses should check her BGL regularly by using the Blood glucose monitoring, from this, nurses can effectively manage Mary’s BGL. Nurses also need to make sure Mary understands why her BGL need to be checked regularly and explain the procedure to her to reduce anxious. For the accuracy of the result, measurement needs to be done before a meal or 2 hours after a meal. Moreover, nurses should use Mary’s side of the finger to obtain her blood sample, this can effectively reduce painful for her. Also, if testing is frequent, sites should be rotated to prevent areas from toughening and reduce the risk of infection from multiple …show more content…
Nurses should be aware of Mary’s blood pressure level and check her blood pressure regularly. Before checking the blood pressure for Mary, nurses need to ensure the accuracy of the results by making sure that patient is avoided from exercise, caffeine or cigarette at least 30 minutes prior to the measurement. When measuring the blood pressure for Mary, nurses should place her either on the bed with Fowler’s position or sit her on a chair. By clearly introduce the procedure to Mary, it can effectively reduce the anxious and gain cooperation during the measurement. After the measurement, nurses should record the data and report any abnormal observation. Measure Mary’s blood pressure regularly can let the nurses know if she has high blood pressure or not and effectively help her to manage the blood
Modern medical advancements have significantly decreased the prevalence and severity of infectious disease as well as the treatment of acute, traumatic conditions. Pharmacological research has also gained insight into the management of chronic disease. Still, there is an epidemic of chronic, treatable diseases like stroke, heart disease, and kidney disease. Hypertension proves to be the underlying factor associated with these diseases. Hypertension is often referred to as the silent killer because of its indication in deadly disease, and the importance of monitoring ones blood pressure is vital. Lifestyle, diet, and genetic predisposition are all factors of high blood pressure. Chronic high blood pressure above safe levels, known as hypertension, puts elevated physical stress on the renal and cardiovascular systems. By controlling this factor in patients, healthcare providers can decrease cardiovascular events, improve health outcomes, and decrease overall mortality. Patient education is often overlooked in its role in the control and prevention of high blood pressure. This paper analyzes the causes and physiology behind high blood pressure as they relate to the current nursing interventions. The role of nurses is discussed in relation to patient education regarding high blood pressure, and educational approaches are analyzed.
Blood pressure is a physiological measurement and would need specific measurement for the prescribing of anti-hypertensives
Amanda manages her gestational diabetes with diet. She experiences a few episodes of postprandial hyperglycemia, but does not have to go on insulin. At her 36-week
Write one nursing diagnosis that reflects a priority need for this person. Remember a wellness diagnosis is a possibility.
Measuring a woman’s blood pressure during pregnancy is an important practice as deviation from the normal blood pressure can be a sign of a complication within the pregnancy, therefore recognising deviations is an important skill of a midwife (Johnson & Taylor, 2010). Blood pressure is measured during each antenatal visit, with consent of the women (Abbott, 2014). It is taken regularly alongside urinalysis to aid possible diagnosis of certain conditions,
The patient nurse ratio as mention before is very extensive for Mary, it is second to impossible for her to provide quality patient care for all her patient since they are not all in the same locality in addition to the share number of patients that she is in charge of. Therefore she has to rely on her team, teachers and parents alike to ensure optimal patient care. Therefore collaboration is needed between inter-professional teams to monitor and establish practical patient outcome.
The nurse seems rather confused and uninformed about the procedures and devices used for the measurement of vital signs. This usually results to a lack of respect, trust, and acceptance in her abilities and may hamper the nurse-patient therapeutic relationship Ciutation. The inability of the student nurse to handle equipment such as sphygmomanometer and thermometer properly showed lack of professionalism and such type of actions are bound to make the patient anxious about the nurse’s performance. Furthermore, she presented a rough estimation of the blood-pressure measurement with the conclusion that it did not really matter neglecting the fact that slight changes in vital signs could suggest major complications.
Acute pain related to lobectomy procedure and rib removal as evidenced by patient whimpering when moving at rating her pain eight to ten out of ten throughout the day. I chose this as a high priority, number one nursing diagnosis because of how high the patient rated her pain. Whether she was just lying in bed, or moving around, she was in pain. The only thing that could somewhat decrease her pain was pain medications, and even then, her pain only went down from a ten to and eight (Ackley & Ladwig, 2014).
Three articles discuss varying pathologies and their implications on nursing practice and medicine. Each one focuses on a particular disease or condition and highlights attributes that can be improved. The current state of the health care system and its relation to the profession of nursing are also reviewed in relationship to each of these issues, including cardiovascular disease, dementia and also breast cancer related to prophylactic mastectomies.
There is no hope of life expectancy on this condition for Jenny and need to organize the broad outline of a discharge plan for her. Productive discharge planning could reduce the chance of readmission and adverse events of jenny and her family members. Effective discharge plan of care will focus on meet the ongoing patient centre care which is The impact by the type and location of client’s home. Role of nurse is examined health promotion by educate the carer, how to deliver care or manage Jenny’s symptoms and supporting other people such as family member and caregiver for client’s care instead giving just care which is involves the capacity of carer to provide care on an ongoing basis (School of Nursing & Midwifery
1. Which action will the nurse in the hypertension clinic take in order to obtain an accurate
An evidence-based intervention that was recently implemented at the clinic where I work was correct blood pressure assessment. We mainly use Dinamaps (automatic blood pressure machine) to obtain vital signs on our patients. We obtained manual blood pressure readings if the patient had a preference, if the patient had an irregular heart rate, or if the automatic reading was very out of range. Various methods were being used to obtain blood pressures on patients who either refused a bicep blood pressure or in the case that the blood pressure cuffs on the Dinamap didn’t fit properly. The main method that was used was the use of the automatic machine with the cuff on the forearm. This led to a variety of results and proper blood pressure assessment
The data for the study was collected through home interviews and clinical examinations. Patients had their blood pressure measured six times total (three in the home
Today there is a national nursing shortage as the healthcare industry rapidly changes. Aging baby boomers mean demands on the healthcare system will only increase in the coming years. Fast forward a few years and we see many challenges ahead for nurses.
The importance of taking the patient blood pressure is to determine how high or low is the pressure so the radiographer can report it to the physician, overall vital signs are useful in detecting or monitoring medical problems within the