nursing teaching plan for decubitis ulcer

Anyone with limited mobility should be assisted to change positions by the care providers on a regular schedule to help

It is no secret that communication is key when providing direct patient care in a skilled nursing facility. However, there is a noticeable lapse in the communication between the care team when providing care to the individual or groups of individuals. Two main parts of any care team are the registered nurse and the certified nursing assistant, as these are the two people whom have the most direct and impactful roles with residents in a skilled facility. The Registered Nurse and the Certified Nursing Assistant play similar roles in providing patient care, but have different roles in its entirety. The role of the Registered Nurse (RN) is defined as having the competency and skill to provide direct and indirect health care to individuals, their families, and communities around them. Services are also provided designed to give out medications, to promote comfort or healing, promote healing, and to also provide the dignity of their patients and patient’s families (American College of Rheumatology, 2015).

There is a need to identify the level and type of support an individual requires when eating and drinking. Any support while eating or drinking is to be provided respecting the service user’s human dignity, while the carer is exhibiting warmth and a calm attitude. The care plan informs whether the service user is able to feed him/herself, or needs assistance. Many service users will feed themselves when starting their meal, but will get tired and will then require assistance. The hands of service users with Parkinson’s may have to be gently directed so that they manage eating independently. The carer may need to cut the food for the service user. Service users with chewing difficulties, or swallowing precautions, or a history of choking need to be supervised while eating. Of course, these service users will also get a soft diet. Service users living with dementia may reject food which to them resembles to gruesome things (e.g., they may think meat bits in a dark sauce are cocroaches), therefore person-centered support is important. Service users with learning disabilities may find it hard to estimate distances, so the carer will make sure plates and glasses are well within their reach.

By definition the term progressive mobility means a “series of planned movements in a sequential manner beginning at a patient’s current mobility status with a goal of returning to his/her baseline” (Vollman, 2010). Much simpler explained it means for us nurses to get our patients moving. Challenging nurses to use the patient’s current musculoskeletal abilities and help them progress towards their old or new individual baseline has many benefits other than the building of physical strength. This brief summary will explore the purpose, benefits, costs and target population involved in a progressive mobility project in the Intensive Care Unit including the basis upon which the program will be evaluated. Progressive Mobility benefits the

During the past few shifts, I have been astonished, and thankful about how often the nurses, doctors, and respiratory therapists have been providing me with learning opportunities. I feel this is because they have observed my enthusiasm and willingness to learn. For example, I asked a nurse if I could observe her giving care to a 24-week old preemie with necrotizing entercolitis. This nurse explained, that because of this baby’s immature age, she had to cluster the baby’s cares, and monitor this baby’s oxygen saturation. If the baby was overly stimulated her oxygen saturation would decrease, and the nurse needed to stop working with the baby. This nurse also pulled up a PowerPoint about NEC, so I had a visual of this baby’s condition. She provided me with a NICU parent book, and I read the section about NEC. This nurse said that she gives NICU parents this book to read, so that they have a better understanding about their baby’s condition. This is an awesome education technique that I want to adopt. This is because the parents will hear the diagnosis explained from the doctor and nurse. They may or

The nurse must initially evaluate the patient’s charts for any bacterial precautions and fall risks. As the nurse walks into the patient’s room, the nurse begins by making sure the environment is clean and safe. The nurse would do this by gathering equipment, washing hands thoroughly, and wear gloves. The nurse is then to greet the patient, introducing self, then let them know exactly what you came to do. The nurse should first ask the patient for his or her name, birthdate, location of where the patient is currently at, and the reason as to what

Nurses are very kind and respectful. They assist patients with their showers and provide them with additional care if needed. Most of the time, patients are allowed to wear their own clothes. Food is much like hospital food, which consists of 2 entrees with a choice of salad, sandwich, and dessert bar. As for activities and daily schedules, patients are given the opportunity to paint, color, and exercise during their free time. Within business hours of the day most patients attend therapeutic sessions with educated therapists.

| In the nursing education the student should be helped to appreciate that not all patients are going to leave the hospital disease free, and that as nurses there is a need to learn that we need to help them in any way we can to achieve their maximum amount

Pressure ulcers compromise Quality and Safety Education for Nurses (QSEN) competency patient safety. Critical care patients are at high risk of harm when pressure ulcers develop during their hospital stay. As a result, pressure ulcers cause pain, discomfort, loss of independence and social isolation. One study sampled 102 critical care patients consisting of 52 men and 48 women with ages between 23 to 88 years (He, Tang, Ge, & Zheng, 2016). He et al. (2016) result showed 31.4 percent of pressure ulcers development incidents. Cost estimates to heal a single pressure ulcer vary by severity and population studied from hundreds of dollars for earlier ulcer stages I–II, to $5000–$151,700 for more advanced ulcers (Meddings, Reichert, Rogers,

Q by taking vitals right away and report immediately, since the night shift reported elevated blood pressure at the end of their shift. This would help in determining the next step in delegating and treating Ms. Q. If her blood pressure remained elevated, the RN would delegate the LPN/LVN to proceed with the next step. After getting vitals for Ms. Q., the RN would ask the UAP to assist with Mrs. A, because she is scheduled for a Doppler flow study this morning and can help by bringing the machine to the room and by assisting the patient with morning care and ambulation prior to the study being done. The RN could have delegated Ms. Q vitals to the nursing student as well, but since the vitals were extremely high, the RN chose to have an experienced UAP report the vitals within a specific time frame. The RN has delegated these tasks because they are within the UAP’s scope of practice. They are trained to perform certain duties and tasks such as documenting and reporting information, and assisting patients with their activities of daily living. If the RN were to delegate the administration of medication they could possibly give it to the wrong patient and cause adverse reaction. The fluidity of the communication between the UAP and the RN team leader greatly impacts identifying what is expected from the UAP to communicate to the RN. Siegel and Young (2010) explain that the UAP needs clear guidelines and procedures,

That would be the only part about nursing I would not be too fond of. When asking the nurses questions something came up about when they are able to eat, and the answer was whenever they got the chance. In nursing you have to give it 100% or nothing at all. The patient always comes before yourself and it will always be that way.

The term “unlicensed assistive personnel” refers to those health care workers who are not licensed to perform nursing tasks; it also refers to those health care workers who may be trained and certified, but are not licensed. As per the American Nurse Association (ANA) the tasks which may be assigned to UAP are health-related activities do not require nursing skill or judgment and produce predictable results; like: activities of daily living (feeding, drinking, ambulating, turning, grooming, toileting, dressing); collecting data (vital signs, weights); collecting simple specimens (stool, urine); transporting patients; restocking supplies; clerical duties; housekeeping tasks and even some more advanced tasks such as obtaining EKGs and blood specimens (ANA Developing Delegation Skills, 2001).

In the professional setting, knowing the patient through his or her diagnosis, name, history of present illness, laboratory results or reason for staying in the hospital only contributes to the manner of physical care of the patient. However, recognizing the patient 's spiritual needs such as emotional support, mental positivity, and intellectual understanding of his or her situation gives a better assessment, as well as a trusting relationship between the nurse and the patient, as per personal experience. In the ward, it is evident that most of the staff nurses spend their time doing documentations, preparing medications, following-up laboratory requests, as well as reading through the patients ' charts to affirm the physician 's order. Throughout the duration of our shifts as student nurses, I see that the most that the staff nurses get to be conversant with the patient is when certain procedures (such as feeding through nasogastric tube, taking

In my placement as a second year student, most of my duties are focused on providing nursing care and general ward

Urgency of acute care varies depending on the situation but can range to anything from emergency surgeries, to injuries, chronic illnesses, and also for the recovery of those procedures. Majority of the patients in acute care settings are critically ill. Nursing responsibilities in acute care settings are vital to patient’s recovery due to the front line position nurses play as well as the wide variety of tasks carried out. Assessments are made during every encounter the nurse has with the patient along with monitoring the patient’s progress. Nurses are responsible for recognizing symptoms the patient may be experiencing due to illness or injury and whether they fall in the spectrum of normal reactions. Vital signs are measured routinely and can be indicators of the patient’s current status. When vitals are questioned diagnostic tests can be arranged to further assess possible comorbidities the patient may have. Care plans are made to plan interventions the health care team can take to help patients through challenges they face, both physical and mental. Nurses administer medications as well as first aid as needed. They are responsible for maintaining special equipment patients may require including monitors and ventilators are well.