Nurses must also be able to critically think through each situation and make a clinical judgement when it comes time to activate…
• Check and Monitor high blood pressure. • Check and Monitor high lipids • Check for Osteoporosis • Risk for Imbalanced Nutrition – less than what body needs • Evaluate Ibuprofen to manage arthritis Delirium is a state of mind, while agitation is a behavioral manifestation. In Maria’s case she gets confused and nervous when she is suffering from a urinary tract infection. Mini Cog Assessment, and Assessing Delirium in Hospitalized Complete workup must be completed to find overall health of patient. Must review chronic medical conditions as well as kidney/bladder problems and osteoporosis issues.…
PICOT: For psychiatric mental health staff nurses providing direct care to patients with mental health conditions and or dementia-related syndromes, would a set protocol for treatment approach, atypical second generation antipsychotics pharmacology program and screening tool for complications, during routine second generation antipsychotics medication management, increase nurse efficacy in SGA patient management. Research vs. Evidence-Based Practice Advanced-practice registered nurses(APRNs) are expected to take part in new knowledge that is identified and supported by evidence to promote optimal care delivery to patients while supporting the professional practice of nursing. The healthcare system has been moving toward evidenced-Based Practice…
If a nursing intervention follows the nursing process, e.g., assess, diagnose, plan, implement, and evaluate – it demonstrates the clinical reasoning that supports the patient care. As cited by Alfaro-Lefevre (2012) Skip the principles of assessment and diagnosis and it’s easy to jump to conclusions, miss risks, and give care based on assumptions rather than evidence. Assessment errors and omissions are a major cause of adverse outcomes. If you fail to plan before implementation, the risk of adverse outcomes also increases. Skip evaluation, and reflective nursing practice (not to mention patient safety) goes out the door (p. 1).…
Teaching Clinical Ethics Using a Case Study: Family Presence During Cardiopulmonary Resuscitation Ainslie T. Nibert Crit Care Nurse 2005;25:38-44 © 2005 American Association of Critical-Care Nurses Published online http://www.cconline.org Personal use only. For copyright permission information: http://ccn.aacnjournals.org/cgi/external_ref?link_type=PERMISSIONDIRECT Subscription Information http://ccn.aacnjournals.org/subscriptions/ Information for authors http://ccn.aacnjournals.org/misc/ifora.shtml Submit a manuscript http://www.editorialmanager.com/ccn Email alerts http://ccn.aacnjournals.org/subscriptions/etoc.shtml Critical Care Nurse is the official peer-reviewed clinical journal of the American Association of Critical-Care Nurses,…
Observing and assessing mental health needs of an individual provides adequate information on proper care for the person, and serves as the first element in observing changes in one’s behavior. Furthermore, the nurse must be competent in assessment skills so the outcome can be reported immediately if there is a threat to safety. Safety is a major concern when serving a mentally ill patient. Learning how to effectively communicate with a patient not only establishes rapport, but builds a trustworthy relationship.…
This essay aims to focus on the nurse’s role during decision-making process and demonstrate important of shared decision-making in the delivery of nursing care, enhance patient’s recovery and prevent deterioration. Further this essay will brief discuss the theoretical perspectives of decision-making and explain why it is significant in the assessment of the patient’s care and nursing practice. A given case scenario will introduce a patient admitted with acute headache and vomiting with intermittent confusion for the critical analysis of decision-making in nursing process of assessment, planning, implementation and evaluation of care. In addition, the systematic, comprehensive and holistic assessment will be undertaken using ABCDE (Airway, Breathing,…
21). The purpose of critical thinking in nursing arises from the complex nature of client care; often the client is unable to articulate the underlying reason of their condition, which will require the nurse to provide a solution with limited information (Coutts, 2014). The rise in patient complexities presents increasing pressure and accountability for nurses to make informed decisions (Coutts, 2014; Lauri & Salantera, 1995). Due to the ambiguous nature of nursing and complex client diagnoses, nurses must apply insightful reasoning, intuition, theoretical knowledge, and previous experiences as their guide to making a decision (Banning, 2008; Blum, 2010; Coutts, 2014; Gillespie & Paterson, 2009; Lauri & Salantera, 1995; Payne, 2015; Tanner,…
The Chemically Impaired Professional Substance abuse among nurses is a problem that threatens the delivery of quality care and professional standards of nursing (Talbert, J. 2009). Drug and alcohol abuse is a serious health and social problem in the United States. Addiction and dependency affect adolescents and older adults, all ethnicities, and all socioeconomic levels. The prevalence of alcohol and drug abuse in the nursing population is believed to parallel that of the general population (Talbert, J. 2009). In this paper I will explain the definition of substance abuse.…
Research, Roles, and Values in Nursing Nurses perform many roles as they provide care on any given day. Nurses are educators, leaders, managers, providers of care, and members of a profession. They use the latest research and evidence-based practice to provide care to their patients. Nursing theories are also incorporated into the daily routines of nursing. A theory is “a method of perceiving reality and mapping the complex processes of human action and interaction that affect nursing care” (Houser, 2012, p. 135).…
A nurses critical thinking skills are a vital part in their practice; “Nurses ' thinking processes extend beyond rules and procedures as participants used patient data and interdisciplinary professional knowledge to provide safe and effective care” (Eisenhauer, Hurley, & Dolan,…
1. What factors predisposed Mr. W. to acute kidney injury? Some of the factors that caused Mr. W’s acute kidney injury are fever of 38.5° C, severe abdominal pain & nausea due to pancreatic inflammation with intra-abdominal ascites. One of the symptoms of ascites is infection which can cause kidney failure if not treated (ACG, 2013).…
Therefore, the habit of analysis is highly important for revisit missed nursing care and take preventive actions to ensure the same mistake will not repeat. The main steps of analysis process is gathering the exact, relevant information about a missed or overused event, defining /clarifying that information, identifying the root causes and giving recommendations/solutions to prevent reoccurrence. Registered nurses are very valuable resource personals for ENs to learn about performing correct practices and understanding root causes of any missed event. At the same time, though enrolled nurses work under the supervision and direction of RNs, they are individually accountable of their own actions on patient care. Therefore it is obvious, similar to critical thinking and reflection skills analytical view also play a vital role in providing care by ENs.…
Data, Information, Knowledge, and Wisdom Continuum Nursing informatics is the integration of computer science and data science of nursing to recognize, manage and process significant information to cultivate knowledge that foster nursing practice (American Nurses Association, 2015). The development of innovative technology has bestowed nurses with wider ability to research quandary areas to make intelligent judgments for their patients through evidence-based practice principles. According to American Nurses Association (2015), data, information, knowledge, and wisdom, (DIKW) are imperative for a quality health care. The DIKW continuum is a structure that channels nurses through a four-step process of research. The intent of this paper is to cultivate a research question and illuminate researching databases to acquire data, knowledge, information, and wisdom to answer the scientific question.…
All fourteen points ensure complete and holistic care of the patient. There is an exchange that takes place between those who provide care and those cared for that goes beyond the empirical reality of the moment and incorporates the spiritual. The 'art' of providing care includes an aspect of caring that has metaphysical origins and connotations. It concerns all aspects of the human experience, physical, psychological, spiritual and social. The Gestalt approach to nursing and the inclusion of caring as a primary requisite is the heart of the concept of interactive theory as it applies to nursing and as presented by Ms. Henderson.…