Observing at Arkansas Children’s Hospital is a day that I will never forget. At Children’s I was placed in the Emergency Department where I got to see and encounter many different patients, including a home trachea patient with croup, patient with deep lacerations to the forehead, a downs patient with undiagnosed diabetes, etc. While in the emergency department I got to witness firsthand how the doctors, nurses, and respiratory therapist really work together, and that their primary focus is family-patient centered care.
One patient that I really had the chance of getting to know was a little girl who came in with two deep lacerations to her forehead. The grandma stated that they were ready for school and were walking out of the house when …show more content…
The goal developed for this patient is as follows: Patient will remain free from infection by the end of my shift. Nursing interventions that will aid in this patient remaining free from infection include monitoring for signs of actual infection such as redness, swelling, purulent drainage, elevated temp, until lacerations are healed. Maintaining and teaching asepsis or sterile technique when caring for lacerations, and provide patient and family with education on adequate protein and calorie intake for healing. A psychosocial priority nursing diagnosis developed is Caregiver role strain r/t multiple competing roles AEB grandma states “I am the primary care provider of three grandchildren.” The goal for this nursing diagnosis is that the caregiver will express satisfaction with the caregiver role and have a plan to decrease the caregiver’s burden before leaving the hospital. Interventions to help the grandmother achieve this goal include allowing the grandmother to share feelings and encourage the caregiver to identify available family and friends who can assist the grandmother. I would also intervene by encouraging the grandmother in support group participation, and refer the grandmother to a social worker for referral to community resources. (Carpenito,
One patient that I really had the chance of getting to know was a little girl who came in with two deep lacerations to her forehead. The grandma stated that they were ready for school and were walking out of the house when …show more content…
The goal developed for this patient is as follows: Patient will remain free from infection by the end of my shift. Nursing interventions that will aid in this patient remaining free from infection include monitoring for signs of actual infection such as redness, swelling, purulent drainage, elevated temp, until lacerations are healed. Maintaining and teaching asepsis or sterile technique when caring for lacerations, and provide patient and family with education on adequate protein and calorie intake for healing. A psychosocial priority nursing diagnosis developed is Caregiver role strain r/t multiple competing roles AEB grandma states “I am the primary care provider of three grandchildren.” The goal for this nursing diagnosis is that the caregiver will express satisfaction with the caregiver role and have a plan to decrease the caregiver’s burden before leaving the hospital. Interventions to help the grandmother achieve this goal include allowing the grandmother to share feelings and encourage the caregiver to identify available family and friends who can assist the grandmother. I would also intervene by encouraging the grandmother in support group participation, and refer the grandmother to a social worker for referral to community resources. (Carpenito,