G.S. is a very pleasant 83 year old white female admitted to the unit on 10/29/15 for congestive heart failure and shortness of breath. This is her second time being admitted within a week of discharge for the same diagnosis. G.S. is a widow who lives along at home. She has never smoked and does not drink alcohol. She is, however, a little on the obese side.…
Donzell is 41 and has always lived in Petersburg with his mother. 5 months ago his mother was moved into a nursing home and is currently in hospice care. Donzell moved in with a brother whom after a month the brother voiced his inability to keep Donzell due to the brothers hectic work schedule. Donzell then moved in with Larry and his wife Etta. Larry lives closer to the Woodman Rd. location.…
Client History A.O. is an 89 year old Catholic female of Japanese background. Past marital status is unknown, currently unmarried. Currently on medication for hypertension which initially caused bradycardia until the dosage was lowered. A.O. was immunized as a child, did protract chicken pox. Measles, and mumps.…
Residence Care As you comply with the prescribed alleviation your surgeon has steered on your joint suffering, there are further home care measures to consider. When joint affliction is brought about by means of a non-arthritis element, it's principal to get relaxation, as well as take part in gentle undertaking when…
A resident at a nursing facility states that she experiences pain that occurs with walking and subsides with rest. Upon admission, the 78 year-old presented with bone overgrowth in her knees and fingers. The physician diagnosed the woman with osteoarthritis (OA). Osteoarthritis, or degenerative joint disease, is considered one of the most globally prevalent rheumatoid disorders (Mayo Foundation for Medical Education and Research, 2014a). This specific type of arthritis is an asymmetric, metabolic disorder of the synovial joints and articular cartilage.…
The American Academy of Nurse Practitioners was founder in 198f5, while the American College of Nurse Practitioner was founded in 1995. These organizations joined together in January 1, 2013 to form American Association of Nurse Practitioner (AANP). It is the largest full service organization for all NP’s of all specialties. The vision on AANP is to provide high quality health care to patients.…
Bianca was referred for counseling by her son’s insistence due to her visible tremor, slow thinking, slurred speech, and sleep problems. She came to the office with her twenty-eight-year-old son, Angel. The client is currently taking various types prescribed medications which might be life threatening. This assessment was requested to identify possible sources of Bianca’s problems and make recommendations for treatment. Section Two Background Information M.Q is a forty-seven-years-old, middle class, heterosexual, Mexican American female who works as a legal assistant.…
Question 1 - Identify Australian best practice guidelines for the prevention of infection that should be used by the registered nurse when caring for Nick. Justify your choices. “Healthcare Associated Infection” [HAI] prevention is essential in any healthcare setting, with approximately 200,000 occurrences each year (National Health and Medical Research Council [NHMRC], 2010). As the most commonly identified complication, HAI’s are causing burden on the healthcare system due to increased time and money required, therefore affecting not only staff and patients, but causing unnecessary misfortune and affliction to the wider community.…
On October 31, 2016, at the nurse’s station I observed the night nurse and the day shift nurse provide hand off report. The night nurse informed the day shift nurse that the patient is a 30-year-old female who had abdominal surgery yesterday and is currently on a clear liquid diet; however, the doctors are planning on changing the diet. Furthermore, the night shift nurse informed the day shift nurse that the patient was complaining of a lot of gas related pain and is very anxious and scared when it comes to moving. The night nurse also informed the day shift nurse that the surgical scar is healing well and there are no other concerns.…
With a strict diet my grandfather was able to control his blood pressure until, Andrea his daughter was diagnosed with cancer. Andrea’s illness had detrimental effect…
I have been working as a neuro-intensive care unit registered nurse for one year at St. Luke’s Medical Center. The experience of working as a registered nurse in the neuro-intensive care unit has been an amazing opportunity to discover my interests in healthcare, build my skills as a nurse, and help determine what area of healthcare I am interested in working in as an Adult-Gerontology Acute Care Nurse Practitioner (AGACNP). I have learned to love caring for patients in the intensive care unit, especially geriatric patients. Intensive care units are trying times for patients and families, and it is such a rewarding experience to be able to assist and support them during their moments of need. I have built amazing relationships with families…
Evidence Table A1 Quantitative Article: Sand-Jecklin, K., & Sherman, J. (2014). A quantitative assessment of patient and nurse outcomes of bedside nursing report implementation. Journal of Clinical Nursing, 23(19/20), 2854-2863.doi:10.1111/jocn,12575 ququantitative (Indicate primary evidence chosen with an APA citation) Background or Introduction The article is a quantitative assessment of patient and nurse outcomes of beside nursing report implementation. The areas that will be critiqued include purpose and problem statement, methods used to collect data, literature review, analysis of data and the research conclusion. Nursing handoff reports affect patient safety.…
Nursing Quality, Scenario #1 If you have ever looked at a Gallup poll for honesty and ethics, nursing is always near the top. In the December 2016 poll (GALLUP, 2016), nurses ranked at the top of the list. While we review our first scenario we run into some ethical questions.…
Nursing is one of the most versatile occupations within the health care workforce. The Americans are growing older, living longer, and gaining health insurance coverage in increasing numbers, but the supply of physicians is not meeting the demand for services. Today, nurse practitioners (NPs), together with physicians and physician assistants, provide most of the primary care in the United States. The Affordable Care Act of 2010 (ACA) will place many demands on health professionals and offer them many opportunities to create a system that is more patient centered. At our hospital we have an NP that works in the intensive care unit (ICU) and two NPs that work with the hospital doctors’ on the medical surgical floors.…
Long term care is something in which individuals with disabilities, mental illnesses, and other health conditions are placed into care facilities such as nursing home because they can’t perform the normal everyday tasks of taking care of their own selves. Long term care is taken on by a group of individuals known as caregivers. The tasks done by caregivers are what almost any individual does on a daily basis just not for their own selves. They help patients with moving around, getting dressed, and hygiene, in some cases using the restroom, cooking, and cleaning. Most seniors sixty-five and older enter into retirement homes and or nursing homes.…