his disability is not there. In ADHD the impact of adaptive functioning deficiency will vary as the child grows up because of “different expectations and demands for adjustment” (Goldstein et al. 2002, p.45). Ignoring intellectual disabilities may work for people who do not experience them, but it is a harder challenge for someone who has to live with the impairment day in and day out. The Brief of Amici Curiae, by the American Association on Intellectual and Developmental Disabilities (AAIDD)…
As demonstrated by Duff, Gardiner and Barnes (2007), the assessment of respiratory rate serves various functions like being an early marker of acidosis. Respiratory assessment is also one of the most significant indicators of critical illness (Ansell, Meyer & Thompson, 2014; Philip, Richardson & Cohen, 2013). For instance, as noted by Ansell, Meyer and Thompson (2014), an increase in the patient’s normal respiratory rate of even three to five breaths per minute is an early and significant…
experience with palliative care. One way to end misinformation is with evidence” (p. 46). According to Zalonis & Slota (2014), “all hospice is palliative care, but not all palliative care is hospice” (p. 709). Although a person might be debilitated with illness, he/she has the right to have a quality of life. When it comes to life-threatening or end-of-life situations, patients have the right to have death with dignity, and be comfortable. Patient assessment is important in order for the…
Although my aspirations in life revolve around the promise of becoming a physician, however, if this were no longer a feasible option, my alternate career path would consist of entering the field of medical research. Particularly, I would have my heart set on clinical research within the pharmaceutical industry. This stems from the fact that I have the ability to be immersed within a hospital setting, I am able to build upon the foundational concepts of each of the scientific areas of study,…
Wrong Site Surgery: Problems and Solutions Wrong site surgery (WSS) has been around since surgery itself but the statistics that accompany it are relatively new. Before 1999 there was no number for surgery associated injuries, deaths, and near misses because there was no process or system for recognizing and reporting the incidents (Hughes, Mulloy, 2008). Wrong site surgery can be defined in many ways with many subcategories. One definition is, “surgery performed on the wrong side or site of the…
Crisis resource management as well as professional competency standards are connected within the workplace as they form the fundamental outline of how the ‘team’ works effectively together. This paper explores crisis resource management as well as competency standards in relation to a real case, and how leadership, communication and early effective treatment provided the best care the team was able to provide for the patient. Crisis recourse management is the human or non technical factors…
When I think of delegating to other members of the health care team I get specifically think of the delegation an RN gives to CNA’s. I am concerned about the CNA rejecting what I am asking them to do and that they will not do what I ask properly or effectively. I also am concerned that they will resent me for making their job harder by giving them more tasks to do when they are already busy. I also struggle with the idea of the tasks that I should delegate to a CNA and deciphering between the…
There are about six million Jehovah’s Witnesses world-wide, with approximately one million in the USA and about one 148,000 in Canada. They are a Christian religion who believe that the bible is the literal word of God. Jehovah's Witnesses base their religious beliefs on a strict literal interpretation of the Bible and hold that eternal life may be forfeited if they do not exactly follow biblical commands (Doyle, J., 2011). There are several verses written in the bible about receiving blood…
According to the scenario, Mr. Smith was admitted into the hospital due to fever, fatigue, abdominal pain, loss of appetite, nausea, and vomiting. During the emergency room visit, an assessment was performed on the patient to collect information. According to Dr. Carol Taylor’s Fundamentals of Nursing: The Art and Science of Person-Center Nursing Care: 8th Edition, an assessment is done to collect, “all pertinent patient information… to develop a comprehensive and effective plan of care” (Taylor…
conditions limit them from doing their activities of daily living. In taking care of these patients, proactive health care team coordination is necessary. There are so many factors involved when coordinating care to address the complex nature of their illness. According to the AHRQ (2012), these factors that raise the complexity of care are their various physical issues, susceptibility to social bias, involvement different healthcare team and environment, patients’ care capabilities and…