Required Uniform Assignment: Interdisciplinary Care Gary Grant Chamberlain College of Nursing NR340: Critical Care Nursing Required Uniform Assignment: Interdisciplinary Care Background information Demographics: 65-year-old black male; No known allergies; Full code status History of present illness: Patient presents to the Emergency Department with complaints of stroke like symptoms. Patient is visibly weak on the left side and slurred speech. Relevant past medical and surgical history: Patient has a history of hypertension and diabetes.…
Despite new advances in medicine, technology and research; nurses are the ones that make a big difference in a hospital setting. They have a huge impact on patient care in the health care industry. They are the ones’ that educate, listen and extend a helping handing, when we are overly concerned. “ The case of Marion and the pacemaker,” by Bonnie F. Fremgen, involves the 92 year old female patient, that gets sick during her third week in the nursing home. In addition to her diagnosis which was treated, they concluded Marion need a pacemaker to regulate her heart beat which can extend her life for a few more years.…
Currently, Susie is not a physically fit individual. Even though she has not had any major cardiac events in her life, she does pose a risk for cardiac events due to her current health state. Her family history includes her father having a heart attack at the age of 62. Susie's resting heart rate is within the normal limit. Her systolic blood pressure is in the range of hypertension crisis since it is 182.…
Patient requested that he feed himself after I tried feeding him and he did very well. SLEEP-REST (aides): Patient reports being able to sleep through the night well. Reports fatigue and frequent napping throughout the day while at the hospital. HEALTH PERCEPTION-HEALTH MANAGEMENT (include alcohol, drug, tobacco use, compliance with…
It is important to assess and identify the gaps of knowledge deficits regarding the medication compliance, cardiac diet, enough rest, and dietary supplement. After the gaps of knowledge deficits are identified, specific teaching should be provided to Mrs. Franklin-Jones. For example, since Mrs. Franklin-Jones concerns that she forgot to take medications sometimes, the nurse should instruct her to use a weekly medication divider box and place the box on the dinner table, which will reminder to take the medication whenever she is ready to have a meal. Another good example of teaching for Mrs. Franklin-Jones is to provide print-outs for cardiac diet and research of benefits and risks of drinking bush tea. The nurse should provide comprehensive education regarding the identified gap of knowledge deficits during the discharge…
The nursing assistant (NA) plays a big part in the patient's life by teaching, assisting, encouraging, communicating and validating. Lifestyle changes are one of the big ways to help manage congestive heart failure. The NA will encourage the patient to participate in physical activities such as walking. When doing physical activities the NA has to be able to recognize his limitations and be able to plan out activities accordingly. Another big part of lifestyle change besides physical activity is diet modifications.…
This assignment will explore the author’s role as a Cardiothoracic Advanced Nurse Practitioner (ANP) in Pre - admission clinic. The assessment, diagnosis and a recommended treatment of a pre – operative patient with symptomatic Aortic Regurgitation (AR) will be discussed. The Royal College of Nursing (2015) and the Nursing and Midwifery Council (2005) provide guidance for practice within the United Kingdom .Several features of an Advanced Nurse Practitioner’s (ANP) role, such as physical assessment, autonomous decision making, problem solving , differential diagnosis , ordering investigations and treatment , planning care and working collaboratively with the multidisciplinary team, patient and family will be examined throughout the…
A registered nurse from the local community service has been assigned to take over the care of a patient called Mr Peter Mitchell, a 52-year-old male, who has recently been discharged from hospital. The community nurse has reviewed Mr Mitchell’s background history which includes, morbid obesity, chronic smoker of about 20 cigarettes per day for the last 30 years, depression, type 2 diabetes for which he is prescribed Insulin Novamix 30 B D (34units mane & 28units nocte) and Metformin 500mg BD, gastro oesophageal disease reflux disease for which he is prescribed Nexium 20mg daily, hypertension for which he is prescribed Metoprolol 50mg BD and Lisinopril 10mg daily. Mr Mitchell is also prescribed Pregabalin (Lyrica) 50mg nocte for neuropathic…
In this assignment I am going to identify the challenges presented to me as a nurse when caring for a 68 year old patient called John who has abdominal pain and hasn’t been eating or drinking in the last 24 hours. John also has depression since his wife died 2 years ago. I will also discuss how I will carry out his care compassionately and how I will communicate effectively with John in an attempt to encourage him to eat and drink. Compassionate care is vital in all aspects of healthcare and as a nurse it should be evident in all activities carried out. It is identifying a patients pain and discomfort and having the right attitude to want to help them deal with their suffering.…
Delivering the highest quality of care of our patient is the ultimate goal of every nurse in this profession. Effective nurse-patient communication and the whole health team are essential in ensuring that this goal being met. Miscommunication or failure to communicate the patient information effectively among the health team can result in poor care, medical mistake and can even be harmful to the patient. (Paget, L., Han, P., Nedza, S., Kurtz, P., Racine, E., Russell, S., Santa, J., Schumann, M., Simha, J. and Von Kohorn, I. 2011, June). Nurses need to have a clear understanding of their ethical obligation and how it can impact the patient care.…
For this paper I will define the seven principles of patient-clinician communication, how I apply each of these to my interactions with my patients, methods being used to improve interdisciplinary communication, the one that applies best to my area of practice and describe how I use it, the ethical principles that can be applied to issues in patient-clinician communication, and the importance of ethics in communication and how patient safety is influenced by good or bad team communication. Communication between patient and clinician is imperative for the best possible outcomes. Principles of Communication First I will define the seven principles of patient-clinician communication. The first concept is mutual respect, which is patient and…
Introduction According to NPAO, a nurse practitioner (NP) is a registered nurse who receives advanced education and training to provide extended care to the public in varies setting. In order to better understanding the NP's roles and responsibilities, I interviewed a Cardiology NP at a local acute care hospital. The questions were prepared and sent to NP one week prior to the interview. In addition, the purpose, goals, and requirements of the interview were explained to the NP.…
This paper explores a published article that simplifies a useful tactic for patients to prevent fall injury within a hospital stay. A study was conducted to in order to exemplify all of these aspects into place. It involved of an elderly woman that had multiple fall risk conditions such as an unsteady gait, multiple medications and impaired vision. The patient was placed near the nursing station, put into a bed with an alarm, and had a response time that would be no more than 10 seconds of a wait. Yet, once the nurse enters the room the patient is found standing out of bed.…
First, the nurse assessed the patient’s needs and the problems of the patient and their family. Second, the nurse formulated a diagnosis and treatment plan for the patient appropriate for the patient’s educational level. Third, the nurse emphasized strategies to help motivate what is necessary for the patient. The nurse planned their teaching during an interrupted time and the nurse used provided pamphlets were written based on a 4th grade reading level. Fourth, the nurse implemented teaching about self-monitoring of blood glucose, exercise, healthy food choices, controlling blood pressure, and insulin treatment if necessary.…
The level of supervision that is required in any given situation is dependent upon the complexity of the patient’s condition. Because of the changing nature of these complex situations, an RN should be immediately available to assess the patient and to co-ordinate direct and inspect the practice provided by the…