The care for this patient was assessed using Roper Logan and Tierney, being the most used nursing models. It is described by (Newton.C, 1991, 15). “the concept is based on four components with the nature of the individual, the nature of health and illness the role of nursing in health and illness and also the nature of the environment” these all cover the 12 activities of daily living. With many of the twelve affecting the patient some were more ideal for the patient individually. These will be assessed during the in-depth description of the patient.…
The patient is a 64-year-old female who is sent from Dr. Benz office for evaluation of fever. The patient recently underwent round 2 of chemotherapy for pancreatic carcinoma. She has had a fever for last 2-3 days. She is complaining of a cough nonproductive with occasional phlegm. She also has some nausea but no active vomiting, no chest pain or shortness of breath. The patient has a porta a cath on the right side and she is admitted for suspected sepsis: She has a fever of 102.6. Her medical history is significant for depression, fibromyalgia and the bipolar just disorder and demyelinating tumor of the head of the pancreas. Laboratory work reveals her to be somewhat hyponatremic at 134. Her glucoses are 187 and 316. Albumin is 3.4…
Patient 2: Two-day old male with low birth-weight (4lbs, 5oz), has difficulty suckling/swallowing, suffers from seizures and gastrointestinal bleeding.…
The RN must manage patient instability and or complications to the invasive nature of care intervention. This involves, planning, medications administrations, maintaining accurate records of nursing assessments and patient care, and recognizing complications and changes within the hemodynamics of ill patients. Patient populations also include medical conditions. Assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. Administer nursing care to ill, injured, convalescent, or disabled patients. May advise patients on health maintenance and disease prevention or provide case management. Licensing or registration required. RN rely upon a specialized body of knowledge, skills and experience…
Due to Julia suffering from high blood pressure in her previous pregnancy, she wants her second pregnancy to go well. In order to do this she is worrying about the chemicals which are affecting her baby.…
RN’s are greatly needed solely for the reason is that they provide the greatest level of care for many patients. An RN not only provides all types of care, but they also gives advice and helps coordinate other health services for their patients. An RN may be in charge of other nursing personnel such as interns, volunteers and techs. They may be also responsible for a patient’s overall case management, working together in conjunction with everyone from the patient to the primary care physician, as well as other…
Thank you for the information presented in the handout about hyperemesis gravidarum (HG). From your handout I learned the close correlation between depression and HG. That is something that it should be early evaluated in the pregnant women with depression. If a pregnant woman has a history a depression should be treated for morning sickness as if she would have HG? How can a first time pregnant women differentiate earlier in the pregnancy between HG and the morning sickness? Are there any other signs to differentiate between the two conditions in order for an earlier detection? Well done presentation.…
An RN teaches, treats and depending on license diagnoses patients. Usually, a RN conducts an initial patient assessment to understand patients' symptoms. She may establish a treatment plan or modify one. According to BLS, she administers medication and consults with doctors. A RN also supervises LPNs and delegates duties regarding patient care. The RN works with patients' families. She may offer support and advice about managing their family member's illness. Additional duties for a RN depend on their specialty. For example, if she works as a gastroenterology nurse, she assists patients who have intestinal and digestive problems.…
Maximize wellness: The nurse helps the patient to maximize wellness by assessing the patients both physically and psychosocially. Once the nurse gathers information during the assessment from the patient, the physician is able to meet with the patient and the health care team together provides a plan for the patient.…
Hyperemesis Gravidarum is a disorder in which persistent or severe nausea, vomiting, weight loss. And electrolyte disturbance occur during pregnancy. 90% of pregnant women will or has experience nausea and vomiting. Hyperemesis gravidarum in some individual cases can be life threatening. The symptoms of nausea and vomiting of…
This assignment will show the writers understanding and knowledge of the nursing process. In order to do this a specific patient has been chosen, focussing on one goal of care highlighted through the use of the assessment of a nursing model.…
Over the years, the question of what nurses really do on a daily basis has confounded not only the general public, but also those who work in the healthcare field. However, one cannot attempt to explain what nurses do on a daily basis without first understanding what nursing is and why the healthcare field even exists. The field of nursing exists primarily to assist the physicians and to facilitate the recovery of ill, weak patients. Nurses exist to show each patient compassion, so the patient will feel welcome, and not like a burden onto others. It is the nurses’ obligation to possess the knowledge necessary to ensure and facilitate the patients’ health and healing process.…
It is the role of a nurse to assess, plan, implement and evaluate the care of an individual during illness and, or rehabilitation, enabling the individual to establish their potential in living. It is also the duty of the nurse to care for the terminally ill, making there death, as comfortable as possible. The span of nursing care is from conception to death (WHO 1991 cited by An Bord Altranais a Career for you 2008), or sometimes beyond when dealing with the…
1. Ante partum • -History of shoulder dystocia in a prior vaginal delivery • -Fetal macrosomia (having a disproportionately large body compared to head) • -Diabetes/impaired glucose tolerance • -Excessive weight gain (15.8757 kg) during pregnancy • -Obesity (body mass index >30 kg/m 2) • -Asymmetric accelerated fetal growth in non-diabetic patients • -Post term pregnancy 2. Intrapartum • -Precipitous second stage (< 20 min) • -Prolonged second stage Without regional anesthesia (>2 h for nulliparous patients, or >1 h for multiparous patients) With regional anesthesia (>3 h for nulliparous patient, >2 h for others • -Induction of labor for "impending macrosomia".…
This is indicating of too much of nutrition for the premature baby age. According to Malaysia professional code of professional conduct, we need to advocate for the patient by informing the consultant. From the baby Tim incident, IV therapy stops running after infused for the first day but after that order by the doctor to continue IV therapy, then the nurse following instruction. At here, ethical dilemma happens about either to continue doctor order or to stop it according to our knowledge. Solution solve ethical dilemma follow the nursing process, we should assessment by gathering the information about baby Tim receive enough of nutrition by showing him active and healthy, to check on patient weight, intake output chart and referral to the dietician to obtain more accurate data about patient nutrition requirement. b) Analysis and diagnosis about baby Tim vein are very fine, no suitable for continue high concentration medicine IV therapy. c) Planning and implement: firm with our decision by effective communication to consultant suggest stopping continuing IV therapy, or to change IV peripheral line to the central line which is more safer of administer IV therapy solution by reduce of complication on IV therapy via the peripheral line. If consultant still did not agree with our suggestion, inform to ward manager or team leader for the…