As a nurse promoting educational information is very important if not vital in the career of nursing. Prevention is better than cure and by promoting such fruitful information there will be an increase in practice of illness prevention. For example: flu shot, mammogram, etc.…
For this unit you need to undertake risk assessment in relation to pressure area care and the risk of skin breakdown. This assessment will take place across a variety of health and social care settings, throughout hospitals, including operating departments, hospices, nursing and residential homes, day centres, and individuals' own homes. Risk assessment will include the use of different assessment tools selected for use to fit the individual and the environment. The assessment could be undertaken by a variety of staff within the varied care settings and is an ongoing process demanding constant review and evaluation. You will need to ensure that practice reflects up to date information and policies…
The nurse practitioner is constantly seeing the physician’s patients that are not within her scope of practice. The nurse practitioner, now feeling overwhelmed, did not manage emotions very well as the conflict encounter was in the presence of other employees. Initially, the physician was embarrassed with the lack of respect in a public location; however, he chose to attempt to defuse the situation by managing his emotions and attempt co-operative power strategies (Conflict Resolution Network, 2015).…
The area of performance improvement indicator selected from the dashboard, was patients with acquired pressure ulcers in quarter one for year 2010. The target for this quarter was set at 0.00. The Performance improvement indicator of patients with acquired pressure ulcers relates to patients that have acquired a pressure ulcer during their hospitalization. The actual percentage with patients who acquired pressure ulcers was 4.35. The national mean average was set at 6.15 percent. I selected the area of patient’s with acquired pressure ulcers because pressure ulcers cause patients to have longer hospital stays; they increase the mortality rates inpatient. Pressure ulcers also drive health care costs up every year. Pressure ulcers that have been acquired during patient hospitalization are considered a never event. In 2008, the Centers for Medicare and Medicaid Services…
Discuss two strategies that enable a nurse on an interdisciplinary team to exert leadership without occupying a formal leadership position.…
National Pressure Ulcer Advisory Panel. Pressure ulcers in America: prevalence, incidence and implications for the future. Adv Skin Wound Care. 2001;14:201-215.…
The NPUAP website has the ability to be a good start for clinicians in the battle of the bedsore. Sullivan & Schoells, (2013) further credit the information given by the NPUAP by stating, “guidance provided by such organizations as the Institute for Healthcare Improvement, National Pressure Ulcer Advisory Panel, and AHRQ has resulted in successful implementation of bundled evidence-based practices throughout the United States.” It is clear that the information on the NPUAP website is not only valid, but it is based on best practice and is evidence based. Nurses dealing with patients that are susceptible to pressure ulcers are doing themselves and their patients an injustice by not utilizing the tools that the site has to offer. Nurse educators, and wound nurses will find this site especially valuable and would be able to change practices and policies if needed based on the information the site provides. Another nice feature of the site (especially for the busy consumer researching medical information) is the link to Medline and the description it gives of the usefulness of evidence based…
As part of your treatment plan, your care team will discuss with you the best way to prevent pressure ulcers. This will be based on your individual circumstances.…
Knowing the prevalence, one could consider the actions leading up to the good and bad outcomes, compare the two to determine contributing factors, then put together a plan of action to prevent bad outcomes from occurring. The data collected on the unit could then be shared throughout the hospital to have better outcomes and a greater patient satisfaction score overall. Through this process, healthcare workers could learn to prevent nursing-sensitive indicator, such as pressure ulcers, by turning or repositioning patients at least every two hours. Being proactive throughout the hospital will reduce the number of hospital acquired pressure ulcers and help the healing process of those that were present upon admission. This also aids in a better patient satisfaction…
de Laat, E.H. et al (2005) Pressure ulcers: diagnostics and interventions aimed at wound-related complaints: a review of the literature. Journal of Clinical Nursing; 14: 4, 464-472.…
In this paper I will cover different scopes and guidelines that nursing professionals use in their daily practice and some examples in my practice that are affected by those guidelines. Also how ethics, morals and values affect nursing policies and ways the affect the nurse in providing care.…
Therefore, identification is the most current best practice recommendation. The most common tool used for identifying patients at risk for developing pressure ulcers is the Braden Scale. However, “quantification of the relationship between Braden Scale score and nursing interventions indicates the need for a more comprehensive and fundamental approach” (JAN, 2010). The Braden Scale is divided into six categories: sensory perception, moisture, activity, mobility, nutrition, and friction and shear. A score of 18 or less indicates that the patient is at risk for pressure ulcers. The rationale for these recommendations is that identifying a patient upon admission for being at risk allows the nurse to begin a prevention plan as soon as identified. The nurse needs to implement interventions to prevent the formation of a pressure ulcer. If the practice of identification upon admission is not followed, prevention is delayed and pressure ulcer formation begins. This causes the patient unnecessary pain, increases their risk for infection, and extends the hospital stay. Pressure ulcers are easier to prevent than to…
1. How would you describe your role in your current position and your educational preparation for this role? “Being a Masters trained nurse allows me to obtain advanced level positions within the field of study I love. I have leadership and educational nursing experience gained through the MSN program coupled with my personal nursing experience within hospice. It is my job to hire nurses and ensure they are properly trained and set for success within our company. I also have the skills and knowledge needed to assess potential patients and determine whether they meet criteria. Once we’ve admitted the patient, I am responsible for placing that patient on a team that I fell best fits that patients individual needs.” 2. How would you explain the unique contributions you as a nurse bring to an interdisciplinary team?“I believe we all have something special to bring to the team, but if I were to focus on my skills and attributes, I would say I have the training and knowledge needed to assess and treat the clients we serve. Being the clinical director for this office allows me the ability to hire and supervise nursing staff that I feel have the skills needed to ensure our patients and families are cared for in the best possible manner.”…
Edith V. Olsen, R. E. (1967). The Hazards of Immobility . American Journal of Nursing , 788-…
In their seek to improve the health care delivery systems many countries are in the tract of developing new roles for the health care professionals, Nursing as a key component of the primary health care is nonetheless involved. (Hinchliff et al 2003 p15, 19) In recent years, new and innovative nursing roles have been introduced across a range of specialism. Such roles have been developed in response to changing health care needs, patient expectations, professional regulation/licensure and government initiatives (Chaney et al 2007)…