Integrating Patient Safety in the Nursing Curriculum Ana Maria Y. Jimenez‚ RN‚ MSN‚ MAP‚ PGCE A. Introduction On the subject of Patient Safety‚ the National Institute of Medicine (2005) returns to the fundamentals of Medicine‚ reiterating what had been said over a millennia ago when Hippocrates saw the risk for injuries that arise from the good-willed actions of healers. Greek healers in the 4th Century‚ drafted the Hippocratic Oath and pledged to "prescribe regimens for the good of my patients according
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COPD include renal damage‚ malnutrition‚ muscle wasting‚ osteoporosis‚ and anemia. (McCance & Huether‚ 2014‚ p. 1267). Signs and Symptoms Patients suffering from COPD commonly experience symptoms of dyspnea on exertion that may eventually progress to marked dyspnea at rest. This represents a key feature of emphysema. Also‚ patients report experiencing episodes of acute cough with limited sputum production and the patient often appears thin. Moreover‚ tachypnea with prolonged expiration is observed
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Treatment for COPD Inhaled Therapies NICE COPD guidelines have made specific recommendations regarding the use of inhaled long-acting bronchodilators and inhaled steroids separately and in combination‚ but newer studies have assessed these drugs singly and in combination over longer periods of time. Bronchodilators (relievers) Short-acting beta2 agonists (SABA) Beta2 agonists act directly on bronchial smooth muscle to cause bronchodilation. They are the most widely used bronchodilators for COPD. Short-acting
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A Case Study on Chronic Obstructive Pulmonary Disease Elmer P. Samoy‚ RN Case Summary History A case of a 68 y/o White male‚ who sought consult primarily for evaluation and management of severe dyspnea. The patient was apparently well until about 6 months prior to consult‚ when he began to experience dyspnea when walking more than 20 ft.‚ associated with chronic productive cough. No consult was done‚ no medications taken‚ and no weight loss reported. Three days prior to consult‚ the patient’s
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a 76 year old man.Mr Alan Chari(pseudonym used to protect the identity of a patient)‚was admitted over night in my department.He is a divorcee who stays with son.He is a retired teacher and his son is permanently employed by a local company as an electrician.He is independent with activities of daily livings but is occasionally limited by his ill health.He used to be a heavy smoker .After realising the burden COPD has on general New Zealand population ‚affecting about15% of the adult population
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Hospice use is increasing but less than half of nursing home residents with advanced dementia receive hospice care. The focus of care should always be the comfort of the person with dementia. Physical comfort is a paramount human need‚ yet pain is experienced by at least one-third of nursing home residents with advanced dementia in the last year of life. This is frequently undetected and undertreated. Person-centered care honors preferences in social‚ emotional‚ spiritual‚ and physical care (Kuhn
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developed her self-care deficit theory of nursing under three interrelated theories known as the theory of self-care‚ theory of self-care deficit‚ and theory of nursing systems. Each of these theories explains concepts of basic conditioning factors to support her general theory. Orem’s theory suggests that all individuals have a need for self-care action on a continuous basis. When self-care can no longer be performed due to injury or illness the patient develops a self-care deficit and requires
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According Anderson L‚ (2012). Cultural competence and respect for others are mainly important in the nursing practice since we are patient advocates.The advancement of cultural competence in the nursing practice primarily need nurses have the recognition of the that there are other beliefs systems that in our our society. Most often‚ the nurse practices of patients may look odd and incomprehensible but with conscious effort made to know about these diverse lifestyles ‚ beliefs‚ language‚ religion
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Encouraging patients to help themselves has positive effects Whilst caring for a lady in her seventies‚ one student nurse realised that there must be a clear rationale for everything in her nursing practice. About two weeks into my first placement on a stroke ward‚ I was asked by a nurse to help Ms B get dressed. Ms B was in her seventies. She had experienced a mild stroke and had made a full recovery. However‚ she had early dementia that had existed before her stroke. At times‚ this caused
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3. Referring the patient to a cardiology for further evaluation. Advanced Practice Nursing Intervention Plan for Gastrointestinal Hemorrhage‚ Unspecified The patient has a heme positive test‚ which means that there is blood contaminate in his stool sample. This result indicates that he may be suffering from gastrointestinal (GI) hemorrhage or gastrointestinal (GI) bleeding. According to NIDDK (2016)‚ gastrointestinal (GI) bleeding is any type of bleeding in digestive tract. There are two type of
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