JAN ORIGINAL RESEARCH JOURNAL OF ADVANCED NURSING A randomized controlled trial of self-management programme improves health-related outcomes of older people with heart failure Jung-Hua Shao‚ Anne M. Chang‚ Helen Edwards‚ Yea-Ing Lotus Shyu & Su-Hui Chen Accepted for publication 2 February 2013 Correspondence to Su-Hui Chen: e-mail: sophee@gw.cgust.edu.tw Jung-Hua Shao PhD RN Assistant Professor School of Nursing‚ College of Medicine‚ Chang Gung University‚ Taiwan Anne M. Chang PhD RN
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in this case study would be familiar to most graduate nurses. Feeling overwhelmed with her workload Emily has made a decision not follow hospital policy‚ based on the opinion of a college. This situation leads to Emily being asked to explain her actions to nursing management‚ who in turn raise concerns about staff following hospital policy. The following case review will examine the main concern involved in this case and create an answerable question that will help further analyse this case in the
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Introduction In nursing there are some Fundamental patterns of knowing that help nurses in making informed decisions when in practice (Estabrooks 2005). Barbara Carper identifies the four basic patters of knowing; empiric as the science of nursing‚ aesthetic as the art of nursing‚ personal knowledge and ethics as the moral component (Kingsley 2002).This report will outline the four patterns of knowing and indicate how Melanie should have used them to make an informed decisions while looking after
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This case study is a perfect simulation of an error that is very common during the admission process that is highly preventable. The admission nurse did a great job by asking the daughter of the list of medications that her mother was taking at home. This would have been very beneficial through the medication reconciliation process if the medication list submitted by the daughter was accurate. The admission nurse should have made sure to pass down to the nurse coming on to the next shit‚ or through
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over one hundred years ago‚ The Texas Board of Nursing has continued to govern the nursing profession by enforcing the regulations of the Act. The Texas Nurse Practice Act nevertheless protects the interest of the nursing profession and promotes safety for patients and public welfare. Becoming a Registered Nurse Nursing‚ as cited by the Nurse Practice act‚ is defined as “professional or vocational nursing.” The scope of professional nursing practice includes a significant amount of specialized
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just received morphine sulfate for postoperative pain C Rationale: Hypoxemia and hypoxemic respiratory failure are caused by disorders that interfere with the transfer of oxygen into the blood‚ such as pneumonia. The other listed disorders are more likely to cause problems with hypercapnia because of ventilatory failure. Cognitive Level: Application Text Reference: pp. 1799-1800 Nursing Process: Assessment NCLEX: Physiological
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Assignment of Case Introduction Mrs. Lee‚ a 45 year-old-woman who was diagnosed with generalized anxiety disorder (GAD)‚ recently admitted to mental hospital. She was depressed with auditory hallucination. In this essay‚ the contributing factors of Mrs. Lee’s GAD condition will be explained first‚ followed by a discussion on her current health conditions. Then‚ appropriate nursing diagnoses are made in priority according to their significance. Furthermore‚ implementation of nursing care to her will
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with Multisystem Failure. GNT1: Western Governor’s University IMMEDIATE ASSESSMENTS: HOMEOSTASIS‚ OXYGENATION‚ & LEVEL OF PAIN. Upon receiving patient‚ Mrs. Elli Baker the nurse would complete the following key assessments to determine her level of homeostasis‚ oxygenation and level of pain. While using technological tools to obtain the patient’s vital signs including: oxygen saturation‚ respiratory rate‚ heart rate‚ blood pressure‚ heart rhythm and pain
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When the heart is no longer able to pump enough blood to meet the demands of the body‚ it is referred to as heart failure or cardiac insufficiency. Congestive heart failure (CHF) is an abnormal condition characterized by circulatory congestion as a result of the heart’s inability to act as effective pump. Circulatory congestion and compensatory mechanisms occur. CHF may develop after MI‚ in response to prolonged hypertension‚ diabetes mellitus or in relation to valvular heart disease or inflammatory
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Congestive Heart Failure Patients 1 KA R A M A S T E R S SAMMY RAMIREZ Heart Failure 2 Three major types of heart failure Left-sided heart failure Right-sided heart failure High-output heart failure (Ignatavicius & Workman‚ 2013) (CDC‚ 2013) (CDC‚ 2013) Heart Failure 3 About 5.1 million Americans have heart failure (CDC‚ 2013) Roughly half of those diagnosed with heart failure die within 5 years of diagnosis (CDC‚ 2013) In 2009‚ 1 in 9 deaths included heart failure as contributing
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