Writing Assignment #7 Tiara Diaz ITT Technical Institute/Breckinridge School of Nursing NUR 270 Jennifer Kyte APRN‚ MSN May 7th‚ 2012 The plan of care for a patient with esophagogastric balloon tamponade tubes is formulated around the primary nursing diagnosis of ineffective airway clearance related to aspiration of blood (Ackley‚ B.‚ Ladwig‚ G.‚ 2011) Bleeding often stop spontaneously‚ but if it does not‚ a Sengstaken-Blakemore or Minnesota tube is inserted to provide constant
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daughter brought this man to clinic in hopes that the doctors would be capable of removing her father’s tumor. After examining the patient and reviewing the CAT scans‚ Dr. Chen realized that the tumor was inoperable and she had to tell the family the tragic news. “I had these kinds of conversations in the past and could only imagine how difficult it would be for this patient and his daughter. I wanted to be compassionate with them‚ to take the time to listen and to acknowledge their fears and concerns
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Nursing Leadership and Patient Outcomes Wong‚ Cummins and Ducharme (2013) conducted a systematic review of studies in 2013 to examine the relationship between “nursing leadership practices and patient outcomes” (p.710). With an intent to improve patient outcomes‚ the authors had conducted a similar review in the past; however‚ limited results of studies warranted additional research on this topic. Their study involved extracting and analyzing a variety of leadership skills and patient outcomes; through
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Checkpoint: Patient Self-Determination Act The law is intended to encourage possible life-sustaining treatment in the event that they become seriously ill or injured and are not able to specify their desires at that time. According to this law; all hospitals‚ nursing homes‚ home health agencies‚ and hospice programs receiving federal Medicare and Medicaid are now required to create formal procedures that provide written information at admission to patients about decision making a treatment refusal
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presents Rivers’ relationships with his patients in Regeneration‚ and discuss how your response to Rivers is shaped. As William Rivers is a psychiatrist his perceptions of war are altered by the patients that he treats. Characters such as Burns‚ Prior and particularly Sassoon have an impact on how he views the world outside of Craiglockhart. Rivers himself has not been on the front line fighting‚ and therefore only sees the war through the eyes of his patients. Rivers has a particularly good relationship
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Ethical Dilemmas & Impact of Nurse-Patient Ratios I was an ICU nurse for 18 years and I decided to leave bedside nursing in 1999 when I found myself standing in the doorway between two patient’s rooms‚ which both had alarms going off. I was being forced to care for three critical patients that night. I left nursing because as I stood in that doorway I realized that in choosing which room I was going to enter‚ the patient in the other room might very well have died (Massachusetts Nursing Association
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Nightingale Community Hospital: Patient Tracer Summary Western Governors University Nightingale Community Hospital: Patient Tracer Summary Nightingale Community Hospital utilizes a tracer methodology adapted from The Joint Commission to review patient charts weekly. The tracer method provides a precise appraisal of programs and methods for delivery of care and services. A thorough review of current services will help identify possible deficiencies. Patient 453355 medical record was audited
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DOI: 3/1/2016. Patient is a 49-year-old male electrician who sustained a work-related injury to his back while he was bending over to pick an item up in the gang box. As per OMNI entry‚ he was initially diagnosed with left-sided low back pain with sciatica and constipation. MRI of the lumbar spine without contrast dated 06/22/2016 showed disc protrusion with annular fissure at L5-S1‚ which can be a source of pain. Per physical therapy notes dated 06/30/2016‚ the patient has attended a total of
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B.O. is an 87-year-old patient who was hospitalized for syncope. Her syncope episode caused her to lose consciousness for a minute‚ which resulted in a fall at her nursing home. There were no fractures as a result‚ but she did experience some bruising. She had experienced several other episodes of dizziness within the past month. The patient has a history of confusion‚ osteoporosis‚ osteoarthritis‚ tremors and anemia‚ all of which can contribute to an increased risk for falls. A relevant nursing
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late. In order to aid nursing home residents in an effective manner‚ one must not only integrate preferences and options‚ but also refine nursing home environments (Choi et al.‚ 2008‚ p. 545). The changes in the nursing home facilities may range from no longer including structured activities to making residents feel at home. In addition‚ adding complex tasks to residents daily life may help with feelings of unworthiness. According to Bhar & Brown (2012) reestablishing problem solving in nursing home
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