Nursing Considerations for Mr. J.’s Visit to the E.R. Mr. J. is an 84 year old man who was admitted to the hospital for assessment after a fall. His physical assessment indicated multiple contusions to the face and shoulder‚ an unkept appearance and possible malnourished state. While a CAT scan and x-ray showed no fractures or bleeding‚ the fact that the patient had head trauma was most alarming. Traumatic injury to the head could lead to a hemorrhagic stroke or cerebrovascular accident‚ could
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Thank you for bringing this case to our attention. I had an opportunity to review this case with our Triage RN. Patient was referred to ED due to patient’s age (85 y/o)‚ history (long snapshot of chronic medical conditions) and symptoms (unresolved cough x 1 month‚ weakness‚ low blood pressure). Our RN thought this patient would be admitted and her intention was to expedite admission/transfer process. As far as having various conversations of ER transfers‚ we have had challenges in this area
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Relevance to nursing practice. Death is highly relevant to nursing as the nursing staff faces the death of a patient almost every day (depends on the department they are in). The debate against hiding patient’s prognosis to informing them must be greatly considered. Before considering such action‚ nurses need to know what is best for the patient and what constitutes a good death. The representation of a good death is when one is relief of symptoms‚ open communication is present‚ the individual dignity
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consent in clinical nursing and midwifery practice. This essay is an overview of the patient’s right to accept or decline their treatment as a part of patients’ autonomy in self-decision making. Some issue that faced by the health professionals in refusal of treatment are highlighted. The discussion part deeply argue about the compromised autonomy of patients and the ethical dilemmas that confront by health professionals in safeguarding wishes of patients in that situations. The nursing and midwifery
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A REPORT ON THE POSTION OF CASTLE NURSING HOME PLC Executive Summary: This report is commissioned to examine the current position of Castle Nursing Home PLC‚ since it is evident that the top-line and bottom-line have been adversely affected. The report draws attention to the existing status of Castle Nursing Home. The strategy to grow and re-organize has resulted in the need to streamline its operations‚ so as to retain its focus‚ quality of services and reputation among the public. Further investigation
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Schizophrenia and Nursing Interventions Schizophrenia‚ a chronic and immobilizing condition defined as a psychiatric disease affects approximately 1% of the world’s population (Harris‚ Nagy & Vargaaxis‚ 2011). It is known to decrease the standard life expectancy by ten years due to its dire effects on morbidity and mortality‚ ranking it to be among the ‘top ten causes of disability adjusted life years” (Zigmond‚ Rowland & Coyle‚ 2015). The disease presents itself most commonly in young adults‚ and
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PPM continues to be relevant and representative of the current nursing practice. During one such discussion on 5 South‚ the clinical nurses discovered an issue in the discharge process related to the PPM 3A’s of authority‚ autonomy‚ and accountability. In quarter 1‚ 2015‚ 5 South scored 88.3% always‚
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achieved magnet status are better than those in healthcare organizations that do not have such a status (Administrator‚ 2011). However there are some benefits to this program as hospitals that possess the magnet status can demonstrate high levels of nursing staff retention when compared to other hospitals. They also have a better chance of recruiting more competent and qualified nurses when compared to other area hospitals within the marketplace‚ this can lead to a higher quality of
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on preparing enough primary care providers to handle the increased demand for health care that is about to explode exponentially in the US in 2014. The debate over regulation of the role of APN’s and their reimbursement for the care they provide continues on the state level by both nursing and medical organizations. APN’s have the education and ability to provide safe patient care. The IOM report expresses that access to highquality care can be broadened through increased use of APN’s in Running head: Advance Practice Nurses A Promising Solution
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Care Planning Proforma 5NH008 Patient/Client…………………………………………………………………………………… PBL Group/Site/Facilitator………………………………………………………………… Problem/Need Outcome Nursing Care Interventions Evaluation Write a problem statement identifying an actual or potential need How does this impact on the patient/user? Ensure this statement is personalised Patient problems should have been identified with the patient/carer/parent following holistic assessment Identify a short term and long term goal
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