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Cns nursing case study
Nursing fundamentals case studies chapter 2 unit 1
Nursing fundamentals case studies chapter 2 unit 1
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The evaluation will include a regression model to measure the central line associated bloodstream infections (CLABS) using evidence – based practice norms to identify variations which allows the unit to improve and reduce CLABS. The plan also includes training the oncology pediatric nurses in safe administration of chemotherapeutic agents and passing the Oncology Nursing Society (ONS), Oncology Nursing Certification Corporation (ONCC) to meet national standards. To further improve the implementation of the indicator measurement process in treatment guidelines, it is recommended that the quality improvement and infection control teams will improve assessments using the QAPI worksheet to meet the CMS requirements for safe and quality outcomes, and reimbursement (Legal Information Institute, Cornell Law School,
JL recalls questioning the provider at a local hospital facility about an otitis media diagnosis that did not meet LD’s symptomology. JL received support and health care advice from her work colleagues to see another provider. Two days later, LD returned to NICU for an additional three days to treat pneumonia. JL stated she learned to go with her instinct as a nurse and mother, with support from her work colleagues.
Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.
The nurse should list and specify any other healthcare providers such as a family doctor and how to reach them. Any involved health care member should be notified and the written report should be forwarded to ensure good health care. Stress the importance of physical exercise and most importantly, encourage the patient to quit smoking. To get enough rest and to eat a good healthy balanced diet as well as encourage the patient to get the flu & pneumonia vaccination to help prevent lung
The feeling of being able to alleviate the suffering of an acutely ill patient is at once incredibly satisfying and immensely humbling. I am constantly in awe of the fact that by coming to work everyday, I have the privilege of helping others who cannot care for themselves. During my time in my Clinical Care Extender Internship, I developed a special interest in caring for the geriatric population and have had the opportunity of serving as a personal caregiver to an elderly woman with dementia. I do not take the trust and confidence that my patient places in me lightly and work hard to advocate and provide for her safety because she deserves no less. Thus, in the interest of patient advocacy, as a nurse in your facility, I will seek to improve the practices that will keep my patients safe and promote their healing.
A career as a Psychiatric-Mental Health Nurse Practitioner is a natural extension of my personal, educational, and research experiences. Although my path to nursing has not been a straight line, every experience that put me on this path has shaped my passion and dedication to psychiatric nursing. After losing loved ones to suicide at a young age, I made a promise to myself and to them that I would dedicate my life to helping individuals struggling with mental illness. This promise led me to study Psychology at UC Berkeley, where I fell in love with clinical research investigating the efficacy of treatments for mental illness.
Module 3 (Week 3) Part Three: Community Health Nursing Intervention Directions: Please complete the following information on this template. If you do not use this template there will be a 10- point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the blocks on the template by continuing to type within each section. Use as much space as necessary to provide your answers.
Description: In week 7 we had visited Wesburn Manor, the Long-term Care (Clinical Placement) setting. It was our first time there, therefore as a group, we oriented the place. At this time, we went to each nursing station on each floor and introduced ourselves from the organization we were from and how we will be providing patient care to the clients in this setting. We were educated by our clinical instructor on the different access codes in the building, the policies and guidelines, our assigned floor and the appointed personal support worker. Our role of professionalism as a nursing student was represented as we came prepared and greeted each healthcare and staff member.
The guidelines set by the NP’s Core competencies involves educational programs for nurse practitioner and are referred to as essentials behaviors for all NPs (The National Organization of Nurse Practitioner, ([NONPF],2017). As a future NP, this course has echoed the importance to critically examine information given by finding evidence to support and manage care for the individual or the population, which I will apply to my practice. This, in turn, will offer better treatment plan and optimize better patient outcome. Using the differential diagnosis to pinpoint the best possible diagnosis for individuals has helped me to use critical thinking about my patient and to find the appropriate plan of care.
This case report shares nursing experience of caring a patient whose leukemia relapsed early after hematopoietic stem cell transplantation. The patient later received chemotherapy and peripheral blood stem cell reinfusion for graft-versus-host disease induction. Facing long-term, repeated chemotherapy related side effects and poor treatment response, the patient developed desperation. Such hopelessness patients eagerly need nursing intervention to care for their physical, psychological and spiritual health to help them to adjust these.
Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.
In the past I have shown my strength in this area of nursing care when looking after family members that have fallen victim to sickness. Whenever someone tells me that they are not feeling well, I immediately jump into action and try my best to make sure that they feel “cared for” .The feeling of pride and satisfaction I experience after caring for a person that is unwell is what originally made me choose nursing as a career. Caring is a basic attribute of human growth and development (Griffin 1983). This is why, as a nursing student I know it is such an important strength to be utilised when helping a patient to feel better.
Providing education to the family and patient about what to expect will relieve the stress of the unknown. It is necessary to readdress taught information as reinforcement will provide an increase in confidence. In addition to providing emotional support, it will be important to help the family organize the patient’s environment. Setting up a hospital bed up in an area that is free of clutter, with room for family members to deliver care. Teaching patients how to change linens on the patient 's bed when the patient is unable to
Robinson et al. (2002) mentioned that APN with wide knowledge in disease progress, research, health promotion and prevention of major illness who are keen to share knowledge to patients will help patients to understand more about their conditions. Koh and Ang (2005) states that with comparison to the doctors, the APNs are more likely to spend extra time to educate patients on health promotion and life style changes and are proven with better compliance with treatments. Karnusammy (2006) also mention that in addition to educating the patient and nurse, the APN also actively involve with patients family and initiating discharge. Nurses will also gain more knowledge and build a positive relationship with the APNs.
I begin to think about how my patient is living, what kind of housing are they living in, can they afford their co pay or medication if they do not have insurance’s. I learned that, community health nursing look at the population not individual patients. I learned the various resources available in the community and how to refer my patient who is in need to these resources. I learned that care in the community must be available, accessible, and acceptable in order for care to reach the population. Most importantly, I learned not to be judgmental especially to my disadvantage patient that might be homeless or
