Registered Nurse with extensive experience in the healthcare field. Goals direct. Exceptional leadership ability and good professional judgment. Strong patient advocacy.…
Today, community hospital becomes a fast-paced environment. The growing number of consumers, including the median age from 40 to 41 years old in the American health care system; the community hospital strategic management is a fender-bender with the country economy and politic. In the same vein, the Patient protection and Affordable Care Act expansion of health care of many New Jersey’s people have allowed some things that were limited. People with a pre-existing condition and the children who remain on their parent’s insurance until age 26 are some of the examples.…
R/s Mr. Jessie Brown has bladder cancer and he suffers from chronic pain. R/s Mr. Brown’s friend Marie Isert (87 year-old) is taking care of him. R/s Ms. Isert can’t adequately take care of Mr. Brown. R/s Ms. Isert is physically unable to care for Mr. Brown and there is a concern regarding her memory lapse. R/s Mr. Brown fell and Ms. Isert had to call EMS for help and it took 3 EMT to lift Mr. Brown. R/s Mr. Brown’s cognitive is okay but due to him always in pain, the pain deters him from communicating. R/s Mr. Brown can’t walk and Ms. Isert has to assist him. R/s Ms. Insert carefully gives Mr. Brown pain medication around the clock. R/s Mr. Brown’s pain control is not adequately. R/s the situation is not safe Mr. Brown nor Ms. Isert. R/s the transport chair can’t fit into the room. R/s Mr. Brown is confined to his bedroom with no room to maneuver.…
Every person has his or her own values, assumptions and perceptions. For the best provision of client care, the nurse must understand the elements and that of the nursing profession. Since they affect the way people think, and respond to world and other people in it.…
I am currently studying the Bachelor of Health Sciences Degree to gain a competitive grade point average (GPA) to get an internal transfer into the Bachelor of Paramedic Science Degree and become a paramedic. Paramedic are health care professionals known as pre-hospital team leaders who provide out of hospital care to patients (Health care Act (SA), 2018). They respond rapidly to emergency and assess patient and provide medical services and care for the patient until hospital arrival. Paramedic are employed by the ambulance services, govern and organisations and hospitals. For the purpose of this essay the focus will be on both paramedic and triage nurse and will analyse the collaborative work as an interdisciplinary team within the emergency department.…
items not feasible under the departmental budget. Their donations have enabled this NICU to purchase enough infant specific specialty beds can be resuscitated, stabilized, cared for and then discharged all from the same style bed. Parents and staff appreciate having these types of beds as they make the transitions occurring during the patient’s hospitalization much smoother.…
All individuals are affected by their family (Kaakinen, Coehlo, Steele, Tabacco, & Hanson, 2015). Today nurses realize the importance of the family unit on the overall wellbeing of the individual and by including the family into the patients care, it increases the positive outcomes for both (Svavarsdottir et al., 2015). We will review a patient I had many years ago and discuss the child and his health needs in regards to how it affects him, his family, the family functioning and the family interactions with community resources.…
According to Provision 2 of Code of Ethics for Nurses (2015), “the nurse’s primary commitment is to the patient, whether an individual, family, group, community, or population,” (Brown, Lachman, & Swanson, 2015, p. 269). An interpretation of this provision is that the nurse cares for, and is committed to, patient and family. Provision 2 also explains that the patient’s family should be allowed and encouraged to participate in the care of their loved one (Brown, Lachman, & Swanson, 2015). I am reminded of a time during my clinical when my patient’s mother was such a big part of my patient’s care. My patient had been sick for many years already and his mom was clearly on top of every treatment and plan of care. My patient’s mom learned everything…
The manual provided will provide help and guidance for the public health nurses in fulfilling her role in the management, care and support of client requiring complex care in the community setting.…
When patient going to discharge the nurse’s responsibility to provide all discharge instruction for patient safety. But, some patient complaining about discharge instruction and family worried about how they can prevent the fall at home. The elderly people can’t manage their own health issue alone. Upon the discharge planning nurses can help their situation through case manager. The case manager talked with patient and the family members about the home health for them. Home health care agency is very helpful for elder peoples to maintain their capability and stay with comfortably of their own homes for as long as possible. Home health care agency can arrange the physical therapist for provide the exercise for get stronger. With the daily physical exercise its better for fall prevention than home modifications and also and prevent the injury or fractures. A safe environment always reduces the risk of accidents and promotes timely response when illness or accidents occur. Home health provides innovative knowledge resolutions, such as a Personal Emergency Response System, a fall sensor, a medicine supervision organization and other monitoring devices, all planned to guarantee the safety of high risk of fall, even between caregivers’ visits.…
Family presence at the bedside during resuscitation is starting to become standard protocol in many emergency departments but research is limited in this area. The objective of the article reviewed is to explore the nurse’s perception of the benefit and/or harm to the family in a facility that has well established family presence protocols. The nurses’ perceptions of the effects on the family provide a positive influence on both the family members and the interdisciplinary team that is caring for the patient. The study confirmed long-term participation yields positive effects on the perception of family presence at the bedside during resuscitation in the emergency department. The nursing perception offers insight on the care and compassion towards the family in their critical time of need. Future nursing implications, future nursing research, and ethical implications are discussed, as there is a further need for education and research in these areas of professional nursing development.…
Having a family member unexpectedly in ICU can be a painful and difficult time. Evidence based practice demonstrates that when a member of their social system is compromised, the entire family is disrupted. The unfamiliar environment leaves family members in severe stress and in a state of shock. Family members also require attention and needs to help cope with the stress of a family member in intensive care unit. These needs are grouped into five categories: receiving assurance, remaining near the patient, receiving information, being comfortable, and having support available. There should be specific nursing interventions that can help the needs of the family members be achieved and help them cope effectively.…
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 James. This report will show how the four ways of knowing should have helped Melanie to respond to James’s need in an ethical way without having to breach any duty of care that he owed to either James and or the hospital (Kingsley 2002). Nurses have numerous legal, professional and ethical duties (Crisp and Taylor 2008). The three main duties are to respect all patients’ confidentiality and autonomy and to recognize duty of care owed to all parties Johnstone 2004). The report will discuss how Melanie legal responsibilities and if any breach of duty occurred. When a professional duty is breached there is a legal implication (Crisp and Taylor 2008). The nursing professions are bound by own code of ethics which are enforced by disciplinary procedures (Crisp and Taylor 2008). Different document can be used by the nurses to help them comprehend their standard of care. The report will identify the legal responsilities of Melanie and discus legislations, case laws or common law principle that informs understanding of the key legal responsibilities of the nursing student. The report will outline the ethical issues in the case study and discuss how bioethical principles help in the solving this ethical issues in nursing. The report will outline duty of care that Melanie owed to all parties and if they were fulfilled.…
What is your current experience in the healthcare setting with regard to how caregivers are (or are not) considered/included in the patient's management?…
Do assessment on Susan’s living environment and avoid any physical barriers, especially on the floor.…