The nurse monitor level of consciousness, vital signs especially monitoring temperature because of the neurological deficit with the hypothalamus in the temperature regulation system has caused a dysfunction of the autonomic nervous system. Monitor pain level on a scale from zero means no pain to ten is the worst pain, the severity, if it radiates, sensation, if T.W. able to move leg, feeling or any movement. Continue to monitor for any changes, perform range of motion for all joints to prevent mobility loss and contractures. In addition, psychosocial assessment for T.W. well-being and include family members to provide comfort and support. Furthermore, continue IV fluid as order to prevent and decrease risk of neurologic shock. Cover with warm blanket as needed to prevent hypothermia.…
List all appropriate nursing interventions, with a rationale for each intervention (provide source of rationale!)…
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The patient was seen by physical, occupational, and speech therapy throughout her hospital stay. The patient was seen daily by therapies, but continued to make no progress and remained basically unresponsive. Case management was brought into to help with discharge planning as it was apparent that the patient was not going to be able to return to her assisted living arrangements.…
In order for a nurse to effectively treat a patient with diabetes, they must first be well informed and educated about the disease. Nurses, along with the physician, should help the patient fully understand diabetes and all the precautions taken to treat the diseases. Nurses should sit down with their patient and have a motivational interviewing session and find the patient’s life style and eating habits, and then point out things they should change with their help with making a new plan for their life (Woods, 2010).…
Being honest, from the very beginning of the movie my notions were challenged when I noticed that this video was going to be silent. It only happened to me for a couple seconds and then it became obvious to me that there was no other way to make a video about this matter than soundless. The video itself tries to make a statement to all the viewers so we can reflect on the previous perceptions and preconceptions that we have about the meaning of the word “deaf”. Moreover, it successfully proves that sing languages such as ASL are as valuable and eloquent as any other spoken or written language. In that nature, the video also intends that the movie becomes the grand opening of a series of other artistic production where sign language can be deeply explore and fully understand.…
Patient does not have a present illness. He is only seeking care for the purpose of providing a health history for the interviewer’s assignment.…
The Great Depression of the 1930’s was devasting. It deprived many people jobs, land and their livelihoods. It began in the United States and quickly spread to other parts of the world. Many people lost everything and were living on the edge with nothing but scrapes of food from dumpsters and occasional soup kitchens to keep them alive. People blamed themselves for their loss of jobs, so it became an epidemic.…
Realistic and achievable goals will need to be established, and prioritised, this will help to determine the nursing interventions that will be required to assist the patient to manage their chronic illness. The nurse will have to reassess these goals continuously, to ensure that any new problems are identified early and can be incorporated into the care planning for the patient. A review of the Care Planning for the patient needs to be evaluated to ensure that all nursing interventions are effective. (Rita Funnell, 2005)…
These hospitalizations are one of the problems and evidence that Mrs. Fisher’s cardiac condition is worsening. Her CHF and A-fib are causing fluid retention and increased cardiac pre-load, decreased cardiac output, compromised coronary circulation, which is resulting in angina, dyspnea, and weakness (Copstead, 2013; GCU, 2013a). Numerous cardiac medications demonstrate an attempt to treat these signs and symptoms (GCU, 2013b) but Mrs. Fisher may neither truly understand her disease process, nor comprehend the potential side effects of her medications (GCU, 2013a). For these reasons, more nursing care, specifically, increased home health visits will be beneficial. Mrs. Fisher’s poor health and decreased knowledge means that she will need a nurse to visit at least twice weekly, in order to obtain vital signs and provide a physical assessment so there is adequate time to treat any new health problems. During these visits, comprehensive health education may also occur.…
Nursing Standard. 28, 44, 52-59. Date of submission: March 10 2014; date of acceptance: April 17 2014.…
The care for this patient was assessed using Roper Logan and Tierney, being the most used nursing models. It is described by (Newton.C, 1991, 15). “the concept is based on four components with the nature of the individual, the nature of health and illness the role of nursing in health and illness and also the nature of the environment” these all cover the 12 activities of daily living. With many of the twelve affecting the patient some were more ideal for the patient individually. These will be assessed during the in-depth description of the patient.…
However, he displayed an increased respiratory rate, which can be an early sign of deterioration in the patient and must be monitored closely (Resuscitation Council, 2010). The nursing staff decided to reposition Mr Jones to see if this would help. The nurse is also made aware from speaking to Frederick that he is very anxious about being in hospital and believes this may have caused his increased respirations. To help alleviate some of this anxiety, the nurse uses communication as a distraction tool by talking to Frederick about his personal life(Firth and Cornwell, 2009). ABCDE is an approach carried out in order and seeing as Mr Jones’s airway is patent, this assessment is complete. The nurse then began NEWS on Mr. Jones. His vital signs were taken and recorded and Mr. Jones was scoring a 6 on NEWS. This automatically alerted nurses to his deterioration and immediate interventions were necessary to help stabilise Mr Jones. He was placed on half hourly observations and in this time the nurse ordered a set of bloods to be taken to gather further information. During this time, the nursing staff noted his poor urine output and encouraged fluids. However, this did not improve throughout the day. Frederick’s bloods results showed a rapid increase in both serum creatinine and blood urea nitrogen (BUN). This resulted in the nursing staff reassessing Mr Jones and then contacting his surgeon. Throughout the assessment process, it is important to keep the patient informed about what is happening to avoid unnecessary distress. This is turn can help build the patient-nurse relationship and aid the nurse in delivering the best person-centred care…
References: Fujiwara, Y., Kishida, K., Terao, M., Takahara, M., Matsuhisa, M., Funahashi, T.,...Shimizu, Y. (2011). Beneficial effects of foot care nursing for people with diabetes mellitus: an uncontrolled before and after intervention study. Journal of Advanced Nursing, 1952-1962. http://dx.doi.org/10.1111/j.1365-2648.2011.05640.x…
Disease management improves the quality of a patient’s lifestyle and activities of daily living, through education and nursing intervention on their condition, empowering them to take a more significant role in their own care. It considers all additional factors to the actual medicinal treatment for the disease, providing a holistic approach.…