For this unit you need to undertake risk assessment in relation to pressure area care and the risk of skin breakdown. This assessment will take place across a variety of health and social care settings, throughout hospitals, including operating departments, hospices, nursing and residential homes, day centres, and individuals' own homes. Risk assessment will include the use of different assessment tools selected for use to fit the individual and the environment. The assessment could be undertaken by a variety of staff within the varied care settings and is an ongoing process demanding constant review and evaluation. You will need to ensure that practice reflects up to date information and policies…
The article by Schindler, (2011) was chosen because of the clinical relevance to direct patient care and patients acquiring pressure ulcer. The articile was retrieved and summarized in the graphic below. Further research was collected to evaluate other aspects of the same interventions and a annotated bibiliography was created. The evience was reviewed for relevance and synthesized as it relates to nursing practice and acquiring pressure ulcers.…
The nurse practitioner is constantly seeing the physician’s patients that are not within her scope of practice. The nurse practitioner, now feeling overwhelmed, did not manage emotions very well as the conflict encounter was in the presence of other employees. Initially, the physician was embarrassed with the lack of respect in a public location; however, he chose to attempt to defuse the situation by managing his emotions and attempt co-operative power strategies (Conflict Resolution Network, 2015).…
The area of performance improvement indicator selected from the dashboard, was patients with acquired pressure ulcers in quarter one for year 2010. The target for this quarter was set at 0.00. The Performance improvement indicator of patients with acquired pressure ulcers relates to patients that have acquired a pressure ulcer during their hospitalization. The actual percentage with patients who acquired pressure ulcers was 4.35. The national mean average was set at 6.15 percent. I selected the area of patient’s with acquired pressure ulcers because pressure ulcers cause patients to have longer hospital stays; they increase the mortality rates inpatient. Pressure ulcers also drive health care costs up every year. Pressure ulcers that have been acquired during patient hospitalization are considered a never event. In 2008, the Centers for Medicare and Medicaid Services…
National Pressure Ulcer Advisory Panel. Pressure ulcers in America: prevalence, incidence and implications for the future. Adv Skin Wound Care. 2001;14:201-215.…
Discuss two strategies that enable a nurse on an interdisciplinary team to exert leadership without occupying a formal leadership position.…
Knowing the prevalence, one could consider the actions leading up to the good and bad outcomes, compare the two to determine contributing factors, then put together a plan of action to prevent bad outcomes from occurring. The data collected on the unit could then be shared throughout the hospital to have better outcomes and a greater patient satisfaction score overall. Through this process, healthcare workers could learn to prevent nursing-sensitive indicator, such as pressure ulcers, by turning or repositioning patients at least every two hours. Being proactive throughout the hospital will reduce the number of hospital acquired pressure ulcers and help the healing process of those that were present upon admission. This also aids in a better patient satisfaction…
For the purposes of this assignment, the patients name will be referred to as Mr S. Mr S was admitted from a care home onto our ward as a bed bound patient with a grade four sacral pressure sore which was severely bleeding and at high risk of infection. NHS Choices (2012) shows that this grading is the most severe type of pressure sore. The skin was severely damaged and the surrounding tissue beginning to die (tissue necrosis). The underlying muscles or bone may also be damaged. Pressure sores are a serious problem in health care systems. They cause pain and suffering and can lead to infection, and if not prevented or managed effectively can result in fatality. Nazarko (2005) Current research shows that Pressure sores are a common and often underrated health problem. Focus on disability (2012) estimates in the UK that between 4%-10% of all patients admitted to hospital will form at least one pressure sore. For elderly people with mobility problems, the figure can be as high as 70%. Pressure sores are an area of localized injury to the skin and underlying…
In this paper I will cover different scopes and guidelines that nursing professionals use in their daily practice and some examples in my practice that are affected by those guidelines. Also how ethics, morals and values affect nursing policies and ways the affect the nurse in providing care.…
As a nurse promoting educational information is very important if not vital in the career of nursing. Prevention is better than cure and by promoting such fruitful information there will be an increase in practice of illness prevention. For example: flu shot, mammogram, etc.…
This discussion board is about the scope of nursing practice. The scope of nursing is defined by each individual state with the help of the American Nurses Association. The purpose of this posting is to define the scope of nursing practice by the Ohio Board of Nursing and the American Nurses Association. The American Nurses Association states that the scope of nursing practice must answer the questions of “who,” “what,” “where,” “when,” ““why,” and “how” to describe its complete picture, complex practice, and ever-changing boundaries (American Nursing Association, 2010, pp 2).…
1. How would you describe your role in your current position and your educational preparation for this role? “Being a Masters trained nurse allows me to obtain advanced level positions within the field of study I love. I have leadership and educational nursing experience gained through the MSN program coupled with my personal nursing experience within hospice. It is my job to hire nurses and ensure they are properly trained and set for success within our company. I also have the skills and knowledge needed to assess potential patients and determine whether they meet criteria. Once we’ve admitted the patient, I am responsible for placing that patient on a team that I fell best fits that patients individual needs.” 2. How would you explain the unique contributions you as a nurse bring to an interdisciplinary team?“I believe we all have something special to bring to the team, but if I were to focus on my skills and attributes, I would say I have the training and knowledge needed to assess and treat the clients we serve. Being the clinical director for this office allows me the ability to hire and supervise nursing staff that I feel have the skills needed to ensure our patients and families are cared for in the best possible manner.”…
Edith V. Olsen, R. E. (1967). The Hazards of Immobility . American Journal of Nursing , 788-…
de Laat, E.H. et al (2005) Pressure ulcers: diagnostics and interventions aimed at wound-related complaints: a review of the literature. Journal of Clinical Nursing; 14: 4, 464-472.…
In their seek to improve the health care delivery systems many countries are in the tract of developing new roles for the health care professionals, Nursing as a key component of the primary health care is nonetheless involved. (Hinchliff et al 2003 p15, 19) In recent years, new and innovative nursing roles have been introduced across a range of specialism. Such roles have been developed in response to changing health care needs, patient expectations, professional regulation/licensure and government initiatives (Chaney et al 2007)…