Admit the patient using critical thinking skills to assess and prioritise nursing interventions related to Audrey’s.…
Assessment is a vital aspect of nursing care. Assessment is the first phase of the nursing process. A thorough assessment involves gathering information and data about and related to the patient. The data that is collected includes physiological, psychological, environmental, sociocultural, economical, spiritual, and developmental history of the patient. Data may be objective or subjective. Objective data refers to the measurable and observable signs, such as the patient’s heart rate, blood pressure, oxygen saturation, temperature, facial expression, gait, color, etc. Subjective data is obtained from the patient himself and it is the patient’s account of their…
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.…
What other information would you like to learn during the interview with the family? What questions would you ask?…
t is true that the demand for Nurse Practitioners are now rising. Aside from being cost effective, Nurse Practitioners helps with the shortage for Primary Care to see the increasing surge of patients. It is also believed that this trend could go higher in the following years, the growth is expected to be between 31 percent from 2014 to 2024. (Nurse Anesthetists, Nurse Midwives, and Nurse Practitioner, 2015.)…
All written information could be prepared at a reading level appropriate for the general population. New packages for patient information prior to their first clinic visit could be very useful to them. Where there are language barriers, demonstrations could be effective teaching strategy if appropriate for the situation. Using multiple teaching strategies is a good option for patient education. Pictures and illustrations are also useful for enhancing printed materials for patients with low literacy skills. However, the illustrations should be non-ambiguous and should also be accompanied by a text written in simple language (Friedman, Boyko, Cosby, Hatton-Bauer, & Turnbull,…
In this chapter, we have emphasized that comprehensive assessment makes use of nursing knowledge and understanding of the combined factors of age-related changes, age-associated and other diseases, heredity, and lifestyle choices. Think of an older adult for whom you have provided care and describe that person. Try to outline the factors (age-related changes, age-associated and other diseases, heredity, and lifestyle choices) that are relevant for his or her health assessment.…
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)…
This article provides a framework and guidelines for gathering information and treating the elderly. The article discusses the holistic approach of looking at patients and recording information for the care of older adults. The article focused on listening, observing and gathering information related to symptoms. They expand idea associated with gathering information about emotional and psychological needs of the patient. They also mention the use standardize assessment and how they can be beneficial for gathering necessary information.…
Research is defined by Parahoo (2006, p. 472) as “the study of phenomena by the rigorous and systematic collection and analysis of data”. Nursing research is necessary as up-to-date knowledge is vital for appropriate nursing and midwifery decision making. In order to improve upon health outcomes and provide effective care, research should inform best practice and provide an evidence base with which to underpin nursing care.…
After the turn of the century, a major hurricane almost destroyed the entire community. Recovery from this devastating natural disaster was slow but by the late 1920’s the community once again began to thrive. At that time, shrimping became a major industry within the community. Throughout the next four decades, the community continued to grow with the main sources of commerce remaining in the areas of fishing, shrimping, and tourism. Today Rockport is…
The learning needs I identified in my self was write all my assessment data down on paper. A lot of times I become busy and chart based on my memory of the patient. My instructor helped me to realize that doing this is not safe to rely on.…
This assignment will discuss and define the role of assessment as a vital tool in the provision of nursing care within the Nursing process. The author will describe sources of information which may inform the assessment process, identify a specific assessment tool used in my area of practice and identify ways of developing a positive professional relationship with the client, during the assessment process.…
I think that every aspects of nursing assessment are challenging and it depends on the nurses’ experience. When we have a new admit patient/resident, nursing admission assessment should be completed within 24 hours, and I usually would finish it. Working on the night shift, I find it challenging to complete the assessment because the patient is already tired and wanting to have sleep. I cannot force them to participate, and it is the resident’s right to refuse. When assessing for the Brief Interview of Mini-mental Status (BIMS), it is often not 100% correct due to contributing factors involved, that is being sleepy and tired. When BIMS is done during the day, the result is way different than what I had obtained. To have a new patient in the rehabilitation floor who have frustrations in life might be more challenging because the patient might not participate in the assessment, in his care or just give up. On the other hand, if we have a new admit for the dementia or Alzheimer’s unit, job-related stress element is the least challenging because the patient is there for long term stay. However, this should not be over-looked and the previous job of the patient needs to be…