Indications: Patient requires bronchoscopy because of recent onset hemoptysis and a remote history of tuberculosis.…
The third solution id Not take care of themselves. The doctor should inspect the patient's nose for any problems, then be must decide if he can perform the surgery or not.…
References: Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., Bucher, L., & Camera, I. M. (2011). Medical-Surgical Nursing: Assessment and Management of Clinical Problems (Eighth Edition). St. Louis, MO: Elsevier Mosby.…
The first priority is to perform a focused assessment to include the patient’s respiratory function, pain, mental status, and any medication the patient has taken. The patient’s airway and ability to breathe and maintain a patent airway becomes the first priority. By asking the patient the four questions of orientation the nurse can assess the patient’s mental status. The patient’s pain can also be assessed quickly by using a numerical value or the Wong-Baker Scale prior to the patient becoming unresponsive, as well as asking the patient for a brief history of her medical condition and any co-morbidities. For the patient’s airway and breathing, the patient should be placed on 15 liters of oxygen with a non-rebreather mask to allow for increased oxygenation and a pulse…
Perioperative routine practices vary from state to state and even facility to facility. It is important for the surgical nurse to be well versed in perioperative procedures and constantly question the effectiveness and positive/negative outcomes related to each one. Several preoperative procedures take place on the surgical unit of my hospital, and after research and discussions with surgeons, I discovered a preoperative procedure that could be tweaked in order to improve post-op results.…
When people in Georgia, and throughout the U.S., go in for a surgical procedure, they often put their trust in their surgeons and the medical staff assisting them. All too often, however, surgical errors occur. In fact, American Medical News reports that patients across the country experience surgical mistakes approximately 80 times per week. Frequently, such errors result in additional or worsened medical conditions for patients, as well as death.…
2. Lewis, Sharon L., et al. Medical-Surgical Nursing: Assessment and Management of Clinical Problems. 8th ed. St. Louis: Elsevier, 2011. Print.…
Lewis, S., Dirkson, S., Heitkemper, M., Bucher, L., & Camera, I. (2011). Medical-surgical nursing: Assessment and management of clinical problems (8th ed.). St. Louis, MO: Mosby.…
R est the affected knee. Consider crutches to keep the weight off the knee. However, many doctors say not to keep the knee unmoving for too long. It's best to start some exercises to keep the joint moving.…
Mrs. MH is a 72 year old woman who has a primary diagnosis of Diabetes Mellitus Type II. Her secondary diagnosis and the reason why she was referred to Hackensack home health agency was a non-healing wound on the second toe of her right foot. Upon assessment of the patient, current health needs which were identified pertain to wound care, nutrition, and proper management of Diabetes through compliance with insulin treatment, and knowledge on prevention of hypoglycemic and hyperglycemic episodes. The current plan of care for Mrs. MH and the visit skill relate to wound care and Diabetes self-management.…
Perioperative registered nurses provide surgical patient care by assessing, planning, and implementing the nursing care patients receive before, during and after surgery. These activities include patient assessment, creating and maintaining a sterile and safe surgical environment, pre- and post-operative patient education, monitoring the patient’s physical and emotional well-being, and…
Brown implements a very important point when she quotes Kehlet and Dahl (2003), “the practical aims of pain relief are to provide subjective comfort and enhance the patient’s ability to deep breathe, cough and move easily, thus avoiding postoperative complications.” Pulmonary atelectasis is the main concern for postoperative nurses due to patient’s lack of deep breathing because deep breathing usually increases pain. I also agree with Brown that achieving ‘subjective comfort’ is challenging and that many times it is difficult for both the patient and the nurse to have a mutual understanding of the specifics of the patient’s pain, such as intensity, quality, and location, because of the patient’s age, educational level, language barriers, and cognitive…
All nurses are taught to do respiratory observations on every patient as initial and ongoing routine assessments. Nevertheless, what the author observed in her clinical placement was…
Smeltzer, S. C., & Bare, B. G. (2004). Brunner & Suddarth 's Textbook of Medical Surgical Nursing. (10th ed.). Philedelphia: Lippincott Williams & Wilkins.…
References: Bare, B., Cheever, K., Hinkle, J., & Smeltzer, S. (2010). Textbook of medical-surgical nursing (12th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.…