Evolving Practice of Nursing Delivery GCU: NRS 440V February 12‚ 2015 Evolving Practice of Nursing and Patient Care Delivery When thinking about the United States and their health care delivery system it has been noted for the past two decades that Americans are unhappy with their existing health care systems (Blendon‚ 2006). This is where the change comes into play. When talking with some colleagues who are registered nurses they all have said we can expect that‚ in addition to proposed
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Nursing Diagnosis # 1 Ineffective breathing pattern related to decreased oxygen saturation‚ poor tissue perfusion‚ obesity‚ decreased air entry to bases of both lungs‚ gout and arthritic pain‚ decreased cardiac output‚ disease process of COPD‚ and stress as evidenced by shortness of breath‚ BMI > 30 abnormal breathing patterns (rapid‚ shallow breathing)‚ abnormal skin colour (slightly purplish)‚ excessive diaphoresis‚ nasal flaring and use of accessory muscles‚ statement of joint pain‚ oxygen
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After reviewing the post‚ there are many aspects that I agree and disagree about the nursing care method. I definitely agree on the first priority of nursing care should be to address the patient’s cramping and bloating. The cramping and bloating was essentially the primary concern of the patient and was the result of the constipation. Additionally‚ I agree that the SMART outcome should involve the goal of the patient having a bowel movement by the end of the nurse’s shift‚ because having a bowel
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Nursing Care Plan Assessment equals Data Collection + Analysis | Nursing Diagnosis – Actual/Potential | Nursing Goal(SMART) | Nursing Interventions/ActionsInclude Rationale/Reference | Evaluation | Female Age : 85Code status: Full Code initially but changed to DNR on 14/Jan-2012Primary diagnosis: PancytopeniaReason for Hospital Admission: Fall at home. Allergy: PenicillinMedical History: Pacemaker‚ Hypertension‚ Fall at home‚ Bradycardia‚ Hyperlipidemia.Neurological: Alert‚ Oriented x 4.Diet
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Recently‚ a small group consisting of three Breckenridge nursing students researched the education levels of a registered nurse. The title registered nurse is held in high regards respectively. Each nurse and perspective nurse is an individual and has a different home life from one another. Some of them may have to work a full time job to keep a roof over their head. Others may work part time or enough to keep their license active. All of those factors determine the individual’s level of education
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Nursing Process Planner DATA | ANALYSIS | NURSING DIAGNOSIS | PLANNING | Group significant data according to needs‚ patient concerns. | Compare with normal standards‚ knowledge‚ and interpret the meaning of the data and knowledge. | State problem or concern according to needs with reasons and related factors. | Outcomes/ Objectives. A goal with more detailed objectives. | | Reference | | | Ms. C.M62 years oldDiagnosis:RT lung CancerSx:RLL&RML wedge‚ RLLwedge+mediastinal lymphadectomy
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colours: á Black - necrotic/dead tissue á Yellow ¡V fibrous exudate á Red ¡Vgranulation tissue á Pink -epithelialisation ODHB (Otago District Health Board) use this classification system to assess wounds‚ and have adopted a wound assessment tool as part of their co-ordinated care pathways. (see attached form as an example) When cleaning the wound‚ the 2 most common methods involve : a) irrigation with warmed 0.9% Normal Saline b) using a gauze soaked with 0.9 % normal
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lan NURSING CARE PLAN | ASSESSTMENT | BACKGROUND KNOWLEDGE | PLANNING | INTERVENTION | RATIONALE | EVALUATION | Subjective:n/aObjective: * Preterm birth (36 weeks) * Weight: 1.75kgs. * Cool and dry skin. * Temperature: 33.6 degrees Celsius. * Poor muscle tone. * Placed under two droplights.Nursing Diagnosis: Ineffective thermoregulation related to immaturity. | Vaginal birthPretermPoor muscle developmenthypothermia | After 1 hour of nursing intervention‚ patient will maintain
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dissatisfaction and improve on patient care outcome. The data suggested that nurses and other healthcare workers must strive in a collaborative environment; that to strengthen the work force‚ there must be less incivility in the work place. Further‚ the findings revealed that race was a significant factor in the frequency of inactivity coupled with those nurses with more than 5 years of work experience.
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Assessment |Nursing Diagnosis |Analysis |Goals and Objectives |Interventions |Rationale |Evaluation | | Subjective: “kala ko nung una dahil sa kinain kong pinya‚ pero imposible naman iyon. Kasi hindi naman sumakin tiyan ng mga kasama ko” | Knowledge deficient related to unfamiliarity with information resources | A deficit in knowledge is commonly experienced by individuals coping with new medical diagnosis varied pharmacological and treatment regimens‚ unfamiliar and often complex problems
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