Today‚ one of my patients presented to the ED with a 3cm laceration on his right hand that was three days old. He also reported a pain level of 7/10. First‚ my nurse preceptor and I had the patient wash his hands with soap and water to remove the dirt and bacteria from the wound. Thereafter‚ we sprayed wound cleanser to the wound and rinsed it with normal saline to further aide in removing debris and decreasing bacterial counts. After‚ I dried the wound edges with a sterile gauze. This is done in
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Initial clinical experiences in post-operative care of microsurgical patients Giang Nguyen Ngan BSN‚ Ha Nguyen Hông Ph.D‚ Thai Pham Hong BSN Abstract Aim: To summarise the initial clinical experiences in post-operative care of patients undergoing microsurgery. Methods: The study design was a retrospective descriptive analysis. Subjects were patients that underwent reconstruction of amputated body parts and free tissue transfer by microsurgical technique from August 2007 to August 2010
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Overview Patient is a 83 year-old female‚ presented to the ED on 7/2/13 with complaints of chest pain caused by what family believed to be aspiration pneumonia‚ also with worsening stage 4 sacral wound. Patient has a past medical history of a subdural hematoma secondary to a fall from a ladder‚ IDDM‚ bleeding gastric ulcer‚ and aspiration pneumonia. EKG and cardiac enzymes were ordered in the ED‚ EKG was unremarkable with a normal sinus rate and rhythm‚ enzymes within acceptable range. Patient sacral
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statutes. Table 1 Effects of Hospital Care Environment on Patient Mortality and Nurse Outcomes. Aiken‚ Linda; PhD‚ RN; Clarke‚ Sean; PhD‚ RN; Sloane‚ Douglas; Lake‚ Eileen; PhD‚ RN; Cheney‚ Timothy Journal of Nursing Administration. 38(5):223-229‚ May 2008. DOI: 10.1097/01.NNA.0000312773.42352.d7 Table 1 . Properties of the Hospital-Level Practice Environment Scale of the Nursing Work Index Subscales Used to Classify Hospitals as Better‚ Mixed‚ or Poor Care Environments (N = 168) © 2008 Lippincott
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Patient Teaching J. D. is a 3 yr old boy with West Syndrome‚ absence of the corpus callosum‚ and developmentally delayed with controlled spasms since 10/2012 until recently when J.D. presented to Miller Children’s emergency department with several episodes of spasm-like activity and vomiting up his keppra. Mom describes the episodes a 5-10 seconds in duration‚ with upward and outward jerking of his arms. The learner‚ which will be the mother‚ speaks English as her first language‚ she has a
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Maintaining Patient Safety When working in an acute care setting such as a hospital‚ safety is the number one priority. A safe environment greatly reduces the risk for illness or injury. It’s not only for the patient; it’s also for the healthcare provider. For a nurse‚ it begins when she/he meets the patient. She must assess the room and make sure there is no debris littered on the floor‚ that all IV tubing is untangled and not on the floor‚ and that the patient’s bed is down in the lowest position
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and even more to generate the Emergency Medical Treatment and Active Labor Act (EMTALA) by Congress in remedy to its torts‚ patient dumping still appear to be an issue in our society today. In fact‚ patient dumping occurs when hospitals deny treatment to emergency patients -- often because those patients can’t pay. As Patient dumping is the practice of refusing to treat patients who cannot pay for healthcare services. Federal anti-dumping law‚ initiated by Congress as part of the Consolidated Omnibus
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We must pay attention to the psychological state of the patient when applying the full program to get rid of obesity‚ we must convince that to get rid of this disease will not be overnight‚ the disease needs a long time‚ Insisting on applying these steps until you get the best results‚ it is first and foremost for the patient to get rid of obesity‚ the patient should revolve around three important things: conviction‚ persistence and patience. involves on
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Patient Teaching HLST 320 Caroline C December 31st‚ 2007 Introduction: I have chosen breastfeeding as my teaching topic for this assignment. The specific clientèle will be the new mother at between 2 and 7 days postpartum‚ newly discharged from hospital. As a community health nurse working with children and young families‚ I do initial postpartum visits at home. Breastfeeding is a very complex skill‚ natural‚ yet sometimes difficult
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Bibliography: for Patient Narratives Paper1.http://www.cancerlynx.com/storyteller.html2.http://books.google.com/books?hl=en&lr=&id=sgQEb9AObS4C&oi=fnd&pg=PP13&sig=GodeUXE92NJX3OH0I9thPOJBtpA&dq=%22The+Wounded+Storyteller%22#PPP1‚M13.http://muse.jhu.edu/demo/perspectives_in_biology_and_medicine/v048/48
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