field‚ case records are constructed upon people who are coping with life’s difficulties‚ challenges and opportunities (Harms‚ 2007). Case records are written legal documents‚ and are used to monitor human phenomena. They provide a history of events that occurred during the period of study‚ any alterations that took place‚ and the effectiveness of specific actions (Swanborn‚ 2010). A crucial aspect of case records is reflective practice‚ for it enhances the construction and effectiveness of case records
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ethics for the nurses rejects any attempt to perform activities that are contrary to the patient’s rights. These include the right to life‚ to self esteem and the right to respectful treatment (International Council of Nurses‚ 2006). In the case study situation the surgeon made a wrong recommendation for the patient. Mr. B was wrongfully scheduled for a tumor resection procedure yet the most appropriate course of treatment for him was a palliative treatment or limited intervention. Subjecting
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Agoraphobia is the fear of a situation or place. The common signs and symptoms are the fear of being in enclosed or public places for fear something might trigger an anxiety attack. Because of this they don’t tend to go out. This can lead to other complications. Treatment consists of psychotherapy and medications. The nurse should teach the patient other therapies such as relaxation methods. Agoraphobia Agoraphobia is an anxiety disorder where you fear situations or places that may cause
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Psychiatric Nursing Case Study History The subject is a 52 year old divorce Caucasian female‚ of Poland origin‚ and has lived in the United States for over 20 years. She had been a patient at Tewksbury Hospital since July 2011. She reportedly has a long history of bizarre and impulsive behavior‚ but has had a steady decline since her divorce in 2004. The patient denies history of taking medication or hospitalization for mental illness. There is no history of mental illness in the family. The
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The ethical dilemma This case presents an ethical dilemma‚ a situation which arises when one must choose between mutually exclusive alternatives (Beauchamp& Walters‚ 2003). Decisions may have results that are desirable in some respects and undesirable in others. In Juana ’s case‚ her decision to refuse the blood transfusion had the desired outcome of allowing her to remain true to her religious beliefs. However‚ her choice also resulted in her death. If she had followed the recommendation of
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At the end of my clinicals‚ there was a meeting about not over recommending a skilled nursing facility (SNF) for people who do not truly need a SNF according to the hospital. One of the criteria for not needing a SNF was if the person was functioning at the same baseline they were functioning at before surgery. This became a dilemma for one patient who had a total knee replacement because the patient could barely stand upright and walked with a severe genu valgum. According to the patient‚ she was
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to change her career path from nursing. The client states she has been a registered nurse for 15 years‚ is recently divorced and has 4 adult children. The client states she will continue to work as a registered nurse per diem while she acquires more education or skills to pursue a new career path. She has needs to be equipped at providing for her financial needs and to also feel motivated and positive about the new work she will be doing. With her background in nursing she would like to remain within
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Discussion 4: Briefly describe the following issues in nursing as discussed in your text. • Back injuries and Workplace safety • WING USA • Safe Patient Handling (legislative efforts). Workplace injuries are one of the problems facing U. S nurses these days. Most nurses incur back injuries as a result of lifting patients each day leaving nurses disabled. Since they are cumulative effect injuries‚ it becomes very difficult to go for work compensation. Even as Wendy Lasko said‚ “Using this term
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Nursing Theory of Practice Mark A. Berger Walden University Primary Care of Adults Across the Lifespan NURS - 6531N - 6 Dr Brown September 21‚ 2014 Nursing Theory of Practice A common goal for Advanced Practice Nurses (APN) in the healthcare setting is to work towards disease prevention and the management of chronic and acute diseases. Decisions about patient care are driven by the APN with collaboration of the patient. The nurse brings special knowledge and skill sets to the table whereas the patient
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R/s today she meet with the Mr. Brown for a level care assessment regarding his eligibility to be placed in a nursing facility. R/s Mr. Brown definitely qualifies to be a nursing facility. R/s in order for Mr. Brown to be place in a nursing home with Tri-County Hospice he has to qualify for Medicaid. R/s Ms. Isert was responsible for filling out the Medicaid application but has not completed it. R/s today Ms. Isert couldn’t
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