use this situation for my reflection the patient will be referred to as “James”. This is in order that his real name is protected and that confidentially maintained in line with the An Bord Altranais Code of Professional Conduct (2000). James‚ a seventeen year old boy was admitted with a fractured wrist who suffers with schizophrenia. Jame’s condition caused him to have delusions and hallucinations which made him act inappropriately towards other patients and staff. He found it hard to relax and
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Abstract Sepsis remains one of the most deadly diseases in the country. According to the literature‚ a majority of sepsis cases filter though the Emergency department. The diagnosis and treatment of sepsis are complex and the barriers to improving these things are even more intricate but the fact remains that improvement of sepsis care begins in the ED. Early recognition of sepsis using the SIRS criteria followed by multidisciplinary rapid response diagnostic testing and treatment are the keys to
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On January 20‚ 2016‚ I shadowed Sam in the emergency department (ED)‚ which was a great experience full of various chief complaints and patient interactions. Reflecting back on the experience the ED was a fast paced environment. I gained knowledge on how the ED is run‚ the role of a CLS in the ED‚ and how to chart on patient interactions. When Sam showed me how to chart she asked me what I would want to say in a chart note after a patient interaction‚ this triggered thoughts back to our introduction
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brief definition of the essential concepts intrinsic to the topic of therapeutic communication‚ distinct therapeutic nurse-patient relationship. Thereafter‚ it will focus on verbal and nonverbal communication‚ listening‚ understanding‚ empathy and important aspects of confidentiality and privacy. IntroJust as chemistry sciences were adopted as the 20th century medical model‚ patient ’s perspective into a relationship-centered communication has been suggested as appropriate for the 21st century. It
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The main problem is that nurse staffing ration is affecting patient’s safety. Since there is no Nurse Technicians and not enough nurses‚ there is so much to do and not enough resources to help me. One of my patients is complaining of severe abdominal pain and the physician is angry with me because I wasn’t able to bring the equipment to her. One of the actions I would do speak to the physician and explain to her that charge nurse is currently taking care of a serious patient. In addition‚ I will let
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Topic: Therapeutic Nurse-Patient Relationship * Nurse-Patient Communication * Nurse-Patient Relationship * Stages of Development of a Therapeutic Relationship * Nursing Process * Assessment * Nursing Diagnosis * Outcome Identification * Planning * Intervention * Evaluation Reported by: Christine Karen Belga‚ RM‚ RN Therapeutic nurse-patient relationship Communication
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Emergency Room Nurses Face Increasing Danger Emergency nurses are starting to get hurt. According to the Health Promoting Hospitals and Health Services International Conference held in Berlin this year‚ 98 percent of emergency room nurses in the Unites States reported verbal harassment and 67 percent reported physical violence. While in Canada‚ 84 percent of the nurses in the emergency department witnessed verbal harassment once in every shift. While there are 90 percent of them claimed
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The Impact of Nurse Staffing on Patient Outcomes Kelly Adams McCann Drexel University The Impact of Nurse Staffing on Patient Outcomes When my daughter was in the Neonatal Intensive Care Unit (NICU) 11 years ago‚ I was I was blissfully ignorant of patient-to-nurse ratios and budget constraints. I had confidence in the competence of the nurses and believed that they had the time and the tools necessary to care for my child. Now that I’m a nurse myself and I see my support staff numbers cut and
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Economics of an Urgent Care Center in a Market of Emergency Departments One of the contributors to the rising cost of Healthcare can be attributed to the over use of emergency departments (EDs) for non-emergency needs. In the greater Capitol/First/Beacon Hill area there are three major hospitals (Virginia Mason‚ Harborview‚ and Swedish) with emergency rooms and no urgent care centers with the exception of Group Health which is restricted to Group Health insurance members. The question I asked
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PICO Paper: Point of Care Testing in the Emergency Department America’s emergency departments (ED’s) are experiencing a crisis related to overcrowding and long wait times. Thus forcing these departments to function beyond their intended capacity and posing a threat to patient care safety and efficiency. One method of increasing patient flow and improving speed of diagnosis is the introduction of point-of-care technology (POCT). The first documented utilization of POCT is found in an Egyptian papyrus
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