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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with the patient. As a nurse‚ I must assess the patient’s age‚ cultures‚ level of understanding and readiness to learn. The age of my patient can make a difference. When dealing with a young mother‚ there is a lot of teaching to be done especially if she is a first-time mother. I want to be able to level my teaching with my patient’s age level‚ in a way that she can feel being respected and acknowledge accordingly. When it comes to being a mother‚ cultures have some effect on teaching a patient as well
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Patient Advocacy: How it affects the delivery of patient care Geneva Heath NR 451: Capstone Course Melanie Gawlik July 7‚ 2011 Introduction There tends to be a major direct affect that patient advocacy has on the delivery of health care. For a patient to be able to address their health care needs‚ their rights to health care‚ and making sure that they are being treated fairly are important issues and it only seems right for these patient ’s to have a voice other than their own in order
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provided to hospitalized patients. Patients who are unable to bathe themselves are dependent on nursing staff for their hygienic needs. This population includes patients who are unable to care for themselves due to physical limitations such as age‚ bowel or bladder incontinence‚ injury and illness. The traditional bathing technique of soap and water provides good hygiene but dries out the skin. The use of wash clothes produces friction‚ is abrasive and leaves the patient at risk for skin breakdown
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Patient advocacy requires nurses to support and protect their patients. Nurses often find themselves in ethically questionable situations that conflict with their personal and professional morals. Sometimes‚ speaking out for the patient requires them to demonstrate moral courage—for instance‚ in the face of conflicting loyalties‚ in highly charged conflict situations‚ or when the patient’s rights are being violated. This article provides an overview of moral courage‚ defines important terms‚ examines
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Patient confidentiality In a television episode of ER which aired on NBC in 2000‚ Carol Hathaway became aware of risky sexual behaviors that had led to a 14 year old girl having a sexually transmitted disease (STD) and cervical cancer. Prior to finding this information out‚ Carol Hathaway had promised the patient that she would not tell anyone about whatever the patient discussed with her. But upon realizing the high risk of the girl’s behavior‚ Carol Hathaway came to find herself in a dilemma of
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solving skills. Reasoning is inductive. Can use numbers beyond 100 with understanding. Can do simple fractions. Patient is talkative and understands the hospital setting and his illness. He speaks about his personal life and communicates his needs. Patient was in pain and did not want to ambulate; however‚ he had been told that he needed to walk in order to go home. Patient used logical thinking and ambulated so he
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This paper explores different peer-reviewed articles that attempts to shed some light on the phenomenon of the lived experience of patients with cancer; supporting the fact that individuality is a huge factor in the care of cancer patients. Manu types of cancers exist and patients should be treated as individuals versus as a disease or diagnosis. As oncology nurses we accumulate knowledge on a daily basis that may be revised in practice. Therefore‚ it becomes our innate duty to visit the literature
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A young Canadian nurse‚ a Sikh bomb disposal expert‚ a thief turned spy‚ and a man burnt beyond recognition‚ meet in the last moments of the Second World War. The identity of the patient is the heart of the story as he tells his memories of a doomed love affair in the North African desert. Love and passion are set against the devastation of war in this inspired novel by Canadian writer Michael Ondaatje. It is a novel of revelation‚ and just as the identity of the English patient is slowly revealed
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For patient abandonment to occur‚ the nurse must: a) Have first accepted the patient assignment‚ thus establishing a nurse-patient relationship‚ and then b) Severed that nurse-patient relationship without giving reasonable notice to the appropriate person (e.g.‚ supervisor‚ patient) so that arrangements can be made for continuation of nursing care by others. A nurse-patient relationship begins when the responsibility for nursing care of a patient is accepted by the nurse or certified nursing
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