documentation is an important part of nursing practice‚ in the clinical setting (Perry & Potter‚ 2014). One of the fundamental aims for nurses in all areas is to safeguard the welfare of their patients through proper documentation ((Nursing and Midwifery Board of Australia - Codes and Guidelines‚ n.d). This can be achieved by implementing and upholding good documentation practice through progress notes writing in every healthcare department specifically nursing (Miller & Cameron‚ 2011). In this briefing
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Nursing model is a collection of ideas‚ knowledge and values about nursing which determines the way nurses‚ as individuals and groups‚ work with their patients or clients (Hogston et al. 2002). Models therefore help nurses to organise their thinking about nursing and then set about their practice in an orderly and logical way (Hogston et al. 2002). A nursing framework is a structure used to organise care given to patients (Siviter‚2))000) This essay will explore a needs orientated approach to
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Therapeutic Communication Jane Vuong‚ a 24 year old Vietnamese undergraduate student was admitted into the hospital Emergency Department presenting with anxiety‚ difficulty speaking‚ breathing and dusky lips following severe chest tightness during an exercise session at the local martial arts school. On examination she had a wheezing sound when breathing. She has no history of asthma but says she has some allergies which she treats with herbs. Her colleague who brought her to the emergency room also
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“Nursing Care Plan for Mechanically Ventilated Patient” Alexandra Diaz ITT Technical Institute NU270 NURSING CARE PLAN Assessment: Mechanically ventilated patient requiring sedation as evidenced by patient’s increased agitation. Nursing Diagnosis: Ineffective Airway Clearance r/t presence of artificial airway. Planning/Interventions: • Auscultate lung sounds bilaterally q1 to 4 hours. “Breath
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Nursing Care Plan Assessment | Nursing Diagnosis | Rationale | Objective/s | Nursing Interventions | Rationale | Evaluation | OBJECTIVE:Clinical jaundice evident within 24 hour of birth | Risk for fluid volume deficit related to phototherapy | Phototherapy enhances the excretion of unconjugated bilirubin through the bowel. | The infant will exhibit no signs of dehydration‚ clear amber urine output of 1-3 mL/kg/hr‚ and will display appropriate weight gain. | 6. Initiate early feedings and offer
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Nursing Care Plan Problem: Impaired Ventilation | Assessment |Nursing Diagnosis |Planning |Intervention |Rationale |Evaluation | |Subjective: |Impaired spontaneous ventilation |Within 8hrs of nursing |Independent: | |
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DEGREE NURSING RNSG 1341 COMMON CONCEPTS OF ADULT HEALTH Original Spring 2001 Revised May 2012 Revised Spring 2013 MISSION The San Jacinto College Central Campus Department of Associated Degree Nursing (ADN) will provide an educational environment of the highest standards‚ to prepare graduates committed to excellence in nursing practice
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The History Behind Nursing Informatics Jackie Bailey Colorado Christian University Prof. L. Rieg CIS312A: Final Paper September 26‚ 2012 The History Behind Nursing Informatics Nursing informatics (NI) has become a vital part of healthcare delivery and has become a defining factor in the selection‚ execution‚ and assessment of technology that supports safe‚ exceptional quality and patient-centered care. Nursing has become so uniform. The data in patient records has become a valuable
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Nursing Case Study I. Health HistoryThe subject of my case study is W. K. W.K. is a 95 year old white male who was admitted to Moses Cone Hospital on November 23‚ 2002. Prior to being admitted to the hospital‚ W. K. had been in excellent health. His troubles apparently began three weeks prior to being admitted. On November 23‚ W. K.’s son found him lying on the floor confused‚ and soaked in urine. Mr. K. was diagnosed as having an acute cerebral vascular accident. This disorder can also be described
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delivering information‚ knowledge‚ and caring patients. Organizations rely on information systems to carry out and manage their operations‚ interact with their customers (patients) and vendors‚ and compete in the marketplace. * For instance‚ a health care organization like Kaiser Permanente uses information systems to reach their potential customers with targeted messages over the Web‚ to process‚ and to manage their health records. * An example web site kp.org enables patient’s to access their
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