discuss the disparities associated with this culture. I will also discuss how these disparities affect their health status‚ employment‚ and education. I will identify two nursing interventions that will help decrease health disparities on the Appalachians. I will also identify the biggest nursing challenge when implementing the nursing interventions. The Appalachian region spans across 410 counties in 13 states (Newman Giger‚ 2013). The Appalachians have several contributing factors affecting their
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Nursing Diagnosis * Falls‚ risk for r/t diminished mental status aeb fractured R wrist‚ contusions on L knee and forehead‚ unsteady gait‚ “He’s fallen 3 or 4 times now but I don’t want to take away his independence so he lives alone at home”. “My dad often forgets words in mid sentence and will also misplace many of his personal items.” * Activity intolerance r/t hx of CVA aeb limited ROM of R arm. * Incontinence‚ urinary r/t hx of dementia‚ impaired mobility aeb “My dad cannot get
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ic Case 4: Brittany Long Guided Reflection Questions Opening Questions How did the simulated experience of Brittany Long’s case make you feel? Brittany Long’s case gave me the experience of providing care for a patient diagnosed with sickle cell. Initiallly‚ I was unsure on which pain medications to give being that she had orders for acetaminiophen‚ ibuprophen and morphine. I decided to stck with the morphine after retrying since her pain level was severe. Describe the actions you felt went well
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also‚ help the nurse to recognize that family plays a huge role in the well-being of the patients since “family members are the first influence on a person’s view of health” (Grand Canyon Univeristy‚ 2015); therefore‚ they need to be part of our nursing plan in order to better achieve the health care needs of our patients. I have found it very difficult to decide which theory would be the most helpful and effective; they all appeared to have something that appealed to me. My final decision was the
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file for medical case management. Instructions were given to meet with Timothy Blackmore and assist with coordination of appropriate and related medical care‚ and identify needs to facilitate recovery. INTERVIEW SETTING On 6/27/17 I met Mr. Blackmore at the office of St. Joseph Bone and Joint. Mr. Blackmore arrived with his wife. He is alert and oriented. He was open and provided medical history and current status of his right hand. Mr. Blackmore is willing to work with a nurse case manager. MEDICAL
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bathroom and to the shower with minimal shortness of breath Nursing Interventions: 1. Monitor the patient’s oxygen saturation frequently (once per hour) at rest and after exertion on room air 2. Place patient on nasal cannula of 2 liters if oxygen saturation is below 96% 3. Monitor respiratory patterns and auscultate lung sounds 4. Place patient in a position that would facilitate easy breathing (Head of Bed 30 degrees) 5. Schedule nursing care to provide rest and minimize fatigue Rationale:
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on preparing enough primary care providers to handle the increased demand for health care that is about to explode exponentially in the US in 2014. The debate over regulation of the role of APN’s and their reimbursement for the care they provide continues on the state level by both nursing and medical organizations. APN’s have the education and ability to provide safe patient care. The IOM report expresses that access to highquality care can be broadened through increased use of APN’s in Running head: Advance Practice Nurses A Promising Solution
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mobility r/t muscle weakness and disease process self care deficit: dressing and grooming r/t cognitive impairment chronic confusion r/t impaired decision making ineffective coping r/t impaired information processing noncompliance with nursing staff r/t behavior problem due to mental decline impaired verbal communication r/t aphasia-speech deficit risk for falls r/t muscle weakness risk for impaired skin integrity r/t bedridden/chairbound - History of Trauma - Time‚ cause
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Relevance to nursing practice. Death is highly relevant to nursing as the nursing staff faces the death of a patient almost every day (depends on the department they are in). The debate against hiding patient’s prognosis to informing them must be greatly considered. Before considering such action‚ nurses need to know what is best for the patient and what constitutes a good death. The representation of a good death is when one is relief of symptoms‚ open communication is present‚ the individual dignity
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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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