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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How can we keep history from repeating itself and avoid the demise of the DNP like the others did (ND‚ DNSc‚ etc)? In order to maintain doctor of nursing practice (DNP) programs‚ these programs need to stay focused on their originally concepted focus and maintain this focus over time. DNP programs should never be allowed to be an entry-level degree for nurses. DNP programs need to be maintained at a level where the time‚ credits‚ and costs invested in the programs are congruent with the credentials
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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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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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Prevention of Ventilator Associated Pneumonia Abstract Ventilator associated pneumonia (VAP) is a hospital acquired infection occurs in the intensive care unit (ICU) for the patients who are on mechanical ventilator. It further complicates the hospital course by extending the length of stay‚ increase the cost of treatment‚ and increases the mortality rate. It is estimated that about 1% to 3% patients on mechanical ventilator develops VAP per day. Compared to the previous years‚ the Chlorhexidine
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Question 1. A. AIRWAY– Maintaining a clear airway is always considered a high priority because airway is essential for gas exchange (Ramkumar‚ 2011). However‚ the patient has a patent airway. Therefore‚ the nursing strategy is to conduct an airway assessment “look‚ listen and feel” continuously to detect any changes. This is to provide immediate respiratory care if the patient’s airway is compromised (Higginson‚ Jones & Davies‚ 2011). This is a low priority. B. BREATHING – Respiration is altered
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| Ventilator Associated Pneumonia | Heather Heim‚ Erin Lovett and Crystal Inchiocca | | Molloy College | | | Ventilator-associated pneumonia (VAP) is a nosocomial‚ or hospital acquired‚ infection that affects people who need mechanical assistance to breathe. VAP is the leading cause of nosocomial infection and nosocomial related death in adult critically ill patients when defined as new onset nosocomial infection that occurs more than 48 hours after the patient
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Analytic and Continental Philosophy of Ventilator Associated Pneumonia Hospital acquired infections (HAI) have become a major problem for patients’ outcomes and hospitals due to increase costs. The advancement made in medicine‚ technology‚ and general knowledge has increased the life expectancy. With this increase‚ patients are however sicker and have multiple comorbidities that make their care increasingly complex. Barrett‚ Smith‚ Elixhauser‚ Honigman‚ and Pines (2014) researched the utilization
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throughout this process in order to understand potential risks of having a surgical procedure and what should be done if complications occur. That being said‚ I don’t feel like I would really enjoy this type of nursing because a lot of skills were not used. The main skill was a thorough nursing assessment. I enjoyed being in the OR and acutally seeing the surgery but I did not like being in a standing position for a long period of time. I would rather be running around a unit checking multiple patinets
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APPROACHES TO FAMILY NURSING All individuals are affected by their family (Kaakinen‚ Coehlo‚ Steele‚ Tabacco‚ & Hanson‚ 2015). Today nurses realize the importance of the family unit on the overall wellbeing of the individual and by including the family into the patients care‚ it increases the positive outcomes for both (Svavarsdottir et al.‚ 2015). We will review a patient I had many years ago and discuss the child and his health needs in regards to how it affects him‚ his family‚ the family functioning
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