Case Summary Client Identifying Data This client is a 73 year old Caucasian male who is a resident of a nursing home. He is alert and oriented and able to make his own decisions. He is receiving Medicaid benefits as a nursing home resident. He has been married twice‚ and his second wife is still living. The couple has children from previous marriages but do not share children with each other. He has been residing in the nursing home for about 3 years due to having a stroke which left him with a tracheostomy
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CTR is a 51 year old woman who is divorced and lives with her son and granddaughter. She works a full-time job as well as a part-time job to make ends meet. She struggles everyday with high blood pressure‚ type II diabetes and multiple other musculoskeletal problems‚ but one thing she does not struggle with is her faith. Upon meeting with her and performing the spiritual assessment (Balzer-Riley‚ 2008) using the tool as assigned CTR consented to an assessment of her spiritual health. It was very
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developmental process combining recommendations based on evidence and expert opinion. The process must be implemented with safe practice and with transformational nurse leaders. Training nurses to look for and appraise evidence is an important part of nursing education. The addition of specialized nurse educators and experts to provide seminars that are readily accessible could be utilized. Promotion of professional practice associations could greatly improve implementation of evidence based practice
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Between Kolcaba’s Comfort Theory And Orthopedic Nursing by Myra D. Iliano St. Joseph’s College of Maine NU 500 Conceptual Bases for Nursing C. Andrew Martin‚ Instructor March 1‚ 2012 Abstract Katherine Kolcaba’s Theory of Comfort establishes a framework for care provided by the nurse by defining the state of comfort as it exists in various forms and contexts. The achievement of optimal health through the relief of pain is asserted as the foundation of all nursing care (Kolcaba‚ 2003). That
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A REFLECTIVE PIECE ON A PATIENT WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. In this reflective piece of writing I will be explaining how chronic obstructive pulmonary disease (COPD) affects the patient physically‚ psychologically ‚and socially ‚I will also explain how the disease affects his daily routine and how it impacts on his family life. I will give an overview of the clinical signs and symptoms‚ how the disease alters the pathphysiology of the lungs‚ and what these changes cause within
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Nursing is a profession within the health care sector focused on the care of individuals‚ families‚ and communities so they may attain‚ maintain‚ or recover optimal health and quality of life. Nurses may be differentiated from other health care providers by their approach to patient care‚ training‚ and scope of practice. Nurses practice in a wide diversity of practice areas with a different scope of practice and level of prescriber authority in each. Many nurses provide care within the ordering
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Case studies have been great tool for me to learn evidence based nursing that will be put into nursing practice. Retrieving information‚ recognizing deviations from “normal”‚ interpreting and prioritizing data to plan patient specific interventions are all skills that I have developed from case study analyses. Different from SIM where we have to think on our feet and rely on the skills that we have learned‚ theory case studies are written‚ allowing us to track a nursing issue through all the stages
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unionized. The Carolan (2000) academic journal‚ explains that non unionized nurses are not allowed to walk off the job. This group of nurses would have to comply with the terms of the workplace and file a grievance at a later time (Carolan‚ 2000). Such management grievances are often resolved
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Today marked my seventh clinical day on the floor at UH Ahuja. My patient assigned to me was a female admitted for hematemesis‚ which means the presence of blood in vomit. I learned that her hematemesis was caused by a GI bleed secondary to a gastric ulcer. The vomit was described as coffee ground texture and color. I looked into it and discovered that it could be an indicator of an upper GI bleed. I talked to Stephanie about this‚ and she confirmed this. She also asked me which labs to watch out
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involved in this model are assess‚ link‚ synthesize‚ design‚ implement and evaluate‚ and integrate and maintain. In this case‚ we have identified problem i.e. increased incidence of UTIs. According to the model‚ we will need to assess the need to change the current practice of the clinic. The data should be collected on the clinic’s current practice‚ which
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