As the nurse manager of a 30-bed medical-surgical unit‚ you have just received the results of the quarterly patient satisfaction survey. The satisfaction scores for your unit show an ongoing decline over the past three reporting periods. You also look at your unit’s satisfaction scores as compared with other units in the hospital and realize that the scores for your unit are now lower than those of most other units in the hospital. As you begin to ponder the meaning of these data‚ you receive a call
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PATHOPHYSIOLOGY FOR THE HEALTH PROFESSIONS CHAPTER 6: FLUID‚ ELECTROLYTE‚ AND ACID-BASE IMBALANCES Fluid Imbalance Review of Fluid Imbalance -Water carries nutrients into cells and removes wastes‚ transports enzymes in digestive secretions‚ and moves blood cells around the body. Fluid Compartments -Approximatley 60% of an adult’s body weight consists of water -Infant’s body weight is about 70% -Fluid is distributed between the intracellular compartment (ICF)‚ or fluid inside the
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Upper airway obstruction condition in which sites of anatomic narrowing such as the hypo pharynx at the base of the tongue and the false and true vocal cords at the laryngeal opening are obstructed. Vasogenic edema an accumulation of fluid in the cerebrum that is typically caused by an increase in capillary endothelial cell permeability and usually occurs near a tumor. Ventilation-perfusion ratio (V/Q) the relationship between ventilation and blood flow in the lung that is measure by calculating
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Case Study on Placement of Older Adults Healthcare Issues In Mr.Trosacks case study‚ there are several areas in which the case manager needs to address when planning for Mr. Trosacks discharge. To begin‚ the primary focus should be on proper care for a post op patient. This would include but not limited to; pain management‚ his ability to perform ADL’s and his accessibility and safety in his apartment. Education on his recent surgery and limitations he will now face and the
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FUNDAMENTAL OF NURSING PROCEDURE MANUAL for PCL course Nursing Department‚ Khwopa Poly-Technic Institute ＆ Japan International Cooperation Agency (JICA) Fundamental of Nursing Procedure Manual Published by: Japan International Cooperation Agency (JICA) Nepal Office Block B‚ Karmachari Sanshaya Kosh Building Hariharbhavan‚ Lalitpur‚ NEPAL (P.O. Box 450‚ Kathmandu‚ NEPAL) Tel:(977-1) 5010310 Fax:(977-1) 5010284 All copyright reserved by JICA First Edition: March‚ 2008 Re - print: November
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Introduction There is an increasing emphasis of the importance of the role of nurses as educators and therefore is important to have an understanding of how to implement a teaching plan in clinical practice. Education of patients and family is the professional responsibility of the nurse. The nurse should aim for the patient to achieve independence in the management of their own health. This assignment will compromise of a proposed teaching plan regarding self-administration of sub-cutaneous insulin
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essential to me. My professional aspiration is to become an Informatics Nurse specialist. The reason why I want to become an Informatics Nurse is because I enjoy working with the information technology. I have been working as a Registered Nurse since last sixteen years and have worked in different areas. Now I would like to uplift my career and wants to become an Informatics Nurse. Throughout my career in nursing I found out that Nurse informatics specialists are at the front position of transforming technology
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supported them. Yet many practitioners keep performing them‚ despite recent research that suggests they should be changed. This article examines these three practices critically. Instilling NSS before ET suctioning: Helpful or harmful? For years‚ nurses and respiratory therapists have been taught to instill 5 ml of sterile NSS into a patient’s endotracheal (ET) tube before suctioning. According to the traditional theory‚ this practice decreases mucosal viscosity‚ eases secretion removal‚ and improves
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Anemia August 11‚ 2011 (Kansas City‚ Missouri) — Taking less blood from acute-MI patients for diagnostic tests may improve patient outcomes by reducing the risk of hospital-acquired anemia‚ a new study published online August 8‚ 2011 in the Archives of Internal Medicine suggests [1]. Multiple studies have shown that hospital-acquired anemia is associated with greater mortality and worse health status in patients with acute MI‚ but the relationship between diagnostic phlebotomy and the risk of hospital-acquired
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Management Principles and Theories 1. Absorptive Capacity Theory This theory pertains to the ability of the organization to absorb and acknowledge the importance of new information and updates that will help improve the efficiency of each member of the organization. An organization that can adapt to changes‚ learn new knowledge and is able to incorporate these to every member of the organization yields better results rather than an organization that does not value new knowledge and remains
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