CONCEPT 3 VITAL SIGNS This concept is taken from module 2 titled vital signs assessment techniques Vital signs are observation made by nursing staff it is an act of assessing circulatory, respiratory and endocrine body functions it include temperature pulse, respiratory rate blood pressure oxygen saturation and pain Temperature is hotness or coldness of body as compared with standard scale it the normal temperature is 36.8 to 37.2 It can vary with different condition like during menstruation
patient who has undergone left hemi-arthroplasty due to an intracapsular hip fracture following a fall. The Roper, Logan and Tierney (RLT) model for nursing, in addition to the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach and other assessment tools like the AVPU scale, NEWS and MUST is applied in this study for a systematic assessment and plan of care………………………….. PATHOPHYSIOLOGY The hip joint is the largest joint in the entire human body. It is the ball and socket joint in which
Change of shift report involves two nurses exchanging important information related to each patient admitted. Shift report is necessary to guide the nurse during the plan of care and help the nurse collect any significant history related to the reason for admission. The three types of shift reports include bedside report, phone report and face to face report. Bedside report is the preferred type of reporting, which involves each nurse standing in the patients room and involving the patient during
Discuss how evidence-based practice is applied in your practice setting and describe the desired patient outcome achieved through this approach. What is Evidence-based practice? Evidence-based nursing practice is the practice of nursing in which the nurse makes clinical decisions on the basis of the best available current research evidence, his or her own clinical expertise, and the needs and preferences of the patient. How the EBP is applied in the practice setting? 1. Assess the patient 2.
Perform pain assessment and educate patient methods (e.g. regular rest, distraction and relaxation technique) to relieve pain as well as discuss with her
Albert has a Chest tube (CT) because there was air in his pleural space, which is called a pneumothorax. Albert likely presented with a traumatic pneumothorax on the left side with complaints of dyspnea, chest pain, and decreased breath sounds on the left side. His chest tube is located on the left side and was inserted based on CT scans and X-Rays that indicated a small left sided pneumothorax. Immediately upon insertion Albert’s respiratory status improved and there was scant blood draining
of high quality, safe care and the base of good relationship between the patient and the health care provider. What are the advantages and disadvantages of bedside report? What does HIPPA says about it? Nurse bedside report refers to conducting nursing shift changes at the patient’s bedside to talk about the patient care, and it gives a chance for the patient to meet the new nurse, for the family to get involved, the patient to ask questions, for the nurse to conduct a verbal SBAR report with patient
with dementia were suffering from pain, and that there was a similar prevalence to that found in people without dementia. The earliest studies found that people with dementia were less likely to be prescribed or administered medicines for pain. However a recent study suggests that people with dementia are more likely to be prescribed and administered medicines for pain. Several studies have found that nurses and carers may not feel confident about recognising pain in dementia and lack of knowledge
Nursing Diagnosis (at least 2) Planning (outcome/goal) Measurable goal during your shift (at least 1 per Nursing diagnosis) Prioritized Independent and collaborative nursing interventions; include further assessment, intervention and teaching (at least 4 per goal) Rationale (use APA citations) Evaluation Goal Met, Partially met, or not Met and Explanation Change in normal bowel habits related to loss of rectal sphincter control secondary to cerebrovascular accident as evidence by patient unable
Comprehensive nursing assessment of the older adult includes a thorough review of past medical, surgical, and family histories. The nurse should ask a client about current medications, particularly diuretics, beta-blockers, anticonvulsants, antihypertensives, and steroids. Patients bringing in their prescription and over-the-counter (OTC) medications would help the nurse assess for potential problems related to drug interactions or for drugs that alter blood glucose levels. The nurse should determine