...Implement and monitor nursing care for clients with acute health problems. Contribute to complex nursing care of clients. Administer and monitor medications. Administer and monitor IV meds. Assessment 2 Post-op Case Study Assessment 2 Question 1. Identify a minimum of 5 nursing actions, in order of priority you would perform related to above information. Mrs Abu has had a considerable change in her vital signs (blood pressure lowered, her pulse is rapid, her respirations increased and temperature has dropped) form the baseline taken before surgery. These findings alone would be reported to the Registered Nurse and monitored. But because of the changes in vital sings, coupled with Mrs Abu reporting light-headedness and nausea, plus her significant blood loss form the surgical wound, you would be assessing for hypovolemic shock which can be life threatening. As the nurse you would be seeking assistance immediately, assessing her airway, breathing and circulation. Applying oxygen, applying pressure at the surgical site and continuing to monitor (airway, breathing, circulation) and vital signs until help arrives. Mrs Abu should be given nil by mouth as she may return to surgery (Gulanick, Myers, Klopp, Galanes, Gandishar & Puzas 2003, p.329). Question 2. Complete the interventions and rationale in Mrs Abu's care plan related to the following diagnosis |Nursing Diagnosis |Interventions |Rationale ...
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...strategic plan is “the sum total or outcome of the processes by which an organization engages in environmental analysis, goal formulation, and strategy development with the purpose of organizational growth and renewal”, (p. 228). Establishing a vision for the future is the first step in creating a strategic plan. Whether it is for an individual, an institution, or a profession a strategic plan can identify the strengths and weakness that are present, discover opportunities and pinpoint gaps (Drenkard, 2012). I recently took a road trip to Wisconsin from Missouri for my nephews wedding, and one of the first things I did was strategically plan for that trip. I assessed a variety of possible routes and determined the best course to get me where I wanted to go. I would not ever dream of driving off in my car to an unknown area without first having a plan and knowing the exact direction to take, however I have unknowingly done this with my nursing career. I go to work daily and rotely perform my duties that are expected of me with the goal of making it through my shift, but as far as having a strategic plan for my future in nursing during this challenging time for the profession, I do not have one. The facility I am employed does have a strategic plan, but it has only been in the past five years the plan has been openly discussed and published. Because of recent low nurse satisfaction rates, and high turnover rates, staff nurses were asked to participate in developing a new strategic...
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...Nursing Theory Plan of Care Nur/513 May 16, 2011 Introduction Nursing theories describe and explain the phenomena of interest to nursing in a systematic way in order to provide understanding for use in nursing practice and research. Nursing theories provide a framework for nurses to systematize their nursing actions: what to ask, what to observe, what to focus on and what to think about. They provide a framework to develop new and validate current knowledge. Researchers use nursing theories to define commonalities of the variables in a stated field of inquiry, guide nursing research and actions, predict practice outcomes, and predict client response. Analysis of the Congruence and Theoretical Statements Henderson define nursing as helping people, sick or well, in the performance of those activities contributing to health and its recovery that they would perform unaided if they had the necessary strength, will or knowledge (Fitzpatrick & Whall, 2005). It is the function of nurses to help people become independent as rapidly as possible. She saw how nursing could focus on the patient and on developing a good nurse-patient relationship. She believed that the patient-focused nursing was the most beneficial kind of nursing. Henderson emphasized the use of nursing care plan. To develop effective care plan, collection of necessary information is important. She developed the 14 Basic Needs in her Theory (Fitzpatrick & Whall, 2005) as basis of individualized nursing...
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...Influences Jennie Golden-Wear Aspen University Concepts and Theories in Nursing June 04, 2012 Applied Conceptual Influences Nursing theorist have over time provided incredible structure by conceptual influence in developing theory utilized in nursing education and practice. This paper will explore a variety of nursing theories including that of Florence Nightingale, Virginia Henderson, and Lydia Hall. Developing care plans and referencing case studies, the theories of Hiligard Peplau, Joyce Travelbee, and Ida Jean Orlando will also be observed. This exploration is meant to enlighten the reader of theories structuring nursing as a practice. Case study #1 The following case study is based on community healthcare visitation to a home for a post-partum follow-up involving a young woman, Isabel. Isabel was a mother of two children, Jerry her two-year old son and Pearl her three-week old daughter. The scene of Isabel’s unclean, ill maintained, single room and so-called home now, was a challenging observation for the visiting nurse. Despite the horrendous site of an overflowing box of dirty cat litter, the dirty diapers, dried food, and spoiled bottles of formula; the nurse was drawn to the values of Florence nightingale. This approach allowed a great deal of compassion for the depressed, frustrated, and exhausted young mother. Fostering receptivity would be a priority in creating a plan of care. First, the nurse knew she must gain Isabel’s confidence in her skill, noting...
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...Strategic Planning and Nursing Process Every decision-making process requires the basic steps of problem identification, intervention and evaluation. In healthcare, both the nursing process and strategic planning involve proper identification of a problem, gathering of data, formulating a plan, and deciding which intervention is the best to implement. After the intervention, evaluation is necessary. Strategic planning and the nursing process both are essential when developing medical informatics. The goal of this paper to identify the nurse’s role in both strategic planning and the nursing process, describe the differences between them, and how nurses can become more involved in strategic planning in informatics. Differences Between Strategic Planning Process and the Nursing Process Strategic planning is a process that focuses on the organization’s vision for the future. It is a management tool that aligns the organization’s vision with its mission, values, long-term goals, services, people served and resources. It also includes setting policy guidelines. It is a long-term process, where reassessments are made based on the internal and external changes occurring with the organization. (Hebda and Czar, 2013). Successful strategic planning is vital to the survival of a healthcare organization, given the competitive market and changing health care reforms. Strategic planning is led by the organization’s chief executive officer (CEO) and board of directors and work with a diverse...
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...Running Head: Self-Care Deficit Theory Concept Analysis: Self-Care ABSTRACT Dorothea Orem’s Self-Care Deficit Nursing Theory has been used as a basis for nursing care since she first proposed the theory in 1959. The focus of this paper is to define the Self-Care Theory in broad terms and to analyze the concept Self-Care Deficit Nursing Theory using the Chinn and Kramer “Integrated Theory and Knowledge development in Nursing” process. The SCDNT is an important theory in nursing and helps to guide the nursing process and improve patient care with measurable results. It is also an important theory for developing curriculum in nursing schools and has proved invaluable to care providers when performing self-care for others. 1 In 1959 Dorthea Orem, a nurse from Baltimore, Maryland, developed the theory of Self-Care defined as a condition that “in an adult is the absence of the ability to maintain continuously that amount and quality of self-care which is therapeutic in sustaining life and health, in recovering from disease or injury, or in coping with their effects. With children, the condition is the inability of the parent (or guardian) to maintain continuously for the child the amount and quality of care that is therapeutic “(Orem, 1995, p.53-54). Orem posited that to determine if people need nursing care then it is “ the inability of persons to provide continuously for themselves the amount and quality of required self-care because of situations of personal health” (Orem...
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...and BSN Competencies The nursing as a profession has grown tremendously since the days of Florence Nightingale. Although nursing has developed to be such a broad spectrum of specialties, the core nursing values that focus on the patient and service to the patient have only been strengthened as nursing holds core truths to be the basis of the profession. Nursing as a profession has grown in response to the needs at hand. In 1983 the National Commission on Nursing Implementation Project (NCNIP), completed a three year project to provide leadership for the nursing’s future (AACN-AONE, 1993, sec. I, Background). The main goal of the project was to create competency based statements of practice for ADN and BSN nurses. This resulted in differentiated competencies. The ADN prepared nurse provides direct client care to those with common and well-defined nursing diagnosis, practices within a structured setting where policies procedures and protocols provide provisions for healthcare, uses basic therapeutic communication skills with clients, coordinates client focused needs and care with other health team members, recognizes client needs for information and teaching plans, acknowledges that research influences nursing practice, assists in data collection procedures, maintains accountability for own practice and aspects of care delegated to peers and licensed practical nurses or unlicensed assistive personnel, plans and implement nursing care consistent with the overall admission...
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...on a holistic level. This essay will review three recent journal articles from professional nursing organizations on how the roles of nurses has evolved in regards to health promotion, specific ways that nurses implement methods of health promotion, as well as the primary, secondary, and tertiary levels of health promotion prevention. Promoting health in Nursing Health can be considered as physical, spiritual, mental, and social functioning of human beings (Edelman, Kudzma, & Mandle, 2014). Cultural and religious beliefs can also influence health promotion, as well as environmental factors that may pose risks for individuals who are unaware. The purpose of health promotion in nursing practice lies in the fact that nurses are on the front line of educating, implementing, and enforcing health promotion in all aspects of life to their patient’s. As the health care system continues to evolve and change, so does the role of nurses and all interdisciplinary staff that are directly involved in patient care. The doctors knew the job of the nurse years ago was more of an assistant, to use when they needed. In today’s world, nurses are the hubs in which all care in centered. Nurses have exceptional assessment skills, which are utilized in the industry to obtain thorough histories on each patient they encounter. Doctors, and therapists rely on these assessments in order to form a plan of care,...
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...Educational Preparation in Nursing INTRODUCTION The increasing demands for health care pave the way to open the door of opportunities for individuals encouraged to enter nursing schools. Various educational pathways have been made available to students who wanted to pursue a career in nursing. Registered Nurses (RNs) typically complete a program of study at a community college, diploma school of nursing or a four-year college or university and are required to pass a nationally standardized licensing exam in the state in which they begin practice. The essential core of their nursing practice is to deliver holistic, patient-centered care that includes assessment and monitoring, administering a variety of treatments and medications, patient and family education and serving as a member of an interdisciplinary team. Nurses care for individuals and families in all phases of the health and wellness continuum as well as provide leadership in health care delivery systems and in academic settings (Medicine, 2011). Associate Degree in Nursing (ADN) graduates have a proven track record for providing safe bedside care for clients from the first day they are hired. They function well as team members and, after a period of orientation, can assume responsibility for the care of clients who are more acutely ill (Catalano, 2009). Baccalaureate Degree in Nursing (BSN) prepared RNs provide an additional focus on leadership, translating research for nursing practice, and population health;...
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...This essay will examine the challenges of managing Mr. W. Fountain nursing problem on his immobility condition. Developing a care plan for Mr. W. Fountain to aid his recovery due to stroke; resulting to mobility problem. Although, mobility as a result of stroke will be the main focus of this essay but I will also briefly explain the process of developing an effective care plan. I will be relating it to my anatomy and physiology knowledge and show why dealing with my father’s stroke condition some twenty seven years ago make Mr. W. Fountain condition more personal to me. At this stage, I will like to highlight that the nursing management for Mr. W. Fountain will be based on the use of Roper Logan Tierney model in practice. (2003). I will be applying the nursing process that includes delving into the phases and cycle of nursing assessment, planning, implementing and evaluating (APIE). At the implementation stage, a care plan with appropriate objectives, implementation steps and evaluation strategies will be drawn in ensuring that his care is more focused on his needs. I will also be using a range of assessment tools: such as waterloo score and strip, trips and fall. Dignity and respect of Mr. Fountain will be maintained all through in this essay. In conclusion a copy of care, feedback from the Lecturer and reflective summary will be attached. According to Glasper and Mcewing (2010) Stroke occurs if there is an interruption of blood flow to part of the brain. Without blood...
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...and the Nursing Process Paper Nursing practice now requires that nurses be involved in strategic planning process. Strategic planning is a process by “which the guiding members of an organization envisions its future and develop the necessary procedure and operations to achieve that future (pg242).” This paper compares the strategic planning process with the nursing process. Strategic planning there is a process used to keep you on track determines a position and develops a strategy, build a plan, and manage performance. In strategic planning, you have a vision, mission and values with long-term objectives and goals. Strategic planning internal and external stakeholders must involve reaching their goals. You analyze your organization’s external and internal environment SWOT (strength, weakness, opportunities, and threats) analysis. Strategic planning is an organizationally based plan that is guided by information systems for long-term comprehensive plans, which is a process that is going. The nursing process is a plan that uses problem-solving to identify and treat the client’s problem by assessing, planning, implementing and evaluating. Which requires critical thinking skills as the nurse delivers holistic patient-centered care. Nurses can implement the nursing process by documenting the nursing procedure and managing the delivery of nursing care. The strategic planning and the nursing process are similar in that both make assessments, but strategic planning guides plans for an...
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...Watson's Theory of Human Caring Iris Wilkins University of Phoenix Nursing Theory 403 Dr. Elizabeth Wider May 12, 2014 Watson's Theory of Human Caring Dr. Jean Watson was born in Appalachian Mountains of West Virginia in the 1940s. She graduated from the Lewis Gale School of Nursing in Roanoke Virginia in 1961.She progressed through her nursing education by obtaining her bachelor’s degree in 1964, a master of science in nursing in psychiatric and mental health nursing in 1966, and a Ph.D. in educational psychology and counseling in 1973, all from the University of Colorado at Boulder. (McEwen & Wills, 2007). Today she serves as a legendary Professor of Nursing and holds an endowed Chair in Caring Science at the University of Colorado and is a Fellow in the American Academy of Nursing. She is the author of more than 14 books on caring and holds six honorary doctorates. Recently she founded Watson Caring Science Institute, a nonprofit organization developed to help spread her nursing theory and ideas. (Cara n.d.). In 1979, Dr. Watson established the Theory of Human Caring, her theory is the cornerstone guiding personal and professional nursing practices today. Her philosophical beliefs are based on morals/ethics and grounded in a foundation of having love for your fellow man. Her theory has three primary concepts, carative factors, transpersonal caring relationships and caring occasion or caring moment. Watson (1988). “According to Watson (1988) a caring...
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...Transcultural Nursing Model Transcultural Nursing Theory Transcultural Nursing Theory was developed by Madeleine Leininger. The theory first appeared in Leininger’s publication in 1991 but the theory itself was developed in the 1950s. Early in her nursing practice, Madeleine Leininger through observation, recognized that there was an important component of patient care that was missing. She noticed the lack of recognition and integration of patient’s cultural background into their plan of care. She recognized that patient’s cultural background influences their responses to health and illness and more importantly she believed that part of viewing the patient as a whole is taking into account their culture and cultural background in developing a plan of care. Her theory attempts to provide culturally competent nursing care through “cognitively based assistive, supportive, facilitative, or enabling acts or decisions that are mostly tailor-made to fit with individual, groups, or institution’s cultural values, beliefs, and lifeways.” The goal is to improve health outcome for people who are of different cultural backgrounds. Transcultural Nursing Theory has 3 components to it, the assessment, nursing care plan and evaluation. Leininger believed that a culturally friendly care for the patient begins with a culturalogical assessment which take into consideration the cultural background of an individual patient in relation to his or her health experience. This assessment also require...
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...Developing an Effective Health Care Workforce Planning Model Contents Executive Summary...................................................................................................................1 Getting Started with a Workforce Planning Model .................................................................2 Data – Collecting, Understanding, and Using ........................................................................3 Strategy – Understanding and Addressing the Business Need .............................................9 Planning – How to be Prepared for the Future .....................................................................12 Evaluation – Understanding Success ..................................................................................21 Conclusion ...............................................................................................................................23 Literature Review ....................................................................................................................24 Acknowledgements.................................................................................................................26 Executive Summary is aging at a rapid rate; health care reform is expected to bring millions more patients into the system; and there are anticipated shortages in numbers of trained health care professionals to care for these patients. Therefore, the need to start now to develop more effective and efficient...
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...Nursing Process The nursing process is a systematic and organized way nurses are required to give care to patients at a hospital setting. Nursing process follows a simple rule flexible rule by using the acronym ADPIE, it stands for accessing, diagnosing, planning, implementing, and evaluating. The purpose of the nursing process is to build on nurse’s critical thinking skill, allow for nurses to think outside the box and most importantly to provide excellent services to patients every time. Accessing in terms of nursing process refers to the gathering of information about a patient, objective information (directly from the patient) or subjective information (from family, friends and electronic health record). The next stage of the nursing process is the diagnosis, the nurse takes the information from the assessment, analyzes the information and through critical thinking process the nurse creates an intervention. The next phase is the planning, the nurse prioritize which diagnoses need to be focused on. A nursing diagnosis is different from a medical diagnosis because the nursing diagnosis focuses on the problem that results in the disease process and medical diagnosis focuses on the disease process alone. According to American Nurses Association the planning phase is based on the assessment and diagnosis, the nurse sets measurable and achievable short- and long-range goals for this patient that might include moving from bed to chair at least three times per day; maintaining...
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