...there are less medication errors and greater positive outcomes for the patients. The Nurses holding BSN degree have shown that they have decreased the risk of patient’s death. This topic will focus on the differences between ADN and BSN nursing care, based on the example of treatment a patient receives from both types of nurses. Associate Nurse An Associate degree nurse is a nurse with 2 to 3 years nursing training. Graduate of this program is qualified to take the NCLEX to become a registered nurse. An Associate degree nurse has many roles such as teaching the patient about their conditions, assessing the patient’s condition, care plans, doctors’ orders, treatments, and medication. Some of the responsibilities that ADN nurses have are supervisory of the LVN, LPN, CNA, and other healthcare workers. ADN nurses thrive with more independence along with more complex situations with lots of ill patients. Baccalaureate Nurse A Baccalaureate Nurse is represented as a nurse with 4 to 5 years nursing training. Graduates of this programs are qualified to take the NCLEX exam to become a registered nurse. BSN nursing includes the role of assessing, communicating, teaching, leading, critical thinking, providing care, and strong communications between nurses, doctors to go along with great problem solving. BSN nursing practice including health promotion, early detection of health deviations, disease prevention, and adequate treatment of the patients and response...
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...INTRODUCTION This essay is all about discharge care planning and will be discussed in two parts, the first part will highlight patient profile, assessment and discharge care planning with evidence based rationale using a framework based on Roper- Logan-Tierney (2000) model of nursing which involve giving nursing care holistically by using 12 activities of living (AL) and also incorporate nursing process to carry out care plan in this essay, which are maintaining a safe environment, communicating, breathing, eating and drinking, eliminating, personal cleansing and dressing, controlling body temperature, walking and playing, mobilising, sleeping expressing sexuality and dying. Also with the above mentioned framework, factors influencing the activities of living which include biological, psychological, socio-cultural, environmental and political economic will be considered. Also demonstration of how discharges are planned and problems identified will be discussed, which will involve members of the multidisciplinary team (MDT) and their roles in the patients care, education and support for family/carers. The second part will explore how recent health service legislation has influenced this care plan and its impact on caring of older people with long term condition. In this essay, issues on professional values according to Nursing and Midwifery Council (NMC) Code of Professional Conduct (2008), which include consent, confidentiality, respect and dignity will be undertaking. For the...
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...more on the problem of dysphagia and the patient’s needs related to this particular problem. Dysphagia is a condition in which the action of swallowing is either difficult or where the swallowed material seems to be held in its passage (McFerren 2008). The assessment, planning, implementation and evaluation (A.P.I.E) of the patient on admission and discharge will be discussed in further and more precise detail throughout the essay while maintaining the dignity and respect of Mr. Smith. This health problem was chosen due to personal experience with family members who have suffered stroke as well as working with patients on practice placement, and seeing how important it is to respect the person as an individual and to give them the holistic care they deserve and allowing them what independence they have left. Finally the essay...
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...Running Head: NEWBORN ASSESSMENT AND CARE PLAN Newborn Assessment and Care Plan Newborn Assessment On 1/29/09, at 0610, 39 week gestational age, 7lb 4.6oz, black male was born to 18 year old mother. Infant born via vaginal delivery with assistance of vacuum extraction, nuchal cord x1 noted. Mother received adequate prenatal care beginning at 8weeks. Prenatal medications included Iron supplements and prenatal vitamins. Prenatal complication included pregnancy induced hypertension. Onset of labor 0647, full dilation 1705, and delivery of infant at 1810. Apgar scores 6/8.Weight 3305gms, length 20 inches, head circumference 12 inches, chest circumference 12 ¾ inches, abdominal girth 12 inches. The infant is alert and active. Anterior fontanel is soft and flat. No oral lesions. Head caput/ molding, elongated with edema, abrasion noted from suction. Color is pink and changing all over (African American.) Skin is warm, dry, and well perfused. No rashes, vesicles, or other lesions noted. Birthmark present on forehead approximately 2cm. Bilirubin test ordered. Lanugo present. Hair pattern is scattered evenly all over, fine texture and moderate amount. Eyes symmetrical and in midline. No discharge present from eyes. Eyes move from left to right and sclera is white. Eyebrows are fine and symmetrical. Nose is patent and midline. Ears present symmetrically. Mouth midline. Gums and tongue pink and moist. Cheeks symmetrical with no lesions. Saliva present. Chin well aligned on face...
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...Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease (COPD) is an irreversible debilitating disease of the airway that is currently the fourth leading cause of death in the United States and is rising. Chronic obstructive pulmonary disease is treatable but currently there is no known cure and it is a major cause of morbidity and mortality. COPD causes reduction in airflow during the ventilation cycle due to the loss of air way elasticity, narrowing of the airways, chronic airways inflammation and over active mucous production (Frace, 2008). Known risk factors for development of COPD include tobacco use (including second hand smoke), air pollution, dust and exposure to chemicals used in the production of coal, cotton and grain. There are many complications of COPD, the most common are pneumonia, pneumothorax, cor pulmonale, atelectasis, and in severe cases there maybe respiratory insufficiency and failure (Bare, Cheever, Hinkle, & Smeltzer, 2010). Nursing management for a patient with chronic obstructive pulmonary disease begins with assessment; gathering information from the patient including detailed medical history, present symptoms and evaluate findings of diagnostic tests. Symptoms vary with each patient, but may include chronic cough, clubbing of the fingers, chest tightness, weight loss, cyanosis, difficulty breathing with a higher rate of respirations and difficulty sleeping (Weber...
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...NURSING CARE PLAN # 1 Write one (1) priority NANDA nursing diagnosis for the assigned client. Address one of the following client needs in identifying the nursing diagnosis: 1. Oxygen, 2. Fluids, 3. Nutrition, 4. Urine or bowel elimination, 5. Comfort and hygiene, 6. Activity, rest & sleep, 7. Safety, and 8. Psychosocial For additional information on writing care plans see “Writing the Nursing Care Plan” in the NRS 104 Syllabus. Nursing Diagnosis (Client specific problem; Use NANDA and PES format) Client Goals (Specify 1 short-term and 1 long-term goal) 2 Nursing Interventions (To assist client in meeting expected goal) and 1 Teaching intervention Rationales for Nursing Interventions (Cite source, year, and page number of text for each rationale) Actual evaluation based on care provided during the clinical day Transfer ability impaired related to difficulty of moving from bed to bathroom and back. STG: Patient will be able to transfer from bed to the bathroom with assistant three times at the end of the shift LTG: Patient will be able to use the walker to move around in two week. Help client put on shoes or nonskid socks when transfer Apply a gait belt to lower back before transfer her. Keep the belt close to the patient when transfer - with shoes or nonskid socks will prevent from slip or fall (Ladwig 376) - The belt provides a handle of sorts, that allows whomever is escorting to weakened individual to easily grasp the...
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...Putong, Jonathan 4 y/o Post incision and drainage Cues | Diagnosis | Inference | Plan of care | Nursing Interventions | Rationale | Evaluation | Subjective:“ sakit sugat ko dito ma” as verbalized by the patientObjective: * Localized erythema and edema * (+) pruritus on the site of the incision. * (+) Facial grimace * (+)Irritability * (+) Guarding behavior * (+) Crying * (+) VS normal T= 36.8 ‘ c PR= 77 RR= 25 * Pain assessment>Location: Right post auricular area>Interval: frequent | Acute pain related to tissue trauma secondary to incision and drainage as manifested by * Localized erythema and edema * Pruritus on the site of the incision * Facial grimace * Irritability * Crying * Guarding behavior * Frequent interval of pain | Nociceptive stimuli(wound/inflammation)↓Nerve fibers (nociceptor) ↓ ↓A-delta fiber C-fiber (fast) (slow) ↓ ↓ Spinal cord & Dorsal horn pain modulating circuit (primary touch...
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...believed. Undue pain, abandonment, and premature death should not happen to senior citizens that are living in a nursing home but it does happen often. The article gives 6 warning signs to be aware if an individual has a loved one in a nursing home or assistant living facility. The most common is weight loss, bruises, bedsores, falls, staff inattention and restraints. Negligent nursing homes often do not have the sufficient amount of staff members to care for their resident. The staff may not provide or ensure that the resident is getting the proper nutrition needed and the most medication of the elderly affects their appetite and they do not want to eat. Bruises are obviously another sign of abuse. Any injury such as bruises or cuts should require medical attention immediately to determine its cause. Frequent falls are also symptoms of neglect. Elderly citizens are common to have falls but not so frequently. According to Consumer Justice Group (2015), “It is the legal responsibility of a nursing home to develop a nursing care plan for each nursing home resident to help...
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...Assessment tools are useful for nursing care as they can act as a guideline while trying to assess patients. Finding the right assessment tool to match the nursing care going to be given is important. All assessment tools may not match the type of care going to be given. It is important to evaluate the assessment tool not only to match the care, but also to make sure the tool is thorough and useful. The three assessment tools discussed in this essay are an admission assessment by Pamela Craig, a nursing needs assessment tool by the Department of Health Social Services and Public Safety, and a physical assessment tool by F.A. Davis. The admission assessment by Pamela Craig was designed through evaluation of the previous admission assessment tool in which Pamela Craig redesigned it to fix the flaws of the old one. The tool begins with baseline vitals upon admission, with the inclusion of how the patient was brought to the facility and from where. The tool includes allergies, with a section specific to latex allergies. It includes who the information is obtained from, in case the information is not able to be obtained from the patient. There is a place for family history information, as well as history of past diagnoses for the patient. There is a section for nutrition that includes questions about weight loss, nausea and vomiting, enteral feeding, and changes in appetite. The physical assessment part of the assessment tool covers each system. There are boxes to check within each...
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...I. Introduction A family nursing care plan is the blue print of the care that the nurse designs to systematically minimize or eliminate the identified the identified health and family nursing problems through explicitly formulated outcomes of care (goals and objectives) and deliberately chosen set of interventions, resources and evaluation criteria standards, methods and tools. The use of the family nursing process will result in a care plan describing the needs and care for each client. An organized sequence of problem solving steps used to identify and to manage the health problems of clients. II.Background of the Study A.Study Locale About Cuayan District # 3 The name Cauayan means " Bamboo" in the gaddang dialect of the town. How the place got its name is told vaguely by the natives in the tales about how early Spaniards, who reached the place, found abundantly growing grooves of bamboos along the creeks Balod, Sipat, and Marabulig, in whose fertile banks a few families inhabited. Cauayan Isabela District III (Pob.), Cauayan City, Isabela, Cagayan Valley (Region II) is located in Philippines. Its zip code is 3305 In 1956, under the administration of Mayor Tranquilino Dalupang, the municipality pueblo centro was devided into three (3) districts. This was made purposely to meet the demands of the increasing population. Hence, District III was among the 3 created districts. Its original leaders held the position of tiniente del barrio, first of whom was Juan Fabrao...
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...Frameworks: A care plan for Mrs Ashton. The following essay will outline and describe the assessment, care plans and evaluation for an adult patient using Orem’s model of nursing. The patient’s name has been changed in order to protect her right to confidentiality which is a requirement of the NMC code of conduct (NMC 2008). Mrs Ashton is 71 years old and she was admitted to hospital following an episode of severe shortness of breath. She suffers from Asthma and has a history of recurrent chest infections and bouts of bronchitis, which she takes antibiotics for in the winter. She takes Salbutamol 100mgs three times a day. However, over the last week she has been feeling very tired and reports an inability to sleep because of the tightness in her chest, coughing up sputum and wheezing. She has lost her appetite and is unable to carry out her usual activities because she experiences difficulty breathing. Mrs Ashton lives alone in a first floor flat. Her husband died five years ago, her only son lives a few miles away and he visits once a week with his children. Mrs Ashton’s difficulty breathing was noticeable during the initial assessment as she had to take long pauses while communicating, her respiration rate was rapid and wheezing was audible. The care plan for Mrs Ashton will be informed by Orem’s Self Care Model. This model takes an individual and holistic approach to health care; it is underpinned by three inter connected concepts namely: the theory of self care, self...
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...Case Study Abstract The purpose of this assignment was to perform a case study of a healthy child. Developmental considerations and data analysis were used to formulate and prioritize three nursing diagnoses. A complete health history interview was performed on a 17-year-old female. A genogram was developed to help determine potential genetic predispositions. J.K.M. is a 17-year-old female born on May 9, 1994. The first part of the interview was done with her mother present. Her mother was then asked to leave to continue to interview. As a child she had normal childhood illnesses without complications. All of her immunizations are up to date. She had no injuries or illnesses requiring hospitalization. She started menstruating at the age of 12. She is still menstruating and has normal 3-5 day periods while on Nuva-ring and her cycle is every 28 days. She has started dating and has been sexually active off and on since the age of 16. Both her parents and one sister are alive. There is a history of alcoholism and depression on both sides of her parent’s family. Her parents are divorced. She lives with her mother and sister and states they all get along very well except for the occasional disagreement. She does not see or communicate with her father. She denies any drug or alcohol use. She states that she is usually happy but she is concerned about the depression and alcoholism that runs in her family. She has no suicidal ideation and has never been physically...
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...Content Frame Skip Breadcrumb Navigation Home arrow Chapter 2 arrow Nursing Care Plan Nursing Care Plan Nursing Diagnosis Impaired Verbal Communication r/t sedation, presence of artificial airway, or decreased level of consciousness Long Term Goal: Patient is able to use a form of communication to get needs met and relate to his environment Short Term Goals / Outcomes: Patient and nurse will establish a means of communication Patient will be able to effectively communicate and needs Intervention Rationale Evaluation Assess the patient’s primary and preferred means of communication (verbal, written, gestures) Communication can be frustrating for both the nurse and patient. It is critical that the nurse and patient determine the best method for each patient. Patient can write words clearly on paper Assess the patient’s preferred language and ability to understand written words, pictures and gestures The nurse can not assume that the patient is grasping the information that is provided. In recognition of the vast array of cultures and physical challenges that patient’s face, it is the nurse’s responsibility to communicate effectively Patient speaks and reads English. Recognize that the presence of an artificial airway will hinder the patient’s ability to communicate When air does not pass over the vocal cords, sounds are not produced. Other methods of communication will have...
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...Formal Writing Assignment Final Draft: Nursing Case Study SITUATION: You have a very sick patient. You are using this patient for your case study. The patient has a sister who is a nurse- Lori. Lori has been a nurse for many years, and because your patient is her sister, she is very concerned and even a bit suspicious about the illness and hospital care. She writes a letter to you, expressing concerns about her sister. She copies the letter to the Director of Student Nurses. AUDIENCE: You are writing Lori’s letter to you (a student nurse) with a copy to the Director of student nurses. You are writing your response letter to Lori and copying it as a report to the Director of student Nurses. MAIN POINT AND PURPOSE: In this assignment you will demonstrate your ability to: • identify the correct priority problem and nursing diagnosis for a patient • reflect on a patient’s perspective to accurately assess and analyze a condition or problem • use nursing research to identify a priority nursing problem for a case study • utilize research to formulate a nursing diagnosis and plan of care • apply APA format to the writing of a research paper TASK: 1. Write Lori’s letter (1 page). In the letter: • Describe Lori’s biggest concern/issue with the hospitalization or illness of her sister. • Explain why she thinks this is a big problem. • Include a brief description of the events that led to the hospitalization of her sister and information...
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...Northwest Tech Community College Nursing I & II Care Plan Student's Name: Client's initials: Date: ___________ Age and Developmental Stage: 69 year old Integrity vs. despair this patient is in despair not able to care for himself financially. ______ Diagnosis and Definition: Pneumonia- infection in lungs caused by a pathogen. ______ ¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬-__________________________________________________________________________________________________________________ IDENTIFIED NURSING DIAGNOSIS SHORT-TERM GOAL INTERVENTIONS NURSING ACTION TAKEN RATIONALE FOR NURSING INTERVENTION EVALUATION OF THE EFFECTIVENESS OF THE SHORT-TERM GOAL I. Health Perception/ Management A. Nursing Diagnosis: Risk for Injury Subjective: Pt states he has lost his pep and stamina. Has shortness of breath with any exertion. Objective: Pt has Rheumatoid Arthritis and uses a walker. A. The pt will not fall during my shift 1. Provide night light 2. Keep patient’s room free of clutter 3. Assist the pt with all transfers and ambulation. If the patient requires multiple pillows for rest or positioning, tape the bottom layer of pillows to prevent dislodging. 1. Safety measures to prevent falling at night (Cox,2007,p.62) 2. Basic safety measures to prevent injury (Cox, 2007, p.62) 3. Assist in preventing suffocation or tripping on pillows. (Cox,2007,p.62) Goal was met. Pt ambulated with one person assist...
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