Premium Essay

Pointed Care Plan in Nursing

In: Science

Submitted By mabembe
Words 1141
Pages 5
Anoka Ramsey Community College
Nursing 2482 Admitting Data Nursing Care Plan I Page 1 Room #: 1016 Patient Initials: ML Admit Date: 09/23/2010 Admitting Dx: Acute Congestive Heart Failure Age: 84 Sex: Female Marital Status: Married Surgery/Procedure: None Date of Surgery/Procedure: None POD/LOS (number): 6 Allergies: No known Drug Allergies Code Status: DNR

Significant Hx: History of nerve damage to her esophagus, HTN, history of venous insufficiency, psoriasis, encounter of palliative care, Acute Renal failure, acute myocardial infarction. Post Surgical History: Hx. of cholecystectomy. Patient has been married for 64 yrs and currently resides in an apartment with her husband.

Patient Story: She is an 84 yr old female who came to the ER on 9/23/10 complaining of SOB which she had been experiencing for approximately 4 days. She stated states she feels dyspnea both at rest and exertion. Feels better if she sits up. She has swelling on her legs, which she states is chronic and has been worse. Denies chest pain, but has had pain on her shoulder and back. She has a productive cough producing white phlegm. Appeared to be in CHF, admitted for evaluation. Lab tests done on 09/26/2010, CXR revealed that patient has CHF. She underwent a 2 D-ECHO which showed left ventricular cavity size at the upper limits of normal; moderately abnormal ventricular ejection fraction estimated at 35-40%. Patient started on IV Lasix. On 9/26/2010 hgb was 9.5, but it dropped to 7.8 on 9/27/2010, patient was infused with 2 units of PRBC’s. On the night of 9/27/10 patient experienced severe SOB after using the bathroom, RT was called and pt. was put on 3L of oxygen and a BIPAP was used. Pt. continues to have a non-productive cough. New medications ordered to decrease her fluid…...

Similar Documents

Premium Essay

Baccalaurate Degree

...Differences in Competencies between Associate Nursing-Degree Level Versus Baccalaureate Nursing-Degree Level: Baccalaureate Degree in Nursing Competencies Grand Canyon University: NRS-430V September 7, 2014 Baccalaureate Degree in Nursing Competencies During my years working as a licensed vocational nurse I witnessed many situations where I questioned if the nurse supervisor with a higher level of education was capable and suitable to handle and help resolve patient issues and their family’s concerns. In one particular situation, the patient’s family was disagreeing with how the patient’s care plan was established and implemented. The nurse supervisor was having trouble communicating with the patient and the family members; she was also having problems addressing the client’s primary health care provider. Up until this occasion I did not put an emphasis on the differences in competencies that existed between nurses with a baccalaureate nursing degree (BSN) versus an associate’s degree or diploma level. Although many nurses with associate’s degree will debate the fact that it is not necessary to obtain a BSN or higher degree to become more competent and skilled nurses, As stated in the American Association of Colleges of Nursing (AACN) Fact Sheet, research has shown that an increase in safety and compliance is correlated with acquiring a higher level of education ie. a BSN (AACN, 2013). There are many differences in the proficiency of performance and......

Words: 900 - Pages: 4

Free Essay

How Society and Nurses Affect the Roles of Nursing

...the Roles of Nursing Lisa A. Turner University of Alabama Birmingham Transitions into Professional Nursing Practice, NUR 474 How Society and Nurses Affect the Roles of Nursing Introduction A nurse has many roles and parts to play in the daily routine of caring for patients. By examining the different roles of a nurse; health promoter, care provider; learner and teacher, we will see how nursing has evolved and how the philosophy of nursing changes. How these roles tie into society and into the symbiotic relationship between society at large and the nursing profession. The shift of healthcare to prevention, education, and the ever changing world of medicine, along with the realization that a nurse’s job is specialized, has tremendously affected the beliefs and ideas of the profession. Based on our textbook, research, and my personal experiences I will explore and clarify my philosophy of nursing. The purpose of this paper is to examine the fact that nursing is an ever-changing profession which society’s ideas and beliefs will impact, whether by necessity or through evolution. Health Promoter and Care Provider Health promotion or prevention is the latest hot topic in the healthcare arena. According 2 to Prochaska, J. and DiClemente, C. (1992), the nursing strategies for health behavior change are Precontemplation, Contemplation, Preparation, Action and Maintenance touch on every different type of nurse and show a need for growth. While providing hands on care, the......

Words: 966 - Pages: 4

Premium Essay

Why Continue Education from Asn to Bsn

... Now that I have completed my Registered Nursing (RN) degree, and am working as a new grad nurse, I am venturing into the future with my Bachelor of Science in Nursing (BSN) degree. Some people ask me “why do you bother getting your BSN?” This is a question I have considered myself over the past year, and now I am back in school, I realize the benefits to further education are enormous. Nursing link website states “in today’s nursing world, more is expected from a nurse than following doctor’s orders and starting IVs.” (Forster, 2008, para. 4) It continues to report that we as nurses must be able to “make critical decisions about a patient’s care, to question the doctor if orders seem inappropriate and to help the patient through, sometimes, difficult life-changing decisions.” One can only develop these skills with a broad based education, one that includes “critical thinking, and exposure to many different people, though process, and cultural and social norms.” Therefore BSN programs offer more education aimed at developing such necessary skills. (Forster, 2008, para. 4) This paper will discus such benefits in obtaining a BSN degree in further detail; by comparing the differences in competencies between nurses based on their degree level, the use of patient care situation describing differences in approach to nursing care based of formal education in nursing, and the overall benefits and advantages of higher education for nursing practice. Interestingly enough, several......

Words: 1419 - Pages: 6

Premium Essay

Heritage Assessment

...Emmanuel Okoroafor. Educational Preparation. Grand Canyon University January 2013 Educational Preparation * BSN means Baccalaureate of Science in Nursing and ADN means Associate Degree in Nursing. Both degrees will qualify a student to take the same NCLEX exam for a practicing license. There are different competency levels in these two programs. BSN is a four year university program with focus on knowledge, theories, research and clinical and an overall emphasis on the entire field of nursing. The program tend to expose the student to human diversity, global perspective, ethical, legal, health promotion, spiritual perspective, political, and social influences using liberal arts for a complete understanding of the field(Punturi,2010)The ADN is a two year program with focus on the clinical skills and more task oriented. The ADN program does not go into too much details of different aspects of health sector like leadership, political, ethical, policy and other global perspectives. BSN prepared nurse posess the following competency according to leddy and Peppers Conceptual Bases of Professional Nursing(Lucy J Hood,2010)provide direct care with different nursing diagnosis using nursing process, within allowed parameters, and independent nursing decisions. * A mentored clinical learning situation in both classroom and practice setting helps nurses to apply theoretical knowledge with actual event(Field,2004) In a study by Benner, on competency of nurses the study......

Words: 1091 - Pages: 5

Premium Essay

Concepts and Theories Module 2

...Billy Mishak N491 Concepts and Theories in Nursing Module 2 9/30/2014 Nightingale’s Visit Florence Nightingale’s core belief was in hygiene and to her the central element of healthcare (Parker & Smith, 2010, p45). Florence being a staunch proponent of the healing properties environmental cleanliness provided and her belief in nursing as her calling from God, “ The first thought that I can remember, and the last, was nursing work..” (Parker & Smith, 2010, 36), so few things inhibited her from achieving order and cleanliness. Nightingale’s provisions to those she cared for was cleanliness, order, encouragement to eat, feeding, clean bed linen, clean bodies, and clean wards (Parker & Smith, 2010, p40). Nightingale’s absolute adherence to these beliefs at times bordered on obstinacy and her efforts where credited with better patient outcomes. Community Health is a difficult field in any situation most notably because being in another persons home takes that measure of environmental control away that is afforded by the hospital setting. The community nurse in this case is confronted with a home environment that is not fit for human living, her quick visual assessment skills pointed out a two year old on the floor playing with a cat, a full liter box in the corner next to the changing table. The changing table had two half-empty formula bottles, an empty box of wipes, and three soiled diapers. The two year old goes from playing with the cat on the floor to......

Words: 2302 - Pages: 10

Premium Essay

Health Care Professionals

...Health Care Professionals 1 Health Care Professionals Leslie T. Moore Strayer University Professor Tataw August 9, 2011 Health Care Professionals 2 Abstract Health care professionals play a key role in the provision of health services to met the needs and demands of the population. This includes the health policy issues that greatly impact and affect our health care system in the United States currently and in the future. This paper will discuss and identify health care professionals and the role that they play in the United States health care system Health Care Professionals 3 1. Indentify and describe the three reasons there may be a physician shortage rather than a surplus in the United States. There are many dimensions to the future of physicians and other medical professions, but all fade away in the face of one major fact. In the year of 2010, the rate of medical staff departures from active practice may reach epic proportions, far outstripping the ability of hospitals or training programs to respond. It’s the baby boomers moving into retirement at age 65. The trend is also growing due to a number of reasons.......

Words: 1966 - Pages: 8

Premium Essay

V. Henderson Theory Critique

...Virginia A. Henderson’s Nursing Theory Critique Gaylinn Breeze Maryville University Abstract This paper aims to provide an in depth critique of Henderson’s Nursing Theory using Fawcett’s framework for analysis and evaluation of nursing models. This paper will provide an analysis of the theory based on its scope, context and content. Secondly, the paper will provide an evaluation to unearth its significance, internal consistency, testability, as well as provide empirical and pragmatic adequacy. Lastly, the paper will give a detail of its assumptions and limitations. Virginia A. Henderson’s Nursing Theory Critique Virginia A. Henderson was considered a mother of nursing in the advent of modern day nursing. Her contribution to the nursing system was widely considered as a tool for transforming the nursing practices in health facilities. She gave elaborate guidelines and drew attention of nurses towards what an effective nursing practice would require of them. In her own setup, she carried out research and formulated a theory. Her theory of nursing focused on providing patients with factors that would enhance independence for the patients. In her efforts to transform the patient’s care approach, she acknowledged that basic needs were of primary concern in enabling a functional nursing approach. Her relationship between nursing care and basic needs propagated the ‘Needs Theory’. ......

Words: 1384 - Pages: 6

Premium Essay

Genetic Counseling in Nursing and Ethics

...GENETIC COUNSELING IN NURSING AND ETHICS Hyang Ko Azusa Pacific University Abstract The current development of genetic information and technique leaves us assignments. It is included ethical issues, roles of nurses, and the responsibilities in healthcare professionals. In order to understand nurses’ role and responsibilities and to provide genetic counseling, two research article with text books were reviewed. There were conflicts within ethical principles and nurses’ obligation. Each principle is important but one principle is superior to others when healthcare professionals make a decision in a certain context. It is necessary that genetic counseling is provided to patients and their family when healthcare professionals deal with genetic information. The two research articles empathized that experienced nurses are excellent candidates in genetic counseling within healthcare professionals by being educated, trained about genetic information. Genetic Counseling in Nursing and Ethics Definitions of Genetics and Genetic Counseling Officially, the terms of Genetics and genetic counseling is defined by Wekipidia as below: Genetics, a discipline of biology, is the science of genes, heredity, and variation in living organisms (http://en.wikipedia.org/wiki/Genetics). Genetic counseling is the process by which patients or relatives, at risk of an inherited disorder, are advised of the consequences and nature of the disorder, the probability of developing or......

Words: 2137 - Pages: 9

Free Essay

Research

...INTRODUCTION This essay is a critique based on a pilot study carried out on ‘patient stories of living with a pressure ulcer’ and I will be using Caldwell, K. et al. (2005) as a structured research framework to carryout the evaluation on this study. First and foremost a definition of what research, (nursing research in particular) and research critique entails will give a greater understanding of what this essay aims at addressing. On one hand, Polit and Beck (2006, p4), defined research as a systematic inquiry that uses disciplined methods to answer questions or solve problems, while on the other hand they define nursing research as a systematic inquiry designed to develop knowledge about issues of importance to nurses, including nursing practice, nursing education and nursing administration. The importance of having research carried out in the nursing field can only be emphasised as it is the key element in generating and guaranteeing  evidence to guide nursing practice and improvements to care and quality of life of both clients and service users as claimed by Polit and Beck (2006, p4). However once the research is undertaken and published, great emphasis is placed in finding out or identifying the strengths and weaknesses through critique. Polgar and Thomas (2000), point out that critiquing research entails identifying the strengths and weaknesses of research publications to ensure that patients/clients receive assessments and treatment based on the best available......

Words: 2162 - Pages: 9

Free Essay

Violence Against Nurses in the Emergency Department

...Violence Against Nurses in the Emergency Department Kimberly L. Kirk Professional Nursing Practice of the Baccalaureate Nurse August 8, 2014 Violence against Nurses in the Emergency Department According to the National Institute for Occupational Safety and Health, workplace violence is defined as “an act of aggression directed toward persons at work or on duty, ranging from offensive or threatening language to homicide” (Wolf, Delao & Perhats, 2014, p.305). Workplace violence (WPV) can include verbal, physical, and emotional abuse, or any type of threatening behavior that can cause physical or emotional harm. According to the Emergency Nurse’s Association Position Statement (2010), “workplace violence is a serious occupational risk for the emergency nursing workforce and has been recognized as a violent crime that requires targeted responses from employers, law enforcement, and the community.” Due to the lack of research concerning workplace violence and other barriers such as underreporting, failure to prosecute, and lack of management support the enormity, of this issue is grossly underrepresented. Individuals who assault ER nurses should be prosecuted. Without increased and consistent prosecution for assault on emergency nurses, patients and families will still think it’s acceptable to physically or verbally assault a nurse. As the ENA position statement (2010) proposes, stronger legislation is necessary to help decrease the view that......

Words: 782 - Pages: 4

Premium Essay

Career Goals

...out of a job can bring great happiness. That information has enabled me to make the decision of choosing my area of study and career in the field of Nursing. I was raised with almost everyone in my family working in the medical field. We have marine Doctors, nurses of all sorts, therapists, and even behind the scene medical family members working in jobs like medical billing and coding. Growing up and hearing stories at family gatherings of their experiences, always left me on the edge of my chair. I would not go play barbies with my cousins or basketball with the uncles I was the kid eavesdropping in on the adult conversations. I wanted to know more but most of all I was intrigued. I believe that nursing is both art and a science consisting of psychosocial and biological sciences that work together to continually improve the health care field. As a nurse it is crucial to carry the attributes of being caring, compassionate, understanding, nonjudgmental, realistic, open-minded, honest, ethical, and moral. I also feel that it is important to maintain sensitivity to all cultures when providing care. I believe it takes someone with a huge heart to do what nurses do. Some things you cannot be taught. If you are not a generous and caring person I cannot say I would think one would survive in the hands on medical field. The health care industry is booming; in fact, it is number seven out of 20 leading occupations, according to the BLS (Bureau of Labor Statistics). These days,......

Words: 1190 - Pages: 5

Premium Essay

Rup 1

...State Boards of Nursing (NCSBN) and the American Nurses Association (ANA) shall be utilized for this paper in describing their differences in function. Two examples from the NCSBN code of ethics will be provided and how they have influenced my practice. I will choose four traits from the ANA and discuss them in reference to an interdisciplinary team of healthcare professionals. A Nursing Theory will be discussed as well as a nursing figure that is important me. Two safeguards will be presented in a scenario from my nursing experiences. The American Nursing Association (ANA) was originally founded and named the Nursing Association Alumnae in 1896; it became the ANA in 1911. It is a professional organization devoted to the advancement and protection of the nursing profession. The ANA establishes standards of nursing practice, promotes rights of registered nurses (RN) in the workplace and advances the economic health and general welfare of RNs. According to the ANA, nursing is the protection, promotion and optimization of heath and abilities, it prevents illness, injury and alleviates suffering through diagnosis and treatment of human response and advocates the care not only of the individual but the whole family, community and populations. The ANA has three sub organizations: 1. American Academy of Nursing-it serves the public and nursing profession by the advancement of health policies and practices through generation, synthesis and dissemination of nursing......

Words: 2627 - Pages: 11

Free Essay

Research Critique

...Research Critique, Part 1 Grand Canyon University Introduction to Nursing Research NRS 433V Research Critique, Part 1 Introduction Venous leg ulcers are common, incapacitating and major health problem more predominant in elderly (Templeton & Telford, 2010). Venous leg ulcers cause physical, psychological and social impact to the patient and financial problem to the health system. Most leg ulcers are managed in the community and the community health nurses should have adequate knowledge about appropriate management and best outcome for the patient. Healing and recurrence is difficult for venous leg ulcers (Todd, 2011). Compression bandaging is the best method for management of leg ulcer and healing occurs in effective, timely manner (Annells,O”Neill&Flowers,2008). This paper will focus on qualitative research critique on a study conducted in Australia in one of the community health centers on “Compression bandaging for venous leg ulcers: the essentialness of a willing patient” Research problem and purpose Venous leg ulcers cause undesirable experiences such as pain, limited mobility and social seclusion. Long term care requirements increase health care economic burden (Annells, O”Neill & Flowers, 2008). Compression bandaging is the best practice for the management of venous ulcers. The effectiveness of the treatment depends on appropriate dressing done...

Words: 1161 - Pages: 5

Free Essay

Business Proposal

... A BUSINESS PLAN DESCRIBING EVIDENCE BASED INTERVENTION TO IMPROVE THE OUTCOME IN THE LATE STAGE OF ALZHEIMER DISEASE Name: Institution: A business plan describing evidence-based intervention to improve outcome in the late stage of Alzheimer disease Executive summary According to the “British Medical Journal (BMJ)” on the subject “Care plans for individuals with Alzheimer disease: Intuitively a good idea but hard to prove they are effective in practice.” It is seen that teaching based intervention for Alzheimer care are suggested by large professional organizations although it is not evident on who should undertake these models to the patients. Care plans replicas along with the guidelines usually do have the stated objectives of delaying an illness development and functional beg off (Schneider, 2016). Alzheimer is illustrated by momentous impairments in several cognitive areas, functioning as well as the behavioral burden. Premature revealing, as well as management, can avert overuse of expensive healthcare resources and permit the affected people and caregivers the time to prepare for the prospect financial, medical along with the emotional confronts. This planning proposal offers the right measures concerning the evidence-based intervention to improve outcome in the late stage of Alzheimer disease. Among the cited evidence-based intervention that the business proposes to employ in......

Words: 2450 - Pages: 10

Premium Essay

Student

...ISL 223E FUNDAMENTALS OF PRODUCTION MANAGEMENT CASE STUDY 7 Due Date: 8.12. 2015 Laying Out Arnold Palmer Hospital's New Facility When Orlando's Arnold Palmer Hospital began plans to create a new 273-bed, 11-story hospital across the street from its existing facility, which was bursting at the seams in terms of capacity, a massive planning process began. The $100 million building, opened in 2006, was long overdue according to Executive Director Kathy Swanson. “We opened Arnold Palmer Hospital in 1989, with a mission to provide quality services for children and women in a comforting, family-friendly environment. Since then we have served well over 1.5 million women and children and now deliver more than 10,000 babies a year. By 2001, we simply ran out of room and it was time for us to grow.” The new hospital's unique, circular pod design provides a maximally efficient layout in all areas of the hospital, creating a patient-centered environment. Servicescape design features include a serene environment created through the use of warm colors, private rooms with pull-down Murphy beds for family members, 14-foot ceilings, and natural lighting with oversized windows in patient rooms. But these radical new features did not come easily. "This pod concept with a central nursing area and pie-shaped rooms resulted from over 1,000 planning meetings of 35 user groups, extensive motion and time studies, and computer simulations of the daily movements of nurses," says......

Words: 707 - Pages: 3