Nursing Interventions

Inadequate nurse staffing has become a major issue when it comes to patient safety. Having a unit function with not enough staff not only puts patients at risk for adverse events, it also puts the nurse at risk for potential errors. In the following paragraphs, information will be provided on how changing the number of nurses on the unit, will improve patient care. Literature will be discussed and will provide evidence that changing nurse-patient ratios not only improves the quality of care the patient receives, it also decreases the chances of errors. A change theory will also be discussed and will explain how it helps implement change in a hospital setting and how it will be used to implement change. Finally information on how the inter-professional

What would the nurse understand about the patient's condition? 5. How would the nurse respond to the

Mrs. Pink, aged 75 was admitted to the orthopaedic ward after suffering a fall at home, resulting in an intracapsular fracture of the hip at the femoral neck. Mrs. Pink has a history of cancer and cardiac diseases and has severe rheumatoid arthritis. Due to ageing patients putting a great deal of strain on the health care system, the incidences of hip fractures in the elderly are a major concern and requires careful consideration regarding treatment. Known as a major cause of disability in the elderly, hip fractures and their subsequent need for surgery result in chronic pain and an altered quality of life (Strike, Sieber, Gottschalk & Mears, 2013). Although important to improve a patient’s quality of life and physical independence, pain related to a total hip replacement (THR), also known as hip arthroplasty (HA) can lead to delays in ambulation, longer hospital stays, poor functional outcomes and quality of life. The purpose of this essay is to identify the rationale behind nursing interventions provided to post-operative THR patients as well as the pathology of a femoral neck hip fracture and their procedure for assessment and diagnosis.

Include the family in the patient’s physical mobility education, and have the family repeat demonstrate the techniques. This way the family will be able to help Joseph with his impaired mobility at home.

The article critiqued is titled Outcomes and Challenges in Implementing Hourly Rounds to Reduce Fallings Orthopedic Units,” and it was written by Tucker S.J., Bieber P.L., Attlesey-Pries J.M., Olson M.E., Dierkhising R.A., 2012. The article began with an abstract that was accurate, concise, and easily comprehensible. The abstract of this article summarized the purpose, aim, method, result, and conclusion of the study. The study was conducted on a two-29 beds post-operative orthopedic unit in a large academic medical center in the Midwest of united states. The study was designed to be implemented at three-point baseline,12 weeks of implementation and one year of follow up of implementation of Structured Nursing Round Interventions (SNRIs)

Even though I did not see or hear the nurse bring up an issue about the patient’s safety before, during or after the procedure, I am sure she was actively monitoring the patient and the surrounding situation for harm. As a future nurse, I have been made aware of the need to identify and correct unsafe practices or procedures in order to improve the patient’s experience and prevent unnecessary harm.

Setting the Stage: Patient 1 is an 87 year old retired man who arrived by ambulance. His last admittance to the hospital (from the nursing home that he lived at) was 2 months ago. According to his medical records, he had a history of peripheral arterial occlusive disease and deep vein thrombosis, and came in due to leg pain and a urinary tract infection. While the patient did not have a diagnosed neurocognitive disorder, the patient appeared delusional, and told the occupational therapist that he (the patient) was a retired occupational therapist, but had told the physical therapist the previous day that he was a carpenter. The patient was being treated for depression and anxiety with medications.

After establishing the community goals, resources and constraints, two public health nursing interventions were identified. The first intervention includes a one-hour mental health education class held for school-aged children at the local Boys and Girls Clubs. This class will be provided by nursing students from the University of Arizona. The students will then facilitate a cognitive-behavioral therapy activity that will address mental health, and emphasize different coping skills and how to deal with bullying. Therapy will include an art project where the participants will write negative thoughts or feelings on a drop sheet. The drop sheet will then be hung as a target and the participants will throw water balloons filled with paint at the

Nightingale Community Hospital has been increasing their safety standards in all three general categories, Conduct a pre-procedure verification process, mark the procedure site and a time-out is performed before the procedure over the past year. Nightingale Community Hospital’s value for safety states: “We believe that excellence begins with providing safe environment. We put our patients first as we seek to exceed the expectations of our customers with superior service, outstanding clinical care and unsurpassed responsiveness.” To reach this goal there is always more that can be done. Based on the safety reports several areas need to be looked at:

Although it may seem that the United States’ Healthcare is more improved than that of third-world countries and other places around the globe, hospital errors are still the third leading cause of death in America as of the last couple years (Hospital, 2013). Whether it is due to a miscalculation of drug dosages, an avoidable infection, or even caused by an accidental mistake because the nurse was overwhelmed with numerous assigned patients, it is still occurring and there must be a change. On occasion nurses on a typical medical-surgical floor may be required to care for 4 or 5 patients a

The aim of this essay is to explore evidence based nursing intervention in the care and management of chronic obstructive pulmonary disease (COPD) in an acutely ill patient. The acutely ill patient involved in this essay was admitted to hospital due to cerebrovascular accident and had a past medical history of myocardial Infarction, left Ventricular failure, peripheral vascular disease and duodenal ulcer as well as chronic obstructive pulmonary disease. This essay will provide a rationale for the chosen aspect of care (COPD) and reason will be given why it is a priority. In particular the essay will examine the significance of the underlying pathophysiology of the disease relating to the acutely ill patient other

The global population is divided into different sections that have special needs and in the same way they need to be supported and assisted in a unique way. From the perspective of the health care worker, the idea of needs varies significantly based on location and principal factors associated with the individual in the society. The needs can be addressed by understanding the primary cause related to a particular issue rather than generalized interventions. The nursing interventions are critical in offering the unique support required by the individuals requiring the interventions (Westphal & Convoy, 2015). The veterans have been identified as a special needs population. Therefore, the method used for intervention should be special considering

D-The patient arrived late to his session, but informed this writer that he was in an car accident today. The patient did in fact dose today. This writer informed the patient that this writer have to report to the Director and Nursing have to assess him today. The patient is willing to comply, but asked if he can assess tomorrow because he has to get to school today and take a test. This writer addressed with the patient about being in car accident and is health is priority. This writer also strongly advised the seek medical attention as the patient complained about having a stiff neck and soreness, which the patient can potentially have a whiplash as he was rear ended on the highway. Please note, this writer shared the patient dilemma through

The examination will begin as soon as Jenny enters the clinic. As Jenny walks into the clinic I will be observing several things. I will be looking to see if Jenny is guarding any region of her body, I will be observing her gait pattern, I will be looking for any braces or assisted devices and I will be looking to see if Jenny is in any kind of pain through facial expressions. The reason why I will be observing is because, if I can notice something about Jenny that seems a little concerning, I then can ask questions about it during the interview to gain further knowledge about the condition as to what’s wrong. Once Jenny was checked in and situated, I would begin the patient interview. During the interview, I would ask

In year 2000 and 2010, an estimated 1 million hospitalizations for Congestive Heart Failure (CHF), of which most of these hospitalizations were for those aged 65 and over, the share of CHF hospitalizations for those under age 65 increased from 23% to 29% over this time period (Hall, Levant, & DeFrances, 2012). According to Held (2009), acute decompensated heart failure (ADHF) ensues when cardiac output fails to meet the demand of the body’s metabolic needs. The fluid volume overload makes the unstable condition necessitates instant treatment for the reason that it impairs perfusion to systemic organs, endangering their function.