Hlten503B Contribute to Client Assessment and Developing Nursing Care Plans

Client advocate: ensures clients, families and communities are well-informed and included in care planning and improving care. Also serves as an advocate for the profession and health care team. Educator, Information manager: able to use information systems and technology. Systems analyst/Risk anticipator: able to participate in systems review to improve quality of client care delivery. Team Manager: able to properly delegate and manage the nursing team resources and serve as a leader. Member of a profession, and Lifelong Learner: recognizes the need for and actively pursues new knowledge and skills as one’s role and needs of the health care system evolves.

As Jane was presenting with a symptom of a life threatening event it was important that treatment was immediate. Priority was initially made from assessment of the airways, breathing and circulation, level of consciousness and pain. Jane’s respirations on admission were recorded at a rate of 28 breaths per minute, she looked cyanosed. Jane’s other clinical observations recorded a heart rate of 105 beats per minute (sinus tachycardia), blood pressure (BP) of 140/85 and oxygen saturation (SPO2) on room air 87%. It is important to establish a base line so that the nurse is altered to sudden deterioration in the patient’s clinical condition. Jane’s PEWS score (Physiological Early Warning Score) was 4 and indicated a need for urgent medical attention (BTS 2006). Breathing was the most obvious issue and was the immediate priority.

The nurse is prioritizing care needed for a group of clients according to urgency. Which care should the nurse identify as being medium priority?

This essay it will explain the Aseptic Technique and how it is used to prevent the spread of infection in wounds. It will also give a personal experience of performing the technique.

This assignment will focus on the holistic assessment and care plan of a patient who was cared for during practice placement. It aims to discuss how the care planning decisions were made and relate these decisions with the relevant literature. The setting was an emergency trauma and orthopaedic ward and the care plan was developed in order to meets the patient’s needs after 1 week admission. The care plan was compiled by the student nurse and his mentor and aimed to identify the patient’s needs and the necessary interventions to meet these needs.

The risk factors that were identified by the nurse were the patient complicated medical history, her need for pain medication frequently, being newly transferred from the surgical floor and the confusion it may cause on who will be attending to her care. The nurse also identifies that being on the unit will be an adjustment, therefore she wanted to address safety issues

One of the best methods of reducing infection in patients with any type of wound is sterile technique with dressing change. Heavy colonization of infected sites is a risk factor for infections associated with any type of wound but mostly for wounds that penetrate deeper into the skin. Sterile site dressing is advocated to protect the open wound from contamination because it will come in to direct contact with the wound, and sterility is required in order to execute the application of the dressing successfully. The nursing process is an important principle to use when examining, treating, and maintaining any type of wound or applying wound

Provide and maintain life support and airway management and help prepare patients for emergency surgery.

As a nurse, one must be aware of the Activities of Living (AoL), assessment methods and understand how to formulate a Nursing Care Plan (NCP). When tending to a patient, it is important to understand the AoL as well recognising how they are affecting the patient, how to assess one’s condition and what ‘care needs’ are priority when treating a patients symptoms. By having this knowledge a nurse is able to develop a NCP more easily, therefore give the patient a greater quality of care. When creating a NCP, one must assess, set goals, plan, implement and evaluate the measures taken as well as incorporate a multi-disciplinary team, to ensure the patient receives the best care possible. (Holland et al. 2015, p.2), (Doenges, ME, Moorhouse, MF, & Geissler-Murr, A 2002, p. 6).

Provide limited direct patient care - Assist patients with mobility, grooming, and dressing - Answer patient call buttons - Act as a point of contact for families - Assist residents in transferring from bed to wheel chair and vice versa - Transport patients from to and from procedure rooms - Assist nurses in moving patients and providing supplies - Escort patients, families and visitors to their required destinations - Provide reception support and give general information to visitors and families - Assist patients in eating - Manage patient records and assist patients and families in filling out admission forms - Make frequent rounds in assigned departments to assess patients' needs - Ready patient beds and equipment for procedures such as

Perform patient care and assessment while addressing patient’s mom role as a primary caregiver and active participating on his son health care. Take vital signs, room safety inspections and review patient chart in order to better understand patient diagnosis and patient care. Shadow respiratory while performing a breathing treatment

When contacting the physician, I would explain my concern over the new confusion, inform the physician of when the confusion started, what medication she had received prior to the onset of the confusion, any details that the family provided to me regarding the confusion, the results of the head-to-toe assessment, and vital signs. I would be prepared to request basic lab work, in addition to d-dimer to check for potential embolism, chest radiograph, arterial blood gases, lactic acid and blood cultures. I would strongly request that the physician come and evaluate the patient. In addition, I would notify the supervisor or charge nurse that the patient had a change of condition.

condition to the RN. Write progress notes and communicates with the Doctor regarding patient condition and concerns. Take vital signs, read labs, and report any changes in condition to the RN. Assist with Patient assessment and admission.

Also, there are many abbreviations that you have to know. Going into the nursing field is not that easy. Duties include supervising your client at all times, monitoring their vital signs meaning checking their blood pressure, temperature, respirations, and pulse. As a C.N.A you must also give your patient their medications and watch for adverse reactions. Many C.N.A’s work in nursing homes, their client’s homes, or in hospitals. Also, in out-patients facilities. The client must feel comfortable with you in their presence.

There is a growing need for the education of healthcare workers, for them to efficiently cover and treat wounds and prevent contamination. Thus, there should be an evidenced approach in evaluating differences in the approach of treatment that medical practitioners use in various spheres. For this, it is important to examine some evidences on the different treatment of wounds that are being used nowadays in healthcare. This is crucial for medical practitioner training, while providing opportunity for developing proficiencies with regards to proper wound care, which may avert undesired patient outcomes in hospitals.