Nursing Scenarios

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

I arrived to work well rested and ready to start the day. I had just returned after a two week long vacation. Because of the time off, I arrived to 7 East to find that the assortment of patients was not familiar at all. As I began getting reports on my patients, one in particular I started to feel a little anxious and stressed. At first glance I could tell I would be busy for the next twelve hours. Lynda was a 45 year old woman that was admitted almost a week ago after having an emergent tracheostomy placed. Lynda was newly diagnosed with laryngeal cancer with already having several other diagnoses including: seizure disorders, mild mental retardation, behavioral issues, and was legally

"Many older people fear that a hospital stay could leave them even more disabled than they were before. Unfortunately, there's new reason to believe this fear is justified. Elderly patients who are hospitalized are at much higher risk of cognitive problems afterward, according to a study published on Wednesday in the journal Neurology."

During my clinical make-up simulation, I had the opportunity to partake in different scenarios with other nursing students from different semesters. I was also able to watch and criticize other students from different simulation scenarios. In regards to what students did well, certain examples included communication, collaboration, teamwork, and organization. Communication and collaboration went hand and hand with every group during their simulation scenario. For example, each student that called the physician utilized the tool SBAR in order to prevent gaps in communication. Another example was when two students from different groups called laboratory to ask for lab results. These students showed effective communication by stating the patient’s

This patient arrived on time for her scheduled appointment with this writer. This writer introduces herself as the patient assigned counselor, at which the patient was pleased to be assigned to a counselor. This writer discussed with the patient UDS and the patient's prescribed medication. According to the patient, she provided information of her current medical concerns such as the seven blockage with her heart, her chronic back pain- the patient reports that she needs to replace 2 or 3 discs, and her foot surgery. The surgery for the patient's heart and foot are pending at this time. The patient reports she is scheduled to conduct a sleep apena on 03/03/2016 and is aware that she must provide an update to Nursing at the clinic. The patient praised about having a excellent Cardiologist, who is currently monitoring her heart. the patient was emotional discussing the many loss of her family who suffers from congestive heart failure. The patient reports, " I believe there is a GOD and he is

While doing to assessment there are focus areas of chronic condition that the nurse should assist

The change project involves the implementation of post-discharge calls to monitor patients, hence prevent readmissions. Thus, the hospital needs resources that include personnel, equipment, technology, and travel in some instances. Additionally, Sullivan (2012) argues that employee motivation and continual development helps improve the job performance. As such, the hospital will be required to put additional resources for the purposes of employee motivation and education.

In the given scenario, I am a family nurse practitioner in a busy emergency room. Early in the evening hours, I am presented with a concerned mother who is seeking medical attention for Paige, her six-year-old daughter. The mother reports the patient has been displaying cold symptoms for a few days with a cough that continues to worsen. The issue that the patient faces is limited access to healthcare providers in the area who accept Medicaid, which is Paige’s health insurance provider. After discovering Paige’s physician’s office does not have any appointments available for three days, the concerned mother decides to seek care for her daughter at the emergency department. Considering the patient’s condition is considered non-urgent, and our

Ethics are rules of conduct and moral principles of an individual which have various origins such as family, culture, and social environment. Given the diversity of people in the healthcare profession and the importance of providing care that is ethically sound

Now, Ms. Matson claims her current disabling medical conditions are to her lower back which inhibits her from not walking not more than ten minutes at a time while using a walking cane. Furthermore, the pain to the left side of her neck because of her left shoulder injury has caused the nerves from her left shoulder travel up to the left side of her neck which is now painful enough where she cannot turn her head to the left.

We currently have 3 positions open that we have been recruiting for over the past several months. These are key leadership positions that have resigned or terminated. Heather Rogers, our Compliance/Risk manager resigned and her family moved to Oxford, Ms to take advantage of the Oxford public school system and a more lucrative job market. Our director of nursing position is still open, since Pat left in December. Holly Sparks has been absorbing a lot of those responsibilities, however sustaining these responsibilities has slowed down our operational growth opportunities in quality and performance. Currently we do not and have not had a Central Supply manager capable of moving our operations to the next level, which is to establish a

Nursing report that pt fell over the weekend. Pt reported he was trying to take off his pants off while sitting on the edge of the bed. Pt lost his balance and slided off bed. Facilitation of Bobath techniques and movement to increase sensory input to (L) UE and awareness of hemiplegic (L) UE. Tone management, including positioning of (L) UE into multiple weight bearing planes and through being in quadruped position due to hypertonicity. Pt performed 1/4 active (L) scapular elevation.

A female patient seeking contraception options needs to select a method that is best for her and her partner. What questions and/or discussions would be important for the nurse practitioner to ask the patient when counseling her about contraception methods?

Jennifer Edwards – Target population of A1C greater than 9. She wants to check it out at one clinic and see how it turns out, even though Dr. Gardner does not like to use just one clinic. Jennifer Edwards was asked to find out what clinic Hope Galvan wants to use.

On this date worker spoke with Ms. Cynthia Pearson, social worker at Mt. Royal Towers, for the purpose of gathering information on Mr. Upton's current placement. Ms. Pearson stated Mr. Upton is admitted to the hospital often because he complains about chest pain. Due to diagnoses of CHF and COPD, the nursing home sends him out. She stated Mr. Upton is manipulative and drug seeking. He does not interact with other residence and expresses a desire to go home. Worker explained no court order is on Mr. Upton and he is free to leave. when released from the NH he will be homeless because no family or friends willing to assist him. According to Ms. Pearson his mental and physical health has not declined since placement. He is currently happy because