Critical Assessment And Intervention Of Critical Care Nursing

Critical care nursing is an intense area of nursing. The RNs care for patients that need close assessment and intervention. Working in a CCU requires advanced skills. The nurses that work in the critical care unit have to be very precise. Treatment and care of critical patients is very complex. Critical care or intensive care nursing staff must have more training than other general nursing staff. They have to be prepared to care for patients with critical needs around the clock rather than more stable patients. Most RNs are required to have a BSN degree or certification for critical care. As most fields do, the critical care nurse is required to compete continuing education yearly. The nursing staff in the critical care unit are required to do multiple tasks. For example, recording vital signs, assess function of ventilators, equipment, and monitors. The nurse also, administers medications prescribed, maintain IV patency, assess need and accomplishments of medications/ fluids. The nurse works with other nursing staff to complete care for all CCU patients. In case of situations requires life saving measures, the nurse performs the tasks, at the same time being aware of standards/ protocols posted by the hospital. While the patient is admitted, the nurse is required to perform teaching, provide support, and advocate the patients. Throughout all the treatment, the nurse is assessing the patient and following/ adding to the care plan designed for the particular patient. InShow MoreRelatedCritical Assessment And Intervention Of Critical Care Nursing919 Words   |  4 PagesClinical Rotation Summary Critical care nursing is an intense area of nursing. The RNs care for patients that need close assessment and intervention. Working in a CCU requires advanced skills. The nurses that work in the critical care unit have to be very precise. Treatment and care of critical patients is very complex. Critical care or intensive care nursing staff must have more training than other general nursing staff. They have to be prepared to care for patients with critical needs around the clockRead MoreIdentify the stages of the Nursing Process and the skills essential to the Nursing Process1672 Words   |  7 PagesThe nursing process is a five stage systematic framework, and based on the problem solving approach; it forms the foundation for nursing practice to facilitate focussed, individualised care planning for patients (Yildirim and Ozkahraman 2011). This assignment will serve to identify the five stages of the nursing process: Assessment, Nursing Diagnosis, Planning, Implementation and Evaluation. The skills: Communication, Observation, Critical Thinking and Reflection involved within the nursing processRead MoreNursing Reflection Paper1150 Words   |  5 PagesCritical thinking and clinical reasoning are essential for a sound clinical judgement. Nurses use critical thinking model s and processes to support and organize the interventions that they perform in the clinical setting. In the scenario of Mr. Patient requesting for a DNR order, I used the nursing process to formulate appropriate nursing actions and the lasater’s clinical judgment model guide my reflection. In this paper, I will describe the skills that was used in relation to nursing processRead MoreCritical Care Nursing Essay1195 Words   |  5 Pagesessay sets out to discuss the importance of comprehensive and accurate assessment on a registered nurses’ ability to make excellent clinical decisions. It will examine what factors can change a nurses’ capability to be aware of, and act on abnormal assessment findings. As well as assessment being part of the nursing process that is used in every day nursing, it is also a critical part of patient safety (Higgins, 2008). 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Fall prevention is critical in order to decrease falls in nursing homes. There are programs that

Book Review Freakonomics Essay - 1524 Words

Anybody living in the United States in the early 1990s and paying even a whisper of attention to the nightly news or a daily paper could be forgiven for having been scared out of his skin... The culprit was crime. It had been rising relentlessly - a graph plotting the crime rate in any American city over recent decades looked like a ski slope in profile... Death by gunfire, intentional and otherwise, had become commonplace, So too had carjacking and crack dealing, robbery, and rape. Violent crime was a gruesome and constant companion... The culprit was the so-called superpredator. For a time, he was everywhere. Glowering from the cover of newsweeklies. Swaggering his way through foot-thick government reports. He was a scrawny, big-city†¦show more content†¦It was the proliferation of gun control laws, they said. It was the sort of innovative policing strategies put into place in New York City, where the number of murders fell tremendously. These theories were not only logica l, they were also encouraging, for they attributed the crime drop to specific and recent human initiatives, showing us that we had the power to stop it the whole time. Author Steven D. Levitt defines Freakonomics as ?the science exploring the hidden side of everything.? In this example, Levitt does just that. Instead of just accepting the conventional wisdom of the time, that the drop in crime rate could be attributed to an innovative police force, a good economy, stricter gun control, etc, Levitt looks to the source of the crime, the criminals. Levitt first looked to many factors to identify the cause of the drop in crime, assuming all of these factors to be a cause. Then he examined the data and saw that none of the causes cited by the media at the time of the crime drop could have possibly had such an effect on crime, thus ruling them out. Levitt wanted an explanation for the specific circumstances of the drop in crime rate. The drop happened quickly and simultaneously all across the country. A roaring economy and innovative police strategies, the two main causes supported by the media, had never before influenced crime rate so significantly. He looked back to the identity of the criminal and noted the timeShow MoreRelatedFreakonomics Book Review Essay630 Words   |  3 Pagesis a book written by Steven Levitt and Stephen Dubuer. Steven d. Lennits is the living definition of the phrase â€Å" Think Outside the Box† He is not a typical economist, he even states it in the book’s introduction, â€Å"I’m not good at math, I don’t know a lot of econometrics, and I also don’t know how to do theory.† This marks right away Lennits to a different approach of ways to get his audience attention, he steps outside of the boundaries most people in society live by. 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Levitt and Stephen J. Dunbar. Levitt describes the book as a effort to â€Å"strip away a layer or two from the surface of modern life and see what is happening underneath.† He does this by taking two seemingly unrelated events and associates them. From comparing teac hers and sumo wrestlers, to inquiring why crack dealers still live with their mothers Levitt and Dunbar manage to successfully putRead MoreAbortion Did NOT Reduce the Crime Rate Essay1945 Words   |  8 Pagescrime and the economy because of the economic indicators typically used to measure economic conditions (Rosenfeld Fornado, 2007). Levitt and Dubner summarized academic work done by Levitt and co-author Donohue, and assert in their book, Freakonomics, in the chapter titled â€Å"Where Have All the Criminals Gone?†, that because of Roe v. Wade, legalized abortion had an impact on crime (Levitt Dubner, 2009). 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Incentives are described in a funny way as means of urging people to do more of a good thing or less of a bad thing, and in this chapter we find some examples Ââ€"publicRead MoreBroken Window Theory1773 Words   |  8 Pagesprison. Also, many large drug gangs were arrested at that time in New York leading to the end of high-fatality â€Å"turf wars† between crack dealers, (Kahan, 1997). The sum of all these factors may have led to the observed decrease in crime. In the book â€Å"Freakonomics†, economist Steven D. Levitt and journalist Stephen J. Dubner, propose that the legalisation of abortion during the ‘70s contributed heavily to the decrease in crime during the ‘90s. By reducing the birth of unwanted and possibly fatherlessRead MoreWhy Do Companies Advertise During The Nfl Super Bowl?2202 Words   |  9 Pagestitle? Are your Super Bowl commercials effective? 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Airlines Like hotels, airlines do not book or charge by the weather, but by the day of the week, month, season, etc. Their bookings may be full when surf conditions

E-Portfolio Nursing Patient Deterioration

Question: Discuss about theE-Portfolio Nursing forPatient Deterioration. Answer: Further Questions for the Nurse During Handover: I would ask the nurse some questions for clarity; What were the differential diagnoses and how were they eliminated to conclude it could be pneumonia specifically? This gives me the reason to rule out pulmonary tuberculosis because I suspect it could be there (Williams, 2016). Again, I would ask the changes that are expected on the patient for me to be ready. What are the latest vital observations of temperature, pulse, respiration rate and blood pressure? Are any family members present and who was the secondary source of information during the primary assessment? Is the patient on any other drugs from the previous conditions? Were there any dietary alterations in the past week that may have led to weight loss? Does the patient have any cognitive impairments and psychological instabilities? Does the patient have any drug or food allergies? What are his commonest stressors? What are the values and beliefs that he holds dear? What is the patients perception of his condition? If answere d, I shall have a broader scope of patient information for continuity of care (Williams, 2016). Further assessments: I would do a further respiratory assessment to rule out PTB. This is to be done by auscultation anteriorly and posteriorly where there could be unilateral air entry and the other one is not. Also, I will do a cardiovascular assessment to confirm if congestive cardiac failure (CCF) is contained. Stool assessment for any occult blood would help confirm the resurgence of gastric ulcers or if the abdominal pain was just due to another GIT infection. Examining the stool for occult blood is done by collecting some of the stool and seeing if there are patches of blood that is digested. I will take vital signs hourly to detect any changes. I will assess any evidence of cardiac overload during the administration of normal saline considering that he has a history of CCF and he is old. This is done by assessing the extremities for pitting edema and orbital edema as well. I would also do an assessment based on the eleven functional health patterns by Gordon (Levett-Jones, 20 13). This will help capture other details that may contribute to his recuperation (Williams, 2016). The assessment that I would do after receiving the patient involves the blood pressure, temperature, pulse and respiratory rate (vital signs). This helps in management of any emergencies that could occur. Again, a nutritional assessment by taking the Body Mass Index (BMI) would help in adjusting the clients IV supplements since he has abdominal discomfort that may be due to the gastric ulcers. This is done by taking the weight in kilograms over the square of his height in meters. The weight loss could be as a result of malabsorption. Also, pain scaling would be important where I would rate it as severe, moderate or mild. Assessment 2. Consider the patient situation What current information do you have on this pt? What new information have you gathered? Mr. Joe, is a 92-year-old male with a history of gastric ulcer, CCF and CVA. He has a chesty cough and is producing sputum. He lost 3 kilograms of weight in the previous week. Currently, he is on 1.5 liters of oxygen through a nasal prone. The left hand has an IV cannula and he has received antibiotics; IV gentamycin and cephazolin as indicated in the treatment chart. He takes nothing per oral and has passed stool twice and the urine output is consistent. Collect Cues/Information What further cues and information would be useful? Why? The weight loss of 3kilograms could be as a result of malabsorption and so I have to ask him whether he felt some abdominal pain after meals and could that be the reason he did not eat. This helps note the cause of the weight loss. (Felton, 2012) Process Information What changes do you notice in the cues and information provided? Which changesare significant for this patientand why? What do you think these changes could indicate and why? What could be the outcome of these changes? The changes that are notable in the cues are the onset of abdominal pain and chesty cough. The need to rule out other respiratory pathologies like PTB is important. If the chesty cough has taken more than two weeks, then we could suspect PTB and the sputum test could be confirmatory. The outcome of these changes could be a change of treatment to the anti-TB drugs and shifting the patient to a secluded TB unit. (Lee, Lee, Bae, Seo, 2016) Identify Problems/issues Given the facts that you have available and comparing those to what you think the changes could indicate/identify one potential patient problem/issue. Upon reviewing the history and the changes that I have noted, one potential patient problem is nutritional imbalance related to malabsorption secondary to gastric ulcers. Establish Goals Describe what you want to happen. Who do you want involved and what do you want them to do? In what timeframe? The most important intervention for the patient after pain management is nutritional review and subsequent supplementation. I would review the patient with the help of a nutritionist so that the best intervention is made. This is important to boost his immunity. After a span of four days in the ward with IV nutritional supplementation, the client is expected to gain weight. Take Action What nursing actions will you take? What will be your nursing priorities? Patient teaching on coughing techniques and hygienic interventions. Also, I would initiate a psychological support program. Administration of prescribed antibiotics and other medications that could be helpful. My priority shall be the administration of analgesics and nutritional supplements. Evaluate Outcomes What do you expect to achieve from the actions have taken? I expect that the patient will verbalize absence of pain 20 minutes after administration of analgesics. Also, the patient will gain weight after four to five days of nutritional supplementation. (Levett-Jones, 2013) Reflect on Process and new learning What have you learnt from this exercise? I have learnt that cues are important because they give specific health information that may help change the patients condition and they are elicited through the clinical reasoning process. References Felton, M. (2012). Recognising signs and symptoms of patient deterioration. Emergency Nurse, 20(8), 23-27. https://journals.rcni.com/doi/abs/10.7748/en2012.12.20.8.23.c9480 Lee, J., Lee, Y., Bae, J., Seo, M. (2016). Registered nurses' clinical reasoning skills and reasoning process: A think-aloud study. Nurse Education Today, 46, 75-80. https://secure.jbs.elsevierhealth.com/action/consumeSsoCookie?redirectUri=http%3A%2F%2Fwww.nurseeducationtoday.com%2Faction%2FconsumeSharedSessionAction%3FMAID%3DbDBFKBJuZCKrwinNuwM9dw%253D%253D%26SERVER%3DWZ6myaEXBLGliB%252BRW%252F74SA%253D%253D%26JSESSIONID%3Daaan3b8EwBz8AcL0eE6Fv%26ORIGIN%3D303803872%26RD%3DRDacw=utt= Levett-Jones, T. (2013). Clinical reasoning. Frenchs Forest, N.S.W.: Pearson Australia. Williams, R. (2016). Handover standards. Nursing Management, 23(2), 19-19. https://journals.rcni.com/doi/10.7748/nm.23.2.19.s19

V for Vendetta Questions Essay Example

V for Vendetta Questions Essay If people feel strong it will be easier to get people once a good amount of people Join the cause It is very easy to mess up when a mass of people are doing something because of the numbers Everyone has to be on the same side for the manipulation to work. In order to immobile a population everyone needs to agree with the movement; convincing people is a lot more difficult when one has to convince a whole group of people. 2. A. I agree with what V said when he stated Moline can be used for good. The main reason I believe this is because even though there are only some instances in which evil has been used for good, there still are events that occurred for good. Some wars have been fought with freedom being the reason; although there have been ulterior motives other than freedom there is still one good thing. This one thing makes Vs.. Statement true. Another reason as to why I believe Vs.. Statement is true is because there have been vigilantes, such as V, who save people for the sole reason of being a good person. We will write a custom essay sample on V for Vendetta Questions specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on V for Vendetta Questions specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on V for Vendetta Questions specifically for you FOR ONLY $16.38 $13.9/page Hire Writer V saved Eve with violence and during World War 2, there were group of Jews who would go around blowing up concentration camps. The methods of destruction of those buildings and compounds were violent but in the end, it ended up saving some Jews from being sent to those concentration camps and any that were already there. 2. B. I believe Vs.. Motivation to use violence was based more for the memory of Valerie. Then would come his desire to awaken the public then, to challenge an oppressive government and the reason that was the least important to him would be revenge for the way he was treated. Although throughout the movie, he anted down the people who he believed did the most evil in the place he was held at, I think it was mostly to get revenge for Valerie, not for himself. 3. In that context, no, V is not a terrorist, he is a person who believes the people should rule the been oppressed by the government. Although, in the perspective of the government he was a terrorist because they were the ones who were oppressing and who believed what they were doing was right. But, since the context is The Government should be afraid of their people, V is not a terrorist, he is a liberator. The symbolism behind the Guy Fakes mask was that V was someone who was going to/ did blow up parliament. Guy Fakes is the actual guy who attempted to blow up Parliament. V is Just attempting to honor Guy Fakes. The audience isnt allowed to see Vs.. Face because it would ruin the imagery of the Guy Fakes mask being the liberator. I probably wouldnt unmask him if I had the chance. With the ending the movie had, the Guy Fakes mask became the trademark of people who are attempting to liberate the people from oppressive governments or any type of oppression. The mask is widely used with the Hastiest group Anonymous; they hack information and anything in order to try to help oppressed people. 5. V lets Eve make the final decision because he knew she would do the right thing. He changed during his time at the facility and Eve changed at the facility as well. At the beginning of the movie, V knew Eve and he were supposed to meet and that their fates were connected; he knew Eve would choose to help lead the revolution against the oppressive British government. The fact that Eve already had the background for eloping lead this revolution helped propel her ideals forward and it helped influence her decision of blowing up parliament. Her parents were taken away by the government so she knew how oppressive the British Government was; she knew it had to be stopped. She also Just wanted to help Vs.. Ideas live on; they couldnt die with him. 6. Freedom is the right ideal to have but security with limited freedom will probably make the country more successful and prosperous. With freedom, the people will rule the country. The majority of the people in every society are Just cooking out for themselves; its human nature. If people are afraid of their governments, they will not revolt, there will not be much violence, nothing truly significant will happen within that country. With freedom, new ideals will form from the ranks of the ordinary people. Although some of the ideas within the society will be good ones, the majority will burden a group of people if not the whole society; more mistakes can be made when freedom is a thing. With security, the society will be safe and everything will be okay within the country. Although, like in the movie, governments will get more oppressive over time and eventually they will start scaring the people with water viruses in order to make the people feel that they need the government. A society can be secure and free at the same time; although, if the balances are off, then the whole system fails. There needs to be a way of making sure that the government does not get too oppressive or powerful but there also needs to be a way to assure that the people will not topple the government or else the society will become chaotic and disorderly.