Use of Oxygen to help with Hypoxia and Organ Failure in patients with COPD.
Please look at and use the rubric I uploaded, along with the two articles.
Use this case study to create one, complete nursing diagnosis. The nursing diagnosis should be one of the top three nursing diagnoses for this patient. A priority nursing diagonsis is one that applicable to the major presenting problem(s).
Case study:
An 80-year-old White male was admitted s/p L hemiarthroplasty yesterday after a fall. No other acute injuries were treated. Patient is married and his wife and daughter are at the bedside. Patient has a history of type 2 diabetes but does not require medication normally, though he is currently on a sliding scale of insulin since surgery. He had an Ivor-Lewis esophagectomy secondary to adenocarcinoma of the esophagus and stomach 9 months ago. He also had gamma knife radiation for a left temporal mass (7 months ago) which was found coincidentally when diagnosed with a CVA.
He has a port-a-cath in his right upper chest which is not accessed. He has a left-hand peripheral IV of normal saline at 100 cc/hour and the pump that is alarming (which is what brought you into the room). His IV site is swollen and red.
He is alert and oriented Xs 3. HOB must be at 30 degrees at all times. Patient is 6 feet 6 inches tall and weighs 168 pounds. Skin is extremely fragile and tears easily. He currently has a reddened area over his coccyx, though skin is intact. Patient must not drink fluids within 30 minutes of meals, must eat a small, high-protein meal every 2 to 3 hours, and must rest at least 20 minutes after eating; otherwise he experiences dumping syndrome.
Vitals: BP 150/68 (supine); P 70; R 24; O2 at 97% on room air. Breath sounds diminished in lower lobes bilaterally. Bowel sounds are decreased in all quadrants. Left hip dressing is dry and intact. Client states his pain is a 6 out of 10; he was last medicated 4 hours ago and has asked to have pain medicine and nausea medicine at the next opportunity. Pedal pulses are present bilaterally, no swelling. Blood work indicates Hgb of 8.1.
When physical therapy (PT) attended earlier, patient stood at bedside with walker and assistance, but quickly became nauseous and weak and was unable to transfer to the chair. Client lives with wife of 60 years. There are two steps into the residence, and patient was independent with all ADLs prior to the fall. He is currently resting; a soft meal was brought in, but patient has refused to eat or drink since he fell 2 days ago.
The following list contains common NANDA approved nursing diagnosis examples. You can use these to help get ideas on how to develop your nursing care plan. If you have access to current care plan books, you are welcome to refer to these as well for nursing diagnoses and interventions. Whatever you decide to use, be sure to include a reference for it.
· Anxiety
· Diarrhea
· Fatigue
· Fear
· Grieving
· Imbalanced Nutrition: Less Than Body Requirements
· Impaired Tissue (Skin) Integrity
· Impaired Urinary Elimination
· Ineffective Airway Clearance
· Ineffective Breathing Pattern
· Ineffective Tissue Perfusion
· Risk for Impaired Skin Integrity
· Risk for Unstable Blood Glucose Level
Additional examples of care plans can be found here: https://nurseslabs.com/category/nursing-care-plans/nursing-diagnosis/
The concept map can be any shape or color, but must include the criteria listed in the rubric and be reasonable to read. In the past, students have chosen to use powerpoint, draw on a paper and upload, or for the tech savvy used various apps to design their concept map of the careplan they have chosen. Check the course schedule to see due dates for assignments.
Make sure to use the following criteria,
-Chief Complaint,
Describe the primary concern that caused the patient to seek healthcare.
–Past medical history
Include as much as you are able to determine
-Priority Nursing Dx
The nursing diagnosis cannot be a medical diagnosis. It must also be the address the most concerning patient problem (what is most dangerous to the person's health at the moment and needs to be resolved as soon as possible).
Related to
Contributing factors influencing the change in health status. No medical diagnoses can be used unless they are addressed as secondary. (see example below).
Risk for Decreased Cardiac Output related to reduced preload secondary to myocardial infarction as evidence by patient reporting angina, decreased venous and arterial oxygen saturation, hypotension (80/56).
-Defining Characteristics
Give two examples of objective data that supports your nursing diagnosis. Give one example of subjective data that supports your nursing diagnosis.
-Short term goal
Include a short term goal related to your patient AND priority nursing dx that is S.M.A.R.T. SMART goals are Specific, Measurable, Achievable, Relevant, and Time-Bound
-Long Term Goal
Include a long term goal related to your patient AND priority nursing dx that is S.M.A.R.T.
-Interventions
Include 8 interventions you can use to meet the short term and long term goals.
One must be a medication and one must be something non-pharmacological. Only one intervention can be an assessment or continue to assess.
-Evaluation- follow up physical assessment
Normally in the evaluation phase, you would include any new assessment findings for each intervention that was chosen. In this case, you can create your own findings to demonstrate what you would expect to find after the interventions have been implemented.
-Evaluation of goals- short term
Determine if the short term goal was met, partially met, or not met. Indicate why you have chosen your answer.
-Evaluation of goals: long term goal
Determine if the long term goal was met, partially met, or not met. Indicate why you have chosen your answer.
Must include reference in APA 7th edition format.
To assess a clinical issue that is the focus of your Quality Improvement Project.
Create a description of the clinical issue to be addressed in the project.
Total of one discussion
Appropriate data collection is a critical component in obtaining useful data for your research. Using your proposed research topic and research questions, explain your plan for data collection. Discuss potential issues in your data collection plan and your plans to overcome these challenges. Then, respond to at least two or your classmates’ posts and analyze their plan for data collection. Are their plans appropriate for their research project? Do you have any suggestions for improvement?
My proposed research topic
In adult intensive care units (ICUs) (P), how does a nurse-to-patient ratio of 1:1 (I) compared to a nurse-to-patient ratio of 1:2 or higher (C) affect patient mortality, healthcare-associated infections, and nurse job satisfaction (O) within a three-month timeframe (T)?
Tuberculosis
Complete the ATI Systems Disorder template for your assigned infection topic. Every box on the template must be completed, a citation is needed for every box, and your reference list must be included (APA).
This is a lab assignment on making a SOAP note of an acute or chronic illness. Use APA format and must include a minimum of two Scholarly Citations. Please follow the Soap Notes Rubric.
This professional portfolio assignment will prepare the students to market and negotiate for employment as an advanced nurse practitioner. The assignment must contain the following:
Submission Instructions:
This theory paper 3 is on based on: NIGHTINGALE'S ENVIRONMENT THEORY
Nursing area is: Home Health Nursing-Visiting Nurse
· Add a heading that says, "Potential Barriers."
· What personal and professional potential barriers do you anticipate as you attempt to meet your professional goal?
· Barriers could include time constraints, monetary constraints, lack of support for continued learning, or even internal barriers such as confidence or self-awareness.
· How will you address these barriers?
· How can the theory you have chosen contribute to these perceived barriers and how can the theory help shape solutions to overcome these barriers?
Direct quotations must be less than 15% of the paper. Turnitin's score needs to be below 15%.
· A title page is included and is in the correct APA format for the 7th edition.
Please make sure.
· Headings are correctly placed using APA format. All designated headings are included.
· Reference Page and Other APA formatting
· The total page count is 3 pages. 1 title, 1 page reference page, 1 body page
· Include a separate reference page in the correct APA format. The paper will need to be in black, 12-point font, and in Times New Roman. There is not a max or minimum page length for part 2.
· No more than 15% of the paper can be direct quotes. Turnitin score is under 15%.
· At least 2 references are required. one of the references can be your textbook or the Nursing Theory website if you have used these to contribute to your paper.
· The other reference should be peer-reviewed, scholarly, and have been published in 2018 or after. These last two references cannot be websites.018 or after. Other than the nurse theory website, no other websites can be used.
Only scholarly sources are acceptable for citation and reference in this course. Less than 5 years old
Family-Centered Care is a fundamental concept in pediatric nursing that recognizes the importance of involving families in the care of pediatric patients. It emphasizes collaboration, respect, and partnership between healthcare providers and families to ensure the best possible outcomes for children. This article explores the concept of Family-Centered Care in the context of pediatric nursing, highlighting its principles, benefits, and challenges. It also delves into the role of pediatric nurses in implementing Family-Centered Care and provides case studies that showcase successful strategies. Additionally, this article offers recommendations for the future of Family-Centered Care in pediatric nursing practice. By embracing this approach, healthcare professionals can create a supportive environment that empowers families and promotes the well-being of pediatric patients.
Pediatric nursing is a specialized field of healthcare focused on providing care to infants, children, and adolescents. Pediatric nurses play a vital role in promoting the health and well-being of young patients, ensuring they receive age-appropriate care, and supporting their families throughout the healthcare journey.
In pediatric nursing, family-centered care takes center stage. It recognizes that families play a crucial role in a child’s overall health and development. By involving families in decision-making, providing emotional support, and considering their unique needs and preferences, healthcare providers can create a more meaningful and effective care experience for both the child and the family.
Family-centered care is an approach that recognizes the family as an equal partner in the healthcare process. It involves collaborating with families, respecting their values and beliefs, and involving them in planning, delivering, and evaluating care. This approach acknowledges that families possess valuable knowledge about their child, and their active participation leads to better outcomes.
The principles of family-centered care revolve around respecting and honoring the diversity, culture, and values of each family. It emphasizes collaboration and shared decision-making between healthcare providers and families. Additionally, it promotes open communication, empathy, and supporting families in their caregiving roles.
Pediatric nurses play a multifaceted role in family-centered care. Their responsibilities include assessing and monitoring the child’s health, coordinating care among different healthcare providers, educating families about the child’s condition and treatment options, providing emotional support, and advocating for the child and family within the healthcare system.
Pediatric nurses collaborate with families to make informed decisions about the child’s care. By involving families in discussions, explaining treatment options in a clear and understandable way, and respecting their choices, nurses empower families to actively participate in the decision-making process.
To implement family-centered care, pediatric nurses strive to create a supportive and welcoming environment for families. This includes providing clear communication, addressing any concerns or questions, ensuring privacy and comfort, and involving families in care planning and decision-making.
Pediatric nurses understand that every family is unique, with different circumstances, strengths, and challenges. They adapt care plans to meet the specific needs and preferences of each family, taking into account cultural, religious, and social factors. By tailoring care to the individual family, nurses ensure a more personalized and effective healthcare experience.
Pediatric nursing is not just about treating the child; it’s about recognizing the vital role of families and involving them in every step of the care journey. Through family-centered care, pediatric nurses can make a significant difference in the lives of young patients and their families, providing them with the support and guidance they need during challenging times.
When pediatric nurses adopt a family-centered care approach, it has a positive impact on patient outcomes. By involving the family in the care process, nurses can gain valuable insights into the child’s health and well-being. This collaborative approach ensures that the child’s care plan is tailored to their specific needs, leading to better medical outcomes and enhanced overall health.
Family-centered care not only benefits the pediatric patients but also brings satisfaction to their families. By actively involving parents and caregivers in the decision-making process and providing them with the necessary support, pediatric nurses can alleviate their concerns and anxieties. This involvement fosters a sense of empowerment and reassurance, resulting in increased satisfaction with the care their child receives.
In promoting family-centered care, pediatric nurses must navigate cultural and language barriers that may exist between themselves and the families they serve. It is essential to foster a culturally sensitive environment where language interpretation services are readily available, and cultural traditions and beliefs are respected. Building trust and open communication bridges these gaps and ensures effective collaboration with families from diverse backgrounds.
Implementing family-centered care may encounter resistance from healthcare providers and institutions accustomed to traditional care models. To overcome this challenge, it is crucial to educate and raise awareness about the benefits of family-centered care. Sharing success stories and evidence-based research can help healthcare professionals understand that this approach leads to better outcomes for patients and greater satisfaction among families.
In this case study, a pediatric nurse at XYZ Hospital involved the family of a young patient with a chronic condition in the decision-making process. By actively listening to the family’s concerns and involving them in care decisions, the nurse developed a care plan that incorporated the family’s preferences and cultural beliefs. As a result, the child showed improved compliance with treatment, and the family expressed greater satisfaction with the care provided.
In this case study, a pediatric nurse at ABC Clinic empowered the family of a hospitalized child to actively participate in decision-making. The nurse provided them with age-appropriate information about the child’s condition, treatment options, and potential outcomes. By involving the family in the decision-making process, the nurse helped the family feel more engaged and confident in their ability to contribute to their child’s care. This collaboration led to improved treatment adherence and positive outcomes for the child.
To further promote family-centered care, it is essential to enhance the education and training provided to pediatric nurses. This includes incorporating courses and practical experiences that focus on effective communication, cultural competency, and collaboration with families. By equipping nurses with the necessary skills and knowledge, they can better serve as advocates for both the pediatric patients and their families.
Continued research on family-centered care in pediatric nursing is vital to further understand its impact and identify best practices. Investing in research initiatives that explore the benefits, outcomes, and strategies related to family-centered care will strengthen the evidence base and inform future interventions. This knowledge will guide healthcare providers in implementing and improving family-centered care approaches that benefit pediatric patients and their families.In conclusion, Family-Centered Care in pediatric nursing is an essential approach that recognizes the significance of involving families in the care of pediatric patients. By adopting this approach, healthcare providers can foster collaborative partnerships with families, leading to improved patient outcomes, increased family satisfaction, and a more supportive healthcare environment. Despite the challenges, the implementation of Family-Centered Care is crucial for the future of pediatric nursing. By continuously striving to enhance education, research, and practice in this area, healthcare professionals can ensure that the needs and preferences of pediatric patients and their families are at the forefront of care delivery. Together, we can create a compassionate and effective healthcare system that truly centers around the well-being of children and their families.
Family-Centered Care is an approach in pediatric nursing that emphasizes the importance of involving families in the care of pediatric patients. It recognizes that families play a vital role in the well-being of children and seeks to establish collaborative partnerships between healthcare providers and families to ensure the best possible outcomes.
Family-Centered Care has numerous benefits for pediatric patients and their families. It improves patient outcomes by promoting better communication, shared decision-making, and continuity of care. It also enhances family satisfaction, as it recognizes and respects the unique needs, preferences, and values of each family. By involving families in the care process, it empowers them and helps them feel more confident and engaged in their child’s healthcare journey.
Implementing Family-Centered Care in pediatric nursing practice can present challenges. These challenges may include cultural and language barriers, resistance to change among healthcare providers, and the need for additional resources and training. It requires creating a supportive environment that values family involvement and adapting care plans to meet the diverse needs of families.
Pediatric nurses play a crucial role in promoting Family-Centered Care. They can foster open and respectful communication with families, involve them in care planning and decision-making, and provide educational resources to empower families in managing their child’s health. Pediatric nurses can also advocate for the implementation of policies and practices that support Family-Centered Care, collaborate with interdisciplinary teams, and continuously seek opportunities for professional development in this area.
