Nursing exemplar papers

It was at about this point I learned that even though, she had already been on our floor for almost a week with what would be a permanent tracheostomy no one had yet taught her to suction herself.

Nursing situation examples

My role as an advocate for Lynda helped her to obtain her main goal of going home. Ruthie's respirations were regular and unchanged, and her face remained slack and lifeless. I decided to write Lynda a note that state for her to get some rest because we had a busy day ahead of us tomorrow. P was awake, but he did not acknowledge me when I went in. I remember thinking that maybe I was more exhausted than I thought, or perhaps I had gotten a little too personally involved with Ruthie. P ruled out, as both sets of troponins and both EKGs were within his normal limits. More for myself, really, than for her, I began to talk to her as I worked. Act by applying the chosen option refers to the supportive care that the patient was placed on as she continued to decline in her health status. The attending said a low grade temp was not of concern and it was ok to send him home with this as all of his other vital signs were within normal limits and his cardiac work-up was negative. One ethical principle I believe was violated was beneficence. Day three, my mission was to teach Lynda the proper care of her PEG tube, and to continue with the encouragement of her suctioning herself. Lunch time came around and sure enough, she was able to complete the bolus feeding with minimum assistance. As well as I may know a patient, I must always be cautious not to draw a conclusion too soon.

While I do not entirely agree with whether the intervention or lack thereof was the best option, it is very understandable to consider the importance of a patients cultural background and how it impacts his or her health care.

I do not think that beneficence was truly honored in this scenario since there was a lack of confirmation regarding the patients religious affiliation.

Magnet nursing exemplar

It was passed along in report to simply encourage her independence in suctioning herself. My other assessments showed no other difference in Ruthie, and her vital signs were unchanged. After the physicians came to see Lynda and she had a swallow evaluation preformed it was decided that the best option for Lynda would be to have a percutaneous endoscopic gastrostomy PEG tube placed, for feedings. Having a clinical experience it is an opportunity for any student nurse not only practicing skills and using theoretical knowledge, but also learning by doing and reflecting on experiences during the placement Jones, I remember thinking that maybe I was more exhausted than I thought, or perhaps I had gotten a little too personally involved with Ruthie. At this visit she was told that she was not breathing adequately enough and it was because she had a large tumor that was starting to block off her airway. At first glance I could tell I would be busy for the next twelve hours. Each and every patient visit must be treated uniquely.

I often think of Ruth, and what she shared with me, and I've been satisfied to think that maybe I was able to interpret and validate for her what had happened to her, and perhaps offer her a small part in the last scenario of her life.

Get Essay Lynda was newly diagnosed with laryngeal cancer with already having several other diagnoses including: seizure disorders, mild mental retardation, behavioral issues, and was legally blind. As they were calling for her to go downstairs for the PEG tube placement, I assured Lynda that she was strong and that she would be able to do this.

The clinical situation has also shaped my view of death. At am, the rounding nurse practitioners called a code blue situation as the patient slipped into ventricular tachycardia.

Nursing exemplar papers

Kristine Godecker Hilquist. I was also in charge for the day.

nursing anecdotes examples

She was told that she need to have a tracheostomy and soon before it would close off her airway, and then she had two options radiation so see if it would shrink the tumor or surgery to remove the tumor.

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Clinical exemplar usf

Eventually, she became severely hypotensive and my preceptor had to reach the maximum dose on her norepinephrine and epinephrine drip medications. P was awake, but he did not acknowledge me when I went in. He was also unable to communicate his pain and change of condition. I often think of Ruth, and what she shared with me, and I've been satisfied to think that maybe I was able to interpret and validate for her what had happened to her, and perhaps offer her a small part in the last scenario of her life. As well as I may know a patient, I must always be cautious not to draw a conclusion too soon. I arrived to work well rested and ready to start the day. Each and every patient visit must be treated uniquely. The telemedicine platform, as described by Rufo , consists of a multidisciplinary group with board certified specialty physicians providing the ultimate care oversight. At am, the rounding nurse practitioners called a code blue situation as the patient slipped into ventricular tachycardia. Next is to outline the options by considering the pros and cons of each possible intervention and alternative.

By the end of our second twelve hour shift, Lynda had learned how to suction herself. P had not complained of any abdominal pain - only his chest pain.

As I suctioned her around 6 a.

nursing clinical narrative examples
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