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- Nursing Diagnosis Knowledge deficit of management of visual impairment
- Nursing Process
- Prostate cancer is the most common cancer in men in the UK. 37,000 men
- Aseptic Technique
- Nursing Diagnosis Activity intolerance
- Consumer Complaints about Nursing Assistants
- Career | Jobs Vacancy
- New Scholarships
- Become a Nurse Assistant
| Nursing Diagnosis Knowledge deficit of management of visual impairment Posted: 12 Jun 2011 06:31 PM PDT Nursing Diagnosis Knowledge deficit of management of visual impairment Knowledge deficit is a lack of cognitive information or psychomotor skills required for health recovery, maintenance, or health promotion. Teaching may take place in a hospital, ambulatory care, or home setting. The learner may be the patient, a family member, a significant other, or a caregiver unrelated to the patient. Learning may involve any of the three domains: cognitive domain (intellectual activities, problem solving, and others); affective domain (feelings, attitudes, beliefs); and psychomotor domain (physical skills or procedures). The nurse must decide with the learner what to teach, when to teach, and how to teach the mutually agreed-on content. Adult learning principles guide the teaching-learning process. Information should be made available when the patient wants and needs it, at the pace the patient determines, and using the teaching strategy the patient deems most effective. Many factors influence patient education, including age, cognitive level, developmental stage, physical limitations (e.g., visual, hearing, balance, hand coordination, strength), the primary disease process and other comorbidities, and sociocultural factors. Older patients need more time for teaching, and may have sensory-perceptual deficits and/or cognitive changes that may require a modification in teaching techniques. Certain ethnic and religious groups hold unique beliefs and health practices that must be considered when designing a teaching plan. These practices may vary from "home remedies" (e.g., special soups, poultices) and alternative therapies (e.g., massage, biofeedback, energy healing, macrobiotics, or megavitamins in place of prescribed medications) to reliance on an elder in the family to coordinate the plan of care. Patients with low literacy skills will require educational programs that include more simplified treatment regimens, simplified teaching tools (e.g., cartoons, lower readability levels), a slower presentation pace, and techniques for cueing patients to initiate certain behaviors (e.g., pill schedule posted on refrigerator, timer for taking medications). Although the acute hospital setting provides challenges for patient education because of the high acuity and emotional stress inherent in this environment, the home setting can be similarly challenging because of the high expectations for patients or caregivers to self-manage complex procedures such as IV therapy, dialysis, or even ventilator care in the home. Caregivers are often overwhelmed by the responsibility delegated to them by the health care professionals. Many have their own health problems, and may be unable to perform all the behaviors assigned to them because of visual limitations, generalized weakness, or feelings of inadequacy or exhaustion. Deficient Knowledge This care plan describes adult learning principles that can be incorporated into a teaching plan for use in any health care setting. Expected Outcomes Nursing Interventions/Rationale 1. Assess readiness to learn management techniques of cellulitis from the patient and spouse. It needs to be made sure that the patient and spouse are willing to learn these interventions so they can apply them. Outcome Evaluation Met. Patient and spouse understand that patient will need help with ADLs. Asked questions to clarify and backbriefed my teaching. Met. Patient and spouse said they understand and stated at least 3 techniques in managing the cellulitis.
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| Posted: 12 Jun 2011 06:09 PM PDT Nursing Process Nursing process Introduction A systematic, rational method of planning and providing individualized nursing care. 5 components of Nursing Process: 1. Assessment 2. Diagnosis 3. Planning 4. Implementing 5. Evaluating For the purpose of this course, we will concentrate on A P I E
The systematic and continuous collection, validation, and communication of client data During assessment, the care provider: A. Establishes A Data Base Planning: The establishment of client goals/outcomes by the provider, working with the client, that prevent, reduce, or resolve problems and the determination of related nursing interventions most likely to assist client in achieving goals During planning, the provider: A. Establishes Priorities B. Writes Client Goals C. Selects Nursing Interventions D. Communicates The Plan Implementing: The provider carries out the plan of care During implementing, the care provider: B. Continues Data Collection And Modifies The Plan Of Care As Needed C. Documents Care Evaluating: The measuring of the extent to which client goals have been met During evaluating, the care provider: A. Measures The Clients Achievement Of Desired Goals/Outcomes B. Identifies Factors That Contribute To The Client's Success Or Failure C. Modifies The Plan Of Care, If Indicated
Purpose of the nursing process: 1. To Achieve Scientifically- Based, Holistic, Individualized Care For The Client 2. To Achieve The Opportunity To Work Collaboratively With Clients, Others 3. To Achieve Continuity Of Care
Characteristics of the nursing process: 1. Systematic The nursing process has an ordered sequence of activities and each activity depends on the accuracy of the activity that precedes it and influences the activity following it. 2. Dynamic The nursing process has great interaction and overlapping among the activities and each activity is fluid and flows into the next activity. 3. Interpersonal The nursing process ensures that nurses are client-centered rather than task-centered and encourages them to work to help clients use their strengths to meet human needs. 4. Goal-Directed The nursing process is a means for nurses and clients to work together to identify specific goals related to wellness promotion, disease and illness prevention, health restoration, coping and altered functioning, which are most important to the client, and to match them with the appropriate nursing actions. 5. Universally Applicable The nursing process allows nurses to practice nursing with well or ill people, young or old, in any type of practice setting.
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| Prostate cancer is the most common cancer in men in the UK. 37,000 men Posted: 02 Jun 2011 05:41 AM PDT Prostate cancer is the most common cancer in men in the UK. 37,000 men are diagnosed with prostate cancer every year. 250,000 men are currently living with the disease. Prostate cancer can grow slowly or very quickly. Most prostate cancer is slow-growing to start with and may never cause any problems or symptoms in a man’s lifetime. However, some men will have cancer that is more aggressive or ‘high risk.’ This needs treatment to help prevent or delay it spreading outside the prostate gland. source Prostate cancer is the most common cancer in men in the UK. 37,000 men Prostate cancer is the most common cancer in men in the UK. 37,000 men
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| Posted: 31 May 2011 06:37 PM PDT Aseptic Technique An aseptic technique should be used during any invasive procedure that bypasses the body's natural defenses, e.g. the skin and mucous membranes or when handling equipment such as intravenous cannulae and urinary catheters. Whilst it is difficult to maintain sterility, it is important to prevent contamination of sterile equipment. Poor aseptic techniques can lead to contamination. When should an aseptic technique be used. • When inserting, re-siting or dressing an invasive device, e.g. intravenous line, urinary catheter, wound drain. • Only trained and assessed as competent staff should perform an aseptic technique. Note wound dressing should not be taken down for a ward rounds unless there is a clinical need to see the wound. Aseptic Technique References:
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| Nursing Diagnosis Activity intolerance Posted: 23 May 2011 06:25 PM PDT NANDA Definition Activity intolerance Insufficient physiological or psychological energy to endure or complete required or desired daily activities Defining Characteristics Related Factors (r/t) Activity Tolerance, Endurance, Energy Conservation, Self-Care: Instrumental Activities of Daily Living (IADLs) Example NOC Outcome with Indicators Endurance as evidenced by the following indicators: Performance of usual routine/Activity/Concentration/Muscle endurance/Eating pattern/Libido/Energy restored after rest/Blood oxygen level (Rate the outcome and indicators of Endurance: 1 severely compromised, 2 substantially compromised, 3 moderately compromised, 4 mildly compromised, 5 not compromised see Section I.) Activity Therapy, Energy Management Monitor cardiorespiratory response to activity; Monitor location and nature of discomfort or pain during movement/activity
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| Consumer Complaints about Nursing Assistants Posted: 21 May 2011 12:51 AM PDT Consumer Complaints about Nursing Assistants Most Nursing Assistants work very hard to ensure the safety of patients as well as provide them with quality care. However, consumer complaints happen often, resulting in the profession not getting a fair look. Too often the focus is on the negative that takes place during interactions with Nursing Assistants than reporting good staff to the proper people. One of the biggest complaints about Nursing Assistants by consumers is that they are too rushed. They often have to hurry through bathing and dressing because they have too many demands on their time in a given shift. This often results in patients getting cared for, but quickly and robotically. The personal touch is often smothered in an effort to get it all done. For patients, simple requests are on of the few perks they have in a medical facility. It also allows they to still exercise some control over their decisions. This is very important to someone who no longer is able to be at home or do basic tasks for themselves without assistance. These requests can be as simple as helping them from the bed to a chair or bringing them a pen and paper to write a letter. It is easy for Nursing Assistants to get side tracked or forget. However, since these simply requests are important to the patient, it is very important that Nursing Assistants follow through with them. Carrying a pen and notepad to jot down requests is a great way to remember them. Patients don't like to be kept waiting. It is very hard to adjust to. They may forget they are not the only patient. Nursing Assistants do the best they can to stay on schedule. However, working short staffed and medical emergencies can quickly put them behind schedule. Nursing Assistants have to prioritize, so sometimes helping someone who has fallen is more important than giving the patient a shower on time. Since confidentiality is so important, the Nursing Assistant can't tell the patient why they are running late. Never discuss a patient with another staff member or family member in a manner that makes the patient feel as if they are not in the room. Speak with them in mind. It is important to carefully choose your words, even when you think they are asleep or in a coma. Many patients have filed complaints regarding conversations they overheard while Nursing Assistants thought they were sleeping or unresponsive. One huge area of controversy is that many consumers are uneasy with who quickly a Nursing Assistant can obtain a license. They do not feel there is adequate training time to do an effective job. Federal guidelines require all Nursing Assistant programs to have a minimum of 75 hours of training. The actual amount will depend on the program coordinator and the state requirements for a particular program. However, it is often debated that to be certified as a manicurist, it takes over 1000 hours of training, but so little to become a Nursing Assistant. Medical facilities and program developers defend the hours required to earn a certificate as a Nursing Assistant. They feel the training builds on an individuals basic concepts of feeding, bathing, and dressing individuals. It is routine tasks we have all done at some point in our lives. They also stress that the clinical hours are hands on training in a medical facility with close observation. This type of training is more effective than just classroom curriculums of other programs. In addition, Nursing Assistants are closely supervised by Nursing staff on a regular basis. Nursing Assistants work hard to do an effective job of meeting the needs of consumers. Complaints will continue to be file as long as Nursing Assistants maintain such high workloads. With the demand of this field continuing to grow, it is not likely that the workloads will get anything but larger over time.
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| Posted: 20 Apr 2011 06:35 AM PDT Become a Nurse Assistant If you enjoy helping other people, a career in the medical field might be for you. The field is always in demand of qualified compassionate individuals who are willing to put forth their best efforts to help others. A Nurse Assistant is an entry level position that will allow you the opportunity to help others and gain experience in the medical field. Since Nurse Assistants are needed throughout the Nation, you will be able to secure employment opportunities most anywhere. Job security is very high in most areas of the medical field. The training programs to earn your certificate all vary depending on state regulations. However, most can be completed in four to six weeks on average. The cost of such programs is very low. If you need assistance with the cost of the course, many programs offer scholarships or financial aid. In addition, many community agencies such as Human Services will assist you with the cost of completing such a training course. Some employers in the medical field will agree to either pay for your Nurse Assistant training or reimburse you upon successful completion of the program. Most Nurse Assistant programs start every six to eight weeks. It will depend on the length of the course and the interest in your particular area. This is different than most certificate programs where you have to wait until a full semester ends before you can enroll. Sometimes that can mean a three or four month waiting period. During your Nurse Assistant training, you will attend a classroom learning environment as well as receive hands on training. The hands on training requires you to complete a certain number of hours, called clinicals, working at a medical facility with actual patients. All of your work will be overseen by trained professionals who with assist you with the proper procedures and medical understanding. The combination of classroom learning and clinicals will result in you being well prepared to enter the job market as a Nursing Assistant. Often, the medical site that oversees the clinicals will offer employment to those students who are learning well, following procedures for their facility, and who have a positive attitude. Working as a Nurse Assistant can be very exciting and rewarding for the right person. The work is challenging and you may find yourself over extended at times. Things in a medical setting will change all the time, so the job definitely isn't predictable. There are so many variables including the patients, then number of patients, other staff, and the medical needs of the patients that you work day with never be predictable. While being a Nurse Assistant is an entry level position, it is also a very important position. You will be responsible for many daily living tasks for each patient. These tasks include bathing, grooming feeding, and checking their vital signs. You will also be responsible for assisting with medical equipment and moving patients as needed. The exact requirements of the position will vary depending on the facility you work for.
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