Essay on Nursing Assessment - 2967 Words

Element: Prevention of pressure ulcers This essay is going to explore the nursing process with regard to the prevention of pressure ulcers. Pressure ulcers are a widespread and often underestimated health problem in the UK. They occur in 4-10% of patients admitted to hospital (Ward et al, 2010). This essay, using case study 4, will explore the holistic nursing process, and also the biological, sociological, psychological and ethical issues regarding the prevention of pressure ulcers. Lily is frightened due to her shortness of breath (dyspnoea), and as lying down exasperates her ability to breath effectively, has been sleeping in a chair. This is the primary concern of Lily. There has also been recent weight loss. The aim of†¦show more content†¦Losing weight, combined with sleeping in a chair, may have contributed to Lily having a suspected pressure ulcer. Unrelieved pressure, from sitting in a chair for long periods, squeezes the tiny blood vessels in the skin which supply the tissues with oxygen and nutrients. The tissues die when deprived of oxygen and nutrients for too long (Harris, 2009). Older people and those experiencing impaired nutrition are among the groups at risk of developing pressure ulcers (NICE, 2005). The Malnutrition Advisory Group of BAPEN (British Association for Parenteral and Enteral Nutrition) developed the Malnutrition Universal Screening Tool (MUST), (Perry, 2009). The MUST is a 5 step screening tool to identify adults who are malnourished, at risk of malnourishment or obese. Lily’s body mass index (BMI) will be calculated to obtain her overall risk of malnutrition. By talking to Lily and consulting her medical notes, the nurse can establish Lily’s weight loss over the last 3-6 months (BAPEN, 2009). Asking leading questions regarding Lily’s dietary habits and appetite will give the nurse an understanding of her nutritional intake. If Lily scored 2 or more in the MUST tool then she would be considered high risk (Perry, 2009). Lily will be assessed for her risk of developing a pressure ulcer. A number of evidence-based tools have been developed but the Waterlow pressure ulcer riskShow MoreRelatedNursing Assessment1391 Words   |  6 PagesPhysician Dismisses Nursing Assessments, Question of Nurse Advocacy. Summary: The patient was involved in a motorcycle accident in which his bike fell onto and injured his left leg. When the nurses assessing the patient could not detect a pulse in that leg, an ominous sign of circulatory failure. The physician when notified chose to dismiss this fact and discharge the patient. The patient would return soon after with worsening symptoms that would require emergency surgery. Should the nurses haveRead MoreAssessment Of A Nursing Health Assessment1895 Words   |  8 PagesWhat is assessment? Assessment in nursing has been influenced by the problem-solving framework of the nursing process and nursing models. Assessment of need is fundamental to the care process and has received much attention in correspondence to the establishment of eligibility criteria for long-term care (RCN, 2004). A health assessment not only comprises of gathering health information about a patient, but also analyzing and synthesizing the information, and evaluating the effectiveness of nursingRead MoreHolistic Assessment Of Nursing Assessment1984 Words   |  8 PagesNursing process is a systematic process that involves a continuous cycle of five interrelated phases: holistic assessment of a client, nursing diagnoses, nursing care planning, implementation, and evaluation (Wilkinson et al. 2015). 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The organs of respiration include; the nose, pharynx, larynx, trachea, 2 bronchi, bronchioles, 2 lungs and muscles of breathing (the intercostal muscles andRead MoreHolistic Health Assessment : Nursing1492 Words   |  6 PagesHolistic health assessment involves assessing an individual’s physical, psychological, social, developmental, spiritual and cultural needs. Without an assessment, a nurse would not be aware of the health problems affecting this patient, know what patient education is needed or know how to treat this patient with the appropriate treatment regarding their cultural or spiritual needs (Lewis Foley 2011). A lack of nursing assessment would be like asking an everyday citizen to perform open-heart surgeryRead MoreCommunity Assessment Nursing2731 Words   |  11 PagesAssessment of Non-acute Health and Social Services in Ponchatoula, Louisiana Laura K. Ogden Southeastern Louisiana University College of Nursing and Health Sciences School of Nursing NLAB 334 October 29, 2014 Assessment of Non-acute Health and Social Services in Ponchatoula, Louisiana The community assessed was Ponchatoula, Louisiana. The focus of the assessment was non-acute health and social services. The community-as-partner modelRead MoreA Nursing Assessment For Pressure Ulcers1354 Words   |  6 Pageschanges, immobility, impaired wound healing, incontinence, type one and type two diabetes, edema, altered circulation, low serum albumin, and malnutrition. Perhaps the most important step in prevention begins with a comprehensive integument nursing assessment for pressure ulcers. There are many pressure ulcer prevention interventions currently in practice; however, few of the interventions are supported by high quality evidence. For reference, the Braden scale assesses the general population and

Health And Poverty Of Latin America - 1809 Words

Maternal Health in Bolivia Stephanie Spencer Fall 2014 Health Poverty in Latin America Section 1E Globally, maternal health is an issue that has not been given adequate attention in many regions. Many women across the world are unable to avoid many preventable health consequences of pregnancy, which are usually extreme enough to result in death. In the Latin American region, Bolivia has some of the worst maternal health care systems, due to the underdevelopment of healthcare practices, insufficient political and social concern, and a lack of public awareness. Maternal deaths are attributable to risks caused by pregnancy and childbirth themselves, as well as from the lack of proper, good quality health services (Khan,†¦show more content†¦Giving women control over their fertility could, alone, reduce maternal deaths by up to 20–35% by minimizing pregnancies to the number desired (Khan, K. et al., 2006). Furthermore, educating the community about region-wide healthcare issues, i.e. facility hygiene methods and contraception practices, has not been a concern for the La Paz district, or for Bolivia in general. In a sense, the primary causes of maternal mortality from unsafe abortion are not only excessive bleeding or infection but, rather, a failure to recognize the severity of these circumstances and the necessity for reform (Grimes, D. et al. 2006). The public deserves a more direct access to healthcare facilities, principally in rural areas in which access to health care is remarkably limited. Most of the clinics and hospitals (responsible for performing these abortions) currently existing in Bolivia require additional financial support and substantial developments (â€Å"Child and Maternal..† 2014). The Bolivian government has neglected to fulfill its responsibility of recognizing the fundamental right of its people to receiving adequate healthcare, and has not made substant ial improvements to instill safer abortion methods. Hypertension Besides abortion difficulties, there are a variety of medical complications that pregnant women are at risk of having. Some of the most prevalent illnesses affecting child-bearing

Sanchez and Levine Summary Free Essays

In making the distinction between competency modeling (CM) and traditional Job analysis (TAXI the authors articulate that the latter encores itself with describing and measuring day-to-day operations of specific roles In an organization while the former relates to desired behavioral competencies that transcend various roles and In doing so contribute to an overarching organizational strategy. The authors compare CM and TAX along six dimensions: purpose, view of the job, focus, time orientation, performance level and measurement approach. While all dimensions are equally important in making a clear distinction between the two concepts, for the purpose of this summary I will be focusing on what is in my opinion he three most relevant distinctions between the two HRS methodologies namely, focus, time orientation and performance level. We will write a custom essay sample on Sanchez and Levine Summary or any similar topic only for you Order Now The authors argue that TAX focuses solely on the job and in doing so fails to recognize that job behavior could be influenced by factors other than formal responsibilities. CM on the other hand, builds itself around notions of ’employer brand’ and ’employee value proposition’ that include behavioral themes and unique performance characteristics that derive directly from the organizational identity itself. The focus of CM Is particularly important because it has significant practical implications when communicating management expectations to employees. An employer brand should identify with a business strategy and communicating strategic competencies as a component of management expectations is more likely to encourage on-brand behavior in the delivery of products and services to customers, regardless of the employee’s Job title. For example, the inclusion of ‘Discretionary Effort’ among Feeder’s competencies encourages Its employees to go above and beyond their day-to-day Job responsibilities and provide creative solutions to customers’ demands, which Is consistent with an overarching business strategy of exceeding customer expectations. Furthermore, since competencies communicate universal behavioral themes that the organization wishes to see across all Jobs, employees seeking career advancement are able to identify with these themes and perform their duties that not only benefit themselves but the organization as well. Most organizations do not engage their employees In a manner that encourages them to demonstrate such on-brand behavior. However It seems quite clear, that accompanying specific job duties with these behavioral themes and rewarding employees for demonstrating such behaviors in the workplace could have a significant impact on a firm’s reputation and overall consistency in the manner employees perform their duties. Secondly, the authors argue that TAX Is rooted In the past because It concerns itself with describing a Job by relying on those who have performed the Job till date. In contrast CM NAS a Touch on ten Torture, Decease It communicates now a Joy snouts be interpreted and performed from now on regardless of past behavior. TAX takes a bottom-up approach relying on information obtained from employees performing the job, while CM takes a top-down approach by communicating generic behavioral themes identified by leaders who are also responsible for strategic planning. Furthermore, the authors interject that TAX outlines day-to-day operational capabilities that have facilitated the survival of the organization till date, while CM concerns itself with change-oriented competencies that encourage employees to demonstrate certain behavioral characteristics that may facilitate growth and hang. In essence, CM allows employees to better understand how their specific Job assignments contribute to the organization’s strategic initiatives and when provided with the right incentives, employees are more likely to change their behaviors that align with these strategies going in to the future. Providing employees with a sense of purpose and direction that facilitates the firm’s future growth is more likely to encourage behaviors that go above and beyond an employee’s basic duties in serving the customers which may in turn serve the organization as well. Last but not the least, the distinct performance level addressed by TAX and CM is of particular significance because it allows us to understand what will bring out the best from employees in an organization. While TAX addresses the typical’ requirements needed to perform the work assignments, CM focuses on ‘maximal’ performance by encouraging a series of loosely coupled behavioral themes that go beyond the operational efficiency of basic aspects of a Job. This distinction is significant because if managers wish to encourage employees to perform at a level hat goes beyond the typical day-to-day responsibilities, they must excel at implicitly communicating these behavioral themes to others in the organization. These themes tend to be generic so they transcend across all Job titles within the organization and bear on the interpersonal aspects of the manner in which the Job ought to be performed. Therefore, as mentioned earlier, those seeking career advancement have a clear idea of what sort of behavior will result in favorable outcomes and that optimizing day-to-day operations alone will not serve them or the organization in the long run. How to cite Sanchez and Levine Summary, Papers