Nursing Case Study Essay

I have witnessed a “burned out” nurse simply say to a client who is refusing a medication due to a side effect the client does not care for, ‘okay, I will just put refused and tell the doctor.’ This client needs educated about his/her choice. Most of the time, the client does not realize how refusing the medication can have a negative effect on his/her body overtime.

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

Dr. Weber was Hughes treating physician and on October 25, 2006 performed an ablation procedure on her with the use of HTA device. While conducting this procedure, hot liquid leaked from HTA device and caused a three-inch burn on Hughes’s outer perineal body and an area of similar size inside the vaginal introitus. These burns were characterized as second degree burns. Hughes visited Dr. Weber every other day for two weeks, and later once a week for six to eight weeks for treatment.

Furthermore, a multidisciplinary team meeting will be presented to identify the impact of different health care professionals such as a physiotherapist, an occupational therapist and a nurse have on a patient with complex need and how the patient receives the care needed due to the collaborative practice. In addition, a comparison between physiotherapy, occupational therapy and nursing practice will be outlined regarding professional regulation and both pre-registration and continuing

My patient is 79-year old, male that was brought the University of Kentucky medical center emergency department via ambulance on January 14, 2017. The patient was smoking while using home oxygen, when he fell asleep. The EMS responded to a home fire.

Assessing the reasons for starting university and choosing Mental Health Nursing I have to reflect back on my past. Through my two years at college I had to overcome barriers which I feel contribute to the qualities which will allow me to become an effective Mental Health Nurse. In my first year of college I had to emotionally support my family due to my father being ill. This put a strain on my college and I was only able to do work in the hours I was in college. However, I found a way to make it work to ensure everything I did was too a high standard and of good quality. During this period of time I had to construct an effective way of managing my time. On average one individual will use thirteen different strategies for time management, (Dovico.com, 2015) the strategies found most effective was a study guide which helped me plan out how many hours of coursework I needed to complete to ensure my work was off high quality and standard, I found the Open University websites the most useful resource for time management. (Www2.open.ac.uk, 2015)

The emergency department RN evaluates Harmony and determines the percentage of body surface burned according to the Rule of Nines. Her injuries include deep partial-thickness and full-thickness burns on her lower abdomen and on both of her anterior and posterior lower legs.

While preparing Chuck for his services, I noticed that he has light discolorations on his hands and face due to his car catching on fire. This goes to show that he suffered first degree burns. First-degree burns or hyperemia is any injury caused by heat, which produces redness of the skin. This type of burn does not present any unusual difficulty when embalming or preparing the body. Although it is discolored, we have to be thankful that the skin will just be red, unbroken and has no tissue destruction. For the discoloration, I used a stronger than normal arterial injection solution as a precaution against skin slip, applied massage cream during the embalming process and used cosmetics after embalming to help reduce the visibility of the burns on his hands and face.

Demographics: Patient is a 32-year-old, moderately built Caucasian female; separated once with 2 children. She lives with her children in her mother’s town house in the North-eastern part of the province. She is currently unemployed and receiving disability from the state from sustained back injury. She has Medicaid insurance; speaks English and practices the Baptist religion.

They began telling them that the skin is an important organ. The skin has many layers that can be damaged when burns happen. According to Marieb, E.N., & Hoehn, K. (2014), the layers that are affected in 2nd and 3rd degree burns are; stratum corneum, stratum granulosum, stratum spinosum, stratum basale, stratum corneum, stratum granulosum, stratum spinosum, stratum basale, papillary layer, & reticular layer. In addition, they began telling them more about the skin. The skin has an epidermis and a dermis. In the epidermis, there are cells that have different functions; Keratin Cells give the epidermis its protective properties, melanocytes form melanin, dendritic cells ingest foreign substances, which helps our immune system and tactile cells are apart of touch Marieb, E.N., & Hoehn, K. (2014). They also went on to tell her that if the burns that she experienced happened to a one year-old infant, that the baby would have experienced 10.5% of the body burned. This time the doctors used the Lund-Browder Chart. 50% of the babies anterior(3.25%) & posterior(3.25%) thorax totaled to 6.5% and the anterior(2%) and posterior(2%) upper arm totaled to 4%=10.5%. Once the doctors finished explaining the skin and burns to Nancy and her grandson, they continued to treat her

Situation: You are working the day shift on the medical-surgical unit in a small district hospital. Your assignment includes an 18-year-old female college student, admitted the previous night. She was caught in a house fire and sustained burns over 30% of her body surface area, with partial-thickness burns on her legs and back.

Lewis, S., Dirksen, S., Heitkemper, M., Bucher, L. (2014). Medical-Surgical Nursing: Assessment and Management of Clinical Problems, 9th Edition. [VitalSource Bookshelf Online]. Retrieved from https://pageburstls.elsevier.com/#/books/9780323086783/pages 1525-1527

During my work placement I noticed that nurses work in a variety of services and are in an ideal position to promote patients’ mental health and wellbeing by helping and empowering them to realise their abilities rather than focusing on their disability or illness (Ruddick,2013).

A surgical nurse is responsible for monitoring and ensuring quality healthcare for a patient following surgery. Assessment, diagnosis, planning, intervention, and outcome evaluation are inherent in the post operative nurse’s role with the aim of a successful recovery for the patient. The appropriate provision of care is integral for prevention of complications that can arise from the anaesthesia or the surgical procedure. Whilst complications are common at least half of all complications are preventable (Haynes et al., 2009). The foundations of Mrs Hilton’s nursing plan are to ensure that any post surgery complications are circumvented. My role as Mrs Hilton’s surgical nurse will involve coupling my knowledge and the professional

Normocephalic. Scull palpated without masses, deviations or lesions noted. Facial features are spaced appropriately and symmetric. No evidence of edema or puffiness. Temporal arteries present bilaterally without bruits. PERRLA noted. Cranial Nerves III, IV, and VI are intact. Bilaterally, sclera is white and conjunctivae is moist and pink without drainage. Pupil size is 3 bilaterally. Visual fields and acuity intact. Optic disk with defined margins and ref reflect noted bilaterally. Patient ears are bilaterally aligned. No tenderness, nodules, or lesions, were noted upon palpation of the external ear. While performing an ear exam with the otoscope, there was a moderate amount of cerumen noted bilaterally. The auditory canal color is pink bilaterally. Tympanic membranes are bulging with fluid noted bilaterally. Hearing loss not detected while performing the whisper test. Patient’s nose is located in the center of the face. Nasal turbinates are slightly erythemic with thin clear discharge. No polyps noted. Palpation of frontal and maxillary sinuses performed without tenderness. Cranial Nerve I is intact. Lips are intact without signs of cracking or dryness. Oral and buccal mucosa is pink and moist. Oropharynx erythema without signs of dehydration. Tonsils are 2+ with generalized petechial lesions and erythema. Bad breath