Q1: Prioritizing patient care will help to complete nurse’s shift duties without any adverse patient complication. Prioritizing will help to plan out the day and in managing the cases in the most effective way (Alfaro-LeFevre 2014). The best path to plan care for the patient with different medical and surgical priorities is to set timed objectives and meet the discharge goals based on the urgency of the medical or surgical condition. The handover from the staff of the previous shift provided the information for 4 patients, of which Lucy’s condition is more of an emergency that will ...
Essays on Resuscitation
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General overview of services offered
A business plan in relation to the Professional Circle is a formal statement of goals, reasons and plans for successful business in offering the healthcare services. These services include advanced cardiac life support (ACLS), Cardiopulmonary Resuscitation (CPR), and Pediatric Advanced life support (PALS). Business plan focuses on goals and strategies on how the above mention services will be offered to achieve a bigger profit margin. To maintain the CPR instructors must be highly qualified and continuous education and periodic recertification are necessary. Consequently, this will win the client's trust and loyalty due to assured better services and competency from ...
Introduction
Stating the student learning outcomes -Critical thinking -Therapeutical Nursing Intervention -Effective communication -Professional behavior
Planned actions to achieve the outcomes
Target dates to achieve each outcome The duration take to complete each outcome Body Project title, description and the impact of the project -Title -Target group -Healthy People 2020 topic -Implementation dates of the project -Objectives of the project -Impact of the project on community
Behavioral objectives
-Number of adults aged 20 and more able to identify the signs and symptoms of heart attack and use 911 -Trained persons in cardiopulmonary resuscitation -Number of adults able to identify signs and symptoms of stroke and use 911 - ...
Monomorphic Ventricular Tachycardia
Cardiac arrhythmias often require immediate medical care that may include resuscitation (Ray, 2004). The diagnosis of cardiac arrhythmias can be challenging particularly in situations whereby the patient is asymptomatic and ECG findings are normal between symptomatic episodes (Cruickshank, 2008). Distinguishing between supraventricular and ventricular tachycardia is also a challenge (Australian Resuscitation Council, 2008). Cardiac arrhythmia should be suspected in patients with a history of syncope, near syncope, palpitations, and/or chest pain (Cruickshank, 2008). This paper will justify why monomophic ventricular tachycardia is the most likely diagnosis of a male patient who collapsed abruptly and has hypotension (BP 63/38), tachycardia ( ...
An Assignment Submitted by
Analyze the bioethical issues found within the scenario It has to be noted that Matt’s case presents a controversial ethical and legal situation that has a potential to affect the medical facility, its workers, as well as the family members. There are several bioethical issues involved in the case. First of all, there is a disagreement between the desire of a family to resuscitate their son and the judgment of the physician not to proceed with this procedure due to the low chances that the patient will eventually wake up. Secondly, the nurse finds it morally difficult to ...
(Tutor/Professor) (City, State)
Service Management
Executive Summary Service organizations face numerous challenges in an attempt to please their users. Discontentment and un-satisfaction among service users may lead to the organization in question being unpopular. Organization management differs from one organization to the other. Importantly, an organization can learn from another on how to address certain challenges. This report focuses on two service organizations in a similar industry (American Health Organization and American Red Cross), in relation to CRP. Both organizations offer CRP trainings, in addition to helping victims. The approaches the two employ differ. This report seeks to analyze such differences ...
Acute coronary syndrome is an umbrella term for a group of clinical symptoms indicative of acute myocardial ischemia. These conditions include non-ST-segment elevation myocardial ischemia (NSTEMI), unstable angina, and ST-segment elevation myocardial infarction (STEMI). These conditions are high-risk manifestations of atherosclerosis in the coronary artery and significant causes of utilization of emergency services and hospitalization (Kumar and Cannon, 2009). STEMI causes 30% of all acute coronary syndromes in Australia (Harper and Lefkovits, 2010). This paper will describe the expected presentation, pathophysiology, ECG findings, pre-hospital management, and initial 24-hour management of STEMI in hospitals settings. These aspects will be described ...
The research article chosen to critique is, “Using Mock Code Simulation to Improve Responder Performance During the First 5 Minutes of a Code” by Delac, K., Blazier, D., Daniel, L., & N-Wilfong, D. (2013). Introduction: Cardiopulmonary resuscitation is a lifesaving technique, and is very useful in emergencies like drowning or accidents, where the patient is likely to have a heart arrest. Nurse educators are responsible for training nurses and students on this important technique. Training program differs from real life scenario. In real life scenario, nurses go through a range of emotions like fear, confusion, anxiety, etc., that immobilizes them, ...
According to CDC, since the medical history and examination of patients cannot identify all those with HIV, healthcare workers should use universal precautions all the time. The universal blood and body precautions stipulate the following. All healthcare workers ought to routinely use barriers to prevent any body contact with body fluids of the patient. In this case, medical practitioners should use gloves when touching blood, non-intact skin, mucous membranes, and items or surfaces soiled with blood or any other body fluid. Besides, the healthcare workers should wear masks, face shields and gowns when handling procedures that produce blood droplets ...
Cardiopulmonary Resuscitation or CPR is one of the basic first aid procedures that should be taught in school for various reasons, most of which are health related; in the most serious cases, it can spell the difference between the survival and death of a person. The purpose of this paper is to propose a research plan that explains why (and how) it is important to learn how to perform this procedure. In the proposal, the author would draw evidence from both primary and secondary sources, basically previously published academic literatures about the topic. The reality is that humans are ...
Jane Doe
Questions: Describe how burn wounds are classified. Identify and describe Mr. Angelo’s burn injuries. Burn wounds are classified using four degrees that are based on the severity of how many layers of the dermis have been damaged; the higher the degree of burn classification, the more severe the burn injury and damage done to the patients skin and body. In the case of Mr. Angelo’s burn injuries, he sustains both 2nd and 1st degree burns covering approximately 40 percent of his body.
Explain the “rule of nines” used in assessment of burn injury.
When assessing burn injuries, the “rule of nines” is a formula to assess how much ...
Intensive Care Unit- ICU
Introduction As I walk to work, I often get to wonder how busy the intensive care unit gets. I have worked as a critical care nurse, for the last six years, in the intensive care unit. The acuity of the patients is unpredictable. Patients get admitted with a variety of medical conditions.
An ICU patient faces life-threatening injuries or illnesses that require critical care. It requires a specialized team of health care professionals to provide the treatments and care needed for such patients in the ICU. The team of healthcare professionals in the ICU includes; doctors, residents, interns, APRN's, nurses, respiratory ...
There are multiple websites that aim to teach students about electrocardiograms (ECG/EKGs). One website that was quite effective is the one build by a paramedic, Aaron Segal (n.d.). One positive attribute of this site was the use of analogies and humor. Although the toilet analogy for the description of absolute and relative refractory period might be considered by some to be in poor taste, it is certainly easy to remember (Segal, n.d., Cardiac contraction and ECG). From this site I learned basic information about ECGs including how to read a normal one, the steps of interpreting an ECG, and some examples ...
Ethics, a moral philosophy or branch of philosophy that determines the course of human action pertaining to the concepts of right and wrong (Longstaff, 1995, Web). Ethics is being observed in the society as a universal benchmark of human behavior. More importantly, it is being practiced in all industry particularly in healthcare. The fact that healthcare is dealing with patients and their welfare, it is detrimental that people in healthcare industry religiously follow the ethical standards of their profession. Health professionals deal with circumstances and situation that has a direct impact to another person's life on a daily basis. Therefore, it is ...
[University’s name] Electrolytes are charged particles that have the tendency to generate electrical potentials. Therefore, they are kept under strict check so that they remain within certain limits and don’t alter the internal hemodynamically stable milieu. But, during a diseased process or because of self-induction, these electrolytes may either become surplus or becomes alarmingly decreased. Such states can have deleterious often lethal effects on human life.
HYPOKALEMIA:
Signs and Symptoms: According to Papadakis and McPhee (2015), patients with hypokalemia may present with muscular weakness, fatigue, abnormal muscular cramps, paralytic ileus leading to constipation, decreased reflexes, hypercapnia, tetany ...
Order # 221881124
The population of the United States has reached the point where the Baby Boomers are becoming elderly. With advanced age comes the problem of maintenance. At the end of World War II in 1945 there was an explosion of births leading to the Baby Boomers. As the population of the United States ages the number of individuals who will be considered elderly will increase tremendously from this initial wave of the Baby Boomers. The documentary presented by Frontline titled “Life and Death in Assisted Living Facilities” addresses the problems faced by this expanding population group. In a series of interviews ...
Introduction
The healthcare sector has changed significantly due to the rise of chronic and lifestyle diseases, and better educated clients who demand quality services. To meet these challenges nurses have embraced evidence based care to improve quality by enhancing aspects such as safety and efficacy of interventions. One of the most important aspects of delivering quality nursing care is ensuring that nurses have the necessary skills, knowledge and attitude needed to improve care. Giving nurses these skills, knowledge and attitude is the key goal of the Quality and Safety Education for Nurses (QSEN) program. This essay evaluates the clinical management ...
Sepsis is a clinical condition that evokes an inflammatory response of the host immune system in response to clinically-suspected infections. It usually occurs in an individual with a weak immune system such as a post-surgery patient, organ transplant patient, cancer patients or an AIDS patient. It spreads throughout the body via the bloodstream. There are several degrees of sepsis such as severe sepsis, septic shock and refractory septic shock (Morrell, Micek & Kollef, 2009) that together make up the systemic inflammatory response syndrome (SIRS) (Mayr, Yende & Angus, 2014). Sepsis and septic shock are some of the leading causes of death in the world, ...
Clinical trial – conducted at National Cancer Institute on end-of-life decision making for cancer patients
The National Cancer Institute consducted a clinical trial to find out if viewing the end-of-life video influences decision making of the preferred care given to the patients who suffer from malignant tumors. The purpose of the clinical trial was to determine whether supplementing a verbal description by use of goals-of-care video is likely to improve the end-of-life decision making processes for the patients suffering from malignanat glioma. Research have shown that individuals suffering from advanced cancer, are more comfortable when they are involved in the planning of their end-of-life care. Poor communication can disrupt proper discussions between the patients and the ...
Introduction
In the discipline of nursing, professional advancement and development models are often used as frameworks for recognizing and acknowledging nurses’ clinical expertise, especially the nurses who provide direct care to patients (Gentile, 2012). Most of the earlier models revolved around the tasks that nurses were expected to become familiar with and master as their careers progressed. However, subsequent models went beyond the element of tasks and incorporated elements of leadership, continues education and reflective practice (Gentile, 2012). One of these models is Benner’s Novice to Expert model. This model applies the Dreyfus Model of Skill Acquisition and describes ...
Introduction
Research in nursing adopts two primary approaches; qualitative and quantitative. Quantitative research is usually objective, formal and deductive. Alternatively, qualitative research is subjective, informal and inductive. Quantitative research is often said to be more rigorous than qualitative research, but recent years have seen qualitative research attain more credibility in the world of nursing. Therefore, both have been heralded as appropriate methods for research, and each contributes significantly to the nursing body of knowledge. This paper will analyze two research articles; one that is quantitative in nature and another that is qualitative in nature. The first article is titled “ ...
Hands-only Cardiopulmonary has emerged as a new form of resuscitation, which avoids the use of mouth to mouth method. It has become popular, with many people being trained on how to use it. The method, also known as the bystander CPR has made people who were reluctant to learn on the first aid response of mouth to mouth are more comfortable to learn and use the above method. According to a national medical research report, a mere twenty-five percent of the individuals who suffer cardiac arrest receive CPR. The rest have to wait for medical attention from paramedics. Hence, a good number lose ...
The possibility of an afterlife
- Brief summary of the topic The fundamental question in the discussion of the afterlife is what that life will look like. When a person dies, the body becomes incapable of movement, though the body does not just disintegrate. In the Book of Psalms, chapter 104, verse 29, it is stated that it is God who gives life, and is also the one who takes that life away. Burying the remains of the person generally is done when the body is placed into a cave or pit, where the remains of the person will join the remains of the other ...
Report Epidemiology Cardiovascular diseases and dietary fats
- Introduction - Cardiovascular Diseases - What is Cardiovascular Diseases (CVD)? CVDs include diseases of the heart, vascular diseases of the brain and diseases of blood vessels such as coronary heart disease, atherosclerosis, hypertension, stroke, peripheral vascular disease and heart failure. Coronary heart disease (CHD) is the most deadly CVD that due to lacking blood flow to the network of blood vessels surrounding the heart, also named coronary artery disease (CAD) or ischemic heart disease (IHD) (Nabel and Braunwald, 2012). - The pathology of heart attack and stroke Atherosclerosis is the major cause ...
The last few years have witnessed tremendous growth in simulation-based medical education (Issenberg 203) possibly due to availability of computerized whole-body mannequins which are moderately priced and heightened patient safety awareness. Simulation is argued to be the most important innovation to have happened in medical education (Passiment, Heather and Grace 1). It connotes a teaching technique which not only endeavors to provide as realistic environment as possible but also an opportunity for directed feedback. This technique has found unprecedented popularity especially in medical and engineering fields. In medical environment, the clinical situations are virtually simulated for learning purposes thereby providing ...
Q1, Q2, Q3, Q4, and Q5 Essay
<Tutor> <Department>
Q1. Anaphylaxis identification, management and prevention
Anaphylaxis is referred to as an allergic reaction encompassing anaphylactic shock as a severe manifestation of the said allergic reaction according to Sinclair (2010). The average number of the people believed to be at risk of the aforementioned condition is about 1 to 15% if exposed to certain allergens. Experts believe that the estimated figures vary depending on the definitions of reaction (allergyfacts.org.au, n.d.). During an anaphylactic attack, the patient’s body reacts badly to allergens causing by food, venom, medication, and or insect bite. The body has a natural defense mechanism that fights the allergic ...
Part 1: Introduction
When it comes to mentoring, most people think of when they think of mentoring: a spontaneous, casual relationship where a senior person takes a junior person "under his or her wing" and then give them some long-term counsel and guidance. In my own life, I have a position of being senior staff nurse and midwife. I have over 12 years of experience with being a nurse and delivering babies. However, as far as education goes five of those years it took five years to become a nurse. Then I specialized specifically in midwifery which took a year. I have found that Midwifery has huge highs and ...
- Introduction and Purpose - Human Factors are responsible for a high number of preventable accidents in Anesthesia practice. It is important that procedures insure the successful transfer of patient care information to different providers for various reasons such as: breaks, meals, and shift changes (Wright, 2013). An ineffective handover programs impacts patient care negatively, due to avoidable error resulting from lack of, or incorrect communications (Klim, et al, 2013) - Practitioners agree that appropriate handover procedures are usually clinical decisions decided at the bed side (Klim, et al, 2013). Errors can likely be avoided if procedures are ...
Hospital Emergency Department interview, with the Human Resource Director, Mr. Vin James of Mondelez International. ME: Hello Mr. Vin, I am a student at University of Phoenix and I am requesting you to assist me in finding some information on the Emergency Management Department in your hospital.
Vin: Yes please go ahead,
Me: tell me about the emergency management department in your hospital and the facilities in it. Vin: Our emergency department also referred to as casualty department or accident and emergency (A&E) is a medical treatment facility in our hospital that serves as a special wing. It is an exceptional department that specializes in ...
Medicine
Pre hospital care – paramedic This document outlines an analysis of the film “A Good Death” filmed at the Dunedin Hospital New Zealand. It was produced by Dr. Taylor who had a passion for end of life issues in patients with respiratory failure. This story embraced the turmoil of one of his patients, Martin Cavanagh.
Key features of the case
Key features of this case embody preparing to have a good death experience. Mr. Martin Cavanagh’s struggle was not only physical, but emotional. This emotional struggle apparently was transferred to his family who day after day just witnessed his agony. It would appear that after a ...
Introduction
A vast majority of cultures value life and bringing people back to life is one of the most popular subjects in many fictional books and films. On the other hand, technology has evolved and the stories of people being brought back to life are coming true through implanted and external defibrillators, as well as other technologies (Ahronheim et al. 2009). This means that the natural course of death has slowed down rather dramatically as society acquires knowledge of how to live longer than nature probably intended. Organizations such as The Red Cross Association continue to teach organizations the proper ...
Is the survival rate in ‘sudden death’ cardiac patients increased
when automated external defibrillators are used?
Introduction
Synthesis of Literature: Studies 1, 2, 3, 4 & 5 - Aim of study - Methodology - Results - Conclusion
Synthesis and Relevance to Research topic
Conclusion - Summary Table
Is the survival rate in ‘sudden death’ cardiac patients increased
when automated external defibrillators are used?
Introduction
This literature review encompasses five studies relating evidence based practice regarding survival rates in ‘sudden death’ cardiac patients. These rates would be examined in relation to the use automated external defibrillators. Assessments of the research aims, methodology, results/ conclusions will be embraced.
Synthesis of Literature
Study 1 Aim Comilla Sasson; Mary A.M. Rogers; Jason Dahl and Arthur L. Kellermann (2009) ...
Myocardial infarction is a term that is used in the clinical setting in reference to the necrosis of a section of the myocardium which occurs as a result of the interruption of the supply of blood to the heart. This often takes place as a result of the occlusion of the coronary artery. From a pathological point of view, myocardial infarction is myocardial infarction refers to the death of the myocardial cells as a result of prolonged ischemia. It may the result of chronic heart disease or as the onset of coronary heart disease. The prolonged ischemia which triggers the death of myocardial cells ...
Antenatal Emergency
I was attending my routine antenatal clinic at St Mary Community Centre. The clinic had been fully booked and I was already running behind schedule. As I went out to get the next woman on the appointment list, a young woman came up to me and stated, in short sentences, that she did not have an appointment on that day but was feeling really sick and was finding it hard to breathe. I quickly took her inside the clinic room to conduct a further assessment. The midwife I was working with started by telling the woman that we had no time ...
Respiratory therapy involves treating, assessing and taking care of patients suffering from cardiopulmonary and breathing disorders. The patients could be of any age, from premature infants to neonates to the elderly with diseased lungs. Also, patients that suffer from lung ailments like emphysema, asthma or those in need of emergency care require the services of a respiratory therapist. Therefore, a respiratory therapist works closely with physicians and nurses to form a team. Respiratory therapists conduct diagnostic tests on their patients. They also evaluate them, monitor them, assess their progress and perform physical examinations on them. Respiratory therapists maintain the equipments in the ...
How EMS and medicine community instruction on CPR can improve survival rates
Cardiac arrest refers to the abrupt cessation of cardiac pumping activity which is confirmed by the absence of one, a detectable pulse, two, signs of circulation, three, breathing and finally the lack of a response to stimulation. The immediate management for cardiac arrest entails chest compressions performed during cardiopulmonary resuscitation (CPR) and defibrillation that is delivery of shocks via a defibrillator to stop the ventricular fibrillation that prompted the cardiac arrest. CPR is an essential emergency measure which consists of a series of measures for delivering oxygenated blood to vital organs like the heart and the brain through artificial respiration and manual cardiac ...