Essays on Ulcers

The use of skin care bundle among hospitalized adult sick people can reduce the risk of skin breakdown compared to standard care of practice Pressure ulcers are a common problem in acute care hospitals, specifically among obese patients in intensive care units. Pressure ulcers or sores are common, serious but preventable health issues in the healthcare system. Pressure ulcers are associated with low quality of life, increased expenditure, increase hospital stay, and poor health outcomes (Bhattacharya & Mishra 2015). Hospital-acquired pressure ulcers (HAPU) are preventable if repositioning and turning techniques. However, the evidence on the effectiveness on these techniques is ...

Psychology of stress

Describe neuroscience and neuroplasticity. Explain the importance to the brain. Neuroplasticity alludes to the capacity of the mind to re-model and change with a specific end goal to have the capacity to adjust to new conditions. Neuroplasticity works in exceptionally intriguing routes, for example, we can be accustomed to doing a given kind of action ordinary or more often than not, and this makes us get acquainted with it and it gradually changes to end up distinctly our propensity. This procedure of adaption is the manner by which Neuroplasticity works in light of the fact that once we quit ...

Introduction

Culture is the primary factor that distinguishes individuals from each other in different countries and societies. Culture determines how people react to various situations, the acceptable ways of the society as well as their way of carrying out daily activities (Bhui et al., 2007). With the modernization and globalization in the current world, cultural competence and sensitivity have significant impacts on the interaction of the people across the globe. The paper indicates how cultural competence and sensitivity affects the mental health of the client. It is a reflection on how culture influences the interaction of a nurse with the ...

Based on the scenario above, please use the general survey process to describe the areas that you would be observing immediately upon entry to the home. Since the patient (Millie Gardner) is reported to be old, my first observation will be to assess and confirm the appearance of the patient in relation to the reported age. Secondly, I would check her facial expressions for any signs of acute distress as well as the body structure of the patient, for example, the range of body weight, height and nutritional status (Jarvis, 2016). Moreover, since the patient is confined to a ...

Hershey and O’Rourke (2009) argued that the CMS reimbursement changes on “never events” had not only payment implications but also affected the liability risks of inpatient healthcare providers whether there was involvement of the federal payer or not. As a result, the inpatient care providers had to adopt new strategies in the mode of service delivery in the institutions to avoid liability. Some of the shifts in the patient care delivery model include the following. Inpatient providers have increased precautions when handling “never event” complications that have led to an improved safety culture associated with the high-reliability organizations ( ...

Achieving optimal staffing levels of nurses especially in the cardiac unit is a huge milestone that would help in minimizing adverse events, increase job satisfaction among nurses and ultimately foster quality outcomes. Hence, this emphasizes the need to develop a comprehensive implementation plan relating to the proposed solution in order to ensure that the intervention is properly integrated into the organizational system and subsequently enhance care delivery. The project is based in a cardiac care unit and shall involve various stakeholders including: the senior hospital administrators, nurse managers and the general nursing staff. Thus, it is important to obtain ...

An Assignment Submitted by

Incidence Stage III and IV pressure ulcers is a serious health issue that is difficult to cure. It requires the constant attention of the health care providers. During the III stage, the patient experiences the loss of tissue, subcutaneous can also be visible. Also, during this stage, the ulcer may involve certain undermining or tunneling. Stage IV is characterized by tissue loss, where a bone or muscle is already exposed. Also, at this stage the wound includes tunneling. The incidence of III and IV stage pressure ulcers vary due to the type of the health care facility, yet it ...

Introduction

Evidenced Based Practice (EBP) is a critical appraisal spearheaded to deal with the rising cases of diseases and the unsustainable economic burden that is bestowed upon the victims based on the external evidence (Evidenced-based healthcare and public health, 2009). The sole purpose of evidence-based program is to enable the health practitioners to reach an optimal healthcare wellness with the cost-effective quality. The research presented by Hood (2014) as discussed in this study avails various practices in the paragraphs. Evidence based practice is the essential tool required by clinicians in the provision of excellent health services to the patients. The ...

Multiple choice questions

Multiple Choice Questions

Increased erythropoietin production Increased heart rate Increased cardiac output Enhancement in oxygen extraction The answer for this question is b. increased heart rate. A reduction in tissue oxygenation as happens in anemia stimulates increased production of erythropoietin through a complex feedback mechanism. Increased production of erythropoietin enhances erythropoiesis in anemia. Increased extraction of oxygen in anemia is a compensatory mechanism that is mediated by an increase in 2, 3-diphosphoglycerate concentrations. Increased cardiac output is the main hemodynamic compensatory mechanism in anemia that aims to increase blood flow to the body organs. An increase in heart rate ...

Introduction

Nutritional therapy is gaining popularity in the treatment and management of diseases. This paper will seek to address two disease conditions that have employed the use of nutritional therapy in their treatment and management regimens. The diseases which will be discussed include peptic ulcers and type 2 diabetes.

Condition 1- Peptic ulcers

Condition Description/ diagnostic criteria A peptic ulcer is a disease that is noted to affect the stomach as well as the duodenum region (the proximal bit). The diagnosis of the disease is based on the presence of clinical features as well as the use of specific laboratory tests. Diagnosis is not ...

XAP Task 1

XAP Task 1

Introduction

Various studies are pertaining to the nursing discipline are available in journals and on the web. Understanding these pieces of information is essential when it comes to increasing one’s knowledge towards the nursing discipline. Normally, these studies encompassing the nursing practice are based on the evidence gathered either through quantitative or qualitative method of research. An exploratory type of research that aims to establish an understanding about the related motivations, opinions, and reasons is the main characteristics of a qualitative research. On the other hand, the quantitative approach aims to gain understanding of the topic ...

This paper focuses on how to reduce pressure ulcer rates and the tools and strategies to be used to improve the quality of the service provided. Pressure ulcers can mostly be prevented and using initiatives to prevent pressure ulcers from developing can improve the health care process and reduce the rates of pressure ulcers developing (Sullivan & Schoelles, 2013). According to Lyder (2003, p. 223), “pressure ulcers develop when persisting pressure on a bony site obstructs healthy capillary flow, leading to tissue necrosis.” Preventing pressure ulcers is important because it protects patients as well as reduces the cost of care ...

Introduction

Herbert Simon, a cognitive psychologist, elucidates that thinking and decision making is an integral part of human life. Daily, people make decisions and judgments that are both short and long-term (Hertwig & Hoffrage, 2013). Cognitive psychologists have documented heuristics as simple and efficient rules and regulations that are often employed by people in judgment and decision making. They constitute of mental shortcuts that are ingrained in emphasizing and considering an aspect of a complex problem while ignoring others. Heuristics have been cited to affect people's choices by enabling quick judgment and decision-making in vast situations, for instance, what means of ...

Introduction

Diabetes impacts the body’s capacity to secrete or utilize insulin, a hormone that regulates the level of sugars in the blood. Possible complications that occur due to diabetes include heart attack, cardiovascular disease, and kidneys failure. This research paper analyzes how diabetes impacts the human body.

Circulatory system

Diabetes contributes to the disposition of fats in the blood vessels over time. The fat deposits may inhibit blood circulation and result in hardening the blood vessels, a condition known as atherosclerosis. Baoge and Tao (2015) assert that atherosclerosis is a vital pathologic cause of cardiovascular disease. Also, inhibited blood circulation may ...

For elderly hospitalized patients (P), does the adoption of hourly rounding for nurses (I) as compared to daily baths with chlorhexidine gluconate (O) reduce the rate of incontinence-associated pressure ulcers (O) over a six month program (T)? The cases of pressure ulcers among the elderly population within the inpatient settings or homecare settings tend to be higher than those in other inpatient or similar settings. This is mainly attributed to the fact that the elderly population has other health issues that affect their functionality and these could range from physical to cognitive issues. On one hand, the physical ...

Abstract

In India, cigarette packets will now be 85% covered with a message that comprises of 65% photograph and a 20% message highlighting the harmful affects of smoking and the fact that it can lead to cancer.( Porecha & Kutty, 2014) The cancer connect due to smoking has been proven beyond any doubt. Although, discussed only as an issue in an ethical marketing class, the fact remains that, ‘smoking kills’. The fact that tobacco companies pay so much in taxes cannot rule out the harmful affects of smoking. Smoking kills and governments cannot absolve themselves of any moral obligation wherein they ...

The healthcare sector in the U.S has significantly reviewed and modified its technical, policy and structural capabilities to help improve quality of outcomes and patient safety. There has been so much focus on the need to ensure that the healthcare system achieves the optimal value for money though eliminating the cases of illnesses, infections and injuries that have previously occurred within the settings. Despite these measures, the cases of hospital acquired Illnesses and infections have been rife. This has been associated with poor outcomes namely, high mortality rates, high morbidity rates and more glaringly the erosion of the public ...

Scene 1: At the Doctor’s Office

Doctor (D): Hi! Please come in and take a seat. Patient (P): Good morning, Doctor. Thanks.

D: How do you feel yourself today?

P: Better, but I’ve still got a stomach ache. D: Right. You see, when you came here 4 days ago and were unable to breathe on your own, we had to attach you to a respirator and ventilate your lungs in the ICU.

P: Yes, I remember that. But what is the ICU you are talking about?

D: ICU stands for the intensive care unit, which we use to treat seriously ill patients. You see, you were gasping for breath, and we had to put you in the ICU.

P: Got it. So what’s wrong with me?

D: I’m still not ...

Performance reports/dashboards are essential key metric tools in the health care system since they assist managers especially nurses to have access to up-to-date holistic data concerning the wellbeing of the patients, the state of the facility financially, work operations/schedules and the quality of care rendered to patients. Additionally, it saves time that a health practitioner would use to go through a pile of files manually and compile a comprehensive report for further analysis. A dashboard in my place work (St. James Hospital) where I work as nurse manager would be critical in improving health care services to our clients ...

The patient presents with anorexia, heartburn, and weight loss over the past 6 months while also complaining of back pain. All these symptoms point to a problem within the gastrointestinal system which is slowly developing and which if not managed at this early stage could progress to severity. The weight loss over the last six months is an indication of the inability of the body to process and utilize the meals taken as would be expected and the body is currently more reliant on the food/energy reserves (Jarvis, 2015). In this case, there are three possible causes for these ...

Coursename Pressure ulcers are damaged areas of the skin, which develop due to the long-term effect of pressure or friction in the areas where the bone is close to the skin, such as heels, sacrum, ischial tuberosity, lateral malleoli and greater trochanters. The epidemiology of pressure ulcers proves that today, despite the profound understanding of them, pressure ulcers are still a serious global health care problem, which affects millions of people worldwide. For example, in the US every year more than 2.5 million people suffer from the pressure ulcers (Cuddigan, Berlowitz, and Ayello 208-215). In 2013 pressure ulcers caused ...

DQ week 5

What health risks associated with obesity does Mr. C. have?

Is bariatric surgery an appropriate intervention? Why or why not?

Considering that the patient has a BMI of BMI = 29.55 kg/m2, bariatric surgery is a good option for him. Bariatric surgery is recommended for patients with a BMI of beyond 25 and who have been ascertained to indicate any other signs of extreme obesity. Bariatric surgery is a life-altering process but it has been noted to have positive impact on the life of the patient especially those with chronic severe obesity issues and this helps them reduce weight and subsequently maintain weight at a level that is manageable. It ...

The issue/ problem

The case concerns Mr. A. His medical condition relates to terminal cancer that is affecting his lower spine and pelvic bones. The problem with his condition is the complexity of the situation. The patient has decubitus ulcers since the skin around his pelvic bones has developed bed sore and pressure sore. At one point, nurses do not know whether to keep on turning him to avoid any further skin breakdown while other nurses insist that he has to remain in the present position to stop causing pain to the patient. Also, it is critical since Mr. A has a ...

Analysis of Diseases

Overview Chikungunya (CHIK) refers to a re-emerging arboviral disease transmitted by the mosquitos Aedes aegypty and Aedes albopictus (Pialoux 318). The virus belongs to the genus Alphavirus and family Togaviridae. The word chikungunya derives from Makonde language (spoken in Tanzania and northern Mozambique), where it means “to walk bent over” (Halstead 557). This name refers to the main feature of both chronic and acute phase of the disease a change in posture causes by the arthritis and arthralgia (Charrel, Lamballerie and Raoult 769).

History

The disease gained its name after the outbreak in Tanganyika, the modern Tanzania in 1952. However, ...

Chamberlain College of Nursing

NR451 RN Capstone Course Term and Year The introduction of technology in the health industry helps medics to run services and procedures faster and safer. The reliance of technology in such services has grown over the past few decades, with hospitals investing heavily in upcoming technologies to increase their efficiency. Its benefits continue to make the industry grow with new medicines, vaccines and surgery procedures. It plays a major part in health care especially towards the weak, old or those in critical care. The medics can monitor their patients from the comfort of their home and provide effective medication ...

Background

Wound healing is one of the most important processes in maintaining the health of a person. Multiple factors affect wound healing in humans regardless of age. A partial list includes diabetes, hereditary healing disorders, obesity, drugs, alcoholism, smoking and compromised immune condition. Infection, stress, nutrition, and radiation therapy can also contribute to delayed or incomplete wound healing (Guo & DiPietro, 2010). In the start of a wound, an inflammatory response is initiated. Blood vessels expand, helping white blood cells and nutrients to reach the wound. Wound healing is achieved through the processes of hemostasis, inflammation, proliferation, and remodeling. Proper sequence ...

The world of fashion is the area, which lures and charms both men and women. But very few people really know what it means to be a model and how much modeling industry negatively affects health of tender young women. Modeling industry is much criticized for that negative impact it has on the health of girls wishing to look as perfect as models and have such tender bodies as their favorite models. In the paper, we are going to concentrate on the topic how modeling industry affects models` health and discuss whether this industry shall be regarded responsible for ...

The central mandate of the nurses is to promote patient safety and ensure excellence in their nursing roles. For the nurses, patient safety is not just a part of their day to day engagements; rather it is a commitment to safe, ethical and competent care. Whether in clinical roles, research, education, management or leadership, nurses have to remain true to the code of ethics that calls for protection of the patient from harm as well as aiding to improve their quality of life and wellbeing. Nurses are regarded as the central point of care; the connection between the healthcare ...

Vegetarianism

Vegetarianism Vegetarianism or veganism as some may call it means much more than just a paradigm shift to veggies and other non-animal foods. There is a general belief that veganism is just a dietary choice. However, reality implies a different idea contrary to the general understanding. Veganism is all-encompassing, and literary affects all life aspects that involve animal products,. To some vegetarians, it means to shift from using all animal products. To some, it implies to end all the animal exploitation. More importantly, to most it means running away from the toxicity associated with animal products and live a ...

Abstract

Ventilator-associated pneumonia (VAP) is an infection which often develops as a result of poor handling of mechanical ventilation. Such as, poor nursing practice in caring for patients with difficulty in breathing can lead to microorganisms entering patient’s body through a tube inserted especially via mouth and nose of the patient. When these microorganisms get into the respiratory system they cause lung infection which is referred to as ventilator-associated pneumonia (VAP). In preventing this infection, it is important that nurses adopt best practices to reduce the incidence of VAP and provide quality care that is aimed at improving the ...

PICO Statement

A pressure ulcer is one of the most common skin conditions experienced among acutely ill patients. However, it is also common among the elderly populace, particularly those who are above 70 years; in fact, it has created challenges among elderly patients, especially patients with limited mobility. Many healthcare practitioners consider it a hindrance to successfully quality healthcare provision when dealing with elderly patients. In this regard, it is important to explore pressure ulcers as among the medical challenges experienced in the contemporary society, identify pre-dominant factors and how it can be prevented or controlled.

PICOT Questions

Population According to the National ...

Overview

The case follows the events that led to the unfortunate death of Whitney, a patient at a local hospital. Other main characters include Kelly (a visiting caregiver), Nathan (the unit director), Janice (an infections preventionist), Manuel (a third-year medical student), and Dena (an RN). In this case, the sentinel issue is the death of Whitney following an episode of untreated Hospital Acquired Infection (HAI). Whitney was undergoing treatment at the facility for appendicitis. Upon a successful appendectomy, the staff had her transferred to a recovery unit for an overnight stay. However, events following the stay led to an acquisition ...

Nursing Class Name

Introduction The importance of a successful research summary lies in attaining a balanced study appraisal. Summaries allow readers to explore the strengths and weaknesses of techniques applied as well as the paper’s applicability to clinical settings. This paper is a summary of Jill Cox’s (2011) study on the predictors of Pressure Ulcers (PU) in adult patients under critical care. It proves that the author provides content that fits the logic and objectivity of scientific inquiry in PU research.

Background

Ingham-Broomfield (2009) states that a good study contains a precise background information that is precise in addressing its basic ...

The symptoms of anorexia, heartburn, and weight loss are common for duodenal ulcer disease, functional dyspepsia, acute gastritis, alcohol related dyspepsia (ARD) as well as gastroesophageal reflux disease (GERD). All these conditions are difficult to diagnose correctly due to the variable nature of its presenting symptoms against those of other gastrointestinal illnesses. In this case, acute gastritis is ruled out technically by the fact that it presents with presence of blood in the stool and the test in this case did not indicate any blood stains. On the other hand, acute gastric presents with temporary pain in the stomach ...

Interventions and Outcomes Measurement for the Elderly with Diabetes

In my practice as an advanced practice nurse, the elderly populations who in addition to their advanced age have diabetes as a chronic condition were determined to be a high-risk population. The determination of this status was on the basis of several attributes, one of them being the competing needs. The fact that some of the members of this population are economically dependent on their family members requires them to prioritize their needs. The presence of the chronic disease condition also classifies them as a high-risk population. In addition to this, other factors such as poor health seeking behaviors, ...

Three nursing interventions for a post-operative patient

The three nursing interventions that can be offered to a post-operative patient include the diagnosis for acute pain, diagnosis for nausea and diagnosis for risk levels for infection (Heater, Becker, & Olson, 2008). Acute pain that is related to reflex muscle and surgical incision are diagnosed by complaints of restlessness, pain, irritability and facial grimacing. This type of pain can be corrected by assessing the location of the patient’s pain and giving him or her appropriate analgesic and teaching and then assessing their correct usage of the same. Other than drugs, other methods such as massage, distraction and imagery ...

RESULTS

Section 1 All samples were found to be positive for the anti-Ro antibody with higher than 240 IU/ml, except Sample ID # 13 and 32, which showed lower concentrations (Figure 1.). These samples also exhibited occurrence of Smd and Dn respectively, albeit at low concentrations. Sample Id# 12 and 20 also showed presence of anti-La antibody. The autosera of Patient Id # 32 suffering from SS displays a faint 52kd IgM band, which is representative of 52kd anti-Ro antibody and is fainter in ethanol treatment sample. Patient ID # 42 expressing a higher than 240 IU/L of anti-Ro antibody in the clinical ...

Initial Patient Assessment

Overview The patient is 67-year-old Mrs. Finch.

She lives with her husband in their marital home.

Recently, she suffered a CVA and had been in the hospital’s rehabilitation ward recovering from her latest episode. Before her CVA, Mrs. Finch had a healthy and active lifestyle.

However, her condition has brought with it numerous other complications including a chest infection.

She is also having difficulty staying mobile due to residual weakness on her left side. She has had a dark wound on her heel for about a week now. This wound keeps deteriorating into the present wound. A series of CVA specific issues such as limited mobility, the risk for infection and reduced nutrition hinders Mrs. Finch’s capacity to heal. Wound ...

The incidences of pressure ulcers within healthcare settings remain an issue of concern even as the policies and regulations continually describe and design measures to help minimize and prevent the occurrence of pressure ulcers. Pressure ulcers are described as major indicators of quality acre within healthcare facilities and are categorized as hospital acquired infections which are highly preventable with application of safety measures and adherence to procedures for quality care (Niederhauser et al., 2012). The primary risk factors for the occurrence of pressure ulcers include poor nutrition, advanced age, multiple co-morbidities, immobility as well as poor monitoring for hospitalized ...