Prevent healthcare-associated pressure ulcers. (National patient safety goal)

Why do you think this goal is important to support patient safety? What could happen if this goal was not met?

case study chapter 31 nursing care plan hypertension

National Patient Safety Goals Effective January 1, 2015

Goal 14

Prevent health care-associated pressure ulcers (decubitus ulcers)

Pressure ulcers are also called pressure ulcers or bedsores. Its classification ranged from reddening of the skin to the presence of cave-in injuries and muscle or bone injuries (stage IV) (1). Pressure ulcers are injuries caused by pressure, friction or shear, or by a combination of these 3 types of forces, which affect the skin and subsequent tissues. Although skin, fat, and muscle tissue can withstand significant pressures for short periods of time, prolonged exposure to a certain amount of pressure slightly greater than capillary compression pressure (32 mmHg) can cause skin necrosis and ulceration (2, 3 ). As little as two hours of uninterrupted depression can cause irreversible changes (2, 3).

Identify a bedside nursing scenario where this goal could prevent an error and/or pt injury (be specific).

Identify and briefly describe the unethical study in research, Note the year the study occurred, and consider where in the development or conduct of the study that researchers or associated parties might have had the opportunity to intervene on behalf of the study's subjects.

Locate example of ethical misconduct in research using traditional or web resources.

why did so many older people die from COVID-19?...what did the treatment of elders reveal about the American health care and social service systems?...how did politics get involved for elders and for other age groups?...what do we know about how mental health issues were handled for the elder population?...is there evidence of health or economic disparities across generations in the response to COVID-19?

Outline legislation that addresses reporting and confidentiality requirements for patient-specific health information relating to HIV and AIDS.

Autonomic nervous system :

Is a component of the peripheral nervous system, it regulates involuntary physiologic processes including heart rate, blood pressure, respiration, digestion. This system works automatically without a person’s conscious effort. Disorders of the autonomic nervous system can affect any body part or process. Autonomic disorders may be reversible or progressive. Apart of the autonomic nervous system there are three anatomically distinct divisions: sympathetic, parasympathetic, and enteric.

Somatic nervous system :

Contains both afferent nerves (which send information to the brain and spinal cord) , made of sensory neurons that inform the central nervous system about out five senses; sight, smell, taste, touch , hearing., and efferent nerves (which send information from the brain) , which contain motor neurons responsible for voluntary movements such as walking or lifting an object. In addition to regulating the voluntary movements of the body , the somatic nervous system is also responsible for a specific type of involuntary muscle responses known as reflexes , controlled by a neural pathway known as the reflex arc.

What are some diseases that are a result of autonomic nervous system disorders?

The Agency for Health Care Research and Quality (AHRQ) supports research that improves the quality of health care and performance improvement. Select and describe one of the data sources available from AHRQ. Include in your discussion the role of the health care leader in promoting safe, effective evidence-based patient care.

Describe respiratory hygiene/cough etiquette appropriate for the healthcare setting

[6/30, 10:14 PM] Mate Vida: prepare a health promotion Programme for the following
malaria
Hiv/Alds
Cholera
Tuberculosis
Hepatitis
identify other Teaching Aids you will use in educating the People.

You are receiving a newly admitted patient to the burn unit. Mr. Robinson is a 32-year-old male who was at work when a battery tank exploded. Mr. Robinson has sustained first, second, and third-degree burns. He has no prior medical conditions. His wife has several questions for you.

1. What labs do you expect to have to monitor?

Describe how you determine if isolation is needed for patient placement

Is disinfectant fogging appropriate for routine purposes in patient-care areas

What is listed as the employer responsibility for Laundry and Bedding

Abanga was rushed to the hospital on account of fainting, shortness of breath, palpitations and nausea. On assessment, Abanga was pulseless, with the unrecordable blood pressure but a heart rate of 450bpm. His ECG showed no P-wave nor QRS complex. His Hb was 7.0g/dL (normal range 12.5-16.5g/dL) and MCV was 70fL (normal 80-100fL). Abanga’s drug history indicated that he has been taking an antacid (aluminium hydroxide mixture) for the past three months now due to his palpitations and was on prescribed ferrous sulphate which he has been taking for the past one month due to a previous diagnosis of anaemia. An impression of arrhythmia and anaemia was made by the physician and Abanga was defibrillated with electrical shocks and started on verapamil, warfarin and adrenaline. Laboratory investigations the next day showed high serum potassium levels.

Q.1 What type of arrhythmia and anaemia is Abanga likely to be suffering from?

Q.2. Assign reasons to your answers in question 1 above.

Q.3. From Abanga’s clinical case presented, could you guess the cause of his anaemia?

Q.4. Do you agree with the choices of verapamil, wafarin and adrenaline for Abanga’s condition? Assign reasons.

Q.5. With reasons, what will you suggest to the doctor to improve drug treatment arrhythmia for Abanga?