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According to his next of kin (his daughter) he is usually fit and well, and leads a reasonably healthy lifestyle. Mr A is profoundly deaf, and uses sign language and lip reading to communicate.
Due to his prolonged immobility Mr A is susceptible to tissue damage. Because of his condition an adapted Waterlow (1985) risk assessment is carried out regularly to manage the risk to his skin integrity.
There three scales used to measure the risk of developing pressure ulcer; Braden, Norton and Waterlow, however, none of these three tools satisfactorily measure ulcer development for a hospital patient (The Royal College for Nursing, 2005, p. 34). One reason for this is lack of prognosis in the developing these tests. When all methods have similar lack of precision then Waterlow is used for its ease of use. Philip Woodrow is not very supportive of using Waterlow (1995) as it is “now rather dated” (p. 110). Another study for pressure ulcers prevention and treatment by Centre for Reviews and Dissemination (CRD) at the University of York, concluded that there is no “best buy” equipment that can be recommended (Cullum, Ciliska, Haynes & Marks, 2013). Sussman and Jensen (2007) suggest that all three scales; Braden, Norton and Waterlow, are effective; they are “validated risk assessment instruments” (Sussman & Jensen, 2007, p. 346). A word of caution goes with this justification; The NICE (2005) guideline consider risk assessment tools like Waterlow (1988, 2005) and Braden (1987) as “aide memoire”; nurses must not solely rely on these tools (Iggulden et al., 2009, p. 192). These tools do not replace clinical judgement (Ousey & McIntosh, 2008, p. 171).
Despite the fact that the card is outdated, it is still very useful today. The literature review suggests using both formal and informal methods to assess the risk of PU. It is also useful in the sense that it allows the card score to compare with
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Nursing care is a crucial element of health care. Nurses are very much involved in the patient’s care and well-being because they stay with the patient most of the time. This is a case study of a 74-year old male patient who had L4-L5 decompression on the 7th of April 2011.
The aim of this reflective essay is to understand diagnosis management and treatment of patients with HIV. The reason why I am reflecting on the subject matter is mainly because it is a procedure that almost every nurse experiences in his/her professional career, which in return enables professional development and conflict management.
Joanne has had an intracerebral haemorrhage due to a ruptured berry aneurysm, and consequently, Joanne has suffered brain death. At this point in time, you are waiting for her husband of two years, and parents, to arrive for a family conference. Task Write an essay that focuses on the delivery of nursing care related to the above scenario.
Due to the latter, clinical care can now be delivered electronically which triggered emergence of such subject as health informatics and "Australia is at the leading edge of these developments" (Yellowlees, Brooks, 1999, 4)
As Coiera writes, "If physiology literally means 'the logic of life', and pathology is 'the logic of disease', then health informatics is the logic of healthcare.
A chest radiograph showed a large ( 50% of the hemithorax) right pleural effusion with mediastinal shift to the contralateral side.
His clinical diagnosis on presentation is Impaired Gas Exchange (IGE) which is defined as "the excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar - capillary membrane" (NANDA definition).
Although this appeared to be a suicidal gesture, according to Linda, she had accidentally cut herself because of her overwhelming tiredness and fatigue which would have been caused by her inability to sleep at night.
This growing element of aged care becomes increasingly central to provision of aged care (Allen, 2008). Community care services must acknowledge and support the role of network to persons, and consequently, to remain living in their own
The discussion will also include a cameo of Mrs Davies and her family to offer some insight of her current situation. Factors relating to Mrs Davies condition and any relevant medical history, which may have influenced her