He or she will literally take issue with the physician and issue and even sterner and more emotional warning concerning why compliance is essential.

Before the patient is released, the nurse will once again speak with the patient and ask, on a scale of ten, how important do they think it is to wear the appliance post-surgically. The nurse will also ask how likely the patient himself or herself thinks it is that compliance will be virtually 100%. The nurse will ascertain that the patient is competent to apply the device, removing it only for cleaning the teeth and the appliance, and that there are no other factors in the patient's home/work environment that would preclude compliance.

The nurse will then personally assess the likelihood she ascribes to the patient's 100% compliance.

When the patient is seen by the surgeon for his or her first follow-up visit, the same questions will be asked/answered.…...

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References

Ballard-Reisch, D.S. (1990). "A model of participative decision making for physician- patient interaction." Health Communication, 2, 91-104.

Davis, M.S. (1968). "Variations in patients' compliance with doctors' advice: Empirical analysis of patterns of communication." American Journal of Public Health, 58, 274-286.

Fazio, R.H., & Zanna, M.P. (1981). Direct experience and attitude-behavior consistency. In L. Berkowitz (Ed.), Advances in Experimental Social Psychology, 14, (pp. 161-202). New York: Academic Press.

Forchuck, C., B. Mound and M. Yama*****a. (2005) Nurse case management: Negotiating care together with developing a relationship. Perspectives in Psychiatric Care, 41(2), 62+/

Her clothes will be chosen by her if she is able that day and she will receive assistance getting dressed. Her hair and make up will be applied before the breakfast hour.
She will then be escorted to the dining room where she will receive her medications that go with the meal and she will be served breakfast. Following breakfast she will be taken to the day room where she will spend the morning visiting with other patients and helping the others with projects that may interest her that day.

Lunch will be served and following lunch she will be checked to see if she needs a diaper change. If so that will be done, if not she will be encouraged to socialize until dinner. Dinner will be provided with her iron and other dinner medications.

After dinner she will receive her shower and be placed in her pajamas for the evening.…...

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Works Cited

Nursing

http://www.rnjournal.com/journal/caring.htm

Sitzman, Kathleen L.(2002) Interbeing and mindfulness: a bridge to understanding Jean Watson's theory of human caring. Nursing Education Perspectives

Charlotte Ingalls, Karen; (2003)the Living Tree of Nursing Theories.

Examining Potential Post-Operative Complications for Hemiarthroplasty Hemiarthroplasty refers to the operation that is commonly used for the treatment of a fractured hip. This operation is similar to that of a total hip replacement, but it only involves the replacement of half the hip. In most cases, the operation only replaces the ball portion of the hip joint. As with any other orthopedic surgery, there are complications that are associated with this surgery. Some of the complications might be medical and others related directly to the surgical treatment itself (Smith, Aboelmagd, Hing, & Macgregor, 2016). It is estimated that medical complications affect approximately 20 percent of patients with hip fracture. The majority of these complications are mostly postoperative complications. This paper will analyze the post-operative complications of a 38-year-old male patient who underwent a left hip hemiarthroplasty. The complications that might affect the patient will be discussed and the etiology of the…...

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References

Aasvang, E., Luna, I., & Kehlet, H. (2015). Challenges in postdischarge function and recovery: the case of fast-track hip and knee arthroplasty. BJA: British Journal of Anaesthesia, 115(6), 861-866.

Breathnach, O., Karip, E., McCoy, G., Cleary, M., & Quinlan, J. (2016). Post-operative prevention of venous thromboembolism in hip and knee arthroplasty surgery: a study of the combined use of low molecular weight heparin and rivaroxaban. J. Orthop. Res. Physiother., 2, 020.

Carpintero, P., Caeiro, J. R., Carpintero, R., Morales, A., Silva, S., & Mesa, M. (2014). Complications of hip fractures: A review. World journal of orthopedics, 5(4), 402-411.

Frisch, N. B., Wessell, N. M., Charters, M. A., Yu, S., Jeffries, J. J., & Silverton, C. D. (2014). Predictors and complications of blood transfusion in total hip and knee arthroplasty. The Journal of arthroplasty, 29(9), 189-192.

Lanting, B. A., Odum, S. M., Cope, R. P., Patterson, A. H., & Masonis, J. L. (2015). Incidence of perioperative events in single setting bilateral direct anterior approach total hip arthroplasty. The Journal of arthroplasty, 30(3), 465-467.

Lopes, G. D., & de Souza, S. R. (2017). Factors that interfere with quality of life after total hip arthroplasty. Northeast Network Nursing Journal, 18(2).

Polnaszek, B., Mirr, J., Roiland, R., Gilmore-Bykovskyi, A., Hovanes, M., & Kind, A. (2015). Omission of physical therapy recommendations for high-risk patients transitioning from the hospital to subacute care facilities. Archives of physical medicine and rehabilitation, 96(11), 1966-1972. e1963.

Prestmo, A., Hagen, G., Sletvold, O., Helbostad, J. L., Thingstad, P., Taraldsen, K., . . . Lamb, S. E. (2015). Comprehensive geriatric care for patients with hip fractures: a prospective, randomised, controlled trial. The Lancet, 385(9978), 1623-1633.

Also, nurses can ignore patient advice as far as medical procedures are concerned because they obviously don't have the medical expertise to being advice on such matters (Street 2005). It is important that patient's are able to lend their discretion because every decision made by a medical staff member in their regard effects their life and ultimately their life as a whole (Street, 2005). A healthy relationship between patient and nurse yields positive outcomes and allowing patients to participate in their own care leads to a better relationship (Andrews 2008). Nurses need to keep in mind the balance that exists between letting patients participate and voice their opinions about their care and not allowing patients to dictate the entirety of their stay in the care facility.
Explain why patients do not wish to be actively involved in their care, and how nurses can help with this situation

Patients do not spend…...

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Reference List

Andrews M.M. And Boyle J. (2008). Transcultural Concepts in Nursing. England:

Lippincott Williams & Wilkins.

Street L.R., Gordon S.H., Ward M.M., Krupat E., & Kravitz L.R. (2005). Patient

Participation in Medical Consultations: Why Some Patients Are More Involved

Studies suggest that more computerized order entry of medications helps reduce errors by limiting interpretation errors due to handwriting (Meadows, 2003). Thus more order entry is involving computers to protect patients. A culture that supports safety and safe practices has also been adopted to provide nursing staff and patients information about drug therapy and medication to ensure that everyone is aware of the need for safe practices when utilizing and dispensing medications.

Describe the strategies used to ensure nursing practice is performed within legal requirements and ethical frameworks

Nurses now "live and work in a world where there is no single reality but many coexisting realities among which they must choose" (Johnston, 1999:1). Given that through more and more nurses are forced to make legal and ethical decisions and take steps that will determine the best processes to adopt to ensure that moral and legal processes are adopted and followed.

Under the Australian…...

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References

Campbell, D.W. & Sigsby, L.M. (1995). "Nursing interventions classification: A content analysis of nursing activities in public schools." Journal of Community Health Nursing, 12(4): 229.

Caretto, V.A. & McCormick, C.S. (1991). "Community as Client: A Hand's on experience for baccalaureate nursing students." Journal of Community Health Nursing, 8(3): 179.

Johnston, M.J. (1999). Bioethics: A nursing perspective. Sydney: Harcourt Saunders.

Lumby, J. & Picone, D. (2000). Clinical challenges: Focus on nursing. St. Leanords:

Specifically, deficient cae may esult in a child's being vulneable as a consequence of a low intinsic level of self-esteem and self-woth (Pake, Baett, and Hickie, 1992). It is clea that a numbe of factos ae likely to affect the teenaged individual esulting in depession and it is citically noted that this depession must necessaily be addessed, teated and esolved. The client in this instance has bodeline low blood pessue which should be monitoed seveal times each week and futhemoe the body mass index (BMI) of this individual is excessively low indicating that this patient needs to be counseled in egads to thei diet both in tems of quality and quantity of foods consumed.
Bibliogaphy

Logsdon, Cynthia J.(nd) Depession in Adolescent Gils: Sceening and Teatment Stategies fo Pimay Cae Povides Jounal of the Ameican Medical Women's Association Volume 59, No 2.

Lemay, Edwad P. And Ashmoe, Richad D. (2005) the elationship of…...

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reference: Studies of occupational and recreational choice. Social Psychology Quarterly, 49, 11-18.

Introduction
What causes staffing shortages in the field of nursing? Staffing shortages can be the result of many variables—turnover, unmet demand for services due to a lack of RNs, overwork (nurses calling in sick), and so on. Buchan (2002) identified the problem of staffing shortages in nursing as having an underlying cause in the nature of the health system itself as well as a social one: “Nursing in many countries continues to be undervalued as women’s work, and nurses are given only limited access to resources to make them effective in their jobs and careers” (p. 751). This is especially true in countries like Saudi Arabia, where nursing is viewed as woman’s work but is not valued highly by society—though it is recognized as being highly needed (Alyami & Watson, 2014). To address the issue of staffing shortages, the Institute of Medicine (IOM, 2012) has called for more nurses to achieve…...

Nursing Documentation
Importance of the Issue

Nurse need to keep the records and specific information about their patients. The services in the hospitals require that every detail of the patients be kept in the records. For patients whose conditions recur, record helps the medical practitioners understand the health history of the patient. Proper records in the hospital are helpful in patient transfers (Voyer et al. 2014). Often, patient referrals are common in hospitals and thus records help the doctors in the new hospital to attend to the needs of the patient. The family members of the patients require the health records of their patients to arrange for better treatments. The law requires the nurses to keep records of the nature of services they offer to the patients. Often, the records of each patient are permanents in the hospital where they are kept physically or electronically. Records are essential because they indicate whether…...

Nursing Administration -- Controlling
Nursing Admin-Controlling

Situation analysis

The FOCUS model requires the nursing administrator to find out what the main problem is, obtain information about this problem, communicate effectively with the nurses and patient, understand the needs of the nurses and the patient, and finally summarize these findings for the patient and nurses Dlugacz, 2009.

In this scenario, the process to be improved is responsiveness and willingness of the nurses to help the patient's situation.

Using the FOCUS model, the nursing leader should identify and clearly define the problem. To do this, they must recognize the role of the patient and the nurses in the situation and prioritize the potential improvements in the process Kreitner, 2008.

They also need to draft this problem statement in a clear way. The problem statement for this scenario is that the nurses feel inadequate in responding to the situation where the patient needs complex psychological, medical and social care.…...

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References

Dlugacz, Y.D. (2009). Value-Based Health Care: Linking Finance and Quality. New York: Wiley.

Kleespies, P.M., & Association, A.P. (2009). Behavioral Emergencies: An Evidence-Based Resource for Evaluating and Managing Risk of Suicide, Violence, and Victimization. Washington, D.C., DC: American Psychological Association.

Kreitner, R. (2008). Management. Mason, OH: Houghton Mifflin Company.

Zun, L.S., Chepenik, L.G., & Mallory, M.N.S. (2013). Behavioral Emergencies for the Emergency Physician. Cambridge, United Kingdom: Cambridge University Press.

Nurse Eduactor Strategic Plan
Nurse educator strategic plan

A strategic plan for a nurse educator

At present, I would say that my greatest strength as a nurse educator is my willingness to challenge myself in the pursuit of excellence. Within the next year, I will obtain my MSN with a specific concentration in education. Previously, I obtained certification as a Basic Life Support instructor (BLS). Also within the next year I intend to seek out certification in Advance Cardiac Live Support (ACLS) and Pediatric Life Support Instructor (PAL) with the intention of becoming both an ACLS and PALS instructor. These will enhance my capabilities as a nurse educator and provide greater specificity in the range and types of teaching I will be able to convey.

My second great strength as a nurse educator is the compassion I have for my patients and my genuine love of teaching. A nurse is always a 'teacher,' teaching…...

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References

Covey, S. (2012). 7 habits of highly effective people. Franklin Covey.

Gardner, H. (2007). Frames of mind: The theory of multiple intelligences. New York: Basic

Books.

Professional Nurse Educator's Group. (2013). Official Website. Retrieved from:

Planned Change in a Department
Change within the Medical surgery department

There are various factors that occasion change within any organization, some may be due to change in the operations of an organization, some due to expansion, relocation, takeovers, mergers, external forces in economies, internal changes in operation modes or even unprecedented needs as unforeseen at the initial stages. This last one seems to be case within the medical surgery unit in our hospital.

The prevailing condition at the moment that needs a change approach that would improve the conditions within the medical surgery unit and the entire hospital in general is the imbalanced ration between the nurses and the surgery patients currently realized within the unit. The prevailing rate is one nurse within the medical surgery unit handling an average of 6-7 patients which has proven to be too high for a single nurse. The other pertinent problem within the same unit…...

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References

American Nurses Association, (2011). Effects of Nurses Shortage. Retrieved July 4, 2013 from http://ana.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/workforce/NurseShortageStaffing/NursingShortage/Effects.aspx

Honor Society of Nursing, (2013). Facts on the Nursing Shortage in North America. Retrieved July 4, 2013 from  http://www.nursingsociety.org/Media/Pages/shortage.aspx 

Nursing Theories, (2011). Change Theory by Kurt Lewin. Retrieved July 4, 2013 from  http://currentnursing.com/nursing_theory/change_theory.html 

National Foundation for American Policy (2007). Deadly Consequences: The Hidden Impact of America's Nursing Shortage by Stuart Anderson. Pp 4. Retrieved July 4, 2013 from  http://www.nfap.com/pdf/0709deadlyconsequences.pdf

What is the most valuable lesson you've learned as a nurse that you've tried to impart to your students?

Get to know your patients. You can make a valuable human connection with any of your patients, if you just put in the attempt. Their care will be so much more effective and your time at work will be all the more richer.

How do you build awareness of the personal attributes of your students (Clark, 2008)?

I try and see my students outside the classroom to get to know them. I need to be aware of their personal attributes and how those can benefit them as nurses to be. Thus, I try to arrange picnics, pizza parties and other outings with my students so that we can all relax and get to know each other better.

How do you make some of the more intricate educational theories more attainable for your students?

I try to…...

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References

Bastable, S.B. (2008). Nurse as educator: Principles of teaching and learning for nursing practice. Sudbury: Jones and Bartlett Publishers.

Clark, C.C. (2008). Classroom skills for nurse educators. Sudbury: Jones and Bartlett

Publishers.

Utley, R.A. (2011). Theory and research for academic nurse educators: Application to practice.

Nurse's ole As esearcher
The nurse plays a unique role as a researcher. This involves them focusing on the latest treatment options, how they affect patients and the best times specific techniques should be utilized. Moreover, they must understand the numerous side effects of different therapies and how this will affect the patients they are working with. These areas help them to serve as confidant in comprehending how and when to apply certain procedures. (Allan, 2005)

At the same time, the nurse will understand the psychology, customs, behavior and biological factors which are contributing to a host of conditions. This enables them to comprehend the challenges patients are going through and the lasting impact this is having on them. When this happens, they can reduce suffering and improve their ability to cope with the issues they are facing. These insights will help patients to make a full recovery with reduced chances for…...

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References

Allan, J. (2004). Clinical prevention and population health. American Journal of Preventive Medicine, 27(5), 470-481.

Allan, J. (2005). Clinical prevention and population health curriculum framework: The nursing perspective.

Allen, D. (2002). The Changing Shape of Nursing Practice. New York, NY: Routledge.

American Academy of Nurses. (2009). Nurses transforming health care using genetics and Genomics. Washington, DC: Author.

The procedure itself and the hospital stay associated with it is only one small chapter in the patient's life. They will eventually go home and will have many years after the procedure. It is important for the nursing staff to make a positive impact on how they feel about the procedure. The procedure will represent a lasting memory to the patient. If the patient perceives this to be a time of strength and care from nurturing individuals then it will help them to be able to develop the coping mechanisms necessary to learn to live with the after-effects of the procedure.
If the patient sees this as a negative experience, then it could produce unwanted effects such as depression, post-traumatic stress disorder, or other emotional problems that could have an effect on their ability to cope with the life changes. Those that develop appropriate coping mechanisms will be more likely…...

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References

Knoll, N., Rieckmann, N., & Schwarzer, R. (2005). Coping as a mediator between personality and stress outcomes: A longitudinal study with cataract surgery patients. European Journal of Personality, 19, 229-247.

Lippke, S., Ziegelmann, J.P., & Schwarzer, R. (2004). Initiation and maintenance of physical exercise: Stage-specific effects of a planning intervention. Research in Sports Medicine, 12, 221-240.

Lippke, S., Ziegelmann, J.P., & Schwarzer, R. (2004). Behavioral intentions and action plans promote physical exercise: A longitudinal study with orthopedic rehabilitation patients. Journal of Sport & Exercise Psychology, 26, 470-483.

Lippke, S., Ziegelmann, J.P., & Schwarzer, R. (2005). Stage-specific adoption and maintenance of physical activity: Testing a three-stage model. Psychology of Sport & Exercise, 6, 585-603.

Nursing Home
eport on Conditions at Brighton and Sussex University Hospitals NHS Trust

The following report is based on extensive observation of the conditions for patients living at the Brighton and Sussex University Hospitals NHS Trust. While some patients received moderate care, overall, the quality of care in this facility was appalling. All patients -- all people -- deserve to be treated with dignity, and this was far from the case. The conditions were especially distressing given that in general they could be fixed or at least ameliorated relatively easily. Not all of the ills of old age or disability can be remedied, of course. Pain and fear will be present even with the best possible care. Given that this is true, all possible efforts must be made to reduce fear, anxiety, and pain to the greatest degree possible.

The facts that this report is based on were documented by Margaret Haywood, a…...

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References

Grant, P. (2010). Ethical lessons from the 'undercover nurse': implications for practice and leadership. Medical Ethics 36: 469-472.

Margaret Haywood's diary. Retrieved from  http://news.bbc.co.uk/2/hi/programmes/panorama/4701651.stm .

Online bulletin. Retrieved from http://www.southerneditorial.co.uk/bulletin/july05/breaknews.htm.

Reasons for the substantive hearing of the Conduct and Competence. Retrieved from  http://www.nursingtimes.net/Journals/1/Files/2009/4/17/haywood_NMCruling.pdf