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"Nursing care plan for a post-operation patient (CA colon) who was prolonged ICU stay due to prolonged ventilator support"
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an be achieved through nursing interventions that includes assisting the patient in psychological adjustment, prevention of complications, supporting independence in self care as well as providing information about prognosis, treatment needs, expected complications and community resources that can be utilized to meet the needs of the patients. The paper will focus on three nursing diagnosis with eight intervention related to the postoperative complication of the patient.
According to Bischof, Maier, Smith, Fitch & Wright (2011), Colon cancer is the common type of cancer that affects the gastro intestinal system. Appropriate nursing and medical intervention can help reduce the post operative period and reduce complications such as infections. Colostomy and ileostomy are some of the procedures done during surgery. Even though post operative period is often long, some people are able to recover and resume normal activities after six to eight weeks (Brubakken & Cheney, 2010). The number of death resulting from colon cancer was 15.9 in every a hundred thousand women and men every year with 43.7 in every a hundred thousand women and men per year of new cases. Surgery, chemotherapy and radiotherapy can be used to prevent spread of colon cancer.
-Reduce the amount of time that the patient spends on the ventilator machine from 12 hours to eight hours in the first day, from eight hours to six hours in the second day and from six hours to four hours in the third day.
Weaning from the ventilator machine is important to the patient as it help the patient to support themselves and be in control (DONALD & VIAR, 2010). It is also an indication that the original cause of the respiratory failure has been dealt with (Taylor, 2010).
The patient has been able to reduce the time on the ventilator machine by two hours on the first day (Chang, 2013). This has been effective through the use of daily screening of respiratory functions and breathing trials.
Patient reports improved ...
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Initially, the walls of the bowel form saclike outpouchings called diverticulum because of the compounded effect of high intraluminal bowel pressure (HS usually lifts heavy objects at work), low volume in the colon, and decreased muscle strength of the colon walls.
It is important to take hiring decisions seriously in order to ensure the choices made are aligned with effective service delivery and the management of the hospital (Mackoff, 2011). In this event, the hospital needs to employ seven full time nurses and as the ICU Nurse Manager, you are faced with the challenge of attracting seven registered nurses to work in your hospital and retain them for a long period.
Probably more than half continue to drink throughout their lives, with the occasional treatment of medical problems related to their alcoholism. Generally, however, when we use the term alcoholism, we are referring to the excessive, compulsive, uncontrolled, and self destructive intake of alcohol.
The end of life strategy should determine how Mary would be cared for, for the rest of her life to ensure that they experience a good death. Mary wished to return home, but the family was in a remote place. It is to be understood that death does not always represent failure of healthcare; rather arrangements can be made to send her back to the local hospital with support systems in place.
As such, the focus of this paper would encompass the assessment of a breast cancer patient, nursing care plans, medication/drug study, and the medical and nursing management, which were implemented to the client with the purpose of gearing towards positive outcomes.
According to the paper this is the story of a young woman with learning disability, where her clinical situation has been complicated by detection and diagnosis mental health disorder such as manic depression and other medical disorder. This is a complex process due to her limited vocabulary and insights, and skill deficits. Therefore, the nursing assessment process that would lead ultimately to a care plan would need to include details of her skills and abilities.
Late the evening of the 7th of March, he had sudden shortness of breath followed by hypotension and was placed on oxygen. He deteriorated rapidly and was place in the ICU on a ventilator. He remained quite unstable throughout the night. At 0700 on the 8th he continues to be unstable.
Nothing is disclosed about the nature of the client except for her age, BP, pulse and temperature. Obviously, the patient will be quiet and drowsy as a result of the anesthetic effects for a day or two. The patient is dependent on nurses to
History of mild cold and cough present. No history of altered sensorium, seizures,loose stools or burning micturition.
Past history: Alison is a known patient of End-Stage Renal Failure or ESRF secondary to hypertension and type-2