COMMENT1
. The American Cancer Society offers 24 hours a day, and seven days a week support to patients newly diagnosed with cancer, currently going through treatment or to caregivers, by offering information, day-to-day help, and emotional support. Their support ranges from temporary housing, free transportation, understanding the diagnosis, treatment options, treatment side effects and near the end of life support (ACS, 2018).
Educational support starts with understanding the diagnosis. The patient can learn what cancer is, how it spreads to other parts of the body, and how cancers are different. Some cancers spread very quickly, and others grow more slowly. The patient can learn that some type of cancers is best treated with surgery, while others do betters with medication and radiation treatments (ACS, 2018).
Patients can access information online at www.canger.org or via telephone Cancer Helpline 800.227.2345. A team of doctors writes the information provided at the American Cancer Society, master prepared nurses, journalist, editors and translators specialized in medical writing.
The patient can learn how is treatment planned and anticipate their growth rate of cancer. An example would be certain types of leukemias and lymphomas grow faster than solid tumors. Thus, the treatment for those cancers should be started in a couple of days (ACS, 2018).
The ACS service that I would recommend for someone I knew, who is diagnosed with cancer would be the American Society of Clinical Oncology(ASCO). The reason is finding a clinical oncologist for a second opinion. The diagnosis of cancer is overwhelming and having the reassurance that the right treatment is initiated, or finding out a different treatment option can help the patient explore all options. I would advise the patient to communicate that decision with their physician and to verify with the insurance before making arrangements (ACS, 2018).
COMMENT2
Over the next decade, it is expected that there will be nearly 1.5 million new cancer diagnosis. Factors that contribute to this include people being more in tune with their bodies. More woman are doing routine self-breast exams, and now with the Affordable Care Act, pap smear, mammograms, HPV, lung cancer and nutrition screening are covered at 100% as preventative health (HealthCare.gov, nd.) . By having more people tested, there will be more diagnosis but hopefully in early stages. Medical advancements also make detecting cancer faster and easier. MRI’s, CT Scans, Pet Scans and now digital mammography make it easier to find abnormalities quicker, leading to faster treatments. It would be nice to see these numbers trend down but having people starting to eat more organic foods and quit smoking, but unfortunately, cancer is a disease that is becoming more common in this day and age.
Research projects being funded and encouraged by the ACS mostly include ways to diagnosis and treat the cancers themselves. Dr. Jennifer Mack (2018), of the Dana-Farber Cancer Institute in Boston, recently received a grant to allow her to study support systems, a different but equally important role in the fight against cancer. The purpose of her research is to improve relationships between parents and their child’s cancer doctor. The focus was on how to encourage positive relationships to help reduce miscommunication and anxiety. The team is studying relationships that are working well along with difficult ones to learn strategies to quickly identify and repair relationships in need. The plan is to design interventions to diffuse stress and distress and eventually put those interventions into action. The ACS has provided comfort and peace of mind to millions of individuals and their families when they receive a cancer diagnosis. With support through donations and fundraising events, this organization will continue to make strides in treatments, hopefully eliminating cancer for good.
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Comment 18937091
/in Uncategorized /by developerComment1
Intrinsic motivation is defined as performing an activity for personal satisfaction rather for some consequence, a person who is intrinsically motivated acts For the Fun of a challenge rather than external pressures or rewards (Ryan, 2000). Extrinsic motivation is when an activity is performed to gain a separable outcome, an extrinsically motivated person acts in hopes of gaining an outside reward (Ryan, 2000). Motivation for the extrinsic person would be such as pay raises, bonuses, and benefits. Intrinsically motivated people perform an activity because they simply like the activity or the challenge, an extrinsically motivated person performs an activity for its instrumental value whether it be receiving a reward or avoiding punishment.
Characteristics of a performance-driven team is a team who works together and because of that a greater outcome is achieved. Eggenberger, Sherman, Keller (2014) stated that in any setting, “high-performance work teams rarely occur naturally. They must be created and managed. To instill effective teamwork into health care, leaders need to recognize and emphasize its importance”. Having a strong team with strong communication skills is a key characteristic to have. Our team at work is amazing and we work really well together. We are always helping each other out even if we are busy and behind with charting.
Comment2
Motivation is an essential part to everyday life, task completion and performance results. Two types of motivation to be discussed are intrinsic and extrinsic. “Intrinsic motivation is something internal, either primal (such as the need to eat) or learned (such as the knowledge of healthful eating). Extrinsic motivation is something external and may be both positive (such as rewards) or negative (such as punishment). Repeated exposure to extrinsic motivation may help create an intrinsic motivation. (Eggenberger, Sherman & Keller, 2014)
When dealing with intrinsic motivation and example that relates to me is that of knowledge of nursing skills. I placed a great deal of motivation into my everyday tasks as a nurse, from practicing proper infection control to medication management and administration. These tasks need to be completed and with precision at that. Extrinsic motivation is a little different, an example that pertains to be would be picking up overtime at work or covering shifts that need to be filled. Currently at my place of employment we are short staffed on our 11pm to 7am shift. My work is offering an incentive to those whom are willing to work of an additional $100 dollars per shift worked. This is a reward that motivated employees to pick up overtime and coverage.
“In any setting, high-performance work teams rarely occur naturally. They must be created and managed. To instill effective teamwork into health care, leaders need to recognize and emphasize its importance. They play a key role in helping a team develop the ability to collaborate effectively, build relationships and trust, innovate, and achieve results at a consistently high level.” ( Repovich, 2013) Characteristic that are essential are communication skills, team work ethics and motivation.
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Comment 18939421
/in Uncategorized /by developerComment1
Communication is the key to avoid conflicts. The new director should have had a meet and greet with the employee. He or she should have shared the new ideas with the team to receive the input. There are many people throughout the organization that do not like change. A few factors that can result in communication conflict are lack of ommunication, power position, not setting expectations and goals, or the current situation.
A good nurse leader will begin y building rapport and trust with their team. A leader must possess effective communication skills and be proactive in communication with their team. Present openness in the work area to elevate the level of teamwork and engagement. This can make solving problems easier and as a group. Openness can also allow the employees to voice new ideas or concerns. They will always be friendly, empathetic, and smile while being an active listener to their team. Expectations and goals will be set and made crystal clear. Expectations can make any job easier. If employees know what is xpected of them they will get the job done and in a timely manner.
“Just being available and attentive is a great way to use listening as a management tool. Some employees will come in, talk for twenty minutes, and leave having solved their problems entirely by themselves”. (Luppa, 2015).
Comment2
Work can be disrupted by factors such as reorganization, downsizing, absenteeism or turnovers. Work disruption has been to linked to negative outcomes (Huber, 2013). In this scenario, staff has been subjected to additional stress with the new changes that had not been communicated to them in advance. The staff has not contributed any input to the new changes. The staff resentfulness is a natural reaction because they are thrown to changes without prior warning. A performance driven team is stronger and successful when all the members work together towards a common goal. Working in groups requires building interpersonal relationships. “Things get done because of relationships among people, nurses need to build successful collaborative relationships among multiple levels of colleagues, key people, organizations and clients”(Huber, 2013, p. 132).
Several factors can lead to conflicts at work places. Such factors include poor communication, unfair treatment, unclear job roles, bullying and harassment, poor management, poor work environment and inadequate training (Fiala, 2017). “Conflict is an inherent element of change and is manifested in resistance to change” (Huber, 2013, p. 174). In this scenario, the director uses autocratic leadership style, which is centered on the boss. He or she has made decisions without consulting the subordinate staff and is expecting the decisions to be implemented promptly. Statistically few situations support this kind of leadership (Raza, n.d.). Poor communication is another conflict that has surfaced on this scenario. Failure of the director to prior communicate with the staff of the new changes has brought resentfulness. Poor communication not only causes conflict but also decreases work productivity and staff morale (Fiala, 2017).
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Comment 18940321
/in Uncategorized /by developercomment1
Nurses can use group power strategies such as networking, connecting, and collaborating to achieve professional goals and contribute to the welfare of patients as well as to the health of the population (Huber, 2014). Personal affiliations and networking are essential for multiple reasons, as it allows for the idea and strategy sharing. I think of networking as a way of managing own life. I frequently ask the co-workers for advice on what has worked for them in their units and how they have found success; this networking has been so helpful in the career. Another big part of personal affiliations and networking is own involvement in professional organizations. This current information and idea sharing can have a significant impact on and manager. I joined the ENA (Emergency Nurse Association) when I was still a bedside nurse and have continued my membership into my career as a director; I find that it is an excellent resource for idea sharing. There is so much evidence-based practice that is available through the ENA, and found that extremely helpful and saw it continue to benefit in the career in the future.
Another professional organization that I became a member is Association of California nursing Leaders, ACNL. Through them, went to the conference of nursing students, where issues essential to nursing students such as LGBT and gender rights and allocation of help to drug users. Living in Los Angeles area for a while, I gave speeches there for the national nursing community on the importance of the issues. Even after many speeches and voting, the audience showed divisions on the issue.
Leadership networks provide information, networking, and professional development for nursing school faculty and staff. The Networks bring peer professionals together to share best practices and success stories, sharpen leadership skills, and take full advantage of multiple resources (American Association of Colleges of Nursing, 2014). Professionals who are engaged in a variety of functions within the nursing are in tune with networks across nursing. There has been a massive push in the workplace organization for nurses to get involved and enrich themselves as professionals.
comment2
Personal affiliations and networking are important for nursing leaders because you never know who you will meet that you might share a benefiting relationship from. When I was new to my organization, I would go to benefits to not only network but give back to the community. I met people higher in the company who have liked my affect. Because of my good report with people in higher positions, I was able to grow in the organization’s community. Another situation where we have networked for the community’s benefit happens every year, the unit as a whole raises money in order to benefit the American Heart Association’s Heart Walk. We do a bake sale by the cafeteria in our hospital, we do a beef and beer at a local bar, and we raise money in other ways as well. It is always very beneficial to give back to the community and it also makes connections with others that you wouldn’t expect.
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Comment 18942463
/in Uncategorized /by developerComment1
Personal affiliation and networking play a very important part in the development of the future career of a person. For the nursing candidates nowadays there are many networks available in the world. While there is a group of the network, there will many contacts which brings you to the next level of career even without any hard work. It helps you to attend many group meetings and conferences with many professionals in the similar field (Dowling, & Albarran, 2017).The number of such conferences increases through professional network our contact area becomes wide, which make our direct suggestions to different positions. It is very hard to find a new job or next level job with individual planning. A group planning makes it easy.
In a network of nursing candidates, each and everybody will be at a different level using their designation and salary. So if there is a job vacancy with anybody, they can suggest the best one in his network for that position. This is what the use of affiliation and networking. Our future becomes changed within less duration of time. It will increase our confidence to meet senior level persons face to face (Khanum, Souza, Naz, Sasso, Brüggemann, & Heideman, 2016).Nowadays many programs are conducting by the networkers in the nursing field. It includes free medical service, job oriented programs and so forth which are helpful for the humankind in the world. As a leader in my department, I have been forced to network with other departments in the facility to continued running of activities in the facility. I have also be involved in coordinating with the local communities on how they can get the best health services respecting the cultural beliefs.
comment2
Networking is the building and nurturing of personal and professional relationships to create a system or chain of information, contacts and support. In other words, networking is crucial for career growth and is the stepping stone that can help you reach your dreams and goals. It is the single most powerful marketing tactic to accelerate and sustain success for any individual or organization. It is about making connections and building enduring, mutually beneficial relationships.
Ultimately, it’s not only about what you know … but also who you know, especially now, I noticed lately. Networking is a lot like exercise. We know it’s good for us, but we have so many excuses not to do it. “I’m not good at it.” “I’m not motivated.” “It’s intimidating.” “I don’t have time.” But like exercise, networking can reap significant benefits. In fact, experts estimate more than 60% of job seekers find a new position through networking, and most hiring managers fill open posts at their organizations the same way. NETWORKING IS CRITICAL: It provides the most productive, most proficient and most enduring tactic to build relationships. To succeed you must continually connect with new people, cultivate emerging relationships and leverage your network. Some of the reason we are networking: Learn dynamics within your industry, establish your business contacts, get “plugged in” to your community seek new career opportunities, facilitate win-win relationships, create your referral networks, accelerate your professional development, develop knowledge resources (The Business Insider (2011, May 3). In my short nursing career, I don’t have a change to participate any special event to give back to my community yet, but I want to take advantage of any opportunity that can find going forward. As a member of ANA, networking helps provide education for my professional growth, gives new update on evidence base practice, informs about annual convention and forum, motivates nursing getting higher education, gives guidance on nursing knowledge and practice etc.
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Comment 18954681
/in Uncategorized /by developercomment1
Diabetes mellitus is characterized by glucose intolerance, chronic hyperglycemia, and disturbances of carbohydrate, protein, and fat metabolism (Huether & Mccance, 2016). Generally, a diagnosis of diabetes mellitus is based on elevated plasma glucose concentrations and measurement of glycosylated hemoglobin (A1C). Genetic susceptibility in combination with other environmental risk factors such as obesity place someone at higher risk for DM II. Obesity contributes to metabolic syndrome, altered adipokines, increased fatty acids, inflammation, and hyperinsulinemia, increasing insulin resistance further (Huether & Mccance, 2016).
Acute complications such as diabetic ketoacidosis and hyperosmolar hyperglycemic nonketotic syndrome are life threatening (in the short term), but not as common as the long-term life-threatening chronic complications of diabetes mellitus. Most long-term complications related to hyperglycemia are sequelae of hyperglycemia on the micro and macro vasculature.
Identify a long-term complication of the vasculature (micro or macro) related to diabetes, the clinical manifestations, and other health concerns they may contribute to.
comment2
According to (Lewis, Bucher, Heitkemper, & Harding, 2017), angiopathy is the leading cause of end organ disease secondary to chronic hyperglycemia. There are several theories as to why these complications exist that include toxic byproducts of high glucose metabolism such as sorbitol, the collection of glucose molecules in the basement membranes of capillaries, and a derangement of red blood cell function (Lewis, Bucher, Heitkemper, & Harding, 2017). The microvascular complications are related to the thickening of the capillary membranes that result in micro occlusions. The micro occlusions lead to small herniations with swelling that lead to ischemia and tissue damage most commonly to tissues like the retina and the glomeruli of the kidneys (Lewis, Bucher, Heitkemper, & Harding, 2017).
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Comment 18954683
/in Uncategorized /by developercomment1
Nutritional management should be key component of therapy and imperative to wound healing. As a diabetic patient, control of glycemic index is very important with proper nutrition and adequate calorie intake to promote wound healing. Also, since she lives alone,has been in bed for 3 days and complained of not having any help with meal preparation. Nutritional intake could be critically imbalanced in her case and strategies for weigth reduction.
With thick yellowish drainage and elevated WBC, wound is probably infected, would need antibiotic regimen to combat infection, NSAIDS to reduce fever and decrease swelling and pain.
Physician to assess extent of tissue damage and make recommendations for wound care. Wound care team/ PT to be involved in wound treatment and care. Would possibly need wound debridement and wound vacuum assisted closure.
2.Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
Likely muscle groups affected include: the gastrocnemius(back calf muscle), extensor and flexor digitorum longus, anterior tibialis muscle, extensor hallucis longus of the ankle and fibularis longus. (ARC Media).
3.What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
Objective data gathered indicate a non-healing wound that is infected going by the lab results. also, yellowish wound drainage, elevated temperature and swelling to leg. As a diabetic patient this is an indication of lack of good glycemic control. Rationale is, elevated blood sugar levels prevent nutrients and oxygen from energizing the cells that fights infection and promote wound healing, prevents the immune system from functioning efficiently and increases inflammation in the body which slows down wound healing. (Dening, 2017). So going forward, blood glucose level monitoring and control is very crucial and weight reduction.
subjective data which is what the patient tell us indicate inability for Ms.G. to care for self and deficient calorie intake, as evidenced by complaint of lying in bed for 3 days, living alone and no one to help with meal preparation. Adequate nutrition is very essential to wound healing. Going forward, provision of balanced nutrition will be needed especially, high protein intake for collagen formation to promote wound closure. (Russell, 2001). It is noted that exudate loss results in protein deficit and need to be replaced. (Russell, 2001). She will need the services of OT and social workers to help with nutritional management and provision. Also, home health assistance with meal preparation and ADLS or meals on wheels services. Need to be properly educated on diet, exercise and blood glucose monitoring / therapeutic treatment of elevated blood sugar and care of lower extremities to prevent injuries.
comment2
the patient has an acute systemic infection and a draining wound with a Staphylococcus aureus. According to the CDC, Staphylococcus aureus is among the bacteria that cause necrotizing fasciitis which is inflammation of the fascia [tissue under the skin that surrounds muscle, nerves, and fat] (CDC, 2018). As I mentioned in my post, patient education about managing blood glucose level and weight is vital to healing and preventing recurrent infections. Many patients I take care of are admitted with cellulitis and many also have diabetes. I noticed that the lack of access to primary care and sufficient funds is one of the reasons patients are not able to manage their diabetes.
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Comment 18960147
/in Uncategorized /by developerCOMMENT1
. The American Cancer Society offers 24 hours a day, and seven days a week support to patients newly diagnosed with cancer, currently going through treatment or to caregivers, by offering information, day-to-day help, and emotional support. Their support ranges from temporary housing, free transportation, understanding the diagnosis, treatment options, treatment side effects and near the end of life support (ACS, 2018).
Educational support starts with understanding the diagnosis. The patient can learn what cancer is, how it spreads to other parts of the body, and how cancers are different. Some cancers spread very quickly, and others grow more slowly. The patient can learn that some type of cancers is best treated with surgery, while others do betters with medication and radiation treatments (ACS, 2018).
Patients can access information online at www.canger.org or via telephone Cancer Helpline 800.227.2345. A team of doctors writes the information provided at the American Cancer Society, master prepared nurses, journalist, editors and translators specialized in medical writing.
The patient can learn how is treatment planned and anticipate their growth rate of cancer. An example would be certain types of leukemias and lymphomas grow faster than solid tumors. Thus, the treatment for those cancers should be started in a couple of days (ACS, 2018).
The ACS service that I would recommend for someone I knew, who is diagnosed with cancer would be the American Society of Clinical Oncology(ASCO). The reason is finding a clinical oncologist for a second opinion. The diagnosis of cancer is overwhelming and having the reassurance that the right treatment is initiated, or finding out a different treatment option can help the patient explore all options. I would advise the patient to communicate that decision with their physician and to verify with the insurance before making arrangements (ACS, 2018).
COMMENT2
Over the next decade, it is expected that there will be nearly 1.5 million new cancer diagnosis. Factors that contribute to this include people being more in tune with their bodies. More woman are doing routine self-breast exams, and now with the Affordable Care Act, pap smear, mammograms, HPV, lung cancer and nutrition screening are covered at 100% as preventative health (HealthCare.gov, nd.) . By having more people tested, there will be more diagnosis but hopefully in early stages. Medical advancements also make detecting cancer faster and easier. MRI’s, CT Scans, Pet Scans and now digital mammography make it easier to find abnormalities quicker, leading to faster treatments. It would be nice to see these numbers trend down but having people starting to eat more organic foods and quit smoking, but unfortunately, cancer is a disease that is becoming more common in this day and age.
Research projects being funded and encouraged by the ACS mostly include ways to diagnosis and treat the cancers themselves. Dr. Jennifer Mack (2018), of the Dana-Farber Cancer Institute in Boston, recently received a grant to allow her to study support systems, a different but equally important role in the fight against cancer. The purpose of her research is to improve relationships between parents and their child’s cancer doctor. The focus was on how to encourage positive relationships to help reduce miscommunication and anxiety. The team is studying relationships that are working well along with difficult ones to learn strategies to quickly identify and repair relationships in need. The plan is to design interventions to diffuse stress and distress and eventually put those interventions into action. The ACS has provided comfort and peace of mind to millions of individuals and their families when they receive a cancer diagnosis. With support through donations and fundraising events, this organization will continue to make strides in treatments, hopefully eliminating cancer for good.
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Comment 18962175
/in Uncategorized /by developercomment1
Some of the carcinogens that people are aware of and still expose themselves to include skin tan. Both indoor and out door tanning exposes individuals to the dangers of UV rays: UVB and UVA which can damage the skin resulting in skin cancer- Melanoma. (Indoor Tanning- Skin Cancer, 2018). Others are alcoholic beverages, Tobacco / Cigarette smoke. Most eople who use these substances know they are not healthy and exposes them to serious health proplems like cancer but would still consume them either due to addictive nature of these subsatnces or as their way of coping with stressful conditions. It is found that cigarette smoke alone contains numerous carcinigenic substances like NNN, NNK, NAT, tar, quinoline etc. The warnings are every where in the media, in schools, churches, and health care institutions yet, people continue to expose themselves to these toxic substances.
comment2
American cancer society was established in 1913 to address the concern of cancer and was called at the time as the American Society for the Control Cancer. The organization is dedicated to reaching out to people diagnosed with cancer and continue to explore research on the best treatment and cancer preventions. The agency is diversified and has many branches all over America and is known for the provision of good education and support for cancer patients. In the provision of education and support, the agency has qualified nurses and educationists who are ready to guide newly diagnosed patient on how to live positively. Considerably, depending on the need can help through outreach programs by matching you with a volunteer who will talk with you about coping with the condition through treatment. The agency offers financials support and education by connecting them with valuable services and resource in their community. The service I would recommend for them is the online community and support. This is because at diagnosis connecting with others who have been through the same can provide comfort and support
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Comment 18962201
/in Uncategorized /by developercomment1
A major contributing factor to the incident and mortality rate is diet. According to the national cancer institute, one-third of cancer cases in the United States are related to poor nutrition, physical inactivity, and/or excess body weight or obesity, and thus could be prevented. A past issue that I observed in the District of Columbia is that in the low-income communities, you had more convenient stores with predominantly processed foods, fast food chain restaurants, and liquors stores than you had organic markets and open plot areas for the community to establish their own access to fresh produce. Today, that changed drastically. Although those stores and poor restaurants still exist they have areas within these communities where farmers can come in and sell fresh and even organic fruits, vegetables, and meats to the community. Also, those that require supplement assistance are able to get a discount of some sort when they participate buy buying from these event. Within my own community, the local schools have after school set ups where parents and those in the community can come and buy. With increasing the access to healthier food options, the way people view healthy eating needs to change. There are so many tasty and delicious alternatives to the greasy fried food people eat that are unaware of it. Although diet plays a vital role in preventing cancer, harmful habits such as smoking lead to cancer of the lungs. This has been an ongoing issues affecting everyone young and old as well as indirectly by means of secondhand smoke.
comment2
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Comment 18965955
/in Uncategorized /by developerCOMMENT1
Heart failure is a clinical syndrome caused by structural and functional defects in the myocardium which results in the impaired ventricular filling and the ejection of blood (Inamdar &Inamdar,2016). Based on the functional status of the heart, heart failure can be classified as heart failure with preserved ejection fraction (HFpEF) and heart failure with reduced ejection fraction (HFrEF).
Based on the cardiac output, HF can also be classified as a high-output failure and low-output failure (Inamdar &Inamdar,2016). High-output failure can be caused by anemia, vascular shunting, hyperthyroidism and vitamin B1 deficiency. Low-output heart failure is characterized by insufficient forward cardiac output and is much more common than the high-output heart failure. Mrs. J has clinical symptoms of biventricular heart failure which is characterized by poor cardiac output-forward failure, and congestion of the blood behind the pumping chamber-backward failure (Copstead-Kirkhorn,& Banasik, 2014).
COMMENT2
The patient is very anxious at this time based on the kind of questions that she is asking, and her oxygen saturation level at 82% is increasing the workload of the heart. Supplemental oxygen therapy should be started to compensate by decreasing the heart’s workload, increase oxygen delivery to the body tissues to prevent serious damage to the brain and other vital organs. Patient need to be reassured that the medical team is making every effort necessary to take care of her symptoms. This first interventions will help reduce her anxiety and get her mind focused on getting better. This should be followed with continuous monitoring of her vital signs, paying close attention to ECG readings, heart rate and rhythm, blood pressure, intake and output, further lab works and results as ordered and following other prescribed therapies as ordered. (Amakali, 2015).
The patient’s smoking issue need to be addressed as well starting from admission. Patient admits to smoking 40 cigarettes a day. She need to know that she may not be allowed to smoke while admitted in the hospital.Tthe doctor may order alternative to smoking such as nicotine patch to provide some support for the patient and start the process of smoking cessation.The dangerous effects of her smoking would need to be explained to her through a comprehensive teaching program prepared while in the hospital and prior to discharge.
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