Answer:
Good health
Clean environment
Affordability of basic needs
Place and the kind of job done
Identify four (4) factors that impede comfort, rest and sleep.
Illness
Drugs and substance abuse
Emotional problems
Noise pollution
2.1
Define activities of daily living.
They are the fundamental tasks that an individual has to accomplish daily.
List five (5) basic activities of daily living.
Eating, dressing, going to the toilet, taking a shower, standing and walking.
|
Activities of daily living |
Aids used |
Ways of assisting |
|
3.1 Dressing 3.2 Eating 3.3 Standing 3.4 Walking |
Braces Braces A simple walking sticks A trolley walker |
Use the brace to support the right hand from the shoulder to the wrist. To support the wrist and the knuckles to help the joints move freely without pain therefore feeding herself. Use of the walking stick to support the client to stand. Use the trolley walker to assists the client to maintain balance while walking. |
4.1. – Cleanliness helps to reduce the risk of contracting hygiene related diseases.
Maintaining hygiene determines the perception of other people about us. This helps one to develop self-confidence.
-Proper hygiene makes one to have self-esteem and is a measure that reflect the body image of someone. This include one’s character and behavior.
-Good hygiene and grooming is useful tool observed by one’s role models and also juniors.
4.2. -Age, which depends on someone’s ability to change their position or move independently.
Nutrition status, people with compromised nutrition status are at high risk of having pressure ulcers.
Poor blood flow, when the blood flow in the body tissues is compromised this prone an individual to pressure ulcers development.
Mental status, affects people suffering from cognitive disorders who have problems in comprehending instructions given to them.
5.1 The nurse ensures that the patient is free from falling. Make him/her to have the correct standing posture by acting as his/her center of motion. Encourage the patient to take a step while focusing on the transfer direction.
5.2 Elimination is the excretion of the urine and feces. If a patient requires help, the nurse must be care to use protective devices to help the person get rid of the waste in the body.
5.3 Comfort and good sleeping period is a driving force to obtain health services of patient which involves nurse interventions and constructive ways of helping the patient to achieve optimum health state.
5.4 Nurses conduct the nutrition screening. They should identify and deal with any malnutrition accordingly. Nurses’ partner with the dietitians to provider diet related information to the patient as a part of treatment.
5.5 Nurses should ensure the patient’s mouth cleanness. This depends on the patient’s mouth condition. The patient needs a lot of attention and care therefore the nurse should ensure the brushing after the meal.
5.6 The patient may the nurse to bath the entire body or give a partial bath while the rest is washed by the patient depending on the condition of the body.
5.7 A nurse can prevent falls of an elderly and being proactive and ensuring the correct medical assessment after be very fall. This should be done immediately after fall to avoid future cases.
5.8 When a patient is at high risk of getting pressure sores, the nurse has to advocate for a special resting place like a substituting air pressure mattress to help in skin preservation.
5.9 Preventing deconditioning will require a number of activities like physical therapy, medical management, good nutrition, psychological support. Independence of the patient in doing some activities should be encouraged from time to time.
6.1 Biofeedback and bladder training
6.2 Antimuscarinics and phosphodiesterase inhibitors
6.3 External urethral barrier and weighted vaginal code
7.1 Janice environment for toileting can be safe and easier by introduction of raised toilet seats and fixing of enough rails to help her get the right position. The floor around Janice’s toilet should not be slippery and the floor should be dry always.
7.2 Use of bed pads that are placed under the Bobs body while on the bed.
8.1 Dangers; This is the where one ensures there are few cases of harm to rescuers at the time of resuscitation. One should ensure personal and patient’s surroundings are safe. Use of gloves and other protective equipment.
8.2 Responsiveness; in this situation one is supposed to assess the patient to check whether he/she is responsive by shaking the shoulders. If there is no response, one should take the next action immediately.
8.3 Send; Here one should call using a mobile phone or send one of ur companion to seek for any nearby help according to the area protocol. While waiting for rescue team one can assess the patient by ensuring proper air circulation and breathing through the airways.
8.4 Airway; one has to check whether the victim airways are open. Try to position the victim to ensure that there is no obstruction in his/her airways. Stop overcrowding to allow for enough air circulation.
8.5 Breathing; one is supposed to ensure lies on the right posture. Make the patient to lie on his/ her back. Tilt the head and chin to ensure all the airways are open. Observe and listen to the victim to determine whether breathing is normal.
8.6 Defibrillation; If the rescue team arrives with the automated defibrillator, it can be used to deliver shock to the victim to facilitate early defibrillation in areas where there is no rhythm recognition when compression is done manually.
9.1 Maintain the bed and limb rest so as to give joints support below and above the fracture site when turning and moving. Put a bed board under the mattress and support the fracture point with the pillow or the blanket. Maintain the integrity of traction and ensure all the clamps are functioning. Evaluate the splint extremities for resolution of dropsy. Help with placement of welkin below the bed wheels as indicated and keep the patient at an appropriate position to maintain the long axis of the fractured bone. Maintaining or initiating the electrical stimulation while administering alendronate drug to the patient as indicated.
9.2 The nurse should assess the respiratory status of the patient, obtain the allergic reactions to some medication identify the current medication the patient is taking and then administer the prescription as well as monitor their response to the drugs. the nurse should also teach the patient how to deal with the condition like purpose of medication and current available materials to relief the effects.
9.3 Observing the patient visual acuity and ability to eat different types of food so as to recommend the best meal for her/him.
Determining the health body weight, height and age so as to refer to dietitian for further nutrition assessment of the patient.
Conserving the patient’s energy by giving him/her time to rest before meal and cut of food for the patients if he/she lacks endurance.
Checking on patient’s laboratory results such as serum total protein, hemoglobin, albumin, vitamins and minerals (Doenges et al 2016)
10.1 Nurses can prevent pressure injury through a couple of ways. They can reduce the patient’s pressure, ensure good nutrition, inspecting the kin of the patient and reducing the skin moisture.
10.2 There are some measures that are used by nurses to prevent constipation. They observe the normal of defecation, the paint’s family maintain a diary of bowel behaviors, they review the client’s medication that affect normal habits and encourage eating of fiber daily to facilitate digestion.
10.3 Nurses should ensure the offer the needed assistance to patient by providing supportive device like walkers, the floors should always remain dry the right dose for every medication should be observed as the create proactive care relationship with the elderly.
10.4 Nurses should assess the respiratory status, changes in mental status, ability to raise secretions and the. Quality of cough.
11.1 Cognitive decline; A nurse is supposed to instruct caregivers to only give one instruction to the patient at a time. This is because the patient with visual impairments cannot multitask more than one instruction.
11.2 Sensory deficits; The nurse would suggest ways for the caregivers to ensure a daily routine of activities to the patient. This daily routine activities act as a memory aid that helps the patient to remember each of the activity performed every day.
A clinical handover is transferring the professional responsibilities to another person to be accountable and care for patient or a group of patients. It provides the nurse with a consensus-based method of communicating the needs of the patient.
Mr. Roy may be allergic to penicillin. This is because all the symptoms he has e.g. shortness of breath, wheezing, itching and body rashes are associated with the penicillin allergy.
As a nurse I will ensure I conduct the penicillin skin test which takes between two to three hours to be complete. if the test is positive the treatment will entirely depend on how severe the reaction is. if anaphylaxis occurs will epinephrine auto injector as I seek the best solution to the problem.
After surgery one is supposed to take a deep breathe in and then slowly through the nose while expanding the lower rib cage and allowing the belly to move forward. Relax for 4 seconds then breathe out completely through the lips without forcing. Take a rest and repeat 10 times every hour.
If one is recommended to cough after surgery, he/she is supposed to lie on the back and rest the feet on the bed. Support the incision firmly with the hands and depending on the type of the surgery try to cough. If the cough is accompanied by some mucous, repeat the coughing until there is no more mucous (Howell et al 2015).
Assuring the overall cleanness of all the areas.
Minimizing auditory clutter.
Eliminating and organizing the area clutter.
Minimizing the hospital room clutter.
The patient may develop other diseases that are as results of UTI.
The treatment of UTI may be mistaken for delirium.
If the wrong diagnosis is made the child may dehydrate to death.
The illness may only stop its symptoms and remain in a child’s body
The surgery may get done on the abdomen while the problem is mental.
There is the risk of continued suffering if the genesis of the problem is no solved
Lack of exercise may prolong the healing period.
Risk of getting paralyzed if the case is not handle carefully
Chronic back and knee pain needs some kind of therapy which is hard to administer because of the patient condition.
The patient may have to depend on supportive devices the rest of his life.
depression may lead to other mental dis orders that severely affect the patient’s health.
The patient is at a risk of developing nutrition diseases if lack if weight loss continues.
A small break or chip in the denture is ok. We have to report only major damages
Dentures should be stored in labelled denture cup with cool water if not being used
While cleaning, it is ideal to place the dentures in a sink half filled with water and without a lining surface.
The chosen statement does not correlate with the proper maintenance of dentures. Dentures should be taken care of to avoid breakages. Detergents may corrode dentures and toothpaste should never be used in cleaning. Proper care is needed while not wearing them.
Using lemon and glycerin for oral care is good for oral cavity.
Mouthwashes with alcohol available from pharmacy is good to kill unwanted bacteria in mouth.
Mouthwashes should be free from alcohol, hydrogen peroxide and sodium bicarbonate that causes halitosis.
16.4 To maintain oral cleanness one needs to use mouth wash, floss and toothbrush and always seek assistance from a dentist for more care. Brushing twice a day with a toothpaste with fluoride in it and replacing toothbrush with anew every month is the best way to maintain your oral hygiene.
References
Doenges, M.E., Moorhouse, M.F. and Murr, A.C., 2016. Nursing diagnosis manual: Planning, individualizing, and documenting client care. FA Davis.
Howell, D., Molloy, S., Wilkinson, K., Green, E., Orchard, K., Wang, K. and Liberty, J., 2015. Patient-reported outcomes in routine cancer clinical practice: a scoping review of use, impact on health outcomes, and implementation factors. Annals of Oncology, 26(9), pp.1846-1858.
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