Nursing Assessment and Patient Care Essay

Lily is a 65-year-old woman who has stage 5 CKD. Recently he started hemodialysis three times a week as an inpatient and responded well to the treatment. According to Lily's observation the first morning of dialysis treatment, she was tachycardia, hypotension, tachycardia, oxygen saturation 88%, confused and sleepy. It is clear that Lily has become low blood volume. The hypovolemic shock seen in this patient is that her dialysis treatment quickly allows her to enter the first two phases of shock and because her compensation mechanism soon failed, It has serious nature. It is more difficult to identify early signs ...

Lily is a 65-year-old woman who has stage 5 CKD. Recently he started hemodialysis three times a week as an inpatient and responded well to the treatment. According to Lily's observation the first morning of dialysis treatment, she was tachycardia, hypotension, tachycardia, oxygen saturation 88%, confused and sleepy. It is clear that Lily has become low blood volume. The hypovolemic shock seen in this patient is that her dialysis treatment quickly allows her to enter the first two phases of shock and because her compensation mechanism soon failed, It has serious nature. Identifying early signs of hypovolemic shock is also more difficult as some of the symptoms and signs may be due to her renal failure (Macintosh and Moore, 2011; Murphy and Byrne, 2009). The treatment period provided for this patient will be more than 2 days. This period not only focuses on the initial stage of the patient's condition but also focuses on the 36 hour care period during which the patient is stable but may still deteriorate. By covering this time, this case study not only provides opportunities to study the psychosocial aspects of the care provided, but also the clinical environment (acute / high dependency unit) that provides care and how it affects care Or

One concept of unit-level treatment load is the treatment intensity of the patient. Evaluating patient care needs is the basis of nursing workload measurement, and there are various patient evaluations or classification systems in the literature. Most systems focus on the sharpness and severity of the disease; or it relies on it to support the activities of daily living. Nurse assessment has been used to determine patient's vision and patient dependent needs. At the unit level, nursing care workloads are usually also measured by staffing level or proportion of patient nurses. A systematic review of 102 studies showed that an increase in the level of staffing for registered medicine (RN) was associated with a decrease in the mortality rate of medical surgery facilities. The association was backed by a new preliminary survey later.

The strength of daily care for each unit is assessed by all certified nurses responsible each day. Registered nurses usually classify 1 to 6 patients per day. Care needs of each patient are classified by OPC equipment and evaluated every day. The instrument consists of six nursing sections. The level of individual patient care strength at each calendar day ranges from 6 to 24 points 16 The workload of the nurse is calculated by dividing the total number of unit care points (such as 350) by the number of nurses . Take care of patients within the same 24 hours, such as 12 years old. In this example, the NWL associated with the patient is 29.2 OPC points per nurse (hereinafter OPC / nurse).