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(Doc) Nursing Sample Assignment

   

Added on  2021-04-16

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Disease and Disorders
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Running head: CLINICAL SIMULATIONAssessment of Mr. Bright’s case studyName of the StudentName of the UniversityAuthor Note
(Doc) Nursing Sample Assignment_1

1CLINICAL SIMULATIONAnswer 1Nursing assessment is indeed a key component of clinical nursing practice as it helps inidentifying problems in order of their clinical significance and determined priorities for nursingintervention (McSHERRY et al., 2012). Mr. Harry bright had been admitted to the hospital,following which he underwent an angioplasty in the right coronary artery. During pre admission,the patient was asked about his age, and past medical history. Further, he was inquired about themedications that he was currently on and his smoking and alcohol consumption. This wasfollowed by conduction of a height and weight assessment. The hospital staff successfullyperformed the comprehensive assessment on the individual who was seeking care for angina orchest pain. The assessment was successfully conducted to determine restrictive alternative for theindividual, in order to maintain his independence and satisfy his care needs. Research studies state that pre-procedural orientation is imperative in nursing care as itinvolves providing support and information (Aazami, Jaafarpour & Mozafari, 2016). Suchprocedures provide clinicians with adequate time for exploring the knowledge gap and concernsof the patient and carers. Mr. Bright and his wife were found to be extremely satisfied with theinformation that was given regarding the probable complications associated with, andprecautions that should be taken by them. Evidences also support conduction of comprehensiveassessment regarding social psychological and physical factors (Rolley et al., 2011). Thepatient's right and consent forms the foundation of professional clinical practice and considersdeliberate contribution of patients in decision making process of utmost importance. Developing awareness about the therapeutic procedure’s side effect has been identifiedessential. Often patients are uncertain about the outcome or performance of an intervention
(Doc) Nursing Sample Assignment_2

2CLINICAL SIMULATION(Aazami, Jaafarpour & Mozafari, 2016). Such uncertainty was observed in Mr. Brightin hisdiscussions conducted at his home. However, the patient preparation steps were effective enoughto convince them. Relying on the family and social support is also considered essential. Thesame was followed by discussing minute clinical details with the patient's wife, thereby helpingher provide necessary support to her husband. Principles of postoperative care management of aninclude regular monitoring of vital signs and an assessment of the concerns that might createadverse health outcomes. There are two basic routes for vascular access related to angioplastynamely, the femoral and radial routes (Young, 2014). Femoral access has been identified bymost studies as major, because it is a larger vessel and helps in providing a direct route to theheart (Von Schmilowski & Swanton, 2012). Furthermore patients need to remain flat for 2 to 6hours after the procedure. In the case scenario angioplasty had been performed through thefemoral route and Mr. Bright was observed to lie down flat. Thus, appropriate steps were takenin preventing adverse effects such as internal bleeding, post-operation and the nurses were ableto maintain supine position (Mills, Wright & Newell, 2012). They had also discussed major issues related to the operation with the patient's wife,thereby facilitating a hopeful and supportive self-care agency (Saeidzadeh, Darvishpoor Kakhki& Abed Saeedi, 2016). The nurses are also required to identify potential complications related toangioplasty such as site hematoma, and pseudoaneurysm and monitor changes in the patientduring recovery phase. The nurse was found to inquire on presence of pain and also talked aboutadministration of sublingual GTN to facilitate effective heart functioning. Presence of bruisesand blockage were also closely monitored. Studies also support use of ECG for monitoring beheart rate during and after, operational procedures to identify presence of arrhythmia or ischemia(Rolley et al., 2011). Post-procedural nursing practice also includes observation of vital signs,
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