Analysis of Nursing Actions Based on Patient Information and Care

This report focuses on the crucial role of nurses in patient care, emphasizing the importance of their actions based on patient information. The assignment highlights the significance of nurses spending the most time with patients and therefore having in-depth knowledge to offer the best care. The report discusses the application of the ADDS score, vital signs assessment, and the need for continuous patient monitoring, including the use of the ISBAR framework to improve patient outcomes. It addresses the management of pain, including the administration of analgesics and the importance of follow-up care. The report emphasizes patient-centered care, aiming to ensure safety and comfort, and references relevant literature on nursing communication and patient experiences in acute care settings. The nurse should also focus on ensuring that the low blood levels are raised back to normal and the patient is comfortable.

Nurse action based on patient information 1
NURSE ACTION BASED ON PATIENT INFORMATION
Student’s Name
Institutional Affiliation

Nurse action based on patient information 2
Nurses form an important human resource when it comes to the care of a patient. In
hospitals, nurses spent more time with patients than any other healthcare personnel (Gausvik et
al, 2015). They therefore have an in depth knowledge about various patients and how to offer
care that is best suited for them in attempt to help them recover fully. In this patient, the ADDS
score of 3 requires specific actions to be undertaken by the nurse in order to help the patient
recover. The patient’s vital signs score revealed that the patient’s temperature and oxygen
saturation levels were normal but his blood pressure was quite lower than normal. His heart rate
is quite faster and his respiratory rate quite high. The nurse needs to act by ensuring continuous
observation of the patient with a minimum of 4 hourly frequency.
The patient’s care plan should focus on ensuring that the low blood levels are raised back
to normal and that the patient is comfortably propped up in bed to ensure that they are well
rested. The nurse should carefully apply any information passed by the doctor via the ISBAR
framework regarding the patient in order to improve their outcome. The care plan and
interventions established by the nurse should be patient-centered and aim at ensuring patient
safety and comfort (Jangland et al, 2016). The patient stated that she had pain in her tummy and
felt nauseated. She rated her pain as 6/10. In order to manage this pain, the nurse should be
careful to administer analgesics and monitor the patient’s progress frequently. The nurse should
consider the team leader or medical officer review if there is no improvement of the patient
within 60 minutes of analgesia. Nurses should ensure adequate follow ups on patients to ensure
effectiveness of their care plan.

Nurse action based on patient information 3
REFERENCES
Gausvik, C., Lautar, A., Miller, L., Pallerla, H., & Schlaudecker, J. (2015). Structured nursing
communication on interdisciplinary acute care teams improves perceptions of safety,
efficiency, understanding of care plan and teamwork as well as job satisfaction. Journal
of multidisciplinary healthcare, 8, 33.
Jangland, E., Kitson, A., & Muntlin Athlin, Å. (2016). Patients with acute abdominal pain
describe their experiences of fundamental care across the acute care episode: A multi‐
stage qualitative case study. Journal of advanced nursing, 72(4), 791-801.