Friday, February 28, 2020

Learning Plan Outcome Report 2,000 words Essay Example | Topics and Well Written Essays - 2000 words

Learning Plan Outcome Report 2,000 words - Essay Example The revised learning objectives were acquiring skills of recovery nursing both in clinical assessment and management of the postsurgical patients in the immediate postoperative period in the recovery room. This learning would also provide opportunity for application of knowledge and skills in the real situation where the learning along with evidence from research in recovery room nursing would be understood and applied in order to be able to deliver most appropriate care for the postoperative patients in the recovery room (Williams et al., 2002). The best way, thus, would be to constantly update personal knowledge and skill learning. The competency standards talk about accountability, and the best method to ensure accountability is to deliver care based on the state of the art learning (ANMC, 2004b). Specifically the learning would involve clinical assessment (ANMC, 2004a) and management of respiratory problems, pain management, management of nausea and vomiting, and documentation of care. Ans 1. The aim of recovery room nursing is provision of intensive observation and care in the postoperative patients, especially when the procedure had been done under anesthesia (Leykin et al., 2001). Ans 2. Q2. What are the primary objectives of nursing care in the Recovery Unit Ans 2. The primary objectives are recognition of major potential problems associated with a specific surgical procedure and initiation of appropriate corresponding actions. The nurses must be able to identify and demonstrate general procedures which are routine in the recovery unit, where the care will be documented until consciousness and physical functions are totally back to normal for legal reasons. It is better they use an established scoring guide for this reason (Wilkins et al., 2009). Q3. What are the serious events in the recovery unit that a nurse must watch for Ans 3. Respiratory problem, cardiovascular problem, and hemorrhage. Respiratory arrest is not uncommon in this liable and vulnerable situation. The nurse must be able to take corrective action promptly (Leykin et al., 2001). Q4. What are the primary goals of recovery room nursing care Ans4. These involve continuous, close monitoring, vigilant patient assessment; safe recovery from anaesthesia & surgery; skilled nursing action & patient management; prevention of, or early recognition & intervention of post anaesthetic/surgical problems; short-term intensive care nursing leading to optimal patient outcomes (Radford, 2003). Q5. What should be focus in care Ans5. The nurses must be competent and continue to assess their own competence. Immediate postoperative recovery care is important since in this phase many patient deaths may occur. Most of the deaths occur due to specific anesthetic errors, errors in judgment, lack of vigilance, and these can be prevented. Nursing care must focus on prevention of complications and their treatment if they occur (Radford, 2003). Q6. What should be the staffing ratios Ans6. Depending on the care needs and criticality of the condition, the staffing ratio varies. There is a recovery patient classification system, and based on that there are 4 classes, I, II, III, and IV, where the nurse patient ratios should be 2:1, 1:1, 1:2, and 1:3

Wednesday, February 12, 2020

Utilitarianism view on a dilemma Essay Example | Topics and Well Written Essays - 1000 words

Utilitarianism view on a dilemma - Essay Example If we have chosen the option A and it has a great number of happy consequences as compare to option B, then the decision will be perfect. That all depends upon the great number of goodness. The ethical dilemma, which we have given, is a critical one. According to this dilemma, if a ship is sinking and there is only one life boat on the ship. The life boat has the capacity of only ten people but there are thirty people stranded in the sinking ship. The captain has two options for the utility of the life boat. One is to kill twenty people and save the rest of ten people in the life boat. On the other hand, he may let all them to die on a natural death and thus no one would be killed. In this situation, the dilemma is not of great number of goodness rather it can be explained using the lesser number of sorrow, pain or sadness while selecting anyone option. In this situation, the captain has no choice of having great number of goodness rather he can select only the option where he may have less sorrow over the consequences. If he selects the option of saving ten people on the utility of the life boat then there will be happiness that at least he has saved some people from the danger of death. In this option, he can fully utilize the opportunity of the utility of life boat. However, the dark side of this decision is the killing of more than ten people. This means that if he is saving ten people from death then on the other he is pushing twenty people to towards the death. Here in this situation the number of happiness is less as compare to the number of sorrow or the number of pain. We can say that under the umbrella of utilitarianism, the captain might not go with this decision that he can save ten people while pushing twenty other people to the death. The captain has another second option to adopt for the people. He may not kill any person in the sinking ship rather they may die their natural death. This means that he does not