Question

2. You are a nurse preparing to receive a new patient, fresh from surgery, to your unit. The patient is a 71-year-old man who underwent a surgical repair of a fractured femur. As you receive a report from the postanesthesia recovery unit, you learn that his medical history includes hypertension, 40 pack-years of smoking, and COPD. His surgical repair was successful but complicated by excessive bleeding, and he is receiving IV fluids to compensate. He is widowed, and his three children are scattered throughout the United States. He lives alone, receives Meals on Wheels, and pays a cleaning service to keep his home clean.

a. What general outcomes would you expect to establish from this information?

b. List potential plan of care revisions available to nurses.

c. To effect performance improvement in nursing, what steps are necessary in the process?

d. Health care facilities and organizations implement programs to promote excellence in nursing that are called quality-assurance programs. How do these programs work?

Answer 1

2. a) . He is living alone and need assistance in daily living activities.Have to be assured whether he is receiving high quality care or not. b ) .Frequent home visittig plans.Need physiotherapy or not.Immobilized the affected limb. c) . Prevent bedsore by frequent turning or positioning .provide airbed or water bed.Teach active or passive exercise.Always use clear communication before doing or after completion of each and every procedure. Health education regarding diet,deep breathing exercise,regular treatment and follow up. d). Execellance in health care at an affordable cost of safe echo friendly enviornment.Adapting quality assured programs evaluated by quality indicators ,data analysing ,hospital infection control committee.During there meeting taking alternatives to solve health care barriers.