Question

Patient: Jane is an 87 years old female. Gait is unsteady. She lives alone and fell which causes her to have a right hip fracture. She has an ORIF for the fracture. She was in the inpatient for seven days and now is being admitted to NJD Rehab and skill nursing for physical therapy and occupational therapy.

During the assessment, she is found to have a stage 3 wound and lab culture results in MRSA in the wound. Needs to be put on isolation contact precaution. She needs assistance to get up. She is hard of hearing and wear glasses. She uses a walker to walk. She is incontinent so she wears depends because cannot control bladder sometimes. For family, she has a daughter to comes to visit from time to time. Based on the Jane Hicks scenario, analyze the situation, and answer each of the following questions. There is no specific quantity of words or pages for the assignment; be sure to comprehensively address each component. Use at least one scholarly reference to add substance and relevance to your content.

• What approaches, if any, would you take to change Jane’s scenario to promote positive outcomes?
• Based on Jane’s scenario and the past three years of data presented in the scenario, describe any opportunities for improvement in workplace nursing care.
• What measures would you implement to evaluate the nursing performance?

Answer 1

#. Use of patient centered approch . It includes :-

Identify, respect, and care about patients' differences, values, preferences, and expressed needs

Relieve pain and suffering

Coordinate, continuous care

Listen to, clearly inform, communicate with, and educate patients

Share decision making and management

Continuously advocate disease prevention, wellness, and promotion of healthy lifestyles, including a focus on population health

#. Improvement in the workplace nursing care include :-

Clean up clutter.

Repair or remove tripping hazards.

Install grab bars and handrails.

Avoid wearing loose clothing.

Light it right.

Wear shoes.

Make it nonslip.

Live on one level

#. The measures that would be implemented to evaluate the nursing performance are :-

- surveillance

- use of questionnaire

- patient interview