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Nursing: Feelings And Clinical Knowledge

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Nursing: Feelings And Clinical Knowledge

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Nursing: Feelings And Clinical Knowledge

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Discuss about the Nursing for Feelings and Clinical Knowledge.
 
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The nurse is expected to show adherence to the NMBA standards of nursing practice. The primary responsibility is related to access, analyze and a thorough use of best available evidences for a safe and quality nursing practice. The nurse should have considered Jordan’s hypersensitivity to opioid drugs and effects of these drugs on the diarrhea symptoms. The nurse should also have developed a safe practice by thoroughly reflecting on previous experiences, feelings and clinical knowledge related to adverse effects upon administration of the synthetic opioid pethidine. Family members play an essential role during clinical decision-making process, which in turn facilitates healthcare professionals to gain a sound understanding of the preferences and demands of a patient, thereby facilitating optimal health outcomes. The nurse should have communicated with the patient’s family and understood their experiences and culture before administering the drug.
Compliance to appropriate policies, legislations and guidelines should also have been shown before deciding upon administration of pethidine. Policies of the organization regarding maintaining patient confidentiality, and properly disclosing relevant consent and personal information of the patient should also have been followed. Ethical frameworks of the organization, and a timely documentation of the patient assesement records are other major responsibilities. The vital signs assessment, CT scan and pathological tests should also have been conducted in a holistic way that is culturally appropriate. Skin colour, lesions, texture, reflexes, orientation, grip strength and pupil size should also have been measured. The nurse is also expected to use a plethora of assessment tools for measuring the physiological status of Jordan. Another major responsibility is related to forming an effective partnership with other healthcare professionals such as, the general physician, surgeon, gastroenterologist and paramedical staff. An effective collaboration between all healthcare professionals would have provided a sound understanding of the underlying risk factors that predisposed Jordan to the current physiological abnormality. This collaboration would also have helped in citing the potential adverse effects of pethidine treatment that might directly influence the wellbeing and health of the patient. Further responsibilities are associated with development of a comprehensive nursing plan that based on relevant evidence suggesting benefits and implications of pethidine in treating such digestive disorders.
Combining this evidence with clinical expertise, followed by a thorough documentation and evaluation of the nursing plan on identifying previous history of hypersensitivity, COPD, respiratory depression and acute alcoholism, should have resulted in modifying the nursing plan. During administration of pethidine, it was necessary to practice within the scope of nursing practice that promotes delivery of safe and best quality care service. The nurse should also have delegated enrolled nurses for improving Jordan’s health outcome. Further responsibilities are related to an accurate monitoring and evaluation of his progress upon pethidine administration, followed by a revision of the nursing plan on encountering side effects or contradiction.
 
The pathogenesis of Chron’s disease involves a dysregulation of the proinflammatory response to commensal bacteria present in the gut. Major characteristic features include transmural inflammation pattern that is defined as presence of inflammation that spans the entire depth of the walls of the intestine. A microscopic examination of the biopsy of affected colon indicates presence of mucosal inflammation that is characterized by neutrophil associated focal infiltration. This inflammation is generally observed in areas that overlie the aggregates of lymphoid cells. Mononuclear cells, in combination with the neutrophils are found to infiltrate the crypt cells that lead to inflammation, commonly referred to as crypititis. Weight loss can be attributed to the fact that loss of appetite often occurs due to the disease or side effects of medications.
Furthermore, abdominal pain and nausea also result in reduced appetite. Further weight loss can be associated with avoidance of certain food items to dodge major symptoms. Weight loss can also occur due to gastrointestinal protein loss, malabsorption and an increase in expenditure of energy. Excessive nutrient loss due to intestinal bleeding or diarrhea also lead to weight loss. On the other hand, formation of strictures can be attributed to building up of scar tissue in the walls of small and large intestine. This scar tissue develops due to prolonged inflammation that occurs in Chron’s disease. This inflammation results in damage, repair of which leads to formation of scars. Building up of these scar tissue in similar regions of the intestine led to development of strictures.
 
The intravenous Hartmann’s solution and ringer’s lactate solution is a mixture of sodium lactate, sodium chloride, calcium chloride and potassium chloride in water. It is used for replacement of electrolytes and fluids among patients reporting hypotension and a low volume of blood. Major characteristic features include its use as a fluid resuscitation agent after a patient suffers blood loss sue to surgery, trauma, or burn related injuries. This chemical imbalance occurs with renal failure of acute loss of fluids from the body. Fluid balance is an essential aspect of the human body that helps in homeostasis maintenance. Vomiting and diarrhea, as reported by Jordan, result in dehydration, which in turn disrupts the electrolyte and fluid balance in the patient’s body. This results in dehydration as a consequence of fluid loss. Thus, intravenous administration of the Hartmann’s solution was an accurate step for managing and maintaining fluid balance in the body.  

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