Journal of Nursing : Assessment
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Case Study: A Systematic Approach to Early Recognition and Treatment of Sepsis
Madeleine Augier RN BSN
The term sepsis is often misunderstood. The public and often healthcare workers are unaware of the severity and high mortality rates this infection process has upon the world. Sepsis has vague symptoms that make diagnosis difficult. Often, sepsis is diagnosed in the later stages, when more obvious yet severe symptoms occur. This case study discusses a female who presents to the emergency department with sepsis secondary to pneumonia. Over the course of three days, the patient’s health quickly deteriorates, demonstrating the rapid progression of sepsis. Clinical findings, such as vitals signs, lab abnormalities, and symptoms of sepsis are discussed. The term bundle of care is presented to educate the reader on the golden standard of care for treatment of sepsis. This case study intends to increase community awareness and education to health care providers as well as providing an evidenced-based treatment guideline. More education and raised awareness will help prevent a deadly yet treatable infectious process. -
Applying Ethical Standards to the Assessment of Pain
Connie Boehman, BSN RN Indiana Wesleyan University MSN student
A nurse's role and responsibility is to ensure that our patient(s) receive adequate care and our assessments are comprehensive and thorough. One of the methods of assisting with pain assessment is applying ethical standards. -
It Is Time to Openly Assess & Discuss Mental Illness
Maureen Kroning RN EdD
With the prevalence of mental illness on the rise, nurses in all healthcare settings are going to be tasked with providing care for patients with a mental disorder. Thus, it is necessary to provide nurses with the skills necessary to care for patients with mental illness. -
Mental Health Need Assessment Tool
Maureen Kroning RN EdD
Patient assessment is the first step in the nursing process. Assessing for mental illness is necessary in order to provide safe and competent care. Using a tool that incorporates Maslow's hierarchy of needs to assess if a patient feels that their needs are being met or not met is a good first step to begin assessing the mental health status of our patients. -
Background of Assessment for the Registered Nurse and the Clinical Practitioner
By: Dr. Gary D. Goldberg, PhD Clinical Professor of Medical Education, and Consultant Angeles College of Nursing, Los Angeles, California
The evaluation of impairment from the kidneys, as with the findings of proteinuria or an increased serum creatinine concentration, may be your first premises in the investigation pending diagnose. In addition, rushing to a conclusion can present as a variety of clinical syndromes. In other instances, the presentation may reflect the impact of impaired renal function on other organ systems, such as edema or shortness of breath resulting from renal salt retention. -
Basic Cardiac Assessments: Physical Examination, Electrocardiography, and Chest Radiography
by Gary D. Goldberg, PhD Clinical Professor of Medical Education Angeles College of Nursing, Los Angeles, Ca.
The human heart is one of the major organs adversely affected by high blood pressure. Therefore, the registered nurse must provide a careful and thorough evaluation of the assessments needed via the cardiac structure and function (i.e., including visual signs, all non-and invasive cardiac medical devices), which is an obligatory part of the examination of the hypertensive patient.
