Latest Entries Journal of Nursing

Assessing Clinical Outcomes at Discharge with the Modified Rankin Scale (mRS) for Burn Patients

Assessing Clinical Outcomes at Discharge with the Modified Rankin Scale (mRS) for Burn Patients

Tags: Burn Patients clinical Modified Rankin Scale outcome

Burn injury is a significant health problem that presents various challenges to the patient and healthcare providers. Each year in the United States, an estimated 486,000 burn injuries require medical attention, of which 40,000 require hospitalization (American Burn Association, 2016). Of these 40,000 around 30,000 are admitted to specialized burn centers, specializing in burn care and management. Statistics reveal that the common causes of burns are due to fire/flame at 43%, scalds 34%, contact 9%, electrical 4%, chemical 3%, and other 7%. (American Burn Association, 2016). The most common place of occurrence was in the home at 73%. Burns occur in children and adults, affecting 68% of males and 32% of females. Also reported by the American Burn Association (ABA) was a survival rate for all cases at 96.8% (2016). Furthermore, a reported survival rate of 96.8% for all cases by the ABA (2016), underscores the importance of comprehensive care for burn patients, which begins at the time of injury and extends throughout the rehabilitation process. An optimal outcome is achieved when the patient is reintegrated back into society at a functional preinjury level (Herndon, D. 2017).

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My Journey With Asplenia...So Far

My Journey With Asplenia...So Far

Tags: Asplenia blood Infection prevention vaccine

Essay on my personal experience as a nurse and a patient, in the sense of asplenia as my status now in life. Disclosure of my personal observations as an asplenic person whom is also a nurse.

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Clinical Depression vs. Layman's' Depression: What Nurses Need to Know

Clinical Depression vs. Layman's' Depression: What Nurses Need to Know

Tags: depression

The general term depressed used by laymen doesn't match the medical definition used by Nursing. How to distinguish the two.

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Perspective Triad: The Role of the Nurse Informaticist in Higher Education

Perspective Triad: The Role of the Nurse Informaticist in Higher Education

Tags: Higher Education informatics Nurse Informaticist

This article provides an analysis of how the role of the nurse informaticist can expand beyond the bedside and clinical nursing into higher education. Specifically, nurse informaticists can be beneficial to pre-licensure nursing programs as they can provide a three-fold perspective of nursing, informatics, and business to assist leadership to enhance student and programmatic outcomes.

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Take A Minute to Listen, It Could Save a Life

Take A Minute to Listen, It Could Save a Life

Tags: auscultation bruit carotid early recognition saving a life stroke

Listening for a carotid bruit might help save a life. Stroke cases are increasing and are debilitating to patients and their families. Listening to the carotids for one minute each time you listen to the heart since a 2mm carotid luminal narrowing can cause a bruit. If a bruit is detected, report this finding to the primary care provider to help curb the upward trend of strokes.

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The Impact Of Implementing A Patient-Centered Medical Home Model In The Primary Care Setting

The Impact Of Implementing A Patient-Centered Medical Home Model In The Primary Care Setting

Tags: care health patient Primary Care

Literature demonstrates a trend of shared decision-making models that are centered around the patient. By implementing the Patient Centered Medical Home (PCMH) model, patient encounters will encompass a patient-centered decision-making approach regardless of the reason for the visit. This model incorporates ongoing preventative screenings into routine visits to create a continuum of meeting wellness initiatives without relying on a routine wellness visit yearly. To implement this model, the clinician will thoroughly review the patient’s chart prior to the office visit. If any preventive screening is identified, then the primary care provider addresses the initiatives during the encounter. Post-implementation data showed a marked increase in ordered preventive screenings, wellness exams, and revenue to the clinic. There was also an increase in patient satisfaction perception among participating providers. The PCMH model allows the clinician avenues to address, create dialogue, and implement shared decision-making to incorporate preventative screenings and keep preventive care moving forward.

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The Role of the Forensic Nurse Examiner at the U.S.-Mexico Border

The Role of the Forensic Nurse Examiner at the U.S.-Mexico Border

Tags: mexico migrants violence women

This article gives context to the migrant crisis at the U.S. border and describes gender-based violence and the role of the forensic nurse examiner in providing care for these victims of violence.

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