In the elderly with cognitive changes there are aspects of pain management you may not have thought of before. How you assess their pain and what you do about it may make the crucial difference between a good outcome and a not so good outcome.
Here are a couple real life examples: Read the rest of this entry »
Last summer while walking around the pond outside my country home, I noticed a dead wide-mouth bass floating on the water’s surface. I grabbed a tree branch to fish it out of the water. Two long sticks protruded from the bass’ mouth. I was puzzled. Then I looked closer. They were not sticks. They were legs. Frog legs, to be exact. The bass had tried to swallow a frog. The bass assumed his mouth was wide enough or the frog was small enough for him to swallow. As a result of not thoroughly assessing the situation before acting, the bass choked to death. (It wasn’t a happy ending for the frog either!)
Lately, I’ve been noticing that some nurses act like the bass in my story. When a patient gives a symptom, they make assumptions, jump to conclusions or implement interventions without first performing a thorough nursing assessment. Here’s what I mean: Read the rest of this entry »
Article written by Linda Friedel The Kansas City Nursing News | Posted: Monday, March 18, 2013 1:22 pm
Nancy Banfield Johnson wants to leave a legacy for nurses in her book, “Catching Critical Changes: Six Essential Steps for Effective Nursing Assessment.”
The text includes six steps to gather information for effective assessments and six steps to assess 10 acute symptoms in adults and the elderly.
“In nursing, it’s the relationship you develop with people to be the best people they can be,” said Johnson, MSN, RN, ANP, of Van Etten, N.Y. “And now it’s helping nurses be the best nurse they can be. I want to leave a legacy for nurses.” Read the rest of this entry »