The patient is a 68-year-old man who sustained a head injury after falling in the bathroom. He arrives in the emergency department (ED) cheerful, alert, and oriented to person. On physical exam, he has a large hematoma on his left forehead. He reports a headache in the left temporal area, which he rates as an 8/10. His wife was present during the incident. Admission vital signs are blood pressure 170/92 mm Hg, pulse 92 beats/min, respiration 14/min, and temperature 98.7° F. The health care provider orders a one-time dose of acetaminophen 650 mg orally for the patient’s headache, which the nurse promptly administers. The patient reports a pain level of 5/10 one hour after the intervention.
1. Why is it important to determine the circumstances of the fall for this patient? 2. Discuss the importance of obtaining baseline behavior and information from the wife. 3. Discuss some of the considerations for older adults who sustain brain injuries. 4. The ED health care provider orders computed tomography (CT) of the brain for the patient. What is the purpose of this test? 5. Because the patient is at risk for increased ICP, explain how the patient should be positioned and moved in bed. 6. The CT and other diagnostic results are negative, and the patient is diagnosed with a minor head injury and contusion to the right extremity. He is discharged to home. Review the patient teaching instructions that should be given to the patient and his wife. 7. Explain why the nurse would take one last set of vital signs and perform a final neurological check before allowing the patient to go home. 8. The wife appears unwilling to take her husband home, and she states that she doesn’t understand the discharge instructions. What can the nurse do in this situation?
Work environment citizenship is the point of view that the representatives of an establishment have where they broaden their practices past the ordinary obligations. Working environment citizenship conduct at the end of the day implies working more remote than the base anticipated from the person. The conduct exhibited by the worker can have immense effect on the working environment condition and entire association. Great practices at the working environment keeps the working environment positive and it likewise helps in raising the fulfillment and bliss level in representatives. At the point when there is a positive workplace the representatives will be increasingly hopeful and less focused on, which thus helps in better productivity. This paper examines about the importance of social duty, correspondence and collaboration in nursing structure. It additionally features how nurture show social obligation and talks about the noteworthiness of correspondence and collaboration in nursing. This paper builds up the significance of commonly interrelated correspondence and cooperation to work with the multidisciplinary colleagues. The American Nurses Association (ANA, 2010) characterizes nursing as a medicinal services calling where the soundness of the individual, families and the entire populace is enhanced, secured and advanced. Nursing is a celestial calling where care is given from birth to the final gasp of a person. Notwithstanding the progressed clinical aptitudes and specialized information, medical caretakers ought to incorporate working environment credits to accomplish their title job in the public arena and work field. In nursing advancement of productive citizenship esteems and its application in work field empowers to accomplish a compensating profession. In work field, an expertly skillful enlisted nurture must feature high level of social obligation, work productively with groups by conveying viably. These qualities create and enable expertly skillful medical attendants who perform productively in their related control. Correspondence is fundamentally the exchange of thoughts from sender to the collector despite the fact that, globalization brought extraordinary headways which changed correspondence channels (Dwyer, 2012). Attendants' regular speak with patients, families, other associated wellbeing experts and directors. Correspondence is critical as it advance productive, sheltered and brilliant consideration. There are three principle parts in a fruitful correspondence: sender, collector and message (Dwyer, 2012). In nursing calling there is a lot of data to be partaken in restricted time range. There are numerous elements which impact how the message is deciphered. This incorporate the area where the correspondence happened, past experience and individual impression of both sender and beneficiary. Miscommunication alludes to absence of clearness in exchanging the required data which prompts error of the circumstance. Miscommunication can have extreme impacts, even to the demise of the patient. Best model will be significance of the patient report at the move change. The attendant who is calming the move need to convey about the state of the patient including medicines, meds and anything which occurred amid the move to the attendant who is beginning the following movement. Genuineness is critical for successful correspondence in nursing. ()Try not to offer anything to a patient except if the medical caretaker can convey it, if nurture can't tail it, clarify why nurture can't convey to the patient. Attendants must be responsive and accessible. The patient and the family will be fomented on the off chance that they believe they are disregarded. Now and again this may be because of deficiencies in the correspondence procedure. Actualize restorative measures so that, correspondence process goes however perfectly and in an auspicious way. Verbal segment in the correspondence procedure is exact moment contrasted with the nonverbal part. ()Study directed by University of Illinois at Chicago (UIC) found that expressed words contributes just seven percent in a correspondence procedure. () Facial demeanor contained fifty five rate and thirty eight percent is from the manner of speaking. () The examination additionally guarantees that, somehow we are conveying constantly, regardless of whether we are not talking. ()Medical caretakers need to focus on the non-verbal communication, eye to eye connection and manner of speaking when conversing with patients, families, associates, bosses and basically everybody. Powerful correspondence assumes a urgent job in advancing incorporated stream of data, cooperation between colleagues and results in quick patient recuperation. SOCIAL RESPONSIBILITY Like some other callings, nursing is a basic piece of the general public and it keeps on developing and advance. Cambridge lexicon characterizes social obligation as a routine with regards to delivering products and ventures in a way that isn't destructive to the general public or nature. (http://dictionary.cambridge.org/word reference/business-english/social-obligation). Social duty alludes to commitment of an individual which is estimated by the considerations and convictions of a person. Social duty of a medical attendant alludes to the moral and good commitments saturating the calling (). Primary parts of social obligation are characterized in the expert rules laid by Nursing and Midwifery Board of Australia. (NMBA). These gauges cover tolerant consideration, respectability, ethics, duty and coordinated effort with the other associated social insurance experts. These code of morals are vital and these must be complied with every expert. Moral infringement could result on suspension or lasting loss of the expert permit. Attendants have coordinated tasks to carry out independently and all in all in the general public which is established in code of morals and expert rules as far as human nobility, social equity, uprightness and altruism(Riley, and Beal, 2010). The most critical obligation of an attendant is to withstand the enthusiasm of a patient over some other concern or inclination. Attendant needs to help and regard patient's self-assurance paying little heed to the patient's sex, age, nationality, race and therapeutic condition. The medical caretaker needs to guarantee persistent wellbeing and secure proficient uprightness. Medical caretaker needs to work together completely with different attendants, specialists and multidisciplinary colleagues. Another critical duty to be displayed by the medical caretakers is being a supporter for the patients. Attendants should work for the patient's rights, security assurance and their decision for being a piece of a restorative research. Medical attendants are responsible for their judgment and activity. Responsibility still exists when an obligation is assigned to associate or subordinate. The attendants likewise have the obligation of regard and profound quality to themselves as well as other people around them including patients. Medical caretakers must keep up deep rooted learning responsibility and expert development. They should be moral, express knowledge, mettle and genuineness. Medical caretakers who have the influential positions must support moral nursing rehearses and hold a domain where subordinates can raise protestations. Medical attendants have a social obligation regarding network instruction. They need to share the information about the wellbeing, health and approaches to oppose maladies. Medical attendants should partake in the network outreach projects and exercises identified with human services. Medical attendants additionally should know about national and worldwide wellbeing concerns, episodes, plagues and irresistible infections and antibodies. Medical caretakers ought to have the capacity to give similarly available nursing care. They need to give responsible, impartial, socially and socially responsive excellent medicinal services to every one of the areas of the populace. Medical caretakers are in charge of the activities and responsible to the obligations they embrace. They should guarantee to rehearse the obligation of consideration through each part of work they embrace. An expertly able enrolled nurture finishes the expert enlistment necessities, as well as they effectively take an interest in the network settings to give the best consideration to the network individuals. Social duty is an aptitude which must be extended from the encounters picked up in expert life through nonstop practice. Collaboration In any profession, compelling cooperation empowers to accomplish shared objective by cooperating with the gathering individuals. Organ characterizes (as refered to in Yun et al., 2007) hierarchical citizenship conduct as individual quality which can't be perceived straightforwardly however assumes an imperative job in the viable working of the association. The administration typology decides and impacts group authoritative citizenship conduct. The jobs and obligations are designated to colleagues by pioneers. Aversive, mandate, value-based authorities constrain the individuals to work for group so they results in group against citizenship conduct (TACB). Then again, transformational and enabling authorities persuades the individuals to work with the group which causes group hierarchical citizenship conduct (TOCB). TOCB expands work fulfillment and by and large efficiency. Positive authoritative citizenship results are accomplished through decisive and effective correspondence between the colleagues. Medical caretakers must work with individuals and not for them. This sentiment of harmony and participation between colleagues enhance work fulfillment and improves profitability by prompt patient recuperation. End This paper discusses the working environment citizenship abilities vital for the compelling working of association. The work environment citizenship aptitudes make an expert piece of the association which builds work fulfillment and thus, the general efficiency of association. The part of general wellbeing can't be isolated from consideration given by an attendant. Hence, social administration is the fundamental part of a medical attendant. Powerful correspondence and cooperation are both bury related. In a multidisciplinary group, viable correspondence, coordinated effort, great camaraderie and adaptability between colleagues enhances work fulfillment. In all calling>GET ANSWER