The Utility of the Nursing Service Essay

There is increasing interest in the manner in which the services of the nursing profession may be utilized to address the area of concern in the medical profession with regard to the time delay in the critically ill-being provided with the necessary medical intervention procedures for alleviating their condition. Nurse-led or initiated medical procedures are subject to the influence of several factors and these include the policies of NHS, the hospital environment, the perceived gap in the services provided and the resources available. The earlier trend of making use of the nursing resources in areas of low risk and areas that have clearly defined protocols may have to be examined as the utility of the full potential of the nursing services is not being tapped. (Richardson. A and Cunliffe, L. 2003. New horizons: the motives, diversity, and future of nurse-led care). The Utility of the Nursing Service Essay. This critical study allows for an understanding of the utility of the nursing services in the area of reducing the door to needle times in thrombolysis for patients presenting themselves with AMI and could be expanded to take in the issues related to the extended door to needle times and the role of nurse initiated thrombolysis in the reducing door to needle times. The Utility of the Nursing Service Essay.

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To this end, the search for literary works related to the topic was limited to the books and journals and the Internet for articles that provided suitable literature for the topic. The Medscape and Google databases were used and the search terms included, ‘nurse initiated thrombolysis’, ‘door to needle times’, doctor-led thrombolysis, ‘busy departments in delays to thrombolysis’, and understaffing in delays to thrombolysis

Nursing Diagnosis # 1 Ineffective breathing pattern related to decreased oxygen saturation, poor tissue perfusion, obesity, decreased air entry to bases of both lungs, gout and arthritic pain, decreased cardiac output, disease process of COPD, and stress as evidenced by shortness of breath, BMI > 30 abnormal breathing patterns (rapid, shallow breathing), abnormal skin colour (slightly purplish), excessive diaphoresis, nasal flaring and use of accessory muscles, statement of joint pain, oxygen saturations of 85-95% 2L NP, immobility 95% of the day, and adventitious sounds throughout lungs (crackles) secondary to CHF, hypertension, pain caused by gout and arthritis, and obesity. The Utility of the Nursing Service Essay.
Goals
1) The patient will demonstrate effective breathing
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Exercise programs
Nursing Diagnosis # 2
Impaired skin integrity related to limited mobility, impaired tissue perfusion, decreased cardiac output, altered nutritional and hydration status, increased moisture, decreased sensory perception and excess weight as evidenced by patient being bed reddened 95% of the day, +2-+3 peripheral edema, stage III- IV coccyx pressure ulcer, drainage from the coccyx ulcer, high blood pressure, decreased oxygen saturation between 85-95 % 2L NP, weak peripheral pulses, obesity, excessively dry skin, sores on both legs (blister-like), denial of pain regarding dressing changes, and excessive diaphoresis with movement secondary to CHF, hypertension, hyperlipidemia, and non-insulin dependent type II diabetes. The Utility of the Nursing Service Essay.