Paediatric Nursing Case Study

Annie lives with her mother, father, and maternal grandparents. Of the family members living in the home, her mother is the primary caregiver. During the school week Mrs. Bolton wakes Annie up and help her get ready for school. She assists Annie by helping her brush her teeth, button her clothes, making her bed, and her morning grooming. This includes washing her hair, checking her appearance, and ensuring that her outer appearance is presentable before each school day.

Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.

7 / D.P7: Explain how different procedures maintain health and safety in a selected health or social care setting Maintaining health and safety in health and social care is extremely important to ensure the health, safety and wellbeing of all their service users as well as other individuals service providers may come in contact with in the setting. There are several procedures that help to maintain this health and safety however they can all vary between settings for example, health and safety procedures will be slightly different and more focused on certain areas in hospitals and especially in paediatric ward compared to in drop-in centres where the needs and risk to service users are slightly different. Some of the procedures used in health and social care to maintain health and safety include; infection control and prevention, safe moving and handling of equipment and individuals, food preparation and storage, storage and administration of medication and storage and disposal of hazardous substances.

Q2) Explain the consequences of unprofessional behaviour on… • The professional status of a dental nurse • The public • The

However the National Association of Neonatal Nurses acknowledges that adverse effects may develop when nurses are fatigued, enervate, and exhausted. NANN recommends that nurses take careful measures to decrease safety risks to both patients and nurses. Nurses

Research studies show that exposing nurses to disturbances constantly adversely affects their response to an extent of even turning off the alarms (McKinney, 2013). Consequently, incidences can result especially to the sick units due to those disturbing sounds which subsequently result to alarm fatigue. An alert has been raised by the Joint commission due a recent sentinel event which was heavily associated to alarm fatigue (Horkan, 2014). Research statistics by the Joint commission between 2009 and 2012 indicate that 80 death and 13 injury cases occurred as a result of alarm fatigue. Further findings from Food and Drug Administration carried out between January 2009 to June 2010, reveal that a total of 560 death occurred due to alarm fatigue and the associated effects (McKinney, 2013).

Buchan and Aiken (2008) stated that the nurses shortage problems may be due to the nurses that not willing to work as a nurse under the current conditions in working environment. A real shortage is circumstances where experienced people are not available for a certain vacancies due to some reasons (Wildschut&Mqolozana, 2008). A news article written by Salma Khalikin in Straits Times stated that according to current situation Singapore may not be able to create enough nurses for upcoming years. The impact of nurses shortage may causes increase work load for nurses which subsequently may increase the risk for nurses made errors in clinical, the risk of increase hospital acquired infections which cause by viral, bacterial, and fungal pathogens. More over the impact of shortage of nurses may also increase death rate, and also increase the risk of occupation injuries and exposure in working environments.

What is stress? Concise Oxford Dictionary defines Stress as “pressure or tension exerted on a material object, in physics the magnitude of this is measured in units of force per unit area, a state of mental, emotional, or other strain or particular emphasis, the emphasis given to a syllable or word in speech. No one clear definition exist on what exactly is stress however, the factors that are likely to contribute to its development can be psychological, physical and physiological in nature.

This is important evidence because it gives us conditions and results of what can happen if patients get lower quality care. Patients’ are not having enough time getting checked up by a nurse, and nurses would miss some diagnostics. Patients are getting sick because of the poor care they are receiving from nurses. The care patients can get is affected by a nurse shortage, “Nursing workload definitely affects the time that a nurse can allot to various tasks. Under a heavy workload, nurses may not have sufficient time to perform tasks that can have a direct effect on patient safety.

To start off, workplace stress can directly cause health problems on the subject. Stress levels are directly related to the hormones glucocorticoids, which can potentially cause health issues such as obesity. In fact, stressful jobs increase the chance of having a cardiovascular event by 38% (Porath, 2015). Another workplace stress consequence that Porath explores is the loss of focus and concentration of an employee that is in or has been in very stressful situations. A survey done on over 4,500 doctors, nurses and other hospital personnel shows that 71% relate rude behavior in the workplace with medical errors, and 27% relate this behavior to a patient’s death (Porath, 2015).

So what is stress? Gurung explains that a stressor is anything that causes a stress response –i.e. increased heart rate and breathing etc. ,, if a situation does not cause a physiological stress response then it is just an event (p. 103). In earlier times stressors were predominately physical –wild animals, enemy attacks etc., while these certainly still exists today, most of our stressors in modern day America are psychological.

INTRODUCTION Stress is a word derived from Latin word “Stingere” meaning to draw tight. (Mojoyinola, 2008) Stress is your body’s way of responding to any kind of demand or threat. When you feel threatened, your nervous system responds by releasing a flood of stress hormones, and including adrenaline and cortisol, which rouse the body for emergency action. Your heart pounds faster, muscles tighten, blood pressure rises, breath quickens, and your senses become sharper. These physical changes increase your strength and stamina, speed your reaction time, and enhance your focus.

Specific Purpose: To inform the audience about how stress develops and its effects on the workplace. Tentative Thesis: Though the definition of stress is already well-known among our society, we remain ignorant towards how stress develops everywhere and influences the workplace. Introduction I. Attention

Part A: Defining Stress 1. What is Stress? Stress is how the body, specifically the nervous system, reacts to mental pressure. The person may feel under pressure, overloaded, overwhelmed, strained or anxious about certain tasks or events. Stress can be a good thing where it can motivate the person to reach their full potential but stress can also be a bad thing as it can damage a person’s health.

Stress involves interaction of the person and environment. To quote a definition: “Stress is an adaptive response to an external situation that results in physical, psychological and / or behavioural deviations for organizational participants” (Luthans, 1998). Stress has generally been viewed as a set of neurological and physiological reactions that serves an adaptive function (Franken, 1994). Traditionally, stress research has been oriented toward studies involving the body's reaction to stress and the cognitive processes that influence the perception of stress. However, social perspectives of the stress response have noted that different people experiencing similar life conditions are not necessarily affected in the same manner (Pearlin, 1982).