A Need For Nursing Interventions

It is every parents’ worst fear to wake up one morning to find that their child has passed away without warning. Sudden Infant Death Syndrome (SIDS), the common name used today is also referred to as Crib Death, which is an unexplained death occurring during sleep of a seemingly healthy baby less than a year old (mayo clinic). Even though there are some ways to prevent SIDS, there is no guarantee that a child is a hundred percent safe. Some ways to prevent SIDS can be done with parental knowledge of how SIDS occurs. Even though the baby has nothing medically wrong, it could be that the parents did something unintentionally by accident or are simply uniformed.

The aim of this essay is to explore evidence based nursing intervention in the care and management of chronic obstructive pulmonary disease (COPD) in an acutely ill patient. The acutely ill patient involved in this essay was admitted to hospital due to cerebrovascular accident and had a past medical history of myocardial Infarction, left Ventricular failure, peripheral vascular disease and duodenal ulcer as well as chronic obstructive pulmonary disease. This essay will provide a rationale for the chosen aspect of care (COPD) and reason will be given why it is a priority. In particular the essay will examine the significance of the underlying pathophysiology of the disease relating to the acutely ill patient other

Educate parents. Education of parents on the proper safe sleep environment should begin before the infant is born. However, NICU staff are to initiate parent education as if it is the first time that they are receiving the teaching. Not only will parents be thought the proper safe sleep environment for their infant but they will be given the rationale behind why it is beneficial for their infant. Special attention will be given to providing information in a culturally sensitive manner. Likewise, education shall be provide at the education level of the intended recipient.

In spite of a major decline in the incidences of Sudden Infant Death Syndrome since the American Academy of Pediatrics published its recommendation in 1992 that infants should be placed on their back for sleeping this decline has stopped and left us at a plateau. Even though this was released many families are still butting babies on their bellies to sleep. Because of that, it has become increasingly important to address the risk that puts infants at greater risk for SIDS. In this paper of the changeable and non-changeable risk factors of SIDS will be addressed. The recommendations described in this paper include placing infants on a back position to sleep, use of a firm sleep surface and the need for routinely scheduled immunization.

Mrs. Pink, aged 75 was admitted to the orthopaedic ward after suffering a fall at home, resulting in an intracapsular fracture of the hip at the femoral neck. Mrs. Pink has a history of cancer and cardiac diseases and has severe rheumatoid arthritis. Due to ageing patients putting a great deal of strain on the health care system, the incidences of hip fractures in the elderly are a major concern and requires careful consideration regarding treatment. Known as a major cause of disability in the elderly, hip fractures and their subsequent need for surgery result in chronic pain and an altered quality of life (Strike, Sieber, Gottschalk & Mears, 2013). Although important to improve a patient’s quality of life and physical independence, pain related to a total hip replacement (THR), also known as hip arthroplasty (HA) can lead to delays in ambulation, longer hospital stays, poor functional outcomes and quality of life. The purpose of this essay is to identify the rationale behind nursing interventions provided to post-operative THR patients as well as the pathology of a femoral neck hip fracture and their procedure for assessment and diagnosis.

For as long as we can remember we are always told to never sleep with your baby that you could suffocate them by rolling over on them or what not. In a study by Davies, he found that prior to the 1700's co-sleeping was a normal thing around the world. It was not until the 1800's when the western society moved away from co-sleeping to an independent sleeping arrangement claiming the child will be too attached and have security problems; you will never get the child to sleep in their own bed; the child will not learn independence; or, the child could suffocate in various ways. Well, I agree

Sudden Infant Death Syndrome (SIDS) is the sudden unexplained death of an infant aged one or younger that continues to remain a mystery even after a thorough investigation is done, which includes an examination of the scene along with an autopsy. SIDS was first recognized in the United States in the 1960s, with over 7,000 infants dying suddenly and unexpectedly each year. Researchers discovered that placing babies to sleep on their back decreased this risk, as babies that were put to sleep on their side tended to roll onto their stomach, causing them to smother. The Back to Sleep Campaign was launched in 1994; it played a significant role in decreasing the SIDS rates amongst all populations. However, certain populations continue to experience

Nurses are responsible for promoting and enhancing client health by implementing interventions that prevent illnesses and minimize deterioration (Watson, 2008). In order to assist Mr. X with ventilation, I implemented several interventions that assisted with the accomplishment of this human need. This comprised of the usage of comfort measures to assist with ventilation which included repositioning my client into a semi-fowler position by elevating the head of the bed 45 degrees with the arms supported by pillows. This allows the diaphragm to expand with some ease while stabilizing the chest and reducing breathing efforts. Also, I encouraged breathing techniques, such as pursed-lips, which assisted in reducing respirations while improving the laminar flow of the expired air (Loring et al., 2009).

The definition of Sudden Infant Death Syndrome otherwise known as “SIDS” on EBSCOhost is, “the sudden unexpected death of a younger child under the year of one year during sleep that cannot be explained.” Astonishingly, this fatality cannot be described after a postmortem assessment including an autopsy, a detailed history, and scene evaluation. This paper will thoroughly discus who is at risk for SIDS, how the disorder can be reduced, and the importance of educating future parents of SIDS.

Good evening class, the assessment tool that I was given to learn about was Fulmer SPICES acronym. This is useful for common syndrome of the elderly that will require nursing interventions. As to the article and video that I watch, it was about a 70-year-old female African American. Medical history of sickle cell anemia, congestive heart failure and total hip replacement.

In year 2000 and 2010, an estimated 1 million hospitalizations for Congestive Heart Failure (CHF), of which most of these hospitalizations were for those aged 65 and over, the share of CHF hospitalizations for those under age 65 increased from 23% to 29% over this time period (Hall, Levant, & DeFrances, 2012). According to Held (2009), acute decompensated heart failure (ADHF) ensues when cardiac output fails to meet the demand of the body’s metabolic needs. The fluid volume overload makes the unstable condition necessitates instant treatment for the reason that it impairs perfusion to systemic organs, endangering their function.

Most staff has at least a simplified understanding of all of the recommendations to help promote safe sleep. It is a group effort by all health care workers to sincerely endorse these SIDS prevention efforts and safe sleep recommendations. It is their job to assess how well the parents understand what they are being taught and observe how well they demonstrate what they had learned. Even though there are less newborns dying from SIDS each year, facilities still consider them to be preventable deaths. Each facility should build a team to help educate all other staff members, develop a better relationship between staff and parents, and assist with the development of these policies. They should also continue to monitor all the efforts of the changes. Staying involved and active with this issue can keep the energy going and hopefully keep reducing the number of newborns who die from SIDS every year. The ABC’s of sleep is a short message that has been created to not only inform parent’s safe sleep but to help the nursing staff do it in a non-threatening way. The message says, “I sleep safest Alone, on my Back, in my Crib.” These messages have made it much easier for the nursing staff to overcome any barriers by providing more time in the education aspect of their care. Having all of the health care staff work together to help enforce these safe sleep practices will make it much easier to inform

This article states that babies typically co-slept with parents until more modern times. It also discusses the percentage of co-sleeping families based on ethnicity. It also discusses how infants who co-sleep typically sleep within close proximity of the mother which means the carbon monoxide stimulates respiration rather than causing suffocation. Amy Mao, MD is a pediatric emergency medicine physician at UCSF Benioff Children’s Hospital. Melissa Burnham is an associate professor of human development and family studies at the University of Nevada. This article is relevant to my research because it is peer reviewed, and it also discusses how sleeping in close proximity stimulates the infant and decreases the risk of SIDS.

Sudden Infant Death Syndrome, also known as SIDS, is the leading cause of death in children under the age of one (Kaneshiro & Zieve, 2009). There is no underlying cause that an infant is at risk of SIDS, but there are many theories being tested to help determine if a child may be at risk. “Many doctors and researchers now believe that SIDS is not a single condition that is always caused by the same medical problems, but infant death caused by several different factors (Kaneshiro & Zieve, 2009).” Along with the research being done to determine risk factors for SIDS, there are other studies being conducted to help in the prevention of SIDS. This will possibly allow families and medical professionals to spot warning sign

Based on this study, I do believe that parental interaction is very important for the infant so I believe that parents sleeping with the infant will not only make the baby feel secure, the parent is immediately if a sudden problem were to occur. Since there is evidence that SIDS are caused by hazards in an infant’s immediate environment, which includes the parent’s bed, what parents could do is allow the infant to sleep in a crib, but put the crib in the same room as the