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Nursing Essay Demonstrating Application Of Evidence-Based Nursing Practice


You are required to submit a fully referenced academic paper in a nursing essay format on the following case study. Your essay should demonstrate your knowledge and application of best evidence-based nursing practice in relation to assessment, nursing care and evaluation of care for the six (6) aspects as described below.

  1. Promotion and facilitation of adequate oxygenation
  2. Provision of general nursing care
  3. Prevention of possible hospital acquired complications
  4. Promotion of adequate hydration and nutrition
  5. Provision of emotional and psychological support
  6. Education and Discharge planning

Robert Snider a 68-year-old male has been admitted to the medical ward after being diagnosed with community-acquired right middle lobe pneumonia. Robert lives alone and is now retired after working all his adult life in a coal mine. His medical history includes a diagnosis of Chronic Obstructive Pulmonary Disease (COPD), hypertension and is a current smoker of 20 cigarettes per day.

The following data was assessed when Robert was admitted to the ward: Subjective data:

  • Feeling anxious and fearful
  • Fatigue
  • Restless, and leaning forward
  • Shortness of breath exacerbated on minimal exertion e.g. standing out of bed
  • Faint crackles audible over the right middle lobe
  • Pale in colour

Objective data:

  • Blood pressure: 105/60 mm Hg
  • Heart rate: 102 beats per minute
  • Respiratory rate: 33/minute
  • SaO2: 88% Room air
  • Chest X-Ray: Consolidation Right middle lobe
  • Weight: 124Kg

The Doctor has prescribed Robert oxygen therapy to achieve and maintain a SaO2 94% and intravenous antibiotics.


Promotion and facilitation of adequate oxygenation
As per the research on nursing essay, community-acquired pneumonia is defined as pneumonia that physically affected the lungs. Streptococcus pneumonia is a bacterium that is responsible for bringing out community-acquired pneumonia. The facilitation of adequate oxygenation is required for treating Robert Snider who faces different problems for the community-acquired right middle lobe pneumonia. The healthcare professionals are focusing on the oxygenation status through a routine process by using the pulse oximetry that is basically referred to as the spo2 (Borglin et al., 2020). The pulse oximetry helps the healthcare professionals to accurately focus on the specialization of adequate oxygenation for the patient of the case study. Declare providers also focus on the arterial blood gas that helps them to treat the patients who have facing different problems for their deteriorating all unstable respiratory system. The evolution of oxygenation is oversimplified. The healthcare providers in the healthcare sector are frequently relying on the po2 that is physically referred to as the pulse oximetry saturation that helps to calculate the oxygen saturation and it also allows them to provide accurate medicines to the patient. The calculation of oxygen saturation helps the healthcare professionals to focus on the inadequate and potential treatments for the patient regarding their oxygenation status that is measured by different parameters. The care provided also focuses on oxygen therapy that helps them to treat the disease of chronic obstructive pneumonia that affected the respiratory system of Robert.

Provision of general nursing care
The goal of OPD management helps improve the patient function of status and it also increases the quality of life by preventing the optimal lung function and the nurses of the healthcare sectors. The nurses establishing a good relationship with the patients and supporting them in providing better personal care and the nurses also takes responsibility to educate the patient by supplying accurate information and knowledge for reducing the issue of COPD (Chang et al., 2020). The task-oriented nurses are paying special attention to support the patient by focusing on the nursing programs. The nurses focus on the lung function tests because it helps them to measure the amount of oxygen in the body of the patient. Healthcare providers focus on the monitoring procedure of respiration and breathing sounds that will help them provide better medicines. The nurses also focus on the better methods for reducing the rates of environmental pollution of dust and smoke and this will help them to observe the characteristics of the patient through the measuring techniques that improve the effectiveness of nurses to provide better care. Although there is local for the progressive respiratory disease. Nurses play a critical role in ensuring the patient's help them for managing the terms of recognizing symptoms and it also helps them to deal with the symptoms of the disease. The nurses also focus on the role of COPD that will help them to focus on the accurate treatment for managing the chronic disease by focusing on the surveillance for the patients (Eekholm et al., 2020). Is this present also facing different problems for the anxiety and stress, the nurses take the responsibility to communicate with the patient for reducing the issues of anxiety and stress.

Prevention of possible hospital-acquired complications
The hospitality sector is now focusing on the adverse drug event that basically referred to the effects of the medicines that ranging from minor progress to major reactions. This also includes the expected adverse reactions. The adverse drug event also reflects the practice that arises in the medication process that will help the healthcare providers to change the medicines according to the health situation of the patient.

Hospital-acquired complication refers to the complication that focuses on the clinical risk mitigation strategies for reducing the risk of complications of the hospital. The healthcare sectors are providing the ventilation process for reducing hospital-acquired complications regarding respiratory failure (Lau et al., 2020).

The nurses of the healthcare sector also focus on the educational system for teaching the respiratory patients about the educational protocol for improving respiratory health.

Healthcare providers also offering nutritional support because the patient with the respiratory problem has unique nutritional needs and it also helps the healthcare sector to mitigate the complications of their healthcare sectors regarding respiratory problems. The nurses also create an adequate and personal is the plan for giving them the proper nutrition (Rodrigues et al., 2020). The nutritional plan helps the nurses meet the heavy demands of the illness of Robert and it also prevent the issues of malnutrition among the patients.

The healthcare sectors are sending the patient's home with the individual home exercise plan that provides better exercise capacity and decrease the problems of respiratory disease and it also improves the quality of life by focusing on the positive respiratory outcomes.

Promotion of adequate hydration and nutrition
The nurses take the responsibility to ensure the nutrition and hydration needs of the patients with the respiratory system. The nurses focus on the physical and psychological perspective of the patient and it also helped them to identify the potential barriers and obstacles that may prevent patient to receive adequate food and drink. The nurses are focusing on the documentation for the care plans of the patient that will help them to appropriate leave bring out the nutrition-related drugs for their team members to assist the patient in a proper way. Nurses take responsibility to ensure the patients and their nutritional needs. Care providers focus on nutrition’s training because this will help them to focus on the appropriate nutrition advice that is essential to improve healthy eating and subsequent health outcomes. The healthcare providers also focus on the advice of the diet and nutritionist optimal nutrition for patients and clients for presentation problem for the respiratory diseases (Weaver, 2020). They also create and adjust the band plan and implement them by focusing on the special diet modification with patients for providing them with the best nutritional needs. Multidisciplinary nutrition has also important to demonstrate favorable health outcomes to enhance the quality of life. The shreds of evidence of various nutritional tasks support interventions across the multi-disciplinary process for improving the care of Robert Snider.

In the healthcare sector, the nurses monitored and screened the documented nutritional support that is needed to be focused on by the nurses and it also supports the positive long-term behavioural change for patients nutritional assessment. The process of different effects depends on the nutritional needs that are needed to be associated with the changes in the lifestyles of the case study patient. Nurses focus on understanding the importance of Nutrition basics and it also explains the facts about the healthy food choices for the patient who are facing different problems for the respiratory disease. The health care providers also focus on the expected delivery of healthy diet education that improves the patient health outcomes. It also helped them to create the links by focusing on the diet and diseases.

Provision of emotional and psychological support
According to the case study, it is seen that the patient is facing different problems of anxiety and stress so the provision of emotional and psychological support is important to reduce the risks of mental health problems. Mental health is referred to the patient's cognitive and emotional well-being.

The health care providers keep track of the patient by providing better medicine to them and they also take care of the people who work for helping the doctors to diagnose the patients. Emotional support is provided for the patient to empathising with the suffering patients. Nurses helping patients by dealing with the symptoms by providing them with the emotional support that help them to meet the psychological and emotional needs of the patient for improving the healing process. The bidder emotional support helps the patients to feel safe and it also allows them to feel empowered by managing their own recovery.

The nurses also take the responsibility for preparing the patient for treatment and we communicate with the patients for helping them to ensure a strict diet and other sets of preparations according to the instructions of the doctor. They also communicate with the patients to know their demands that will help the patient for adjusting to hospital life. Creating a better relationship with the patient help the patient to adopt the lifestyle of the hospital during their stay in the healthcare sector. These aspects help the nurses to create a comfortable place for the patients and also the patient to adjust to the hospital life more quickly.

Education and discharge planning
The healthcare providers focus on the workshop's panel that helps the patients to get the insights about their disease that help the healthcare sector to focus on the needs. Nurses have to focus on the educational process for educating the patient about their diseases that will help the patients to focus on a better schedule to get rid of the issues of COPD diseases. The nurses also focus on the improvement of the better key caring techniques and they also provide a better routine for the patient who is going to discharge.

The distance planning exam interdisciplinary approach for thinking the patients to discuss them after completing the treatment. The process of discharge planning includes the early identification regarding the assessment of patients that is needed to the axis for creating the planning for discharge. The healthcare providers also recommend the options for the continuing care of the patient that is referred to the accommodations and programs for meeting the needs and preferences of the patient regarding the discharge planning. The factors of the United Kingdom also focus on the community agencies for bringing out better care facilities for promoting patient access to address the gaps in the services. It also helps them to provide support and encouragement to the patients during which states of the assessment form of the hospital during the discharge process.

Borglin, G., Eriksson, M., Rosén, M. and Axelsson, M., 2020. Registered nurses’ experiences of providing respiratory care in relation to hospital-acquired pneumonia at in-patient stroke units: a qualitative descriptive study. BMC nursing, 19(1), pp.1-11.

Chang, M.J., Hsieh, S.I., Huang, T.H. and Hsu, L.L., 2020. A clinical care competency inventory for nurses in Traditional Chinese Medicine: Development and psychometric evaluation. Nurse Education in Practice, 49, p.102881.

Eekholm, S., Ahlström, G., Kristensson, J. and Lindhardt, T., 2020. Gaps between current clinical practice and evidence-based guidelines for treatment and care of older patients with Community Acquired Pneumonia: a descriptive cross-sectional study. BMC infectious diseases, 20(1), p.73.

Lau, S.T., Ang, E., Samarasekera, D.D. and Shorey, S., 2020. Development of undergraduate nursing entrustable professional activities to enhance clinical care and practice. Nurse education today, 87, p.104347.

Rodrigues, C.B.O., Prado, T.N.D., Nascimento, L.D.C.N., Laignier, M.R., Caniçali Primo, C. and Bringuente, M.E.D.O., 2020. Management tools in nursing care for children with pressure injury. Revista Brasileira de Enfermagem, 73.

Weaver, S.O., 2020. Evidence-Based Nursing Education on Dementia and Dementia Care.

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