Professional Documents
Culture Documents
imagine you are in the situation and explain step by step what you would
do. If you are asked about a question where you have never experienced
the situation then just say what you would do if this did happen to you.
Lots of detail in your answers is the key to passing the interview.
I would try to find out why they do not wish to take them and
I believe that all nurses regardless of who they look after should be
kind, caring, patient, be trustworthy, motivated, honest, reliable,
punctual, sympathetic and be able to prioritise the care needs of all
their patients.
In relation to caring for elderly I believe you need to have a bit more
patience as the elderly can be very slow at daily tasks eg eating,
washing, dressing ect..but it is part of our job to promote
ambulance
Check clinical observations (b/p, pulse, respirations, spo2,) Monitor
as condition dictates
Document incident
Complete an incident form
Inform family if patient allows or if an emergency situation
Check what the patients normal range is for this time of day
Ask if they have eaten, or are they about to eat?
Ask how they feel?
Review plan in place for patients diabetes treatment and treat as
per plan.
If there is no plan in place and the BM is low for them I will ensure I
methamphetamines).
There are several major types of abuse: physical abuse, sexual
abuse, substance abuse, elder abuse, and psychological abuse.
If you are the nurse in charge and a nurse called in sick, what
would you do?
Ask the sick nurse to keep us up to date of when she will return
Look at the staff roster and try to make changes by asking other
agency if possible
Advise the manager of the situation when they return
Communication,
Washing
and
Breathing,
dressing,
Eating
Controlling
and
drinking,
temperature,
I will explain the day to day routine and ask about their likes, dislike,
preferences eg; do they like to eat in the dining room with others or
I appreciate the resident has heart failure however I would hold the
hand.
Advise patient not to mobilise alone until we get the bp at
satisfactory level, in case they should feel light headed and faint.
Advise all staff on shift of the situation
Document everything
What action would you take if you find a resident on the floor
complaining of leg pain?
Get help
Assess the situation and approach if safe to do so
Ensure the patient is as comfortable as possible whilst you assess
them
Assess the patient -how did it happen, did the fall, where is the pain,
assessment
Only mobilise if certain there is no break otherwise await the doctor
or ambulance and make patient as comfortable as possible
You find a resident who is non responsive, what action would you
take?
If you are the nurse on day shift and two residents develop
vomiting and diarrhoea, what action would you take?
then
alcohol
gel
must
not
be
used
for
hand
has prescribe
Limit visitors to the residents and ensure they are aware of hygiene
procedures.
Inform kitchen staff and discuss the last 24 hours menu, ???could it
be food poisoning???
Possibly stop visitors entering home if more residents develop
symptoms
patient
from
infection
from
another
patient.
of
the protective isolation and the risks thereof. Staff members who are
given access to the room should wear rubber gloves and masks for the
extra security of the patient. Visitors are not usually allowed when a
patient is in protective isolation.
Explain the technique of taking the pulse.
How do I check the pulse on my wrist?
Place your index and middle fingers on the inside of your wrist,
below your thumb.
Use a watch with a second hand and count your pulse for 60
seconds.
Write down your pulse rate, the date, time, and which side was used
to take the pulse. Also write down anything you notice about your
pulse, such as that it is weak, strong, or missing beats.
Place your index and middle fingers on one side of your neck, just
under your jaw, where your neck and jaw meet.
Use a watch with a second hand and count your pulse for 60
seconds.
Write down your pulse rate, the date, time, and which side was used
to take the pulse. Also write down anything you notice about your
pulse, such as that it is weak, strong, or missing beats.
bed/chair bound
Being respectful of their religious beliefs and having ministers visit if
they request
Ensuring dignity is maintained at all times
Promoting their independence
activities.
A nutritious diet can significantly improve health and quality of life
in older adults. Along with avoiding tobacco and remaining physical
active, a healthy diet can reduce the risk of developing chronic
conditions such as cardiovascular disease and cancer.
If you had a patient has problems with falling a lot, how would
you manage this? What do you think some of the causes would
be?
Speak with the patient and find out why they think it is happening.
Try to find out the cause and manage it appropriately (eg: what
Dignity is
term
used
and
political
and ashamed.
Providing dignity in care centres on three integral aspects: respect,
compassion and sensitivity. In practice, this means:
and/or
their
their comfort.
Patients and clients can also experience dignity - or its absence - in
what they wear, such as gowns, and in the physical environment
regularly
curtains between beds should close properly to offer some measure
of privacy
toilet doors should be closed when in use
bays in wards should be single-sex
gowns should be designed and made in a way that allows them to
to
continence
skin condition
mobility
appetite
special risks:
o tissue condition and perfusion
o neurological dysfunction
o major surgery or trauma
o medication
The score in each section is summated to give the overall score which
indicates the relative risk:
10-14 - at risk
A systematic review found that the Waterlow score offers a high sensitivity
score (82.4%), but low specificity (27.4%), in the risk assessment of
pressure ulcers (2).
You are the nurse in charge and a patient comes to you to say, no
one has taken me to the toilet today and my pad is wet. What
would you do?
Take the patient to the bathroom and tend to their skin care needs
immediately.
Reassure the patient this matter will be dealt with, ask if this
necessary.
Monitor this situation and ensure other staff are made aware of what
happened and that it should never happen again.
Bloody urine
Low-grade fever
Injury or infection
Thyroid disease
Drug reactions
Psoriasis
Yellow Nails
What it looks like: Yellow discoloration in the fingernails. Nails thicken and
new growth slows. Nails may lack a cuticle and may detach from the nail
bed.
Possible causes:
Spoon Nails
What it looks like: Soft nails that look scooped out. In spoon nails
(koilonychia), the depression usually is large enough to hold a drop of
liquid.
Possible causes:
Iron deficiency
Anemia
Nail Clubbing
What it looks like: The tips of the fingers become enlarged and the nails
curve around the fingertips.
Possible causes:
Low oxygen levels in the blood, which could point to heart disease
Cardiovascular disease
Liver disease
Opaque Nails
What it looks like: Nails look mostly opaque but have a dark band at the
tips (a condition known as Terry's Nails)
Possible causes:
Malnutrition
Diabetes
Liver disease
If your senior parent has one of these nail problems, and it doesn't go
away, make an appointment with your doctor to get it diagnosed.
Increased thirst
Increased urination
Constant hunger
Weight loss
Blurred vision
Extreme fatigue
If not diagnosed and treated with insulin, a person with type 1 diabetes
can lapse into a life-threatening diabetic coma, also known as diabetic
ketoacidosis.
Type 2 Diabetes
The most common form of diabetes is type 2 diabetes. About 90 to 95
percent of people with diabetes have type 2. This form of diabetes is most
often associated with older age, obesity, family history of diabetes, and
physical inactivity,
Type 2 diabetes, formerly called adult-onset or noninsulindependent
diabetes, is the most common form of diabetes. This form of diabetes
usually begins with insulin resistance, a condition in which fat, muscle,
and liver cells do not use insulin properly. At first, the pancreas keeps up
with the added demand by producing more insulin. In time, however, it
loses the ability to secrete enough insulin in response to meals. People
who are overweight and inactive are more likely to develop type 2
diabetes.
The symptoms of type 2 diabetes develop gradually. Their onset is not as
sudden as in type 1 diabetes. Symptoms may include:
Fatigue
Frequent urination
Weight loss
Blurred vision
Gestational Diabetes
Some women develop gestational diabetes late in pregnancy. Although
this form of diabetes usually goes away after the baby is born, a woman
who has had gestational diabetes is more likely to develop type 2 diabetes
later in life.
A for the A1C test. The A1C Test shows you what your blood
glucose has been over the last three months. The A1C goal for most
people is below 7. High blood glucose levels can harm your heart
and blood vessels, kidneys, feet, and eyes.
B for Blood pressure. The goal for most people is 130/80. High
blood pressure makes your heart work too hard. It can cause heart
attack, stroke, and kidney disease.
C for Cholesterol. The LDL goal for most people is less than 100.
The HDL goal for most people is above 40. LDL or "bad" cholesterol
can build up and clog your blood vessels. It can cause a heart attack
or a stroke. HDL or "good" cholesterol helps remove cholesterol from
your blood vessels.
long
time
to
heal.
Pressure ulcers can affect any area of the body but are more common
over bony prominences (places where your bones are close to your skin).
Common areas for pressure ulcers to occur are around your sacrum (the
lower part of the backbone), your heels, your elbows, your hips, your
back, your bottom, the back of your head and your shoulders. Pressure
ulcers can develop very quickly. In people who are at high risk (see
below), it can take less than an hour for a pressure ulcer to develop.
What causes pressure ulcers?
Pressure ulcers are caused by the pressure from the weight of your body
pressing down on your skin. They usually occur when a bony prominence
is pressed against a surface such as a chair or a bed. This compresses the
skin and the underlying tissues and can also damage blood vessels.
Friction (rubbing) of your skin can also play a part in the formation of a
pressure ulcer. Friction can happen, for example, if you are dragged across
a
surface
such
as
bed.
If you are spending long periods in bed or in a chair, you may slide down
and need to be pulled back up again by someone else (or you may
be
able to pull yourself back up). However, as these sliding and pulling
movements happen, the layers of your skin also slide over each other, as
well as over the underlying tissues. These sliding or 'shearing' forces can
also contribute to pressure ulcer formation.
Changes to the skin as it ages may make this sliding of the skin more
likely. A lot of moisture around the skin (for example, if you have urinary
or faecal incontinence or you are sweating a lot) can increase the effects
of pressure, friction and shearing forces. Damp skin becomes softer and
more fragile.
Using the correct preventative measures (see below) should mean that
most pressure ulcers are avoidable.
Who gets pressure ulcers?
Most pressure ulcers occur when someone is admitted to hospital. They
affect between 1 to 5 in every 100 people admitted to hospital. However,
pressure ulcers can also develop in someone at home, or in a nursing or
residential home.
A pressure ulcer is more likely to develop if you:
Are not very mobile (for example, you may be confined to a chair or
a bed), particularly if you are not able to change your position
without help from someone else.
Have had a spinal cord injury (this means you are unable to move or
feel your legs, and sometimes your arms).
Are a smoker.
Have diabetes (this can affect sensation and ability to feel pain over
parts of the body).
Grade 3 - the ulcer goes through the full thickness of the skin and
there is damage to the tissues underneath the skin.
Grade 4 - this is the most severe form. The ulcer is deep and there is
damage to muscle or bone underneath.
because
your
situation
may
change.
There are various pressure ulcer risk assessment scales that may be used,
looking at factors such as your diet, your mobility, your continence, your
consciousness level, any underlying illnesses that you may have, etc.
What treatments are often needed for pressure ulcers?
clinical
judgments
about
individual,
family,
or
risk
way
Wherever possible will have information about the medicine being
Key concepts:
How will you make sure you fit into the team?
I will work hard to earn their respect. I will be friendly and professional to
all. I will also make an effort outside work to go to work functions and to
also become part of the community where I live. I find it easy to get on
with many people and never had problems before.
In case a care assistant refuses to do his job, what is your
attitude?
If any of your staff do anything or refuse to do something THIS MEANS THE
PATIENT will suffer for it.
You must try to resolve the issue with the staff member and try to get
their respect and understanding. IT is easier if everyone try to get on and
work nicely together.
BUT if you cant resolve the problem, you will have to get team leader or
manager involved to follow a disciplinary with the care assistant.
Please explain the mouth care procedure.
Palpate along cheeks, gum line and neck glands for signs of
swelling, enlarged lymph nodes or abscess.
If you have appendicitis, you may also have other symptoms, including:
being sick
loss of appetite
diarrhoea
Friction/shear:
How
much
sliding/dragging
does
the
patient
undergo?
There are four subcategories in each of the first five categories and three
subcategories in the last category. The scores in each of the subcategories
are added together to calculate a total score, which ranges from 623. The
higher the patients score, the lower his or her risk. (For more information,
see Resources at the end of this course.)
Physical condition
Mental condition
Activity
Mobility
Incontinence
Low risk: 18
It is important that when the clinician uses a scale, the scale must not be
altered in any way, meaning there cannot be shortcuts or changes to the
definitions. Any changes would alter the accuracy and usefulness of the
scale in predicting the risk of developing pressure ulcers.
Risk assessment is more than an act of determining a numerical score; it
requires identification of those risk factors that contribute to that score
and minimizing the deficits by the appropriateness of the intensity and
effectiveness of prevention interventions (Kelechi et al., 2013).
Failure of feeding:
Cautions
Benefits include:
Note the measuring guide number at the end of the external fixation
device.
Remove the tube from the fixation device and ease away from the
abdomen.
Complications
Immediate (within 72 hours):
Endoscopy-related:
o Haemorrhage or perforation.
o Aspiration.
o Oversedation.
Procedure-related:
o Ileus.
o Pneumoperitoneum.
o Wound infection.
o Wound bleeding.
o Injury to the liver, bowel, or spleen.