Question

Scenario: H.S.is a 65-year-old male recently admitted to the long-term care facility for rehabilitation after a two-week hospitalization for exacerbation of COPD. He is receiving physical therapy (PT), medical social work (MSW), registered nutrition (RD), and nursing services. His length of stay is expected to be two months or less and then he is to be discharged home. The patient's spouse talks with the RN, saying: "I thought things would calm down after his hospital discharge. He still needs so much care. I am not sure if we will be able to do it at home." 

Initial Discussion Post:

 1. Consider the situation, the interprofessional team and identify what the RN might say to the spouse.

 2. What action would the Rn take to assist the patient and wife with a successful rehabilitation and eventual discharge? Consider the QSEN competencies and explain how the RN interventions align with them.

M6D1: Infection Control and Prevention

 Note: You may not post to this discussion until week 6. 

Scenario: 

An 8-year-old child was admitted to the hospital with body aches, fatigue cough and fever. He was diagnosed with a viral infection that spreads via large droplets. Nursing diagnoses established in the plan of care for this patient include Ineffective Thermoregulation, Social Isolation and Impaired Comfort. 

Initial Discussion Post: 

Describe the precautions and personal protective equipment required to care for this patient 

Choose one (1) nursing diagnosis from this patient's plan of care 

Identify three (3) interventions for this patient. 

Discuss infection control practices for this patient related to each intervention you have identified. 

Base your initial post on your readings and research of this topic. 

Responses to Peers: You are required to make one (1) response to the initial post of one (1) peer 

Comment on your peer's plan of care or the precautions/PPE required for this patient. When responding to your peers. provide justification for your

Answer 1

1.The RN can provide a positive reinforcement about the patient condition ,this gives her a psychological support. Inform about what the patient can do by self and in which aspects he needs special care and support from others.

2.Health educate about the prognosis of the disease condition

Inform them about the support group ,social group and activities

Provide them the option of care taker at home

Educate about the safety techniques and set up in to home to prevent fall

Make arrangement for a call bell or a device to patient to call in emergency or during assistance

Help them to get the required equipment in the home to monitor patient (Pulse oximeter,Nebulizer, portable oxygen cylinder)

●The precautions and PPE to be taken to prevent spread of infection are

• Isolate the patient from other patients
• Restrict the number of visitors to prevent transmission of infection
• Use face masks to prevent infection via nose,use of gloves to do all basic procefures

●Ineffective thermoregulation related to infection as evidenced by fever

Goal/Outcome:to normalize body temperature

Nursing intervention and rationale

Monitor vital signs ,to get the baseline data

Administer medication to reduce fever and pain

Provide sponge bath ,this decreases the body temperature

●The infection control practices are

Use of PPE

Isolation of patient

Hand hygiene

Use of special and separate devices.