By Lisa Carroll
This e-book presents Nurse Practitioners operating within the box of Acute drugs with an up-to-the-minute, useful, and accomplished advisor to the administration of acute scientific sufferers. It serves as a textual content from which the busy hugely expert nurse can receive details on overview, analysis, and administration of acute health conditions. It identifies priorities for therapy and courses the reader in the course of the administration of the sufferer. anyplace attainable the newest released directions were incorporated. the ultimate bankruptcy of the booklet considers the felony, specialist and moral matters confronted through nurses operating at a sophisticated point. the problems of position improvement, the improvement of protocols and prescribing are thought of.
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Extra info for Acute Medicine: A Handbook for Nurse Practitioners
R Don’t be afraid of long pauses. Relatives need time to assimilate what they have been told. r Touching may be appropriate. r Be prepared for a variety of reactions. Everyone responds to bad news differently. r Ask relatives if they have any questions. r Make sure you know what local policies are for collecting belongings, death certificates and registering the death. r Allow the relatives the opportunity to view their loved one if they so wish. DO NOT ATTEMPT RESUSCITATION ORDERS (DNAR) The phrase ‘do not attempt resuscitation’ means that in the event of a cardiac or respiratory arrest CPR should not be attempted.
In the adult health care arena this is a relatively new concept. Small studies have shown that family members benefit and would like to be present during resuscitation attempts (Hanson and Strawser 1992; Chalk 1995; Robinson et al. 1998; Royal College of Nursing 2002). The benefits shown are of knowing that everything was done for their loved one and coming to terms with the death better. It must be emphasised that these studies were small and whether or not these benefits are sustained over a long period of time is as yet unknown.
Frequently relatives want to know exactly when their loved one died and they may be angry when informed that they were already dead before they were asked to come to the hospital, having preferred to have been informed over the telephone. There is no right or wrong answer to this. The circumstances surrounding every individual resuscitation are unique, and each situation should be dealt with accordingly. Other staff on the unit may know that the relative is elderly and on their own at home with no other family.