Perineal Care Observation

CCIB LPA Perryman-French received a call from Mildren. her husband Julian lives in this facility. He is non-ambulatory and requires assistance to utilize the bathroom. Mildred stated that when staff call in, the director does not replace them or cover behind them, the result is that her husband cannot get the assistance he needs to use the bathroom. This has increased his accidents.

Discussion Post Week ten NURS 6501, N-21 Urinary tract infections (UTIs) are usually caused by bacteria and are common. Symptoms of both upper and lower infections are similar; therefore, it is important for advanced practice nurses (APNs) to be able to determine the pathophysiology of upper and lower UTIs. The purpose of this discussion is to evaluate the similarities and differences between upper and lower UTIs, clinical manifestations, treatments, and factors affecting all of these things. UTIs are infections that may occur anywhere in the urinary tract such as the urethra, bladder, ureters, and kidneys. Typically UTIs are caused by bacteria from the gut flora and are inflammation of the urinary epithelium.

CCIB received a call from Susan, her Grandmother was at the facility for four weeks, moved in 11/17/2015, Mable Werane (DOB 09/08/1914). While she was there, the family thought maybe she was having trouble adjusting to the new place as the one she lived at for 8 years had just closed. Two days after she moved in, she had a doctor appointment, her family noticed that she was wearing depends, even though she never wore them before. They discovered that the staff was not taking her to the bathroom every four hours as she was accustomed, just left her in the depends. The family also started to notice that when they changed her, they seemed to just toss her around, she would be overheard saying "Don't, Don't and Ow, Ow."

Staphylococcus epidermidis is an opportunistic pathogen, meaning that they can cause infection more frequently and more easily in persons’ with a weakened immune system such as, HIV patients (CDC, 2015). This organism is seen primarily in nosocomial infections, also known as, hospital-acquired infections (Bukhari, 2004). This means that the organisms favors the hospital environment and is easily passed to a person while they are in the hospital. Ways that a person can get a Staphylococcus epidermidis infection is through IV’s, more commonly in drug users, catheters, and artificial equipment (Bukhari, 2004). Skin-to-skin contact can also be a form of getting this type of infection.

On April 21st, 2017, I was assigned to the operating room (O.R) unit of Arlington Memorial Hospital. My main goals for the day was to observe the procedure and learn the activity done by the doctor and the nurse. The surgical suite has the strict rules and procedures. Before entering the unit, we had to change our clothes and wear the scrub provided by their unit. The purposes of the surgical scrub and surgical attire are to promote patient safety by helping to prevent environmental contamination.

They had not been checked off on vital signs or any part of physical assessments yet. Therefore, I assisted students and their patients with the proper way to ambulate and get non-independent patients on the commode or to the bathroom. Overall, I felt that my biggest

The challenge still lies in the severe under-reporting of urinary incontinence issues. After all, seniors cannot get help if nobody knows there is a problem. If your senior loved one may be having trouble with urinary incontinence, it is important that they have their situation investigated. A full third of overactive bladder issues may be linked to lower urinary tract infections. Not only could the bladder problem be quickly reversed with a UTI treatment, but the pain and discomfort of the UTI would be addressed as well.

Justina Toland- Tennant Unit 4 Assignment Chapter 4 Exercises and Review Chapter 4: Exercise 4.26 #4 49521 Hernia repair, inguinal, incarcerated Chapter 4: Exercise 4.31 #4 50920 Fistula, closure, ureter cutaneous Chapter 4: Exercise 4.34 #10 54322 Hypospadias, repair, one stage, meatal advancement Chapter 4: Exercise 4.37 #8 58956 Hysterectomy, abdominal, total Chapter 4: Exercise 4.41 #4 61312 Craniotomy, evacuation of hematoma Chapter 4: Exercise 4.43 #8 67700-RT Incision and drainage, abscess, eyelid Chapter 4: Review: Coding for Facility # 12 11305-LT Shaving, skin lesion Appendix C: Case Number #9 52630 Prostatectomy, transurethral 9. 52601 Prostate, excision, transurethral; or Prostatectomy,

Department of Health and Human Services established an objective for Healthy People 2020 to prevent HCAIs, this reflects that the U.S. health care system is committed to and serious about solving this issue. These objectives address two extremely important topics, central line-associated bloodstream infections, and methicillin-resistant Staphylococcus aureus (MRSA) infections. Also, there are other major causes of HCAIs that Health and Human Services is working on their prevention such as urinary tract infections (UTIs) associated with catheters, infections of surgical wounds and sites, C. difficile infections, and ventilator-associated Pneumonia. Researches done on HCAIs shown that we can prevent many of these infections by implementing effective strategies to eradicate it, adapting some advanced prevention tools, and following new prevention approaches. There should be a more focus on HCAIs prevention in acute care settings.

The patient should take adequate fiber and fluids in her diet to avoid constipation. In case the tear involves the anal sphincter, the use of laxatives for a specified period may help avert a natural hesitation to pass feces and ensure that stool hardening does not develop. Furthermore, the use of a sitz bath is useful in many patients to alleviate perineal pain, provided clean and tolerably hot water is

Can an increased hand washing practices by health care provides reduce the rate of catheter associated urinary tract infection (CAUTI)? 3. Between hand washing and the use of alcohol which is a more potent way to prevent hospital acquired infections. 4. Which is better?

Student Learning Outcomes Upon completion of the teaching initiative, undergrad nursing students will be able to: 1. Identify two indications and two contraindications for Foley catheter insertion. 2. Discuss catheter-associated urinary tract infection & apply evidence-based principles for inserting and removal of a catheter. 3.

Introduction Nowadays, there are a lot of diseases in the world that many people suffer form. Moreover, there are some health problems which are considered as a disease as well such as the adult voiding dysfunction. In this essay I will be highlighting two types of urinary problems such as urinary incontinence and urinary retention. I will be describing the etiology, risk factors, clinical signs, diagnostic findings, different types of urinary incontinence, complications of urinary retention and the medical management for each. Urinary Incontinence: Definition

Despite that, availability of data, regarding the impact of FI in men was limited. Besides, the previous studies on the impact of the FI were so far discussed only from the women’s point of view. Therefore, the need to investigate the impact of FI on men was observed as paramount. Purpose Purpose of this study was to explore the lived experience of men in managing fecal incontinence.

Grooming also helps give the patients a feel of well-being, along with encouraging surface blood circulation, it also presents opportunity to clean discharge from the eyes, nose and if necessary to check the skin and coat and clean of any mess. If Sally soils herself and continues to do so it may be necessary to clip Sally’s perineum area to help maintain her hygiene. Once the perineum area is clipped and cleaned, barrier cream should be applied to the area to prevent urine