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Adult Nursing NS0403
Transcript of Adult Nursing NS0403
Michelle Wollum ADULT NURSING presented by The use of clinical judgment in the provision of care to enable people to improve, maintain, or recover health, to cope with health problems, and to achieve the best quality of life, what ever their disease or disability, until death
(RCN, 2003). What is Nursing? In 2008, on the NMC register there were:
*399,776 adult nurses, that’s 80% of the total nurses in the register
*11% of those registered were Male
*89% of those registered were Female Facts about Adult Nursing… Core Qualities of an Adult Nurse *You will need presence of mind and flexibility to juggle the needs of a number of people at the same time.
*Communication skills are fundamental to being a successful nurse and you must have the personal skills to set people at ease in pressurised and sometimes difficult circumstances.
*You must be caring and compassionate while using a variety of techniques, such counselling, managing and teaching, to improve the quality of patients' lives, sometimes in difficult situations. (http://www.nhscareers.nhs.uk/) *Adult nurses focuses on the differing health needs of adults within the age groups that span adolescence, adulthood and older people except pregnant women and children. Client Groups
*Adult nurses work with old and young adults with diverse health conditions, both chronic and acute within the both hospital and community.
*Adult nurses provide care for adults in a wide variety of primary, acute, continuing and rehabilitation care settings that include hospital wards, the patients own home, the prison service and the independent and voluntary sector.
*Adult nurses deals with clients that suffer from one or more physical needs of any kind which could be short term or long term. *Alzheimer's disease
*Cataracts Common Conditions *Colds and flu
*Slips, trips, falls
*Coronary heart disease
*Memory loss Challenges faced by
Patients and Nurses *Controlling the Spread of infection *Funding *Time management One of the main challenges an adult nurse faces is trying to prevent the spread of infection. (NMC, 2004)
The Daily mail (2012) has reported that since nurses have been following procedures of good hand washing the number of MRSA cases reported have dropped saving tens of thousands of lives each year. Infection Control *One of the main challenges an adult nurse faces is trying to prevent the spread of infection. (NMC, 2004)
*The Daily mail (2012) has reported that since nurses have been following procedures of good hand washing the number of MRSA cases reported have dropped saving tens of thousands of lives each year. INFECTION CONTROL Time Management Time management has always been a challenge in every Adult nurses’ daily role. Time management skill is needed to ensure: MEDICATION: Meds need to be delivered at the correct times and intervals
VITAL OBS: These need to be carried out efficiently
PATIENT CARE: To ensure the day to day routines for an individual are adhered to as much as possible.
STAFF MANAGEMENT: To make sure staff are carrying out their allocated duties and handling their workload effectively within the time constraints given
DOCUMENTATION: An adult nurse needs to ensure all paperwork or administrative duties are kept up to date, accurately and efficiently without detracting from patient care.
FLEXIBILITY: An adult nurse needs to be able to adapt to any given situation and ‘re-juggle’ their time effectively and appropriately
PERSONAL ORGANISATION: to ensure punctuality, meeting deadlines and continuing with life long learning. Adult nurse stereotypes: Identified by Hall and Richie (2011)
THE MINISTERING ANGEL– this is the idea that nurses possess angelic qualities and are expected by the public to be selfless and caring.
THE BATTLE AXE – generally a comic character shown as being a dominant female most often the matron of the ward
NAUGHTY NURSE – this media stereotype was particularly strong during the 1960s and 1970s this was a time where feminism was campaigning for equal rights and opportunities.
DOCTORS HANDMAIDEN- nurses in this stereotype are shown as being subordinate to doctors. Media and Public Perceptions… In CHINA, patients have to take a number to get medical attention. They usually line up outside of the hospital from 3am, and once the doors open there’s a rush to get a number to be seen first.
Nursing students in VIETNAM are not allowed to speak to their professors. They must learn through lectures and textbooks. They also do not have placements which means that they have no experience of patient interaction until the qualify.
Nurses in SAUDI ARABIA are not permitted to tell their royal patients when it is time for assessment or time for medications.
In IRAQ, women who are nurses have to be home by 2pm and are forbidden to touch other men.
In TANZANIA, there are only 4 nurses and midwives per 10,000 people (http://scrubsmag.com/stats) FUN FACTS ABOUT NURSING AROUND THE GLOBE… Conclusion... Gain insight on the qualities and responsibilities of an adult nurse
Determine the common conditions of the adult nurses’ client groups
Recognise the challenges that adult nurses face
Explore the media and public’s perception about adult nurses Adult nurses play a vital role as part of the multidisciplinary team.
They must have the knowledge and skills in order to cope with the needs and demands of their patients.
Adult nursing is a very challenging yet a rewarding career. CARDIOVASCULAR DISEASES…
Cost on the NHS in 2006 –
Inpatient care - £10.4bn
Medications - 2.8bn
Primary care - £0.8bn
Outpatient care - £0.3bn
A&E - £0.07bn (National Institute for Health and Clinical Excellence, 2010) Malnutrition…
Disease related malnutrition costs in excess of £13 billion per annum, based on malnutrition prevalence figures and the associated costs of both health and social care (British Dietetic Association, 2012)
At any point in time more than 3 million people in the UK are at risk of malnutrition, most (93%) live in the community (British Dietetic Association, 2012)
“The healthcare cost of managing individuals with malnutrition is more than twice that of managing non-malnourished individuals, due to higher use of healthcare resources.” (British Association for Parenteral and Enteral Nutrition, 2009) Obesity…
'Half of UK obese by 2030' “Researchers predict that if the current trend continues, up to 48% of men and 43% of women in the UK could be obese by 2030, adding an additional £1.9-2 billion per year in medical costs for obesity-related diseases” (National Health Service, 2011b).
A total of 23% of adults are obese - with a body mass index of over 30, and 61.3% are either overweight or obese (with a BMI of over 25). (Department of Health, 2011)
“Diabetes could ‘bankrupt’ the NHS in 20 years” (National Health Service, 2011c) Cancer care…
Cancer is the biggest cause of death in the under 60s.
In 2009, 318,000 people in the UK were diagnosed with cancer, with an overall cost for cancer care of £9.4 billion across NHS, private and voluntary sectors (National Health Service, 2011a)
By 2021 the number of new cancer cases is predicted to rise to around 383,000 per year at an increased cost of care of £15.3 billion (National Health Service, 2011a) Funding Hall, C & Ritchie, D. (2011) What is nursing; Exploring theory and practice 2nd edn.Exeter: Learning Matters Ltd.
Handwashing Technique. Available at: http://www.lkrs.lincolnshire.nhs.uk/HPAC (Accessed: 7 February 2013)
Nursing and Midwifery Council (2008) NMC Statistical analysis. Available at: http://www.nmcuk.org/Documents/Statistical%20analysis%20of%20the%20register (Accessed 8th February 2013)
Nursing and Midwifery Council (2010) Essential skills clusters and guidance for their use [online]. Available at: http://standards.nmc-uk.org/PublishedDocuments (Accessed: 7 February 2013)
Royal College of Nursing (2013) This is nursing [online]. Available at: http://thisisnursing.rcn.org.uk (Accessed: 08 February 2013)
Scrubs (2012) 16 facts about nursing around the globe. Available at: http://scrubsmag.com/stats (Accessed: 07 February 2013)
Summers, S. (2010) The image of nursing: Does nursing's media image matter? Available at: http://www.nursingtimes.net/nursing-practice/clinical-zones/educators/the-image-of-nursing-does-nursings-media-image-matter/5019099.article (Accessed: 07 February 2013)
Summers, S. and Summers, H. (2011) The image of nursing: everyone’s responsibility. Available at: http://www.nursingtimes.net/nursing-practice/clinical-zones/practice-nursing/the-image-of-nursing-everyones-responsibility/5023947.article (Accessed: 08 February 2013)
Vinter Phil (2012) Daily mail [online]. Available at,http://www.dailymail.co.uk/health/article-2139372/MRSA-cases-plummet-doctors-nurses-patients-clean-hospital-sinks.html (Accessed: 8 February 2013)
Youtube (2011) Holby City Marie-claire. (Accessed: 09 February 2013 ) References British Association for Parenteral and Enteral Nutrition (2009) Combating Malnutrition: Recommendations For Action: Output of a meeting of the Advisory Group on Malnutrition 12 June 2008. Available from: http://www.bapen.org.uk/pdfs/reports/advisory_group_report.pdf [Accessed 7/2/13]
British Dietetic Association (2012) Managing Adult Malnutrition in the Community; Including a pathway for the appropriate use of oral nutritional supplements (ONS). Available from: www.bda.uk.com/publications/ManagingAdultMalnutrition.pdf [Accessed 8/2/13]
Department of Health (2011) Healthy Lives, Healthy People: A call to action on obesity in England. Available from: http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_130487.pdf [Accessed 8/2/13]
National Health Service (2011a) ‘Cancer survival rates 'threatened by rising cost' ’. Available from: http://www.nhs.uk/news/2011/12December/Pages/cancer-treatment-cost-may-increase.aspx [Accessed 7/2/13]
National Health Service (2011b) 'Half of UK obese by 2030’, Available from: http://www.nhs.uk/news/2011/08August/Pages/half-of-uk-predicted-to-be-obese-by-2030.aspx [Accessed 7/2/13]
National Health Service (2011c) ‘Diabetes: cases and costs predicted to rise’. Available from: http://www.nhs.uk/news/2012/04april/Pages/nhs-diabetes-costs-cases-rising.aspx [Accessed 8/2/13]
National Institute for Health and Clinical Excellence (2010) Costing report - Prevention of cardiovascular disease: Implementing NICE guidance. Available from: http://www.nice.org.uk/nicemedia/live/13024/49325/49325.pdf [Accessed 7/2/13]