Members of Health Care Team
What is a Nutritionist?
assesses nutrition status of client - needed to change dietary requirements for AKI (had to increase protein intake to 0.8-1.0g/kg/day)
Gave patient’s family some guidance and worked with the nurse to ensure patient was recieving accurate and appropriate nutrition
What is Delirium?
Acute decline of attention and cognitive function (Inouye and Ferrucci, 2006)
What are delirium interventions?
-monitoring vital signs: Low O2 can be the cause for delerium. Low oxygen levels don’t allow the brain to function - it’s depleted of energy which
-promote patient to keep hydrated
-assess for pain
-provide prescribed pain medications - watch for any adverse affects
-provide a soothing atmosphere
-promote sleep - quiet environment, soft noises if needed, warm blankets
(Bull, 2015)
What is a Nephrologist?
Looks at patients kidney function to see the progression of the patient’s AKI and preventing any further damage
What is Acute Kidney Injury (AKI)?
Buildup of waste products in the blood
Hard for the kidney to keep a proper fluid balance in the body
What are some Range of Motion (ROM) interventions?
-Perform passive ROM exercises: helps with circulation and prevents atrophy and muscle deterioration
What is a Social Worker?
Helps the patient and his family cope with diagnosis, try to mediate bothersome family situations, and help plan for the patient to change his lifestyle (within the community)
What is Range of Motion (ROM)?
Measurement of movement around a joint
Not mobile
Risk for pressure injury
What are some AKI Interventions?
-fluid resucitation
-daily weighing
-I/O
-Monitor ABGs to ensure pH values are within normal range
-Client/family education about AKI diagnosis, treatment, and any complications (Lough, 2018)
-Encourage patient and patient’s family to vocalize concerns to allow control of a situation
(Lough, 2018)
What is a Nurse?
Helps monitor patient through out the day. Administer’s medications appropriately and timely, monitor’s patients vitals (minimum every 4 hours), provide comfort to patient and family, ensure proper nutrient/food intake
PRIORITY HEALTH PROBLEM!!!!!!!!!!!!!!!!!!
WHAT IS PATIENT ADVOCACY?
-Engaging others
-Utilizing your voice
-speaking out when inequalities are present through direct and indirect participation (Cna-aiic.ca, 2019)
What are some Patient Advocacy Interventions?
-making patients feel that they are a priority and not a burden
-help patients make informed decisions - go through the procedure before performing it, ask the patient to explain the steps of the procedure, allow time for them to ask questions
-Financial advocate - help the family understand the need for the equipment/medication, go through which medical programs they’re eligible for, if it’s too expensive ask the doctor to see if there are any alternatives (Hussung, 2016)
-
xpensive ask the doctor to see if there are any alternatives (Hussung, 2016)
-Advocate for patients when they can’t speak for themselves and ensure that they’re receiving the proper care - It’s treating them the same way as a patient who can ask for verbal requests. Every patient should receive the same proper standard of care
-Helps create a deeper relationship with the patient’s family - shows the family that we still care about the patient’s well being and that even in their case, they still matter and their progress to us is important. We will still perform basic care, bed baths, proper peri-care and ensure that the patient is being as independent as possible. We’ll also ensure that if there is an order that a patient receives and we feel that it needs to be changed, we will keep the patient’s best interest in mind and
-Preserve patient’s integrity - Ensure that the patient is not being blown off/ignored by the physician. If you feel that the patient is not receiving proper care, it’s our duty to act and speak up and helps patients make informed decisions about their care