Help with group project please

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    So for a group project we needed to pick a concept and a vulnerable group and find research to support it
    for my group we chose reliance and stroke patients
    we have 4 topics that each group member is going to talk about (patient reliance on nurse, nurse reliance on patient, patient reliance on family(also family perspective), as well as reliance on community services

    I am doing the nurses reliance on patient
    so far the topics I thought of are
    -how the nurse relies on patient for information (will talk about aphasia and difference types of aphasia and depending on which aphasia, getting information may be more difficult then it normally would without a communication barrier)
    - talk about information from the patient is needed for good documentation to rely information to other health care team members
    -need to get consent from patient (either from patient, or family)

    Is there anything else that would be good to talk about how nurses rely on the patient? I feel this isn't enough for my group. It has to be 40 mins long. so 10 mins for each of us to talk. That definitely won't be 10 mins for me! ahhh

    Any help would be greatly appreciated ! =)
  2. 6 Comments so far...

  3. 1
    You'd be surprised at how quickly ten minutes goes by when you're speaking aloud. Remember to practice reading your presentation aloud in a slow and clear speaking voice to give you a better idea of how much time it will take.

    You can also talk about how the nurse needs the patient to clearly understand instructions in order to safely perform their own care. Particularly discharge instructions and medication safety.

    Patients who have right sided strokes may have poor impulse control and possibly try to do things that are not safe for them (such as get out of bed on their own when they aren't capable). Perhaps you could also discuss how the nurse needs to trust the patient to be safe in their room when they are not directly supervised. Otherwise a large part of the nurse's day might be focused on keeping the patient oriented and safe.

    You can also include examples of how the nurse can maximize communication with a patient with aphasia- both expressive and comprehensive. That should be plenty for your presentation.
    Esme12 likes this.
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    don't forget there is subjective and objective information from the patient. So your nursing assessment, objective, would be included in your portion of the assignment. Regardless of what the patient says, what do you see?? Skinned knees from falls? Eyeglasses that are not fitting properly? Drooling? What is gait like?? Can patient eat normal diet or do they need thickner?
  5. 0
    Quote from Ashley, PICU RN
    You'd be surprised at how quickly ten minutes goes by when you're speaking aloud. Remember to practice reading your presentation aloud in a slow and clear speaking voice to give you a better idea of how much time it will take.

    You can also talk about how the nurse needs the patient to clearly understand instructions in order to safely perform their own care. Particularly discharge instructions and medication safety.

    Patients who have right sided strokes may have poor impulse control and possibly try to do things that are not safe for them (such as get out of bed on their own when they aren't capable). Perhaps you could also discuss how the nurse needs to trust the patient to be safe in their room when they are not directly supervised. Otherwise a large part of the nurse's day might be focused on keeping the patient oriented and safe.

    You can also include examples of how the nurse can maximize communication with a patient with aphasia- both expressive and comprehensive. That should be plenty for your presentation.
    Right sided CVA's are challenging patients. Left-sided hemiparesis results from injury to the right side of the brain, which controls the process of how we learn, nonverbal communication and certain types of behavior. Stroke survivors with damage to the right side of the brain may also have trouble with memory and attention span, and may talk excessively. Left-sided hemiparesis can also inhibit a stroke survivor's sensation and spatial skills.

    Theycan develop this left sided neglect (http://www.neurotexasinstitute.com/F...oke 02-204.pdf) or....severe attention disorder to the left side called hemispatial inattention or visual neglect....(Right Vs. Left Brain - Hemianopsia.net Everything you need to know about Hemianopsia) to the point that they see their own left leg and will insist that someone is in bed with them. They have absolutely NO CLUE that they can't walk and frankly they don't believe you that they can't.

    They can also develop a condition called hemianopsia and will only eat the right side of their plates. Turn their plate and they think they got another meal. Hemianopsia.net Everything you need to know about Hemianopsia

    These patients have a particular danger to safety for their Devil may care attitude and constant chatter make them a challenge to keep safe.
  6. 1
    Thanks for the clarification, Esme. Yes, I meant a stroke on on the right side of the brain, which would result in left-sided weakness.
    Esme12 likes this.
  7. 0
    Quote from Ashley, PICU RN
    Thanks for the clarification, Esme. Yes, I meant a stroke on on the right side of the brain, which would result in left-sided weakness.
    I know you did...((HUGS))
  8. 0
    OOOO thank you everyone! This is helping! THank you! I appreciate it. =)


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