Mrs. Akimoto

Questions: 1. Identify (8) eight important assessments and/or forms you should perform and/or fill out as part of the admission. (This is to exclude name, age, and address.) 2. Discuss the cultural and religious considerations that may be relevant when caring for Mrs Akimoto. 3. In your health assessment of Mrs Akimoto, name four (4) physiological things do you need to assess for each of the following areas: Respiration Pulse Neurological status 4. Identify four (4) hazards/risks in the operating theatre to the patient and/or staff. Answers: (1). Assessment of a patient while admission, means continuous and systematic way of documentation, validation, organization and collection of patients medical data. In assessment one particular form will be filled with main complaint, medical diagnosis, and date and time of the admission. Then the source of the information will be documented. The allotted staff will note down the past medical history with hospitalization and major illness of Mrs. Akimoto. Her vital signs, like, weight, height, respiration, pulse, temperature will be measured along with pressure injury assessment, current medication and BSL (Hockenberry Wilson, 2014). The severity and the location of her pain will be measured through the pain scale. The staff will note down about her allergic tendency and the reason behind that tendency. The valuable things with Mrs. Akimoto will be also listed while admitting. (2). To treat Mrs. Akimoto, the nurse has to remember about her cultural consideration. Mrs. Akimoto can show better response when the caregiver will approach in her cultural way. The main considerable cultural issues are communication and way of expression. Mrs. Akimoto is Japanese and she cannot talk much English. So, the nurse has to keep that in mind. To make her treatment more fluent it is necessary to involve Japanese nurse or Japanese translator (Huber, 2013). She will feel comfortable with her medication in this process. Mrs. Akimoto is also a follower of Buddhism. She believes to live the life right and in reincarnation. There are also religious considerations while caring Mrs. Akimoto. The nurse has to focus on her religious perceptions about her hospitalization and illness. The nurse has to make her comfortable so that she can share her religious view (Lehne Rosenthal, 2014). As it is mentioned that she is Buddhist, so, it can be predicted that she will be peaceful. Her care plan will emphasize on her daily living habits, modesty, dress, dietary rules. (3). Respiration: The four physiological things which will be observed in respiration are, blood pressure, haemoglobin-oxygen saturation including pulse oximetry and SpO2, heart rate and respiratory rate. Pulse: The pulse test is associated with the cardiovascular issues. Here, Mrs. Akimoto is already a patient of Type 1 diabetes. So, first of all the cardio vascular complexities associated with Type 1 diabetes will be checked. Venous and arterial pulsations in jugular venous pulse in the neck will be assessed (Perry et al., 2014). Then systematic examination will be performed through the palpatingin femoral, carotid, brachial, and other distal and turn radial pulses. Neurological status: The four physiological things which will be observed in this case are, testing of mental status, reflexes, muscle bulk, tone, strength and Cranial Nerves testing, vision impairment and state of retinal blood vessels and pupil check. Later general assessments will be done like observing cyanosis, breathlessness, anxiety,. (4). In an operation theater certain factors are appeared which become hazardous for both of the patient and the staff. Certain four factors are described below (You et al., 2013): The patients can be at risk due to injury after improper operation, wrong patient with identical names, fall from OT table, faulty operative procedures. In the operation theatre, sometimes in the middle of the operation, patients can get back their senses. So, the patients can feel the pain o the operation. The patient enters into trauma due to this. The staff members also can be at risk inside the operation theatre. Those risk factors are fall and slip on wet floor, pain due to long hour of handling the patient or standing on the floor, needle prick, cuts from blades. Another accident, which put the staffs in risk, is the sudden electricity fault inside the theatre. References: Ball, J. E., Murrells, T., Rafferty, A. M., Morrow, E., Griffiths, P. (2013). Care left undoneduring nursing shifts: associations with workload and perceived quality of care. BMJ quality safety, bmjqs-2012. Davidson, M. C., London, M. L., Ladewig, P. 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