NursingSensitive Outcome and Ways to improve it
Clearly,the quality of care offered by the nurses has an impact on patientoutcomes. It is through the outcomes that the effectiveness of thehealth care provided by the nurses is ascertained. Looking atdifferent statistics, it has been evidenced that venousthromboembolic Prophylaxis accounts for the 12% of deaths in theIntensive Care Unit (Hernandez, 2016). Pulmonary embolism accountsfor 11% to 25 % of the deaths in hospitals. In addition, stroke alsocontributes to most of the older people’s death. There have beenmany cases of death associated with stroke and venous thromboembolicProphylaxis. This paper will discuss two nursing-sensitive patientoutcomes and strategies for improving care as pertains to theoutcomes. Additionally, the paper will highlight the strengths andweaknesses of nurses being involved in politics.
Oneof the strategies that the nurses should deploy in caring for thepatients who are having the venous thromboembolic disease is byencouraging the patients to avoid dehydration. According to Hernandez2016, the nurses should also encourage early treatment andmobilisation in order to curb the condition before it gets chronic.
Strokeis known for causing long-term disability and death in the UnitedStates (Wang, Chen, Liao & Hsiao, 2013). That is due to the factthat metabolic and cardiovascular disease incidence increases withage, older people are likely to experience a stroke. .It is,therefore, imperative for the nurses to work together with theproviders in order to reduce the levels of morbidity, incidence, andmortality arising as a result of stroke among the older adults
Intensivedata from various researchers has also revealed that there exist astrong relationship between first Ischemic stroke and smoking of thecigarette. Recurrent stroke was prevalent among the elderly smokers(Wang et al., 2013). As such, patients with stroke should quit thesmoking of the cigarette. Oral smoking cessation medications areshould therefore be given to the patients.
Finally,nurses should advise the patients on how to control and manage theirweight. Important to note is that obesity is associated withincreased levels of stroke (Eriksson, Milberg Hjelm &Friedrichsen, 2016). Owing to the diagnosis of individuals with arecent condition of stroke, it has been identified that theprevalence of vascular risk factors is associated with obesity (Wanget al, 2013). It is recommended that all the patients with previousstroke episodes to undergo obesity screening to control their weight.
Dueto the fact that the nurses play significant roles in the society,they should involve themselves in political matters. One of thestrengths underlying the nurses in the political aspect is that theyhave a potential of triggering the elected representatives to hearkento medical promises they made to the people. For this reason, throughtheir involvement in politics, they can represent the needs of thenursing profession. Another factor that supports the involvement ofnurses in politics is that their profession is highly regulated. Assuch, politics has an impact on the area of nursing especially ineducation and research. It is important to note that if the nurses donot become politically active, the rights of the patients may not beaddressed. It is through the nurses’ involvement in politics thataccess of health care by the vulnerable populations is guaranteed.
Inthe light of the above discussion, it is vivid to ascertain thatstroke and Venous Thromboembolic Prophylaxis accounts for many deaths.However using the suggested interventions can aid in reducing therisks associated with the conditions. For instance, stroke can beprevented through practicing of healthy lifestyles such as regularexercises and taking of the right diet. Venous thromboembolicProphylaxis can be prevented by encouraging early mobilisation amongthe patients.
Eriksson,H., Milberg, A., Hjelm, K., & Friedrichsen, M. (2016). End ofLife Care for Patients Dying of Stroke: A Comparative Registry Studyof Stroke and Cancer. Plos ONE, 11(2), 1-10.doi:10.1371/journal.pone.0147694
Hernandez,S. (2016). Venous Thromboembolism Prophylaxis in Plastic Surgery: ALiterature Review. AANA Journal, 84(3), 167-172.
Wang,L., Chen, C., Liao, W., & Hsiao, C. (2013). Evaluating acommunity-based stroke nursing education and rehabilitation programmefor patients with mild stroke. InternationalJournal of Nursing Practice, 19(3),249-256. doi:10.1111/ijn.12064