MSN presentation
MSN presentation
MSN presentation
1. Patient History:
2. Physical Examination:
3. Diagnostic Tests:
4. Special Populations:
- Geriatrics: Higher risk of severe illness and complications; monitoring for atypical symptoms like
confusion or delirium.
- Pregnant Women: Monitoring for effects on both mother and fetus, considering changes in immunity
and respiratory physiology.
5. Continuous Monitoring:
- Wearable Devices: Monitoring vitals through devices like pulse oximeters for patients at home.
Diagnosis
Based on the assessment, nursing diagnoses may include:
- Severity Scales: Use of severity scales like the CURB-65 for pneumonia to guide treatment decisions.
- Risk Factors: Identification of risk factors for severe disease progression (e.g., obesity, chronic kidney
disease).
-Ineffective airway clearance related to infection.
Planning
1. Nursing goals and outcomes might involve:
2. Multidisciplinary Approach:
- Rehabilitation Planning: Early planning for post-acute care rehabilitation, especially for those with
prolonged ICU stays.
3. Resource Management:
- Contingency Plans: Planning for resource scarcity, including alternative care sites and strategies for
rationing care.
Implementation
1. Infection Control Measures:
2. Respiratory Support:
3. Medication Administration:
4. Patient Education:
5. Psychological Support:
- Non-Invasive Ventilation (NIV): CPAP or BiPAP for respiratory support before intubation.
- ECMO (Extracorporeal Membrane Oxygenation): For patients with severe respiratory failure not
responding to conventional therapies.
7. Nutritional Support:
- Enteral Nutrition: Ensuring adequate nutritional intake to support immune function and recovery.
- Hydration Management: Monitoring and managing fluid balance to prevent dehydration or fluid
overload.
8. Rehabilitation Services:
- Occupational Therapy: Assistance with activities of daily living (ADLs) and cognitive function.
9. Long-Term Management:
- Post-Acute Care: Planning for discharge and follow-up care, including monitoring for long COVID
symptoms.
- Chronic Disease Management: Adjusting management plans for chronic conditions affected by
COVID-19.
Evaluation
Regular assessment and evaluation of:
1. Outcome Measuremen:
- Clinical Outcomes: Tracking recovery rates, ICU admissions, ventilator use, and mortality rates.
- Quality of Life: Assessing the impact on patients’ physical, emotional, and social well-being post-
recovery.
2. Feedback Mechanisms:
- Patient and Family Feedback: Incorporating patient and family feedback into care planning and
process improvement.
- Staff Debriefings: Regular debriefings to address challenges faced by healthcare workers and improve
future responses.
2. Staff Well-being:
3. Ethical Issues:
- Keeping nursing staff updated with the latest guidelines and treatment protocols.
5. Informed Consent:
- Ensuring patients and families are fully informed about treatment options and potential outcomes.
- Maintaining patient confidentiality while using electronic health records and telehealth platforms.
- Addressing disparities in healthcare access and outcomes, ensuring vulnerable populations receive
appropriate care.
- Community outreach and education to improve public health measures and vaccine uptake.
- Simulation training for critical scenarios like cardiac arrest in COVID-19 patients.
- Using data analytics to track disease trends and inform public health strategies.