Swaraj Hospital & Research Institute, Bolangir

 

 

Anger is often linked to violence. Patients may feel angry because of illness or problems outside the hospital. Since you interact with them often, you may become the target of their anger. Expressing anger can sometimes help patients recover, especially when coping with loss. Patients may direct anger at nurses, but it often hides deeper fears—for example, a cancer patient may complain about care instead of admitting fear of death. Handling angry patients is stressful. Their anger may feel like rejection of your care and can affect attention to other patients. Allow patients to express anger, but ensure it does not compromise safety or care. Good communication and de-escalation skills—like calm words, non-threatening body language, or safe physical control—help redirect anger toward problem-solving. Managing Angry or Potentially Violent Patients 1. Observation •     Watch for signs of anger: pacing, clenched fists, loud voice, throwing objects. •     Note ...

  Monitoring vital signs is a cornerstone of patient care across diverse settings. It provides critical information for diagnosis, treatment, and evaluation of patient outcomes, ensuring safety and timely intervention.  

 📝 Narrative Note (Scrub Typhus Case) Patient presented with high-grade fever for 7 days, associated with chills, headache, and generalized body pain. Patient reported outdoor exposure in agricultural fields. On examination: temperature 102°F, pulse 110/min, BP 100/70 mmHg, presence of eschar on right axilla, and mild hepatosplenomegaly. Patient appeared anxious and weak. Informed Dr. Mishra (Obstetrician & Physician on duty) regarding suspected scrub typhus. Blood investigations showed thrombocytopenia and elevated liver enzymes. Patient educated about disease transmission and importance of early treatment. Supportive care initiated, and doxycycline therapy discussed with medical team. 📌 SBAR Format •     S (Situation): Patient admitted with persistent fever, chills, and weakness. Eschar noted in right axilla. •     B (Background): History of outdoor exposure in endemic area. Past medical history unremarkable. •     A (Actions tak...

Introduction to Nurse’s Narrative Note   A narrative note is one of the simplest and most traditional methods of nursing documentation. It records patient information in the form of a story-like paragraph, written in chronological order, and describes the patient’s condition, observations, interventions, and responses. Unlike structured formats (such as SBAR or SOAP), the narrative note allows nurses to capture the patient’s experience in detail, including both subjective statements and objective findings. In the Indian hospital context, narrative notes are commonly used to: •     Document patient complaints and concerns in their own words. •     Record nurse’s observations such as vital signs, behavior, and physical findings. •     Note actions taken (e.g., informing the doctor, administering medication, providing education). •     Describe the patient’s response to interventions. This style of documentation ensures conti...

Pressure ulcers are a common and serious problem in clinical practice, particularly for clients who are bedridden or use a wheelchair. These injuries to the skin and underlying tissue can cause significant pain and discomfort, and can even lead to life-threatening infections, sepsis, abscesses, necrotizing fasciitis, and osteomyelitis. Nurses play a critical role in preventing and managing pressure ulcers, and understanding how to stage these wounds is an essential part of their practice. What are pressure ulcers?  Pressure ulcers are injuries to the skin and underlying tissue caused by prolonged pressure restricting blood flow.  Nursing tip: Always do a full head-to-toe skin assessment upon admission or transfer to your unit, and document appropriately. What causes pressure ulcers? Pressure ulcers (older terms: bed sores, decubitus) are usually caused by prolonged pressure on the skin. Other causes include friction, shear, moisture, and contributing factors include ...

  For what type of testing is a clean catch midstream urine specimen needed?  Analyzing a clean catch urine sample helps in the diagnosis of infections of the urinary tract. Common tests that require clean catch samples include:  Urinalysis  Urine culture Sensitivity testing Microscopic examinations Urine cytology Pregnancy tests How to do a clean catch urine sample  Supplies needed Gloves Collection container Label with client identifiers Urinary-prep wipe  For catheter-obtained samples: Luer-lock syringe Prep pad Steps for client-obtained samples Clean catch urine samples are usually collected by the clients themselves, but some may require assistance.  Wipe the external genitalia with a cleansing wipe. Instruct male clients to keep the foreskin retracted; in females, separate the labia and wipe front to back, left, right, and middle with separate towelettes. Start urinating into the toilet. Stop urinating and hold the collection cup in pla...