Project #4

Ladybird, one of the dogs we took on a walk

I enjoyed working on project 4. I learned a lot about preparing and writing a grant proposal. I am excited at the possibly of receiving a donation for our foundation. Sarah at Adopt-A-Dog did a great job on helping our group understand the organization. We had multiple questions that required a lot of detail.

Questions included information about Adopt-A-Dogs,

  • History
  • Needs
  • Purpose

Sarah went through her daily routine with us during our visit. We helped her feed, walk, and play with the dogs. Our visit also included taking photos of the dogs that were up for a new adoption. The pictures were taken by a professional, and looked great! I think the nice photos show off each dog’s personality and helps them find a good home.

I hope our hard work pays off and the shelter relieves the help they need. We wrote our grant to the Doris Day Animal Foundation. Asking for ten dogs to be spayed/neutered along with their shots. We also requested the amount for a box of SmarTag micro-chips. These micro-chips help the owner find the animal if they ever get lost. The donation total was $1,450 and I feel confident that the shelter will get the assistance.

Each one of the dogs at the shelter touched my heart. Some of their stories were extremely sad and I wish i could take them all home. Most of them do get adopted out to a great home and their stay at the shelter is short. Sarah does an excellent job taking care of the dogs. I plan on adopting from a shelter when it’s time for me to get a dog.

The Ebola Virus

Recently the Ebola Virus has made its way back into the United States. The U.S. has seen this virus before but was contained before most even knew the threat was close. Ebola needs to be stopped before it becomes an epidemic here. West Africa is currently experiencing this disease that is sweeping the area, which is the biggest one yet. According to the WHO (Worldwide Health Organization), 8,033 people have been affect with this virus and of those 3,879 of them have died.

Symptoms of this virus includes:

  • Fever
  • Sore throat
  • Muscle pain
  • Headaches
  • Vomiting
  • Diarrhea
  • Eventually liver and kidney functions decrease.

The Ebola virus moves quickly after the first sign of symptoms occur.The CDC (Center for Disease Control and Prevention) reports that the disease is “spread through direct contact” including: urine, saliva, sweat, feces, vomit, and semen.

Thomas Duncan, the first person who became infected with Ebola after traveling to Liberia has died as of Wednesday (oct. 8, 14). CNBC reports, Duncan returned from West Africa and arrived in Dallas on Sep. 20. A few days later on the 25th he checked into a local emergency room after having symptoms and was released shortly after.

CNBC interviewed Dr. Tom Frieden who stated, as of Wednesday(oct. 8), none of the 10 people who came into direct contact with Duncan have symptoms of the virus. The other 38 people who possibly made contact with the now deceased patient haven’t shown symptoms either.

I believe the hospital made a huge mistake releasing Thomas because he did inform them of his recent visit to Liberia. Although, I also understand that the symptoms are related to many other diseases and viruses. Hospitals especially emergency rooms should  not only ask important questions like recent visits to other countries but also have protocols in place when the answers are positive.

What are DNR orders?

"Indiana University Health Lifeline, by Tyson1976 is licensed under cc by 2.0In the medical world many phrases and words are shortened for convenience. One very important initalism is a DNR order, or Do Not Resuscitate.

Definition: Written instructions from a physician to other health care providers informing them Not to perform procedures to restore normal breathing. 

Including:

  • Electric shock to restart the heart
  • mouth-to-mouth breathing and pressure to the chest (CPR)
  • breathing tubes to open the airways
  • Powerful medications

DNR orders can be written by a doctor after the patient or their family request the documentation. This decision is usually made if the patient is nearing the end of life and will most likely not improve. Physicians go over the pros and cons with the patient to make sure they want the orders implemented. Life saving treatment will be preformed, unless a patient has DNR orders in place. The patient must consent to DNR orders, physicians cannot make the decision for the patient.

Circumstances or illnesses that may involve a DNR order would be, multiple organ failure or cardiac arrest. If a patient receives CPR during one of these situations they may live in sever anguish, making the end of life very difficult.

The DNR order was first described by the American Heart Association(AHA). They acknowledged that various patients who received these life saving techniques were living with pain and suffering afterwards. Documentation for DNR orders were established. More recently the AHA is asking for physicians to refer to DNR as  DNAR, Do Not Attempt Resuscitation. They consider it to be easier for the patients and their families to understand.

A patients can include a DNR order in their living will. They can also carry the document as a card in their wallet or wear it as a bracelet. People can feel at ease knowing that their end of life care is being carried out the way they wish.

Ethics in the world of nursing

"Ethics, by brittanykleinpeter is licensed under cc by 2.0"

“Ethics, by brittanykleinpeter is licensed under cc by 2.0”

A  nursing career is full of making  correct or right ethical decisions. These choices play major roles in the lives of their patients, and may test a nurse’s character and morals.  The right ethical choice isn’t always clear cut or simple to make. These dilemmas have no easy solution and may require for them to make a decision they do not agree with.

Since there are so many different diagnosis and complications, all situations are unique. The staff at nursing homes face these problems daily. Patient’s families work with the nursing staff to decide what type of care they want for their loved ones. These decisions are not always best for the patient.

For example: A resident who has very weak legs should be assisted by a sling lift for mobility to avoid a accident like falling. However the family believes the patient will have more freedom if  the sit-to-stand lift is used instead.

The nurse is aware of both situations and has to make a tough decision. Should she do what is best for the resident and use the correct lift, or abide by the families wishes that may risk the residents safety?

Ultimately the nurse has to follow through with what the families wishes when it comes to the care of the resident. Possibly, the best solution to this dilemma could be to talk with the family and explain the consequences of using the the wrong lift. This could persuade them into making a safer decision for the resident and avoid an accident. The nurse can avoid consequences for improper care and make the family feel beter about the attention the resident is receiving.