Review the scenario below and answer the question below:
Scenario: The RN is engaging in the teaching learning process with two (2) patients who will be taught separately how to administer their own insulin injections.
One patient is a 10 year old boy and the other patient is a 28 year old woman. The 10 year old is a newly diagnosed Insulin Dependent Diabetic and the 28 year old progressed to being an Insulin Dependent Diabetic following her most recent pregnancy when she experienced Gestational Diabetes.
Question:
1- Compare and contrast different techniques to be used when establishing therapeutic relationships with children and adults
2-Choose one (1) of the patients and: Identify age appropriate assessments that would be made regarding learning readiness.
3-Write one (1) actual nursing diagnosis statement (3 parts) which focuses on the teaching learning process.
4-Write one (1) risk nursing diagnosis (2 parts) which focuses on adaptation to psychological stress.
Base your answer on your readings and research on this topic.
APA format
References
Required Textbooks for the paper:
Nursing Diagnosis Guidebook – A pocket-size nursing diagnosis guidebook of your choice that is no more than one edition old, that includes NANDA International-approved nursing diagnoses, definitions, defining characteristics, and possible nursing Interventions.
Pillitteri, Adele. (2013). Maternal and Child Health Nursing (7th ed.) Philadelphia; Lippincott, Williams and Wilkins.
Treas, L. & Wilkinson, J, (2014). Basic nursing: concepts, skills & reasoning. Philadelphia; F. A. Davis, Company.
chapters & text books to focus on for the paper.
Nursing Diagnosis
• Use your chosen Nursing Diagnosis Guidebook to review the nursing diagnoses specific to the content covered in this module.
Maternal and Child Health Nursing**
• Chapter 35: Communication and Teaching With Children and Families
Basic nursing: concepts, skills & reasoning**
• Chapter 12: Stress and Adaptation
• Chapter 13: Psychosocial Health and Illness (section on Common Psychological Problems: Anxiety)
• Chapter 18: Documenting & Reporting (section on Electronic Health Record (EHR) Systems)
• Chapter 20: Communication and Therapeutic Relationships
• Chapter 26: Teaching and Learning
• Chapter 44: Nursing Informatics (section on Electronic Mail & Text Messaging)
Web Based and Other Professional Resources:
• Take the patient education challenge (2013)**
• Social media guideline for nurses (2011)**
• Pre-licensure KSAs (2014)**
• Hospital: 2016 National Patient Safety Goals (2015)
SAMPLE ANSWER
Therapy and Nursing
Therapeutic connection with the patient has precautionary effects which are intricate in patient’s opinions and feelings about its efficiency and preservation of therapy services. Cognitive-behavioral therapeutic relationship is founded on patient-therapist cooperation (Arnold & Boggs, 2015). They both work to establish targets, how to achieve and maintain success, in contrast to family therapy. Here the therapist involves the family members of the patients so as they can contribute to recovery of the patient. They both work hand-in-hand to ensure the well-being of the patient (Arnold & Boggs, 2015). At the age of 10, the child has the ability to master some technical features of diabetes management but she cannot take full responsibility because she has not yet matured emotionally. As such, the right age assessment can be prescription of the insulin to test whether she can be able to induce it alone. Thus, it is necessary to involve the parents or guardian of the child so as to ensure that the child takes the right dosage (Arnold & Boggs, 2015).
Nursing analysis is a clinical evaluation concerning a person, family or communal feedback to real health complications. An actual nursing analysis offers a concern feedback available at the time of evaluation (Gordon, 2014). Health advancement diagnosis analyzes an individual’s, household’s or community’s inspiration and urge to enhance well-being and materialize human health latent as seen in the readiness to improve certain health habits, and can apply in every health condition. Risk nursing diagnosis concerns how prone a person, collection, or public is against unpleasant human feedback to health state. Hazard-focused analysis should be sustained by risk factors which give rise to the proneness of the victims (Gordon, 2014). An example of risk diagnosis; Risk for depression as indicated by anguish, isolation, insomnia, and weight loss.
References
Arnold, E. C., & Boggs, K. U. (2015). Interpersonal relationships: Professional communication skills for nurses. Elsevier Health Sciences.
Gordon, M. (2014). Manual of nursing diagnosis. Jones & Bartlett Publishers.
We can write this or a similar paper for you! Simply fill the order form!
In the perioperative setting, the use of social media can impact patient safety and patient privacy.
Select patient safety OR patient privacy and answer the following questions as the RN member of the perioperative team.
Question: 1- Should personal cell phones and iPads® be allowed in the surgical suite? If, so under what circumstances can cell phones and iPads® be used and what are the ramifications if misuse occurs?
2- Should the informed consent include specific social media use? Why or why not?
Note: APA formatt
reference: at least 2 using article or textbook
Required Textbooks for the term paper and references:
Brunner and Suddarth’s textbook of medical-surgical nursing**
• Chapter 3: Critical Thinking, Ethical Decision Making, and the Nursing Process
• Chapter 17: Preoperative Nursing Management
• Chapter 18: Intraoperative Nursing Management
• Chapter 19: Postoperative Nursing Management
• Chapter 41: Musculoskeletal Care Modalities (section on “The Patient Undergoing Orthopedic Surgery”)
• Chapter 62: Management of Patients with Burn Injury
• Chapter 72: Emergency Nursing (sections on “Frostbite” and “Insect Stings” through “Tick Bites”)
Pharmacology: A patient-centered nursing process approach**
• Chapter 14: Medications and Calculations
• Chapter 50: Drugs for Dermatologic Disorders (section on “Burns and Burn Preparations”)
Maternal & Child Health Nursing**
• Chapter 37: Nursing Care of a Family When a Child Needs Diagnostic or Therapeutic Modalities
• Chapter 51: Nursing Care of the Family When the Child has a Musculoskeletal Disorder (section on “Disorders of Skeletal Structure”)
• Chapter 52: Nursing Care of a Family when a Child has an Unintentional Injury (section on “Caustic Poisoning, Bites, and Thermal Injuries”)
Nursing Diagnosis
• Use your chosen Nursing Diagnosis Guidebook to review the nursing diagnoses specific to the content covered in this module.
Web based and Other Professional Resources:
• Hand Hygiene in Healthcare Settings
• Hospital: 2016 National Patient Safety Goals**
• Pre-licensure KSAs (2014)**
• Social media: Proceed with caution (2015)
SAMPLE ANSWER
Social Media in Perioperative Care
In recent years, use of social media as a tool of communication has taken the world by a storm. This has been fueled by the emergence of new technologies in communication. Individuals in various settings can pass messages instantly to large audiences through phone camera, twitter, Skype, Facebook, you tube among other methods.
However, in the perioperative setting, it is important to consider a patients safety and privacy when applying social media as an avenue for communication among health personnel. It is important for nurses and other health workers to weigh how confidential any information regarding a patient is before making it public on social media platforms (Sarasohn-Kahn, 2012). In case of a breach of the patients confidentiality, it raises legal concerns whereby a health worker can end up losing his/or her job and their practice licenses withdrawn. Moreover use of cell phones and iPads during health operations may lead to distractions adding in to the complications of an operation environment. This puts a patient’s life at stake and may lead to death (Soto et al. 2012)
In view of the above statements, clear guidelines should be set regarding how and when perioperative professionals use their cell phones and iPads during working hours. This should be done considering a patient safety which is a priority (Brunner, 2014). Resultant impacts on workflow in a health organization should also be considered. Use of these devices should strictly happen within the precincts of the set standards to avoid conflicts. Some of the guidelines that can be used to control the use of these devices are; setting the phone in vibrate or silent mode during operation, interacting with the devices such that it doesn’t interfere with the sterile field among others (Sarasohn-Kahn, 2012). Organizations could also decide to burn the use of phones during critical stages of perioperative care.
References
Brunner, L. S. (2014). Brunner & Suddarth’s textbook of medical-surgical nursing (Vol. 1). S. C. C. Smeltzer, B. G. Bare, J. L. Hinkle, & K. H. Cheever (Eds.). Lippincott Williams & Wilkins.
Sarasohn-Kahn, J. (2012). The wisdom of patients: Health care meets online social media.
Soto, R. G., Chu, L. F., Goldman, J. M., Rampil, I. J., & Ruskin, K. J. (2012). Communication in critical care environments: mobile telephones improve patient care. Anesthesia & Analgesia, 102(2), 535-541.
We can write this or a similar paper for you! Simply fill the order form!
Developing My Own Philosophy of Nursing Order Instructions: Introduction to Professional Nursing Practice NUR 387
Developing My Own Philosophy of Nursing
Developing your own Philosophy of Nursing
As you are starting your nursing formation, you should be developing your own personal philosophy of nursing. Your philosophy will reflect your values and ideals, and will likely expand as you progress through your coursework and begin your career. It is not a complex task. You will ask yourself some very basic questions such as “What is nursing?” and “Why do I practice nursing the way I do?”
Below is an example of one nurse’s philosophy (Black, 2014)
? I believe that the essence of nursing is caring about and caring for all human beings who are unable to care for themselves.
? I believe that the central core of nursing is the nurse/patient relationship
? I am individually accountable for the care I provide, for what I fail to do and know. There I pledge to be a lifelong learner
? Human beings generally do the best that they can. When they are uncooperative or unpleasant, it is usually because they are frightened; therefore I will remain pleasant and nonjudgmental and try to understand the patient’s perception of the situation.
? I realize that my cultural background affects how I deliver nursing care and that my patient’s cultural background affects how they receive my care. I try to learn as much as I can about each individual’s cultural background and preferences.
? I will strive for a balance of professional and personal responsibilities. I will take care of myself physically, emotionally, socially, and spiritually so I can continue to be a productive caregiver.
Use this guide to write your own nursing philosophy on a separate sheet of paper. Please answer in full sentences as you reflect on your practice this semester and what you would like to do in the coming semesters.
Purpose: To write a beginning philosophy that reflects the beliefs and values of {your name and date}
? I chose to nurse as my profession because nursing is……………….
? I believe that the core of nursing is…………………
? I believe that the focus of nursing is……………….
? My vision for myself as a nurse is that I will……………
? To live out my philosophy of nursing, every day I must remember this about:
My patients
My patients’ families
My fellow health care professionals My own health
Developing My Own Philosophy of Nursing Sample Answer
Developing My Own Philosophy of Nursing
I choose to nurse as a profession because nursing is all about caring and helping people. I believe that a profession that is all about helping, caring for and about other human beings is ideal for me (Black, 2014). I also believe that nursing is a calling and one has to be willing to provide the necessary care to the patients. Therefore, I am accountable as an individual for failing to provide the care that is needed and for lacking the will to provide the care in the appropriate required manner.
I believe that the core of nursing is the relationship between the patient and care provider. I believe the care provided to the patient coupled up with a good patient-nurse relationship would go a long way to aiding the fast recovery of a patient (Black, 2014). I acknowledge that the physical, as well as the emotional well-being of the patient, are as important in the recovery process. I know that a patient would be happier to receive whole care than the professional type offered by most nurses.
I believe that the main focus on nursing is on the patient. A nurse is supposed to be as professional as well as humane to the patient as one can be (Black, 2014). I also believe that a nurse is supposed to focus on as fast as possible recovery of the patient. I also recognize that the main focus being on the patient is of paramount importance to the nursing profession. My vision for myself is that I would offer the best health care to the best of my ability.
To live out my philosophy as a nurse I must remember this about my patients, patient’s families and my fellow healthcare professionals. That my main focus is my patient’s well-being and ensuring that they recover as fast as possible (Black, 2014). Therefore, I must remember to offer absolute and wholesome care to all my patients. Secondly, I must remember to be respectful to the patient’s family and be helpful to my fellow healthcare professional by cooperating with them efficiently.
Developing My Own Philosophy of Nursing Reference
Black, B. (2014). Professional nursing: concepts & challenges. Elsevier Health Sciences.
Mike, a 35-year-old, was brought via ambulance to the emergency department after collapsing on the street. He was diagnosed with appendicitis and the surgical team was alerted to the potential surgery. The physician prepared to obtain informed consent and began discussing the simple effective surgery and the treatment with the patient. The RN was present at the bedside. The patient stated he did not want surgery. Based upon his beliefs as a Christian Scientist, it is against his practices. He requested a Christian Science practitioner. The patient rated his pain as 9 on 0-10 verbal pain scale so the RN prepared the narcotic analgesic to relieve the patient’s pain. The patient declined the medication. The RN believes the patient should accept the pain medication and have the surgery thinking “If it were me I would proceed with the surgery and treatments proposed by the surgeon.” The surgeon can be heard speaking to a colleague about how to go about changing the patient’s decision.
Initial Discussion Post:
Address the following:
1.State and discuss the legal and ethical considerations occurring in this scenario. Include supporting citations.
2.How can RNs support the patient’s decision when the beliefs of the patient are contrary their own? List three (3) interventions, with supporting rationales, the RN would perform to ensure the delivery of culturally sensitive care.
3.Identify one (1) additional major religion, in which the same circumstances might also require the RN to advocate for the patient’s refusal of surgery. Describe the beliefs behind why the identified religion could pose a moral conflict for a similar patient.
SAMPLE ANSWER
Legal and ethical consideration
In this case study, there is conflict between the nurse ethical responsibilities to her patient, legal responsibility to her employer and legal duty to the physician; which exposes the RN to professional risk. This is a challenging situation as there is inadequate guide in resolving such kind of dilemmas. For instance, the nursing standards and law are vague about rights to ethical decisions made by RNs. The code of ethics does not offer legal protection to RN who works as patient advocate (Hunt, 2013).
In this case, the role of the nurse is to remain cultural competent. The RN must respect the patient decision even when the patient’s decision is irrational or wrong. The RN should advise the patient about their clinical opinion without putting pressure on them to accept the RNs advice. While doing so, the RN should be careful not to use words and actions that disrespect the patient values and beliefs (Hinkle & Cheever, 2013).
RNs support to patient decision
The RN can offer support to patient’s decision by (Taylor, Lilis, LeMone, & Lynn, 2011);
Being an active listener
This is important as it helps establish mutual relationship and trust to the RN. It is a way for RN to show their concerns to the patient. The RN should ask the patient about their understanding of the health condition, which will help RN to address any misconceptions.
Explain medication detail
Most of the healthcare medical terms are jargons to ordinary people. It is important to discuss all the details associated with the medication, his risk level and programs which could help with the patient cost management and coping strategies.
Explore alternative approaches
Some of the patients could be comfortable to seek alternative medication such as herbal remedies or traditional healers. The RN must be thoroughly informed about the alternative medication because some of the treatment could be harmful. If considered as an alternative, the nurse can refer the patient to a certified practitioner. In Some cases, religious rituals such as prayers can be integrated into practice.
Example of major religion
An example of a religion that could possibly be holding similar doctrines is Muslim religion. Devout Muslims can reject medication containing alcohol such as those used during the peri-operative procedures, or medications made from pork derivatives. In medical situations which are not of emergency, the RN should educate the patient, but help them preserve their values and believes (Smith, 2013). This includes exploring other beliefs that do not contradict to their beliefs. These small accommodations could pay off the patient emotional well-being. Therefore, to remain culturally competent care, the RN must perform cultural assessment in order to understand their perception of illness and wellness (Kee, Hayes, & McCuistion, 2015).
References
Hinkle, J., & Cheever, K. (2013). Brunner and Suddarth’s textbook of medical-surgical nursing (13th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Hunt, R. (2013). Introduction to community based nursing (5th ed.). Philadelphia, PA: Lippincott, Williams and Wilkins.
Kee, J., Hayes, E., & McCuistion, L. (2015). Pharmacology: A patient-centered nursing process approach (8th ed.). St. Louis, MO: Elsevier.
Taylor, C., Lilis, C., LeMone, P., & Lynn, P. (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia, PA: Lippincott, Williams and Wilkins.
Smith, L. (2013). Reaching for cultural competence. Nursing, 43(6), 30-38.
We can write this or a similar paper for you! Simply fill the order form!
Question: Select a competency from each of the following and explain how the RN incorporates the competency in their practice:
Standard 1: Assessment
Standard 2: Diagnosis
Standard 3: Outcomes Identification
Standard 4: Planning
Standard 5: Implementation
Standard 6: Evaluation
Base your paper on your readings and research of this topic using materials for this course listed below.
Text books, chapters and materials to read for this paper.
1-Treas, L. & Wilkinson, J, (2014). Basic nursing: concepts, skills & reasoning. Philadelphia; F. A. Davis, Company.
2- Nursing diagnosis text book, Nanda, any…
Required:
Textbooks:
Nursing Diagnosis
• Use your chosen Nursing Diagnosis Guidebook to review the nursing diagnoses specific to the content covered in this module.
Basic nursing: concepts, skills & reasoning**
• Chapter 2: Critical thinking and the nursing process
• Chapter 3: Assessment
• Chapter 4: Diagnosis
• Chapter 5: Planning Outcomes
• Chapter 6: Planning Interventions
• Chapter 7: Implementation and Evaluation
• Chapter 18: Documenting and Reporting
• Chapter 44: Nursing Informatics
Web Based and Other Professional Resources:
• Pre-licensure KSAs (2014)**
• Hospital: 2016 National Patient Safety Goals (2015)
SAMPLE ANSWER
In recent times, it has become fundamental for RN in practice to incorporate their competencies and skills while performing their roles in the health sector. The nursing process requires the RN to ensure the effectiveness of every plan of care by adhering to standards and regulations of practice which are intertwined with skills thus leading to positive outcomes (Treas & Wilkinson, 2014). Systematic and comprehensive skills are one of the competencies applied by RN during the assessment process. The competency enhances efficiency in acquiring accurate and relevant data which is also guided by the extensive knowledge to prioritize the available and historical data. The ability to make informed decisions and been accountable for all decisions is a competency incorporated by RN during diagnosis processes. The RN adopts these skills to ensure efficacy in clinical decisions, the diagnostic investigation which is dependent on critical thinking. The incorporation of such skills results to appropriate course of action after the diagnosis. Outcome identification requires the RN to incorporate analytical and proactive competencies which guide them in contributing to healthcare processes positively. Such competency is essential in practices of outcome identification. Thus the RN focuses on acquiring the desired results and managing the situations effectively (Treas & Wilkinson, 2014).
Effective communication is a competency incorporated in the process of planning. The RN that applies the competency can collaborate with other healthcare professionals, and patients to achieve the set objectives. The RN would also be able to use technical skills during communication with patients which enhances efficiency while planning for care and management of their issues. It is also essential to incorporate leadership competencies in the implementation of the plans in the nursing process. The incorporation of such skills enhances efficiency in taking charge of the situation and ensuring they are followed to the letter (Treas & Wilkinson, 2014). The competency also influences the RN to adopt evidence-based practices since they are held responsible for all the measures or strategies they use and implement. The ability to interpret clinical outcomes while ensuring professional integrity is a competence used by RN during evaluation. The competency is important as it helps the RN to monitor the outcomes of the plans and find appropriate measures to address gaps identified during the nursing process of care. In a nutshell, critical thinking needs to be incorporated in all these processes while applying competencies to result in positive impacts.
Reference
Treas, L. & Wilkinson, J, (2014). Basic nursing: concepts, skills & reasoning. Philadelphia; F. A. Davis, Company.
We can write this or a similar paper for you! Simply fill the order form!
Nursing Diagnosis and National Viral Hepatitis Action Order Instructions: Read the following article:
•Dan, C., Moses-Eisenstein, M. and Validiserri, R. (2015). CE: Viral hepatitis: New U.S. screening recommendations, assessment tools, and treatments. American Journal of Nursing, 115(7), 26-35. Doi: 10.1097/01.NAJ.0000467272.98199.7e
Nursing Diagnosis and National Viral Hepatitis Action
Select one (1) of these National Viral Hepatitis Action Plan goals:
1. Increase the proportion of people who are aware of their HBV infection from 33% to 66%.
2. Reduce by 25% the number of new cases of HCV infection.
Question: Identify and describe three (3) interventions that the RN can implement to reach either goal #1 or goal #2
Textbooks, chapters, and materials to read for this paper along with the above article:
Hinkle, J., & Cheever, K. (2014). Brunner and Suddarth’s textbook of medical-surgical nursing (13th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Pillitteri, A. (2014). Maternal & Child Health Nursing: Care of the childbearing & childrearing family, 7th edition. Philadelphia, PA: Lippincott Williams & Wilkins.
Nursing Diagnosis and National Viral Hepatitis Action Required
Textbooks:
Brunner and Suddarth’s textbook of medical-surgical nursing**
• Chapter 3: Critical Thinking, Ethical Decision Making, and the Nursing Process
• Chapter 49: Assessment and Management of Patients With Hepatic Disorders (sections on “Viral Hepatitis” and “Nonviral Hepatitis”)
• Chapter 61: Management of Patients With Dermatologic Problems (section on “Infectious Dermatoses”)
• Chapter 63: Assessment and Management of Patients with Eye and Vision Disorders (section on “Infectious and Inflammatory Conditions”)
• Chapter 71: Management of Patients with Infectious Diseases
Pharmacology: A patient-centered nursing process approach**
• Chapter 14: Medications and Calculations
• Chapter 30: Macrolides, Tetracyclines, Aminoglycosides, and Fluoroquinolones
• Chapter 31: Sulfonamides
• Chapter 33: Antivirals, Antimalarials, and Anthelmintics
Maternal & Child Health Nursing**
• Chapter 34: Child Health Assessment (sections on “Immunizations” and “Concluding a Health Assessment”)
• Chapter 40: Nursing Care of a Family When a Child has a Respiratory Disorder (sections on “Disorders of the Upper Respiratory Tract: Acute Pharyngitis to Croup” and “Disorders of the Lower Respiratory Tract: Influenza and Tuberculosis” )
• Chapter 43: Nursing Care of a Family When a Child has an Infectious Disorder.
• Chapter 45: Nursing Care of a Family When a Child has a Gastrointestinal Disorder (section on “Common Symptoms of Illness in Children”)
• Chapter 50: Nursing Care of a Family When a Child has a Vision or Hearing Disorder (section on “Infection or Inflammation of the Eye”)
Nursing Diagnosis
• Use your chosen Nursing Diagnosis Guidebook to review the nursing diagnoses specific to the content covered in this module.
Web-based and Other Professional Resources
• Viral hepatitis: New U.S. screening recommendations, assessment tools, and treatments (2015)**
• Hand Hygiene in Healthcare Settings
• Hospital: 2016 National Patient Safety Goals**
• Pre-licensure KSAs (2014)**
Nursing Diagnosis and National Viral Hepatitis Action Sample Answer
The design and proper implementation of effective strategies and action plans by the RN result to the positive outcomes during the management of issues relating to HCV infections. HCV infections contribute to major health problems which require a well-designed action plan to combat the infections (Dan et al, 2015). In this case, I would select the goal that seeks to reduce the new cases HCV infections by 25%. There are various strategies adopted by the RN to achieve the goals of the action plan.
Improvement of community awareness and provision of adequate education is one intervention used to prevent new cases. Integrating the curriculum of HCV through training programs to ensure people are aware of the prevention and treatment benefits (Dan et al, 2015). The RN acts as the strongest motivators to the people influencing the proper behavior changes and embracing interventions to prevent new infections.
There are many HCV infections occurring in the healthcare settings which calls for RN to adopt strategies that prevent such transmission. The provision of vaccines to eliminate the HCV virus related problems is an essential strategy by RN. Improving practice oversight such as better detection of outbreaks and surveillance of infections in the healthcare setting would help reduce the infections by 25%. Proper handling of reusable equipment and reduction of percutaneous exposures are also incorporated in the interventions (Dan et al, 2015). Basic infection control techniques are provided to the patients and others in the setting with the aim of reducing the rate of infections by 25%.
Improving treatment, care, and testing are a vital intervention by RN that would help reduce the infections. The RN would optimize management of the population with HVC to ensure there are no transmissions while ensuring standards of care are improved. Strategies that eliminate existing barriers to testing policies and timely diagnosis so as to adopt efficient plans is useful in reducing the number of infections (Dan et al, 2015). In a nutshell, focus and effective implementation of the interventions would contribute to the great reduction in HCV infection.
Nursing Diagnosis and National Viral Hepatitis Action Reference
Dan, C., Moses-Eisenstein, M. and Validiserri, R. (2015). CE: Viral hepatitis: New U.S. screening recommendations, assessment tools, and treatments. American Journal of Nursing, 115(7), 26-35. Doi: 10.1097/01.NAJ.0000467272. 98199.7e
Provided the name of the organization and explained how it relates to your desired role.
2-Described the purpose of the organization
3-Analyzed and explained the activities of the organization
4-Analyzed and explained the research interests of the organization. The ANA was founded in New York City in 1896 as the Nurses’ Associated Alumnae of the United States and Canada; in 1901 the organization incorporated in the state of New York broke away from Canada and subsequently shortened its name to the Nurses’ Associated Alumnae.
Registered Nurse Care Development Plan Order Instructions: The RN is developing a plan of care for an 86 year old patient who was admitted after falling at home.
Registered Nurse Care Development Plan
The patient is confused to place and time and has a right hip fracture that will be repaired tomorrow.
Registered Nurse Care Development Plan Question
Develop A plan of care for this patient that includes the actions the RN will take for each step of the nursing process. Be sure to include how critical thinking will be used in the development of the plan.
Please cite two references from the textbook APA style
Textbook to use for this paper: Treas, L. & Wilkinson, J, (2014). Basic nursing: concepts, skills & reasoning. Philadelphia; F. A. Davis, Company.
Specific areas & chapters to read and collect information for this paper?
Basic nursing: concepts, skills & reasoning**
• Chapter 2: Critical thinking and the nursing process
• Chapter 3: Assessment
• Chapter 4: Diagnosis
• Chapter 5: Planning Outcomes
• Chapter 6: Planning Interventions
• Chapter 7: Implementation and Evaluation
• Chapter 18: Documenting and Reporting
• Chapter 44: Nursing
• Use your chosen Nursing Diagnosis Guidebook to review the nursing diagnoses specific to the content covered in this module. Nursing Diagnosis Guidebook – A pocket-size nursing diagnosis guidebook of your choice that is no more than one edition old, that includes NANDA International-approved nursing diagnoses, definitions, defining characteristics, and possible nursing Interventions.
Registered Nurse Care Development Plan Sample Answer
Developing a well-designed care plan is essential in enhancing effective management of the condition of the patient. Assessment will be the initial step in the care plan where the RN would interview the family or the individual to establish the problem which is accompanied by the performance of examination and observation of behaviors the joint where the pain is elicited as well as examining other additional associated injuries is done (Wilkinson,2014)). The diagnostics the next step in the care plan where a plain radiography test for the hip fracture is performed. The RN is also able to develop a medical theory about the information collected during the assessment. Planning is essential during the nursing process where measurable and attainable medical goals are made (Wilkinson, 2014) . The RN would address comorbidities and also prescribe supplements such as bisphosphonates and recommend therapy for the patient. The frequency of image so at to result in desired outcomes is done. Rehabilitation therapy and removal of environmental hazards leading to falls is included in the plan. After having such interventions, the outcomes such as reduced risk of fracture and healing are expected soon as long as the proper care plan is followed.
The RN also ensures the plan and interventions are fully implemented where evaluation is vital to assess progress. The implementation is done by the RN plan where continuity of care on the patient is emphasized. Risk factors and nutritional issues are addressed where a good environment is provided. Physical care and that education are essential in the nursing plan of care. Evaluation is done in phases to ensure the adherence to the care plan and improvement in the condition, and then documentation is efficiently done . Critical thinking is crucial in developing each stage of the care plan. Employing critical thinking during assessment enables the RN to gather accurate and concise data that is measurable which is a basis of a good plan. The ability to make effective clinical judgments in collaboration with other professionals and involvement of the patient is essential. The critical thinking is applied through using standardized language to communicate and adoption of evidence-based practices for the right diagnosis.
Critical thinking also ensures identifying the underlying problems correctly and prioritizing the best and urgent practices of care. Critical thinking influences the process of planning and implementation of the right management practices. The procedures of care and the interventions should meet the concerns and demands of the patient who is made possible through critical judgment and thinking of the RN (Wilkinson,2014) . The goals of the care plan should be measurable which leads to better outcomes. In a nutshell, application of critical thinking enhances evidence-based practices during the whole nursing process.
Registered Nurse Care Development Plan Reference
Wilkinson, J, (2014). Basic nursing: concepts, skills & reasoning. Philadelphia; F. A. Davis, Company
Case Study Preoperative Research Based Journal Order Instructions: Hello writer sir, how are you today
Thank you so much for helping for this perioperative case study assignment. Topic is mentioned below.
• APA Referencing
• At least 25 genuine references from 2010 to 2016 study based,
• 90 % references has to be research based Journal article AND books
Case Study Preoperative Research Based Journal
• Australian and New Zealand based study articles are preferable.
• Please have a look Rubric guideline for given topic, I need good grades in this assignment so please do me a favour and try to make a good reflection using
Case Study
Peri-operative:
Candace Evans 42 years old , Caesarean Section
Candace is a 42 year woman admitted to the maternity ward, for an elective caesarean section for the birth of her second child the following day. Candace has a past history of gestational diabetes with her first pregnancy, 5 years ago, which resolved following the birth with no recurrence in this pregnancy. Candace also has a past history of depression and anxiety and was treated for post-natal depression following the birth of her first child. She is first on the list for an elective caesarean section under spinal anaesthesia. You are working in the PACU on a morning shift and will receive Candace following her caesarean section. Candace arrives in the PACU, following the uneventful birth of a male infant via LUSCS with APGARS of 8 at 1minute and 10 at 5 minutes following birth. She has a dressing insitu which is dry and intact, IDC insitu with minimal drainage and IVT of CSL at 84mls/hour via an IV pump. She is still experiencing the effects of the spinal anaesthesia under which she had the LUSCS. Candace had a total blood loss of 150 mls during the procedure. She is alert and her vital signs are T 36.6oC, HR 88, BP 104/76, O2 sats 97% RA.
Case Study Preoperative Research Based Journal and Case study instructions
Utilize the Clinical Reasoning Cycle (Levett-Jones, 2013) (a clinical decision-making framework) to plan and evaluate person-centered care:
• Considering the person’s situation, collect, process and present related health information
• Identify and prioritize at least three (3) nursing problems/issues based on the health assessment data that you have identified for the person at the center of care.
• Establish goals for priority of nursing care as related to the nursing problem/issues identified
• Discuss the nursing care of the person; link it to assessment data and history.
• Evaluate your nursing care strategies to justify the nursing care provided
• Reflect on the person’s outcomes
Dear Writer sir
Please draft this essay in giving order please use the clinical reasoning cycle framework and the evidence. I included clinical reasoning cycle resource for your kind consideration.
Introduction
Nursing issue 1 :-
• Establish goals for priority of nursing care as related to the nursing issues identified
• Discuss the nursing care of the person; link it to assessment data and history.
• Evaluate your nursing care strategies to justify the nursing care provided
• Reflect on the person’s outcomes
Nursing issue 2
• Establish goals for priority of nursing care as related to the nursing issues identified
• Discuss the nursing care of the person; link it to assessment data and history.
• Evaluate your nursing care strategies to justify the nursing care provided
• Reflect on the person’s outcomes
Nursing issue 3
• Establish goals for priority of nursing care as related to the nursing issues identified
• Discuss the nursing care of the person; link it to assessment data and history.
• Evaluate your nursing care strategies to justify the nursing care provided
• Reflect on the person’s outcomes
Case Study Preoperative Research Based Journal Conclusion
Please give me heading in this essay such as
Nursing issue 1:- ………………………………………………
Established goal:-…………………………………………
Discussion of Nursing care:-…………………………………..
Evaluation of nursing care strategies:-……………………………
Person outcome:- ……………………………………..
Nursing issue 2:- ………………………………………………
Established goal:-…………………………………………
Discussion of Nursing care:-…………………………………..
Evaluation of nursing care strategies:-……………………………
Person outcome:- ……………………………………..
Nursing issue 3:- ………………………………………………
Established goal:-…………………………………………
Discussion of Nursing care:-…………………………………..
Evaluation of nursing care strategies:-……………………………
Person outcome:- ……………………………………..
Conclusion
Thank you so much for your kind support
Regards
Case Study Preoperative Research Based Journal Sample Answer
Case Study Perioperative
Introduction
Cesarean delivery remains one of the most effective birth delivery methods especially in cases where vaginal delivery is associated with negative risks (Hofmeyr, Hannah, & Lawrie, 2015). Cesarean delivery is widely used in cases where labour contractions are irregular. It is also considered as one of the less painful methods of birth delivery compared to vaginal delivery due to its use of anesthesia. It is carried out when maternal infection or risk of mother to child transmission is high especially in cases related to herpes and HIV (Hofmeyr et al., 2015). There are several indicators that serve to establish when cesarean delivery should be carried out. The indicators include cephalopelvic disproportion, malpresentation such breaches or traverse lie, multiple pregnancies (White, Lee, & Beckmann, 2016), severe hypertensive diseases in pregnancy, failed induction of labor (Seeho, Nippita, & Roberts, 2016), and signs of pelvic cysts or fibroids in a pregnant woman (Hofmeyr et al., 2015). Nonetheless, before a pregnant woman fully undergoes any form of a cesarean section, important tests have to be conducted. Pre and post-tests aim to address any issue that may arise as a result of carrying out the procedure. The pre-tests collect relevant past medical history of the patient associated with the current condition. The compilation of past medical records provides sufficient information on the condition of the patient and goes further to determine the effectiveness of certain medical procedures (Hofmeyr et al., 2015). The pre-tests ensure that a patient is adequately prepared and suited for a particular test. In the case of pregnant women, the past medical history serves to ensure that the health of the fetus and mother is not in any way threatened by the procedure that to be carried out. Post-tests aim to evaluate the effectiveness of any medical procedure that has been carried out (Scott, 2014). However, each patient case is different and evaluated on an individual basis basing on the clinical evidence and body physiology of an individual (Chervenak & McCullough, 2013). Clinical decisions made before and after surgical procedures such as cesarean deliveries may determine the health outcome of the pregnant mother and unborn child.
Nursing Issue 1: Recovery from Anaesthesia and Pain Management in Case Study Preoperative Research Based Journal
Pain management is a fundamental aspect carried out immediately a patient undergoes any form of cesarean procedure. Cesarean delivery is known to induce pain in patients for the first 48 hours. Pain management is a crucial component in stabilizing any individual’s medical condition.
Goals
Pain relief after C-section remains one of the most effective ways of stabilizing the patient. Any form of induced anesthesia during surgical procedures aim to reduce pain during the procedure (Mostafa Kamal, 2013). However, after the procedure, the patient is supposed to come out of anesthesia so that vital signs could be easily read. The management of an active patient free from the effects of anaesthesia serves as an effective way of ensuring that other management procedures such as cardiorespiratory and air control, as well as management of any condition, is readily dealt with (Bannister-Tyrrell, Ford, Morris, & Roberts, 2014; Butwick, El-Sayed, Blumenfeld, Osmundson, & Weiniger, 2015; Liu, Raju, Boesel, Cyna, & Tan, 2013; Yeoh & Li, 2013). The main goal of carrying out pain management and more so recovery from the effects of anesthesia is to ensure that the patient vital signs have been stabilized and not affected by the effects of anesthesia (Dyer, Butwick, & Carvalho, 2011). Also, a reduction in pain after c- section deliveries will ensure that the patient is comfortable enough to undergo any form of treatment (Joshi, Schug, & Kehlet, 2014).
Nursing Care
The current information that stands out from the patient immediately from coming out of the operating room is the associated effects of spinal anesthesia. The vital signs of the patient have not fully stabilized and range differently from the norm. The blood pressure is currently at 104/76, the heart rate is 88, and the temperature is at 36.600C. The patient has not in any way indicated any form of medical allergy to any of the drugs through the patient has a medical history of gestational diabetes and postnatal depression meaning there is a higher probability of the mentioned effects affecting the recovery process in the patient.
Evaluation of Nursing Strategies
Different forms of drugs have different outcomes basing on the physiology of an individual. The drugs used should not antagonistically affect the management of gestational diabetes or the management of postnatal depression (Shand, Harpham, & Lainchbury, 2016). A synergistic effect is more preferred since it manages different conditions at the same time. Also, the drugs should not have side effects such as raising the body temperature of the patient or significantly reducing the heart rate. Opioid-related drugs with a little form of morphine may be directly applied to the patient to reduce pain management (C Grigg & Tracy, 2014; CP Grigg, Tracy, & Schmied, 2015; Husarova, Macdarby, Dicker, & Malone, 2016; Steel, Adams, Sibbritt, Broom, & Frawley, 2014). Opium-related drugs should be taken systematically or injected intravenously depending on the condition of the patient (Hegde & Raghavendra Rao, 2011; Sharkey, Finnerty, & McDonnell, 2013). Monitoring of all vital signs should be done after every two hours.
Case Study Preoperative Research Based Journal and the Personal Outcomes
Application of opium related drugs would significantly reduce pain and reduce the effects of anesthesia to the patient. It would significantly assist in the management of vital signs.
Nursing Issue 2: Regain of Cardiorespiratory and Air Control
Surgical procedures such as C-sections involve the loss of blood. Excessive loss of blood from the mother would directly result in the loss of oxygen in a patient and the subsequent coma and death (Kennedy, Grant, Walton, & Sandall, 2013). Blockage of the respiratory system occurs due to the formation of blood clots in the system blocking the movement of gases and other essential nutrients in the body including the drugs that have been infused to reduce pain management (Seeho et al., 2016).
Goals
The major goal of the management mentioned above practice is to ensure that blood loss is controlled and at the same time, appropriate management practices are carried out to ensure that the airway is opened. The two management practices will ensure blood loss is reduced to negligible levels.
Nursing Care
From the information collected after the surgery, Candace lost 150 milliliters of blood. The in situ dressing is also dry and intact. Since the patient lost blood, it is imperative to carry out blood transfusion. Candace has a history of gestational diabetes which means there are elevated levels of blood glucose in the body that could significantly affect the management of cardiorespiratory outcomes.
Evaluation of Nursing Strategies
Management of cardiorespiratory outcomes is essential in controlling the amount of blood lost by the patient and opening up of respiratory airways. Anticoagulants applied to the patient prevent coagulation of blood after surgery (Scott, 2014). Anticoagulants also act to clear some of the blocked pathways related to the respiratory system (Beucher, Dolley, Lévy-Thissier, Florian, & Dreyfus, 2012). Since the cardiovascular system and respiratory system are intertwined any modification made to the cardiovascular system would directly impact the respiratory system (Seeho et al., 2016). The dry and intact dressing in situ should also be checked occasionally to determine if there is any form of bleeding from the wound. Anticoagulants should only be selectively applied after surgery (Joshi et al., 2014). Immediately the condition of the patient improves, the application of anticoagulants should be stopped immediately (Bannister-Tyrrell et al., 2014). The cardiorespiratory outcomes will also determine the management of vital signs.
Personal Outcomes
The major outcome expected in this case is the reduction of any form of bleeding and the opening of the airway to facilitate air transfer.
Nursing Issue 3: Management of the Patient Condition and Antibiotic Prophylaxis
After stabilizing the condition of the patient, it is important to stabilize the health condition of the patient and check on the health condition of the child. This will ensure that both the child and the mother are doing well and can kick start the recovery period within the set time limits.
Goals
Several important goals are outlined in this management practice. First, the health condition of the unborn baby by evaluating the APGRS scale. Secondly, antibiotic prophylaxis will be carried out to ensure there is no post-operation infection caused by any form of bacteria. Thirdly, management of gestational diabetes and postnatal depression since it has an impact on breastfeeding milk(Yeoh & Li, 2013). When all of the above outcomes have been keenly observed, vital signs will be monitored until they return to normal levels. The patient will also be expected to have enough rest before taking the first step.
Nursing Care
The past medical history reveals cases of gestational diabetes and postnatal depression in the patient. Also, the patient vital signs have not been adequately stabilized and deviate from the normal condition. The blood pressure is currently at 104/76, the heart rate is 88, and the temperature is 36.600C. The patient immune system has not been the subject of any form of investigation though antibiotic treatment is a key element in the management of patients undergoing coming out from any form of surgery (Steel et al., 2014).
Evaluation of Nursing Strategy
Gestational diabetes could either be treated through the use of specific drugs such as Metformin or through other mechanisms such as dietary management (Duran, Sáenz, Torrejón, & Bordiú, 2014; Melamed, Ray, Barrett, & Geary, 2016; Nicklas, Miller, Zera, & Davis, 2013; Spaulonci, Bernardes, & Trindade, 2013; Viana, Gross, & Azevedo, 2014). Alternatively, Candace would choose to improve or change diet for some months when the glucose levels reduce substantially in the body. Candace requires adequate medical treatment when it comes to postnatal depression. In this case, chemotherapy and counseling would serve Candace some good since postnatal depression can affect milk production in women (Woolhouse, Gartland, Perlen, & Donath, 2014). Antibiotic therapy is carried out to ensure that there is a decrease in the levels of bacteremia or any form of microorganism infection is reduced (Steel et al., 2014).
Personal Outcome
Reduction in the amounts of sugar associated with gestational diabetes as well as reduction of microorganism infection and postnatal depression.
Case Study Preoperative Research Based Journal Conclusion
Pre and post-operative procedures carried out in health settings are evaluated based on the health condition of an individual. Each management technique carried out has a specific important role.
Case Study Preoperative Research Based Journal References
Bannister-Tyrrell, M., Ford, J. B., Morris, J. M., & Roberts, C. L. (2014). Epidural analgesia in labour and risk of caesarean delivery. Paediatric and Perinatal Epidemiology, 28(5), 400–411. http://doi.org/10.1111/ppe.12139
Beucher, G., Dolley, P., Lévy-Thissier, S., Florian, a, & Dreyfus, M. (2012). [Maternal benefits and risks of trial of labor versus elective repeat caesarean delivery in women with a previous caesarean delivery]. Journal de Gynécologie, Obstétrique et Biologie de La Reproduction, 41(8), 708–26. http://doi.org/10.1016/j.jgyn.2012.09.028
Butwick, A. J., El-Sayed, Y. Y., Blumenfeld, Y. J., Osmundson, S. S., & Weiniger, C. F. (2015). Mode of anaesthesia for preterm Caesarean delivery: secondary analysis from the Maternal-Fetal Medicine Units Network Caesarean Registrydagger. British Journal of Anaesthesia, 115(May), 267–274. http://doi.org/10.1093/bja/aev108
Chervenak, F. A., & McCullough, L. B. (2013). The professional responsibility model of obstetric ethics and caesarean delivery. Best Practice and Research: Clinical Obstetrics and Gynaecology, 27(2), 153–164. http://doi.org/10.1016/j.bpobgyn.2012.09.001
Duran, A., Sáenz, S., Torrejón, M., & Bordiú, E. (2014). gestational diabetes mellitus results in improved pregnancy outcomes at a lower cost in a large cohort of pregnant women: the St. Carlos Gestational Diabetes Study. Diabetes Care, 37(9), 2442-2450. Retrieved from http://care.diabetesjournals.org/content/37/9/2442?etoc&cited-by=yes&legid=diacare;37/9/2442&patientinform-links=yes&legid=diacare;37/9/2442
Dyer, R. a, Butwick, A. J., & Carvalho, B. (2011). Oxytocin for labour and caesarean delivery: implications for the anesthesiologist. Current Opinion in Anaesthesiology, 24(3), 255–261. http://doi.org/10.1097/ACO.0b013e328345331c
Grigg, C., & Tracy, S. (2014). An exploration of influences on women’s birthplace decision-making in New Zealand: a mixed methods prospective cohort within the Evaluating Maternity. BMC 14(1), 1.. Retrieved from http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-14-210
Grigg, C., Tracy, S., & Schmied, V. (2015). Women’s experiences of transfer from primary maternity unit to tertiary hospital in New Zealand: part of the prospective cohort Evaluating Maternity Units study. BMC 31(9), 879-887. Retrieved from http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-015-0770-2
Hegde, H. V., & Raghavendra Rao, P. (2011). Beware of administration of methylergometrine prior to uterine incision and delivery; venous air embolism during caesarean section. Trends in Anaesthesia and Critical Care 1(2), 111-114.. http://doi.org/10.1016/j.tacc.2011.01.001
Hofmeyr, G. J., Hannah, M., & Lawrie, T. A. (2015). Planned caesarean section for term breech delivery. The Cochrane Database of Systematic Reviews, 7, CD000166. http://doi.org/10.1002/14651858.CD000166.pub2
Husarova, V., Macdarby, L., Dicker, P., & Malone, F. (2016). The use of pain relief during labor among migrant obstetric populations. International Journal of Gynecology & Obstetrics.. Retrieved from http://www.sciencedirect.com/science/article/pii/S0020729216302545
Joshi, G., Schug, S., & Kehlet, H. (2014). Procedure-specific pain management and outcome strategies. Best Practice & Research Clinical Anaesthesiology, 28(2), 191-201.. Retrieved from http://www.sciencedirect.com/science/article/pii/S1521689614000275
Kennedy, H. P., Grant, J., Walton, C., & Sandall, J. (2013). Elective caesarean delivery: A mixed method qualitative investigation. Midwifery, 29(12). http://doi.org/10.1016/j.midw.2012.12.008
Liu, T. T., Raju, A., Boesel, T., Cyna, A. M., & Tan, S. G. M. (2013). Chronic pain after caesarean delivery: An Australian cohort. Anaesthesia and Intensive Care41(4), 496.
Melamed, N., Ray, J., Barrett, J., & Geary, M. (2016). 71: Induction of labor before 40 weeks is associated with a lower rate of cesarean section in women with gestational diabetes mellitus. American Journal of Obstetrics & Gynecology, 214(1), S50-S51.. Retrieved from http://www.ajog.org/article/S0002-9378(15)01385-X/abstract
Mostafa Kamal, S. M. (2013). Preference for institutional delivery and cesarean sections in Bangladesh. Journal of Health, Population, and Nutrition, 31(1), 96–109.
Nicklas, J., Miller, L., Zera, C., & Davis, R. (2013). Factors associated with depressive symptoms in the early postpartum period among women with recent gestational diabetes mellitus. Maternal and Child Health Journal, 17(9), 1665-1672.. Retrieved from http://link.springer.com/article/10.1007/s10995-012-1180-y
Scott, J. R. (2014). Intrapartum management of trial of labour after cesarean delivery: Evidence and experience. BJOG: An International Journal of Obstetrics and Gynaecology 121(2), 157-162. http://doi.org/10.1111/1471-0528.12449
Seeho, S., Nippita, T., & Roberts, C. (2016). Venous thromboembolism prophylaxis during and following cesarean section: a survey of clinical practice. Australian and New Zealand Journal of Obstetrics and Gynaecology 56(1), 54-59. Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/ajo.12393/full
Shand, A., Harpham, M., & Lainchbury, A. (2016). Knowledge, advice, and attitudes toward women driving a car after cesarean section or hysterectomy: A survey of obstetrician/gynecologists and midwives. Australian andNew Zealand Journal of Obstetrics and Gynaecology. Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/ajo.12496/full
Sharkey, A., Finnerty, O., & McDonnell, J. G. (2013). Role of transversus abdominis plane block after cesarean delivery. Current Opinion in Anaesthesiology, 26(3), 268–272. http://doi.org/10.1097/ACO.0b013e328360fa16
Spaulonci, C., Bernardes, L., & Trindade, T. (2013). Randomized trial of metformin vs insulin in the management of gestational diabetes. American journal of obstetrics and gynecology, 209(1), 34-e1. Retrieved from http://www.sciencedirect.com/science/article/pii/S0002937813002962
Steel, A., Adams, J., Sibbritt, D., Broom, A., & Frawley, J. (2014). complementary and alternative medicine use and incidence of adverse birth outcomes: An examination of a nationally representative sample of 1835 Australian women Midwifery 30(12), 1157-1165.. Retrieved from http://www.sciencedirect.com/science/article/pii/S0266613814000953
Viana, L., Gross, J., & Azevedo, M. (2014). Dietary intervention in patients with gestational diabetes mellitus: a systematic review and meta-analysis of randomized clinical trials on maternal and newborn. Diabetes Care. 37(12), 3345-3355. Retrieved from http://care.diabetesjournals.org/content/37/12/3345.short
White, L., Lee, N., & Beckmann, M. (2016). The first stage of labor management practices: A survey of Australian obstetric providers. The Australian & New Zealand. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/27530804
Woolhouse, H., Gartland, D., Perlen, S., & Donath, S. (2014). Physical health after childbirth and maternal depression in the first 12 months postpartum: results of an Australian nulliparous pregnancy cohort study. Midwifery. 30(3), 378-384.Retrieved from http://www.sciencedirect.com/science/article/pii/S0266613813000971
Yeoh, S. B., & Li, S. J. (2013). Anesthesia for emergency cesarean section. Trends in Anaesthesia and Critical Care. http://doi.org/10.1016/j.tacc.2013.02.007
Registered Nurse Intensive Care Unit Order Instructions: Read the following scenario then answer the questions:
Scenario: An RN working in the Intensive Care Unit (ICU) is caring for a patient with an acute gastrointestinal hemorrhage related to liver failure that resulted from alcoholic cirrhosis.
Registered Nurse Intensive Care Unit
During the hand-off report at the end of the shift, the outgoing RN states to the incoming RN, “I have been in that room all day, transfusing blood products and giving medications. It’s so much work for really no reason. I don’t know why this patient drank to the degree he did to destroy his liver. He did this to himself. What a waste of resources. I heard his family wants to get him on a list for a liver transplant.”
Answer the following Questions:
1-What is the most appropriate way for the incoming RN to approach this situation? Include ethical and legal considerations.
2-What is the role of the RN in regard to addressing the value system of other health care workers that may have a negative impact of the delivery of patient care? Include ethical and legal considerations.
Requirements & Attention to the writer, Make sure the following is accomplished with this paper:
1-Please focus on answering the questions and supporting your answers with the evidence and examples
2-Once you have thoroughly completed this objective expand on the subject a little
3-Please support the intervention directly if applicable..
4- APA style
5-2 pages long to 550 words or more
6- Provide 2 citations from the text books ( Hinkle, J., & Cheever, K. (2014). Brunner and Suddarth’s textbook of medical-surgical nursing (13th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Thanks for your attention to the requirements and details.
More information from the text book and chapters on the subject matter.
Required:
Textbooks:
Brunner and Suddarth’s textbook of medical-surgical nursing **
• Chapter 49: Assessment and Management of Patients With Hepatic Disorders
• Chapter 50: Assessment and Management of Patients With Biliary Disorders
Nursing Diagnosis
• Use your chosen Nursing Diagnosis Guidebook to review the nursing diagnoses specific to the content covered in this module.
Registered Nurse Intensive Care Unit Sample Answer
Question 1
The incoming RN must stick to the treatment regiments for the patient. The main function of a nurse is helping the patient and improves the patient’s outcome. It is clear that the outgoing RN is not interested in caring for the patient and is instead blaming the patients for the condition of the patient. From a legal perspective, the incoming RN has a duty of care to the patient (Brunner and Suddarthâ, 2015). This is to say, the incoming RN will be liable for negligence in case he considers the advice of the outgoing RN. But there is also an ethical perspective of the situation. The incoming RN is in an ethical dilemma on whether to withdraw services or continue with the service.
Moral dilemmas are situations most healthcare professionals would want to find themselves in owing to the difficulty in weighing how much to give and take. Healthcare professionals are expected to hold onto certain codes of practice in order to remain within the guidelines of practice. However, when moral dilemmas come in, they tend to influence an individual’s moral values and beliefs in the process (Hinkle & Cheever, 2013). There are various ethical principles that are central to nursing care and which are relevant to this case. One of them is non-beneficence which requires medical practitioners, other things remaining constant, to do good, that which will enhance the interest of the patient (Hinkle & Cheever, 2013). The principle of non-malfeasance requires that, other things remaining constant, the healthcare professionals should by all means avoid doing any harm to the patient, or that which may go against the interests of the patient. By neglecting the patient as the outgoing RN has suggested, the RNs will be causing harm to the patient rather than reducing harm. Another ethical principle is that of justice, which requires that the medical goods and services are fairly distributed.
Question 2
RNs have a bigger role to play in emphasizing the functions of nurses, especially to those nurses who might be having negative attitudes towards their profession or the patients. One of the functions of RNS is supervision and oversight on junior nurses or peers that might be struggling in certain nursing areas. To this end, RNs have the responsibility of emphasizing to other nurses that nursing’s main objective is taking care of people (Kangasniemi, Pakkanen & Korhonen, 2015). In order to prevent the negative attitude, the RN should make it clear that the law recognizes nurses as individuals who nurtures people, protects them from harm and provides them with comfort to the best of her ability until they are able to fend for themselves. Legally, therefore, a nurse should be prepared to care for the sick and dying with skill and compassion.
Among other things, it is incumbent upon a healthcare professional to tell a patient the truth about the condition of the illness in order to let her make choice by herself. Further, it is important that the nurses exhaust all possible alternatives before recommending the patient for an organ transplant. In order to deal with the negative attitude, the RN must be reminded that besides the duty of care, RNs must learn to make the most of life, focus on the people and things that matter. Consequently, in order to offer the best care, RNs must consider ethical principles, including rights, beneficence, non-maleficence, justice, and fidelity (Brunner and Suddarthâ (2015). That is to say, a nurse is not capable of providing the holistic needs of a patient without applying ethics or ethical concepts.
Words: 590
Registered Nurse Intensive Care Unit References
Brunner and Suddarthâ (2015). Textbook of medical-surgical nursing. Chapter 49: Assessment
and Management of Patients With Hepatic Disorders.
Hinkle, J., & Cheever, K. (2014). Brunner and Suddarth’s textbook of medical-surgical nursing (13th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Kangasniemi, M., Pakkanen, P., & Korhonen, A. (2015). Professional ethics in nursing: an integrative review. Journal Of Advanced Nursing, 71(8), 1744-1757.
