Case Study: The Registered Nurse

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

Hello, I am Angeline S. Bernard, licensed practical nurse, with Aetna’s utilization management department for long-term care. I am a 20 year veteran in the health care industry, primarily in the field of nursing, interested in pursuing a management role. With 15 years spent in the acute hospital environment, as a nurse, I have also practiced in other settings. School nursing, occupational nursing, quality management, and utilization management, are all additional areas of practice.

The National Council of State Board of Nursing (NCSBN) is a governmental body mandated to regulate nursing practice in various states in the United States of America. Each state has its own regulatory rules that must be adhered to by every practicing nurse in the concerned region. Depending on the location of the Advanced Practice Registered Nurse (APRN), the NCSBN subdivides nursing practice regulations into three different classes: full practice, partial practice, and restricted practice. Therefore, it is of the essence to examine the nature of practice in different states before an APRN begins training. This paper will take a detailed look at the state of nursing practice in Texas and Arizona. Apart

DOI: 8/6/2015. Patient is a 51-year-old female licensed vocational nurse who sustained a work-related injury to her back and hips while moving a client. As per OMNI, she was diagnosed with muscle spasm, pain over the low back and thoracic region. She is status post right carpal tunnel release on 02/26/16.

The road of a Nurse Practitioner has multiple educational stages including organizations that help the students interested in this field. These professional organizations have played a huge role in supporting their members and the institution they work for. For instance, these organizations use a variety of activities such as communication, education, recognition, advocacy, and research to develop a sense of leadership while making the students able to make decisions that will improve the quality of the healthcare practice. There are many organizations that work on the growth and quality of the healthcare service, however, the following not only are on the top of the list but they also are specifically dedicated to the role of a Nurse Practitioner. A well-known national professional organization that supports the development and encourage leadership skills for the Nurse Practitioner students is the American Academy of Nurse Practitioners (AANP). The American Academy of Nurse Practitioners or (AANP) is the only full-service national professional membership organization for nurse practitioners of all specialties, without mentioning that it is the largest one. As a student, the enrollment

In both case studies, I think you have done an excellent job identifying the patients’ risk factors. As a Clinical Nurse Leader it is important to educate patients on both modifiable risk factors and non-modifiable risk factors. You identified modifiable risk factors like obesity, physical activity and tobacco use. You also identified a non-modifiable risk factor: family history. Some other non-modifiable risk factors are: age, gender, and ethnicity.

As a nurse, I would prioritize by who is at risk for an emergent situation. I would prioritize the following:

The quality of care given by the advanced practice nurse (APN) is been assessed by the employers, patients, health care auditors, government quality improvement programs, peers, and researchers (Rhodes, Bechtle, & McNett. 2015). However, good quality is equated by different merits, for example; to an employer, good performance could be equated with high billings and Medicare may include a great performance in the Merit-Based Incentive payment system (MIPS) (Rhodes, Bechtle, & McNett. 2015. There could be some discrepancy with quality performance and cost measurement since the assessment of performance are not been evaluated equally, therefore setting a treatment code using a fee for service practice might be helpful (Rhodes,

As a Nurse Practitioner, working in an underserved community, most of the patients I see live in community housing also known as the projects. Some are heavy drug users, while others are at high risks for contracting different STDS due to having unprotected sex with many partners. Many of the patients lack health education and are not aware of their health issues. One common issue that is brought up during their appointments is the lack of communication by the health provider, many often complain that the doctor did not thoroughly explain their illness to them in way that they can comprehend. Other patients have also expressed their dislike for some practitioners because the care seems rushed and they sometime disregard their concerns. In order

Dedicated and committed new graduate nurse highly motivated to practice and advance nursing skills as a Registered Nurse with Banner Health.

This week has started with a bang! I learned last Friday that my preceptor does not want to finish precepting me because she felt I was not competent enough. I do not know why she would choose to abandon a student rather than choose to attempt to teach them. I do not expect to be fully competent at being a nurse practitioner or completing a comprehensive assessment at this point. We have not even completed going through all of the body systems. Perhaps the problem was that most of her clients were children between the ages of 2 months to 15 years and this is the last section that we study in this course, so I was not able to answer all of her questions that she would constantly blurt out, such as what is the blood pressure range for a 3-year-old

In Adults, blood Pressure readings where systolic and diastolic pressures fall below 120/80, are considered normal

I was unavailable to meet with the Director of Nursing, due to an unscheduled meeting. I was able to speak with one of the registered nurse at Woodbridge. Her name is Mary Thomas and she has worked there for 20 years. She was able to assist some of the information that I needed. The responsible of the Director of Nursing range from the facility operations in the absence of the Administrator, conducts the nursing process' assessment, planning, implementation, and evaluation, participates in facility surveys and Is aware of any incidents at the in the nursing home

There is issue about the difficulty of hiring people to care. Recognition and strengthening of the public what they nurse nursing a more attractive career option, as well as making sense to ensure good wages and employment security. Especially during the recession, people are thinking about how to make good choices and prepare the nurse to kindly pay a relatively safe operation. When the economy deteriorates, the nursing work atmosphere is usually more than the threat of them. (Mason, 2011)Numerous efforts are proceeding to recruit more students to the current nursing. It can be seen that the competition for a number of different career opportunities job. The ultimate adventure, junior and senior high school students to: National Student Nurses Association video, and produces

In the given case study the patient presented with complaints of nausea, vomiting, severe dehydration and syncope .Nausea and vomiting are not diseases they are symptoms caused by many conditions such as motion sickness, gastrointestinal diseases, circulatory diseases such as congestive heart failure, central nerve system disorders such as meningitis, brain tumor or injury, or it could be due to metabolic disorders like uremia (McCance & Huether, 2014, Chapter 3). Conditions like early pregnancy, food poisoning, infections, bulimia, over eating also causes nausea and vomiting .Side effects of most medications includes nausea and vomiting. Most times timing of the nausea and vomiting could indicate the cause. In order to rule out the causative factors for nausea and vomiting a thorough assessment, and review of most of the