Chemistry : Fluid And Electrolyte Imbalance

Baccalaureate nursing practice incorporates the roles of assessing, critical thinking, communicating, providing care, teaching, and leading. (Grand Canyon University College of Nursing [GCUCN], 2011, p. 2) A nurse providing

The effective patient-centered, culturally competent, holistic care can be provided only by culturally competent nurses, able to “recognize and understand the differences in their culture and the culture of others; to respect other 's values, beliefs, and expectations.”(Edelman, Kudzma, Mandle, 2014). In order to provide quality, safe and efficient care and meet patient 's needs, nurses must expand their cultural knowledge, be aware about patient 's culture, and have “an honest desire to disregard personal biases and to treat every person with respect.“(Edelman, Kudzma, Mandle, 2014). The Heritage Assessment Tool (HAT) was introduced by Rachel Spector in 2000. This tool assists “to determine both inter and intra-ethnic group differences in respect to a given heritage and also to traditional health and illness beliefs and practices:” (Spector). The HAT is a combination of twenty nine questions, aimed to gather information from different families: about the family members, place of birth, relationship within the family, language, beliefs, traditions and etc. The information, gathered during the HAT interviews, is useful to understand more about the patient 's culture, beliefs, traditions, spiritual beliefs, patient 's understanding of health and illness before starting the care and developing an individual care plan related to health maintenance, health protection with health restoration. According to R. Spector, being “culturally sensitive, culturally appropriate, and

In order to provide culturally appropriate care, an examination of one's personal views, beliefs, and prejudices must be examined. The first portion of this paper will examine my personal values, beliefs, biases, and prejudices. The remaining paper will analyze the African American culture relating to the Ginger and Davidhizar's Transcultural Assessment Model cited in Hood (2010). This model uses six key cultural elements that include communication, space, social organization, time, environment, and biological variations. This model provides a systematic approach for assessing culturally diverse clients. I will also discuss an aspect of care that I would

4. Why does potassium concentration rise in patients with acidosis? What is this called? What effects does it have?

The learning objective to be addressed in this essay is to be more adept at filling out a fluid balance chart and understand its importance. I intend to use the Driscoll (2007) reflective cycle as I find the root process of interrogating and assessing events the most helpful at being reflective. The fluid and electrolyte balance monitoring and management are essential and highly significant to nursing care as highlighted by Jevon and Ewens (2007). Patients suffering from a negative fluid balance is understood as suffering in dehydration according to the definition of dehydration by Jevon (2010) Some symptoms of dehydration, as described by Goertz (2006) include thirst, headaches, dry skin, weight loss, fatigue and pyrexia. From this point onward

As a health care professional, we are faced with caring for patients of different cultural and ethnic background. Researching and learning about the patient’s culture values, beliefs and practices is essential and remarks the ability to provide quality health care for the patient. “Organizations and individuals who understand their clients’ cultural values, beliefs, and practices are in a better position to be coparticipants with their clients in providing culturally acceptable care” (Purnell & Paulanka, 2008, p. 2). After completing the cultural competence checklist, I was able to identify some of my responses to the patient cultural values and belief practices. I will describe a summary of my assessment results, analyze

The United States is constantly changing and with it there are bound to be changes in how we care for our patients. Nurses must be diligent and learn about their patients and the individual’s cultural values. The Health Assessment tool is important in learning about a patients way of life and preferences on how the want to be treated. According to Leininger (1991), “health refers to a state of well-being that is culturally defined, valued, and practiced, and which reflects the ability of individuals (or groups) to perform their daily role activities in culturally expressed, beneficial, and patterned lifeways” (Creasia & Friberg, p. 109). This is essential to avoid conflict and stereotyping, and help with increasing dialog that can help the healing process.

“This Essentials document serves to transform baccalaureate nursing education by providing the curricular elements and framework for building the baccalaureate nursing curriculum for the 21st century” (AACN, 2008). Essential V – Healthcare Policy, Finance, and Regulatory Environments covers healthcare policies, financial and regulatory policies (AACN, 2008). These policies build an opinion towards issues in equity, access, affordability, and social justice within health care (AACN, 2008). The BSN program prepares the graduate to: demonstrate basic knowledge of healthcare policy, have understanding how healthcare is organized, have understanding of legislative and regulatory process, state and national statutes, rules and regulations, and etc. (AACN, 2008).

In a patient care setting, a patient who came to the hospital with fever, increased heart rate, low blood pressure, and then lab result reveals an increase in the lactic acid level and low blood sugar. A baccalaureate degree nurse will go extra miles to collect more information on these finding to rule out infection in any body site, combining the subjective and objective clinical finding of this patient might suggest to the nurse that this looks like a sepsis case and the nurse with proper communication can suggest to the Dr what her clinical findings are and with early intervention, and quality management, other complication like organ failure and even death might be avoided. All these can be achieved by application of advanced knowledge into nursing practice for positive outcome, decreased mortality rate, effective communication, critical

Coincidently, the standard educational background of these professionals is a Master of Science in Nursing. These programs are different from conventional master's programs in nursing because they also focus on visionary leadership, quality improvement and evidence-based practice. Thus, students will learn how to incorporate complex concepts and professional practices to create innovative nursing practices and systems. These programs also impart the skills needed to transform and enhance evidence-based care systems. The basic requirement to enter this program is an RN license and a Master’s of Science in

As a novice nurse I will have limited clinical experience, and since one component of evidence-based practice involves clinician expertise, I will have some difficulty applying this practice to my nursing care. However, through my education, I will be introduced to research, patient data, clinical experiences, and patient preferences and values, which will allow me to gain valuable knowledge, proficiency, and experience that will allow me to implement evidenced based practice into my nursing profession.

The purpose of this virtual lab is to observe the acid-base balance in the urinary system by how PCO2 and blood pH affect the H+ and HCO3- in the urine. The renal compensation is a mechanism that shows the kidneys manage to change pH in correct way if the respiratory system is not healthy. The kidneys are two organs that help remove wastes and extra fluids out of the body. The acid-base balance is when the blood need to keep the balance of

Baccalaureate nursing practice incorporates the roles of critical thinking, communicating, providing care, teaching, and leading. The caring professional approach includes the values of autonomy, altruism, human dignity, integrity, and social justice with unconditional regard for all people. Nursing practice includes health promotion, disease prevention, early detection of health deviations, prompt and adequate treatment of the human response to acute and chronic illness, and compassionate care for those experiencing death.(Grand Canyon University, 2011, p. 2).

When clinically assessing patients in care settings, it is paramount for health professionals to elicit pertinent information that could be crucial for delivery of care. This is particularly important in the United States because the increasing diversity in racial and ethnic composition of the population has presented cultural challenges that care givers must navigate to provide culturally competent service. Cultural competence during delivery of care requires sensitivity to the cultural, social, and linguistic needs of patients (Betancourt, Green, Carrillo, 2002). As a consequence, care providers need cultural assessment tools that will enable them

Nearly 60% of the human body is water. The daily fluid intake required for an adult to consume should be about 2600ml. A healthy person’s average daily fluid output is anywhere between 2600 – 2900ml, balancing out the daily fluid intake. Our bodily fluids are consistently moving to help carry nutrients to the cells as well as it carries wastes away from the cells. Not everyone is able to balance the fluids in their body making them either retain more or lose more than the fluid required. When suspecting any fluid imbalance or seeing any changes, the client should seek for any medical help to their primary health care provider to evaluate the patient and begin any treatment initiation if needed. When trying to manage fluid balance in patients that are hypovolemic, Intravenous therapy (I.V) may be used to administer solutions and/or medications to help maintain fluid balance if needed.