The first nursing diagnosis is-Ineffective coping related to impatient treatment, as evidenced by patient statements “I have been feeling depressed and can’t make it stop” and objective data such as visualizing the patient crying and avoiding eye contact, isolating herself from her peers, and appearing withdrawn. For this I would encourage the patient to attend programming, group therapy, and individual therapy. We will use therapeutic communication skills when engaging, encourage verbalization of thoughts, concerns, and accept expressions of sadness, anger, and rejection. I will assess the patient on the coping skills she has learned and encourage her to continue using them. The second nursing diagnosis is-readiness for enhanced nutrition
Journey’s intake unit completes all initial assessment to assess client for different level of care and accurately assign them to the most appropriate unit. The different level of care ranged from intensive inpatient care unit to medication only. As a practicum student, I worked in the outpatient services unit. The assessment was completed via an online program with an intake staff and the client, usually a week or two before the first scheduled appointment with a clinician. Therefore, once a client is assigned to me, I have access to review their file. The assessment are usually completed in a brief model format, and as the clinician assigned to work with a client, I am expected to use the first two sessions of therapy
Due to delay in meeting with Mr. Reid, the adjuster approved submitting the report after our initial meeting.
The purpose of this paper is to conduct an in depth exploration of the nursing care considerations of patients in a specific clinical area. Through the synthesis of prior knowledge, clinical experiences and skills, evidence based best practices, and care of patients a comprehensive care and teaching plan will be composed. Integration of critical thinking and clinical reasoning skills, combined with evidence-based research will provide confirmation of nursing process comprehension. The inclusion of reviewed literature will further support knowledge and understanding.
This process paper will evaluate the complex relationship between disease pathophysiology and how it has progressed to the patient’s current state of health. It will include a comprehensive discussion of chronic and acute problems leading to the patient’s hospital admission, a complete description of interrelationships and pathophysiology for all medical diagnoses, a comprehensive discussion of the client’s signs and symptoms and results of all diagnostic studies to the underlying pathophysiology, and a comprehensive listing of all medications ordered at the time of admission with explanations of why each was ordered and identification of the most common side effects which may
be hung. First off for electrolytes we check results to ensure what the numbers were, everything
A brief history of what the American Red Cross does. As one of the nation’s premier humanitarian organizations, the American Red Cross is dedicated to helping people in need throughout the United States and, in association with other Red Cross networks, throughout the world, (The American Red Cross, 2016). They depend on the many generous contributions of time, blood, and money from the American public to support their lifesaving services and programs, (The American Red Cross, 2016). The purpose of this paper is to inform you of the Red Cross’s Mission, give a description of the members, their dues, and benefits.
The American Association of Colleges of Nursing has identified nine essentials that are incorporated into master’s nursing programs to help direct the practice of advanced practice nurses (APN’s). Essential II outlines how an APN can utilize organizational and systems leadership to promote safer and more cost effective care. By incorporating effective leadership skills, APN’s can help transform healthcare and make quality improvements for the patient, the institution, and the community. According to the American Association of College of Nursing (2011), an effective leader assumes and applies “the skills of communication, collaboration, negotiation, delegation, and coordination” (p. 11). APN’s must be able to establish and maintain a healthy
Nursing, as the largest health care profession in the United States, plays a tremendous role in health promotion and delivery of care. From the 2.7 million employed registered nurses to the current Deputy Surgeon General of the United States, nursing infiltrates all aspects of healthcare (Bureau of Statistics, 2015). Therefore, as a profession, nursing must understand the intricacies of the Patient Protection and Affordable Care Act (ACA) and within its framework develop strategies to “advance nursing, health, and healthcare through education, clinical practice and research,” (Young et al, 2017). This paper aims to review portions of the ACA as it pertains to nursing, and offer an example of nurse practitioner innovation in practice.
One the most important issues facing nursing these days is the changing healthcare insurance industry. I saw how these changes affected staff firsthand. I worked at Quincy Medical Center for three years until it closed in December of 2014. The Affordable Care Act led to cuts to Medicaid supplemental payments for the uninsured and has forced many hospitals to reduce staff or close like Quincy Medical Center. This is a concern for nurses because under current federal regulations there are no specific requirements for nurse to patient ratios. Multiple research studies demonstrate that lower nurse-patient ratios save both lives and money long term. For example, hospitals that routinely staff with 1-to-8 nurse-to-patient ratios experience five additional deaths per 1,000 patients than those staffing with 1-to-4 ratios, according to the Journal of the American Medical Association. Higher nurse to patient traditions lead to higher burnout
The national league for nurses defines critical thinking in the nursing process as “a discipline specific, reflective reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns” (Kozier, 2008). This definition is imperative to help a nursing student learn how to think in terms of nursing care. Nursing students must achieve a comprehensive understanding of critical thinking in order to understand the nursing process. The purpose for this paper is for nursing students to learn how to use the nursing process, how to properly document their findings and assessments, and correctly implement APA formatting in a formal paper.
The global population is divided into different sections that have special needs and in the same way they need to be supported and assisted in a unique way. From the perspective of the health care worker, the idea of needs varies significantly based on location and principal factors associated with the individual in the society. The needs can be addressed by understanding the primary cause related to a particular issue rather than generalized interventions. The nursing interventions are critical in offering the unique support required by the individuals requiring the interventions (Westphal & Convoy, 2015). The veterans have been identified as a special needs population. Therefore, the method used for intervention should be special considering
The health care industry is experiencing a surge in the number of baby-boomers needing health care and increased demands on the physicians providing the care. This trend has made the role of Advanced practice providers more important (cite). It is imperative to understand the differences and similarities in the advanced practice provider roles as it pertains to healthcare. This paper will identify specialty nursing roles including advanced practice registered nurses (APRN). It will further compare and contrast the advanced practice nurse (APN) and physician assistant (PA) roles in practice.
The American Nurses Association (ANA) is an organization to advance and protect the profession of nursing. Nurses across the country are standing together in order to remove barriers that are in place. Nurses want to better their lives and others by fixing nursing shortages, safety on the job, home health for Medicare patients, allowing nurses to work to their complete ability for veterans, and allowing a nurse 24/7 in the nursing home. The ANA is at the forefront of improving the quality of health care for all.
The quality of health care is measured by the implementation of core competencies. These competencies include, patient-centered care, interdisciplinary teamwork, utilization of evidence-based practice and the use of quality improvement. These competencies were developed with the common goal of producing positive health care outcomes. The provision of patient-centered care is a competency that has recently become the focus to improve the quality of health care and decrease the cost of health care spending. With the Affordable Care Act (ACA) ensuring high quality care with acknowledgement of spending has required health care providers like the advanced practice nurse (APN) to involve patients in the care provided. Utilizing patient-centered care
The nursing diagnosis that you have addressed in your paper for Ms. Jackson is very good one based on her case study. A lot of nursing diagnoses come out from her study. I strongly agree that ineffective coping related to situational crisis, loss of loved one as evidenced by lost interest in her usual physical activities, depression, and changed eating habit to unhealthy foods. For the nursing intervention, I would suggest Ms. Jackson to attend the social adult day care center to enhance her socialization due to she losses the interest of interacting with her friends. Also, she can discuss with her condition