Natalie is a 21 year old woman who was admitted to an acute psychiatric unit following a suicide attempt. She had taken an overdose of quetiapine (~800 mg).

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Natalie is a 21 year old woman who was admitted to an acute psychiatric unit following a suicide attempt. She had taken an overdose of quetiapine (~800 mg).

A flat mate found her difficult to rouse in the bath in the early evening (~ 2 hours latter) and called an ambulance. Natalie had previously presented with generalised anxiety disorder and hypomanic symptoms at the student health clinic and she had been prescribed quetiapine (200 mg daily) after consultation with a visiting psychiatrist.
Context
Natalie was admitted to the emergency department. She initially presented with drowsiness tachycardia (160 / min) hypotension (90/60) and akathisia. After gastric lavage and 2mg lorazepam IV she was monitored for 8 hours before transfer to the psychiatric ward at 2200 hrs.
You are the nurse assigned to care for her on the morning shift and to complete an initial assessment.
Handover
Natalie is a 21 year old student who attempted overdose yesterday afternoon on Seroquel. She was transferred to us at 2200. She was quite drowsy at the time and not very coherent but did indicate that she had intended to die and did not anticipate her flatmates discovering her so soon. She has been experiencing considerable stressors recently: She has been struggling with her studies She is in her second semester at University studying statistics and believes she is failing She recently split up with a boyfriend of several years who lives in her home town (about three hours drive away) because of the difficulty maintaining a relationship over such a distance and she appears to have depleted most of her savings by gambling on an on-line casino several months ago.
Natalie was fairly sleepy so we didnt glean much more history from her. Her obs are all fine weve been checking hourly. She has a ferociously dry mouth and shes drunk approximately 2 litres of water over night. Shell need to see the psychiatrist this morning and have repeat bloods.
Natalie has been admitted to the ward for post-attempted suicide for monitoring. The Health team (nurses) will have to gain a better understanding on Natalies background and future thoughts. For instance Natalie is a college student and therefore will constantly be under pressure for submission of assessments. The following questions seek to establish why Natalie tried to commit suicide:
? Whether she is under any form of stress?
? What is the relationship between Natalie and the boyfriend teachers and students at college?
? What is pushing Natalie to commit suicide?
? Does Natalie take illegal drugs/ substance?
Taking these questions into account the nurses will professionally formulate the clinical strategies that will seek to address Natalies problem. In order to come up with these strategies the nurse will critically reason professionally. The nurse from her findings will formulate a working policy to be used by the psychiatrist and expected medical treatment. This therefore demands that Natalie should be given special and proper attention by the mental health facility whilst in her condition. The nurse should try as much as possible to check on Natalie from time to time to see whether there are changes. By doing so the nurse should keep records for both negative and positive changes on Natalie. This will enable the psychiatric to make necessary recommendations on Natalie. (Scheffer & Rubenfeld 2000)
Scheffer B. and Rubenfeld M. (2000). A consensus statement on
critical thinking in nursing. Journal of Nursing Education 39 352-359
Clinical reasoning strategies are needed to establish a working formulation by nurse to handle the situation effectively with Natalie by asking questions such as;
? Are suicidal thoughts present?
? When did these thoughts begin?
? How persistent are they?
? Can you control them?

 

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Why are philosophy and science important to a practice discipline?A nurse enters a patient’s room to check her vitals and spends some time talking with the patient’s family how they are doing.

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Why are philosophy and science important to a practice discipline?A nurse enters a patient’s room to check her vitals and spends some time talking with the patient’s family how they are doing.

Philosophy and Science in a Practice Discipline

A nurse enters a patient’s room to check her vitals and spends some time talking with the patient’s family how they are doing.

Later that day, another nurse responds to the patient’s call button; she becomes concerned when she discovers that the patient is running a fever and is in pain despite receiving the medication that has been ordered for her. She recalls a similar instance with a different patient, and keeps that in mind as she asks the patient about how she is feeling.

These seemingly simple actions are guided by philosophy—each nurse’s view of nursing and appropriate patient care.

Do you, personally, think nursing should rely solely on biological science? Or do you think it is important for nursing to incorporate a broader, more holistic approach to care? How do you know what you know? What sources of information are most significant to you? How should you determine what types of research are applicable to nursing practice?

 

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Analyze the general points between initiating civil procedures, the prevalent practices of these procedures within health care litigation solutions, and the influence of corporate structure on resolutions and subsequent legal precedents.

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Analyze the general points between initiating civil procedures, the prevalent practices of these procedures within health care litigation solutions, and the influence of corporate structure on resolutions and subsequent legal precedents.

Defend or critique the use of the aforementioned prevalent practices in the multidisciplined interaction required of 21st Century health care administrators.

2. Summarize the crucial steps involved in conducting a trial based on the pleadings of the defendants, leading up to the execution of judgments and including the awarding of damages. Analyze the concept of respondeat superior and concept of corporate negligence as they apply to responsibilities of the hospital’s governing body and corporate structure. Provide examples of the application of such concepts to support your response.

 

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Ascertain the major ramifications of having professional staff compromise the boundaries of ethics and medical conduct.

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Ascertain the major ramifications of having professional staff compromise the boundaries of ethics and medical conduct.

You are employed as a top health administrator at the hypothetical Well Care Hospital in Happy Town. When you were hired, your pre-employment screening involved background checks into any violation of hospital medical misconduct during the last five (5) years. The results showed that you were in good standing with the hospital administration community. During the past year, you had to undergo training in personnel conduct, as well as in inter-employee conduct with medical staff, nurses, technologists, etc. During the past six (6) months, the hospital has been under scrutiny for breach of medical compliance.

Create and / or make all necessary assumptions needed for the completion of this assignment.

Write a 4-5 page paper in which you:

Have an introduction paragraph and closing.

Use at least 5 current refs.

1.Articulate your position as the top administrator concerned about the importance of professional conduct within the health care setting. Justify your position.

2,Ascertain the major ramifications of having professional staff compromise the boundaries of ethics and medical conduct.

3.Analyze the four (4) elements required of a plaintiff to prove medical negligence.

The four elements of medical malpractice are:

Duty

Breach of Duty

Damages

Causation

Discuss the overarching duties of the health care governing board in mitigating the effects of medical non-compliance, as they apply to the rules of practice set forth in the Well Care Hospital governing board’s manifesto

 

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The impact of the IOM report on nursing practice, particularly in primary care, and how you would change your practice to meet the goals of the IOM report.

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The impact of the IOM report on nursing practice, particularly in primary care, and how you would change your practice to meet the goals of the IOM report.

“THE FUTURE OF NURSING: LEADING CHANGE, ADVANCING HEALTH,”

Review the Institute of Medicine (IOM) report: “The Future of Nursing: Leading Change, Advancing Health,” focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership.

Write a paper of 750-1,000 words about the impact on nursing of the 2010 IOM report on the Future of Nursing. In your paper, include:

The impact of the IOM report on nursing education. The impact of the IOM report on nursing practice, particularly in primary care, and how you would change your practice to meet the goals of the IOM report. The impact of the IOM report on the nurse’s role as a leader. Cite a minimum of three references.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion.

 

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Constant change in the health care delivery system requires nurses to be flexible in their role. Flexibility is the key to success during periods of change. Professional nurses need to open themselves up to a variety of ideas in order to arrive at a perspective of health care that enhances the practice of nursing.

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Constant change in the health care delivery system requires nurses to be flexible in their role. Flexibility is the key to success during periods of change. Professional nurses need to open themselves up to a variety of ideas in order to arrive at a perspective of health care that enhances the practice of nursing.

Fundamental to this concept is the ability to work in teams. No single individual can know everything that is required for practice today and so the team becomes the focus. The Institute of Medicine emphasizes that teams improve skills communication participation and effectiveness and includes use of inter-professional teams as one of the key five core health care professions competencies. Teams play a critical role in ensuring integration and coordination of care for patients.
Part 1: To begin the EBP quality improvement project group members will select a problem within the group that is common to all students. This one-page topic proposal should include the problem that you are working on what are you trying to improve? Why did your group select this problem? The goal for the practice improvement project should be to tell the story of your improvement project. This is the first page of your group final presentation paper. This assignment should be preparatory work for your practice improvement paper and class presentation (it must be submitted to faculty for approval).
Part 2: This is a formal 10-12 page paper on your EBP practice improvement project. This assignment requires the use of evidence based references. Proper APA format and citation is expected for this assignment (See directions and rubrics).
Part 3: The group presentation will cover the topic of interest chosen for the practice improvement paper. Each group will prepare and present aPowerPointposter. See the following video for directions How to Create a Scientific Poster inPowerPoint

 

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Analyze how educational innovations are influencing nursing education and how you as a nurse educator can use these innovations to create a rich learning environment for your students.

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Analyze how educational innovations are influencing nursing education and how you as a nurse educator can use these innovations to create a rich learning environment for your students.

You will begin this assessment by identifying a course that you will develop. This course could be used in a formal academic setting or it could be used by a nurse educator in a clinical setting.
As part of your assessment you will analyze an educational innovation and its effect on student outcomes. You will use current literature( within 5years) to provide examples of how the innovation is currently being used in organizations and how they have benefited from this innovation. You will also explore how this innovation has impacted the role of the nurse educator.
Additionally you will conceptualize a course of your choice using the innovation you have selected(simulation). You will also examine how you would go about soliciting feedback from your nursing/nurse educator peers and how you would evaluate that feedback about the chosen innovation. Further you will discuss insights you have gained through your research as well as how you may use this innovation for the future.
Finally you will reflect upon your development as a nurse educator to stay abreast of technological and educational innovations.
Requirements:
A. Identify one of the following educational innovations that you will use to impact student outcomes in your course:
MOOC (Massive Open Online Course)
adaptive learning technologies
simulation/gaming strategies
flipped classroom setting
inquiry-based learning
1. Discuss how two organizations are currently using the innovation chosen in part A using credible sources.
Note: Credible sources include scholarly articles from reputable sources including peer reviewed journals and publications published within the past five years and websites from professional organizations or governmental web sites (American Nurses Association Centers for Disease Control and Prevention US Census Bureau).
Note: You may select an academic setting or health-related organization outside of the nursing field for part A1.
2. Discuss how the two organizations from part A1 have benefited from implementing the chosen innovation from part A using credible sources.
3. Describe how the chosen innovation may change the role of the faculty.
4. Discuss how the nurse educator will prepare himself or herself to incorporate the chosen innovation into the academic setting.
B. Create a framework for a nursing course by doing the following:
1. Identify the title of your course.
2. Identify the competencies of your course.
3. Explain how you will implement the chosen innovation for or within your course.
C. Evaluate the process of using the chosen innovation within your course framework by doing the following:
1. Discuss how you might solicit feedback from your nursing/nurse educator peers about the chosen innovation used in your course from part B.
a. Discuss how you would evaluate feedback from your nursing/nurse educator peers about the chosen innovation used in your course.
2. Discuss two advantages of using the chosen innovation in your course.
3. Discuss two disadvantages of using the chosen innovation in your course.
4. Discuss how your chosen innovation may affect student outcomes in your course.
5. Discuss how you would integrate the chosen innovation into courses that you may develop in the future.
D. When you use sources include all in-text citations and references in APA format.
Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from outside sources even if cited correctly. For tips on using APA style please refer to the APA Handout web link included in the APA Guidelines section.
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Introduction:
For this assessment you will analyze how educational innovations are influencing nursing education and how you as a nurse educator can use these innovations to create a rich learning environment for your students.

 

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Reflect on a three-part lesson related to nursing you would like to teach to a friend or family member. Determine the level of your learning objectives using Bloom’s taxonomy

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Reflect on a three-part lesson related to nursing you would like to teach to a friend or family member. Determine the level of your learning objectives using Bloom’s taxonomy

Respond to one of the two discussion questions in a single-page Word document. Citations should conform to APA guidelines

Topic 1

Reflect on a three-part lesson related to nursing you would like to teach to a friend or family member. Determine the level of your learning objectives using Bloom’s taxonomy. Construct three learning objectives containing appropriate active verbs. Identify a possible teaching strategy for each of your objectives. Indicate how you plan to measure each objective.

Topic 2

You have been assigned to teach a nursing class using gaming, in which 75% of the students are from a particular ethnic group (you decide the content area, class size, and ethnic group). Choose the topic of your choice and take into account the ethnic group’s special needs. Describe your approach, and provide details regarding the assumed characteristics of the ethnic group. Identify the tools or technology, services, and resources needed for developing the instructional gaming material

 

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Discuss the impact of food selection on nutrition.Refer to the case study information on p. 309 of your textbook (“An Older Woman Living Alone”). Review the case study patient information in detail.

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Discuss the impact of food selection on nutrition.Refer to the case study information on p. 309 of your textbook (“An Older Woman Living Alone”). Review the case study patient information in detail.
Discuss the impact of food selection on nutrition.

Identify social and economic problems facing the aging American.

Discuss how nutrition in previous life stages can affect the nutrition status of an older adult.

Discuss the possible causes of overweight and underweight in older adults.

. Instructions

Refer to the case study information on p. 309 of your textbook (“An Older Woman Living Alone”). Review the case study patient information in detail. “Miss E” is referred to you by a local community outreach service. The program director believes that Miss E can benefit from a nutritional assessment and possible nutritional therapy.

For this Assignment, imagine that you are a clinical nutrition assistant at a private nutrition consulting firm and the supervising dietitian asked you to address the following questions in a formal way: 1. What physical changes have influenced Miss E’s food intake? 2. What are some socioeconomic or psychological changes that may be influencing her nutrition intake? 3. Could these changes be impacting her overall nutritional status? 4. Which nutrients are likely to be low in her diet? Why? 5. What are your general concerns about her physical condition? What are the implications of her recent weight loss? Are there any particular nutrients she may be deficient or low in? 6. How have her dietary practices and choices impacted her nutrition and health status? (Be specific.) 7. What are your nutrition recommendations? (Include estimated calorie needs, protein needs, menu changes, the recommendation — or not — of an oral supplement, e.g., a vitamin/mineral or oral drink nutrition supplement.)

 

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Identify and discuss the role of five major stakeholders in the U.S. healthcare system.  Based on the evidence, what recommendations would you offer to stakeholder roles to effect positive affects in healthcare delivery systems.

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Identify and discuss the role of five major stakeholders in the U.S. healthcare system.  Based on the evidence, what recommendations would you offer to stakeholder roles to effect positive affects in healthcare delivery systems.

Identify and discuss the role of five major stakeholders in the U.S. healthcare system.  Based on the evidence, what recommendations would you offer to stakeholder roles to effect positive affects in healthcare delivery systems.

 

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