1. Using the key terms in chapter 15, "Deliberative Nursing Process" create a clinical scenario that utilizes all 8 key terms. MC is a 35 years old male who is admitted to the surgical intensive care unit after an urgent colectomy. MC is in his second post-operatory day, and the surgeon wants to start him on a clear liquid diet. The nurse arrived with breakfast, and MC states that he is feeling better. The nurse finds him crying minutes later. MC says that he is feeling nauseous, and he is going to vomit. Immediate need for help is define as the patient’s inability to fulfil his/ her needs (Peterson & Bredow, 2013). This patient was in distress, which happens when patient’s needs are unmet. MC needed immediate help from the nurse. Automatic nursing process is when nurses provide care without considering the patient’s needs (Peterson & Bredow, 2013). The nurse remembers that the night shift nurse gave him 2 mg of morphine IV. The nurse thinks about giving Zofran IV to MC since it was ordered for nausea. However, Deliberative Nursing Process implies that the nurse explores her perceptions and the patient’s needs (Peterson & Bredow, 2013). Dynamic …show more content…
Develop a potential intervention (s) targeted for one or more of the protective factors in the Adolescent Resilience Model (ARM) that may influence resilience and the quality of life in adolescents and young adults. The Adolescent Resilience Model (ARM) was created based on contextual experiences (Peterson & Bredow, 2013). ARM aims to guide nursing interventions to increase resilience in adolescents. ARM identify three groups of protective factors that positively affect resilience. The first group is individual protective factors, which encompass courageous or positive coping (Peterson & Bredow, 2013). The second group are family protective factors, which include family support and resources. Lastly, social protective factors comprise healthcare resources and social integration (Peterson & Bredow,
The nursing process also called the problem-solving approach originated in 1967 and consists of four stages; assessment, planning, implementation and evaluation (APIE) (Yura and Walsh, 1967). However, Barrett et al (2012) reasons, two further stages need to be considered within the problem-solving approach meaning APIE becomes ASPIRE, the systematic nursing diagnosis and recheck complete the acronym ASPIRE. Barrett et al (2012) also states, to be fully successful in meeting the needs of the individual a nursing model needs to be incorporated in to the process to ensure every aspect of information is considered. McKenna (2006) indicates there are numerous nursing models that are used
Ivy Tech Community College School of Nursing NRSG 128 Practice Issues for the Practical Nurse Discussion Rubric Name: ___Jasmine Liubakka___________ Date: _________10-27-15_______________ Topic of Discussion: Should the impaired nurse be allowed to return to work? Position on Topic: (1) Points ________________ Yes, I feel that as long as the nurse participates in a program that includes requirements of regular attendance at support group meetings, personal and active involvement with a 12-step sponsor, and close contact with a case manager or monitor of an alternative program, she should be allowed to return to work.
The American Association of Nurse Practitioners (AANP): It was formed in 2013 by the fusion of the American Academy of Nurse Practitioners (founded in1985) and the American College of Nurse Practitioners (founded in 1995). The purpose of this association is to advocate for the issues and performance of the nurse practitioners. AANP’s mission is to lead nurse practitioners in turning the health care system into patient-centered care. According to the AANP website, this organization has more than 60,000 individual members, and 200
In studying Registered Nursing one will find that they have to be compassionate and want to care for others. Registered Nurses assist physicians with suffering patients of any medical condition. They help to decide the patient’s medicine, treatment, recovery, and educate the them and their families on post-medical treatment. They need to have bedside manner, and be able to prepare patients for surgery. Registered Nursing careers range anywhere from critical care, oncology, mental health, to an everyday school nurse.
The Indiana State Board of Nursing (2011) defines advanced practice nursing as a registered nurse who has attained advanced knowledge and skills through an organized program of study. The three categories of study include nurse practitioner, certified nurse mid-wife, or clinical nurse specialist. National certification is not required for nurse practitioners completing an accredited graduate program. However, if the continuing education is part of a certificate program then a national certification is required. Although certification is not required in Indiana, Riley Hospital for Children nurse practitioners are required to certify within one year of employment.
Not all heroes wear capes, they wear scrubs too. The career I plan to pursue is a nurse practitioner. A nurse practitioner diagnoses and treats illnesses, independently or as part of a healthcare team, such as hospital. Their focus is disease prevention towards their patients and everyone. Nurse practitioners may order, perform, or interpret diagnostic tests such as lab work and X-rays, they may also prescribe medication.
ANNOTATED BIBLIOGRAPHY Berman, A., Kozier, B., Snyder, S., & Frandsen, G. (2015). Kozier & Erb 's fundamentals of nursing: Concepts process and practice (10th ed.). Hoboken, NJ: Pearson Education.
Families learn to deal with a crisis by how their parents, and environment have taught them. Some of the things that will encourage a family to foster resilience is issues such as death, divorce, and abuse. For example, in the family belief systems. family resilience is fostered by shared beliefs that
According to people/superiors, nurses can use the right substantive arguments on behalf of a patient’s interests or needs. They accept that this expertise is important for patients because it is related to the quality of
The concepts of this theory include function of professional nursing, presenting behavior of the patient, immediate reaction, nursing process discipline as well as improvement (Petiprin, 2016). One of the roles of a nurse is to meet the immediate needs of the patient. Patients typically present to a facility with a requirement that should be identified and met by the nurse. The nurse should be able to identify the problematic situation from the patient to be able to address the need for help. The patient develops their perception of events and circumstances based on their automatic feelings and thoughts which causes the patient to have an immediate response.
Certain risk factors to resilience are attitudinal factors, community factors, familial factors and stress. Attitude is governed by thoughts, feelings and behaviours. Locus of control of self, tolerance of events, sense of self esteem and self efficacy in achieving one’s goal play a decisive role in enhancing resilience (Mowbray, 2011). Dysfunctional families, abuse, violence, parental loss, substance abuse, truancy, suspension from school, poor academic performance, poor coping and deviant peers are some of the risk factors (ENCARE, 2007). There are certain protective factors for resilience, which includes role models in life, experiences like challenges that create resilience, a positive attitude in taking it up, interaction with others positively to live the challenges, ability to engage with others and ability to form committed relationships (Mowbray, 2011).
Hardy, Concato & Gill (2004) stated that resilient people are those who display “the capacity to remain well, recover, or even thrive in face of adversity”. Masten (2001) as mentioned that they are the ordinary person dealing with the challenges and tragedies of everyday real life. For instance, the response of many Americans to the September 11, 2001 terrorist attacks and individuals’ efforts to rebuild their lives shows their resiliency. Being resilient does not mean that a person does not have or had experience difficulty or distress; the emotional pain and sadness are common but the path to resilience is likely to involve considerable emotional distress. Resilience is not a trait which people either has or do not have whereas it involves
Furthermore, these contextual patterns are underpinned by belief system, ideology and language ( Bronfenbrenner , Blum ). Hence the resilience paradigm focuses on strength based intervention and takes one away from deficit oriented practice. Building on my professional practice , incorporating the HEADSS assessment form facilitated the process of determining the risk and protective factors of my clients. As mentioned in my previous post I did not take any formal assessments during my counselling sessions in the past.
Phases of therapeutic relationship: Pre-Orientation: • This is a phase in which a nurse goes through before the actual interaction with the client. • This phase begins when the nurse is assigned a client to develop therapeutic relationship with him, till she goes to him for interaction. • Reaction of the nurse in pre- interaction phase . • The nurse feels and thinks about the client before interaction according to her knowledge, fears and mis-concepts • Express feelings of inadequacy and fear of hurting or exploiting the client .
In 1991 Norman Garmezy developed a theoretical framework for resiliency. Garmezy (1991) proposed three types of protective factors that make up his theoretical framework, which includes individual characteristics of the individual, a close-knit relationship with the family and lastly, social support and structure outside their immediate family. The primary factor in developing resiliency relates to the person's intelligence and character, and Garmezy (1991) states that resilient youth have above average intelligence. Garmezy (1991) defines the second factor in developing resiliency as one that includes the support of family to help with difficult conditions. The third common factor of resilient youth is external support from institutions (Garmezy, 1991).