This supplement is a record of my actions in cases 16-125169 (April10, 2016) and 16-125698 (April 12, 2016). On April 12, 2016 I was assigned case 16-125169 which involves Ms. Mya Navia a fourteen year old Francis Hammond School Student. On April 13, 2016, I was assigned a second case which was 16-125698 involving the same juvenile. On April 13, 2016 I touched base with Arrosa Kanwai (mother) who had previously denied me access to her daughter (16-119375).
As of 2013, the number of people with MS was estimated to be over 2.3 million worldwide. ( atlas 2013) Most of the non-traumatic disabilities in young adults are caused by MS . It is considered that an interaction of genetic factors, environmental predisposition, and abnormal immune responses can be the chief causes of MS, But the exact etiology of MS is still in question . MS has been greatly studied within the recent years, but a great number of clinical challenges still remain in regard to diagnosis, prognosis, and treatment.
The second case I found was about a women name Mayra Handy is was 55. She was the Richard Hardy’s wife, she was bedridden and suffers for multiple sclerosis. When she was found by authorities, she was suffering from sepsis, or severe infection, had open sores, and had feces on her. She had some open sores that were oozing on both of her knees, a bedsore that was about 5 inches in width found on her back. The skin on her back was molted and another oozing sore was found near her feeding tube.
Fortunately, the American Nurse Association House of Delegates has actively supported the nurse to be advocates for access to healthcare for all patient including those are in need of marijuana/cannabis for therapeutic use. (ANA, 2008) Therefore, as a health care provider, my dream is to be involved in further research about marijuana’s effectiveness, determine the therapeutic dosage and route of delivery in order to give patients the safest care with the best outcome. My DNP project on chronic pain management will be the stepping stone to making this dream come true.
The term six research theory course, NURS 495, emphasized the importance of nurse leadership and how nurses can influence positive changes in health care delivery to patients with chronic illness. It also explored the contradictions that exist in nursing practice and encouraged the students to develop a critical and pragmatic approach to client care. The co-requisite clinical course, NURS 499, integrated nursing theory and current best practice on an acute care nursing unit at Medicine Hat Regional Hospital. In this consolidated learning analysis, I will explore a nursing practice event that will illustrate the major issues surrounding the treatment of competing mental health comorbidities in a patient with hoarding behaviors.
NUR 300 Case Study Since the recognition of patient safety as a healthcare priority by the World Health Organization (WHO) in 2007, healthcare organizations have put many efforts in ensuring the quality of services and the safety of the patients. The Quality and Safety Education for Nurses (QSEN) are recommendations meant to equip nurses with the necessary skills, knowledge, and attitudes that are critical to the improvement of patient care quality and safety (Sherwood & Barnsteiner, 2013). In the current case, Mary has new nurses who want to become part of her team in the ICU. Integrating new nurses into the ICU department requires helping them on how to efficiently execute their mandates without compromising on the quality benchmarks in place
Clinical Scenario P.T. is a 25-year-old women who has been diagnosed with breast cancer with metastasis to her brain. She was recently readmitted to the hospital for pain management. She has two young daughters, who are 3 and 5. P.T. cannot care for herself, but is very aware that she will die. The nurse assists her in her daily needs: bedpan, flushing of implanted central venous access device (port), bathing, emotional support, vital signs, and pain management.
During this semester I learned how to synthesize nursing research. During NUR700 I learned that in order to probably synthesize qualitative nursing research articles, one must examine the articles, and analyze the findings by breaking down the research. Primary care providers, nurses and ancillary healthcare team members, integrates clinical scholarship and analytical methods for evidence-based practice (EBP) by increasing knowledge, synthesizing quantitative/qualitative research and continuing education. By integrating EBP it can lead to developmental changes in implementing policies, procedures, and changes in clinical practices. During this semester I was able to understand that nursing theories provides direction and guidance for nursing
This article is a study conducted from 12 nurses of different backgrounds stating their experiences as RN-BSN nurses. These nurses saw and experienced the difference from working as RNs to RN-BSN nurses. Being RN-BSN nurses is not only a step up for getting a higher nursing degree, but it also made them think more critically, gained a leadership and management skills, became more tolerant of others and stronger patient advocates, expanded their nursing knowledge, improved communication skills, and changed their outlook of nursing into a bigger
Registered Nurses provide patient care, set up charts, handle medications and find creative new ways to interact with patients. Entry level work requires an associate degree and takes two to three years to obtain. A Bsn degree takes four years. All nursing programs include supervised clinical experience. Internships available in nursing homes.
The American Association of Colleges of Nursing has identified nine essentials that are incorporated into master’s nursing programs in order to help guide the practice of advance practice nurse (APN). Essential II outlines how an APN can utilize organizational and systems leadership to promote safer and more cost effective care to patients. By incorporating effective leadership skills, APN’s can impact healthcare reform and quality improvements for the patient, institution and the community. According to the American Association of College of Nursing (2011), a effective leader assumes and applies the skills of communication, collaboration, negotiation, delegation, and coordination. APN’s must establish and maintain healthy working relationships