...Summary of Findings The Professor felt ill and decided to go home but during the drive he experienced discomfort and in the succeeding hours experienced severe diarrhea and persistent nausea and vomiting. Eventually the nausea ceased but his stomach was still upset. The following day he called Dr. Martin, his primary health care physician. Betty, the doctor’s nurse assisted him over the phone and after the professor explained his condition she told him that Dr. Martin cannot see to him because of his packed schedule. The professor asked for a referral to go to the HealthCheck Clinic but the nurse declined claiming that Dr. Martin is not willing to send him there and was instead prescribed with medicine for the diarrhea. The prescription was placed in the pharmacy for the professor to pick up. Unsatisfied, the professor called up Candy, the director of the Employee Benefits Office, but Wendy picked up and relayed everything to Candy who then expressed her surprise and distress over the situation. She too did not understand that the request for a referral was denied as the professor asked for it. The professor picked up the medicine from the pharmacy, drove home, took a pill, and went to bed. The following day the diarrhea was under control but the gastric discomfort was still a problem. He decided to go to work but in the afternoon he gave up and went home. He called Dr. Martin’s office and once again Betty answered the phone. She informed him that the doctor is out all...
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...Health Promotion Literature Review Rebecca Turner Grand Canyon University: NRS-429V October 28, 2012 Health Promotion Literature Review Health promotion is a well-known term in nursing, with authors arguing that health promotion is central to the philosophy of nursing (Irvine, 2007). After studying three selected articles regarding the primary, secondary and tertiary levels of health promotion, a similar theme referring to the role of the nurse to develop a more holistic understanding of health promotion in all stages of life and refreshing the concept of health promotion in order to advocate for the changing world’s environment, was apparent. Traditional health promotion preventions are defined by preventing disease, restoring health, and containing illness (Irvine, 2007). Today, health promotion is defined not just by focusing on health education, lifestyle and behavioral changes, but has undertaken a new paradigm, empowering clients by taking political and social action to promote health enhancing environments (Irvine, 2007). Nurse practice involves all stages of the lifespan in a variety of settings, ranging from the family home to communities (Whitehead, 2011). In these settings, nurse health promotion practice proposes developing personal skills, building healthy public policy, creating supportive environments, strengthening community action and reorienting health services (Roden & Jarvis, 2012). Nurse roles and responsibilities are evolving by...
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...Family Health Evaluation Introduction Health Assessment is the plan of care that identifies or recognizes particular needs of an individual and how the needs will be addressed and conducted by the health practitioners or health care systems. Health Assessment is the gathering of information by physical assessment or extensive medical questionnaire. The health evaluation is done diagnose diseases early in characters that seem to be in good health condition. The purpose of the health assessment is to establish a plan of care for the patient and family. The health assessment takes into consideration eleven health patters. The interview was conducted using these eleven health care patterns with three open ended family focused questions per health pattern. A family health assessment is a critical approximation tool used in the healthcare system for the formulation of the family health plan. The research by the health practitioners as in the paper gives detailed information on the role of nurses in the family assessment and how the task can be done. Based on Gordon's principle of functional health pattern, the paper provides a summary of the findings of the health patterns of the involvement of the family with the inclusion of nursing diagnosis of each assessment offered to them. The use of this technique creates a standard systematic approach to collect information and data analysis considering the nurses determine to consider the aspects of health management, sexuality, sleep/rest...
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...2010 Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing ...
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...2010 Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing ...
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...Prevention of Hospital Readmissions Related to Symptoms of Congestive Heart Failure NRS 441V Professional Capstone March 1, 2014 Abstract Providing patients diagnosed with Congestive Heart Failure effective teaching can eliminate reoccurring hospitalizations. Patients are discharged with CHF and readmitted within 30 days. The information provided will examine the process of enhancing patient knowledge and provide additional resources essential for effective health care management. Research evidence provides data that proves patients who are diagnosed with CHF needs a variety of health care needs during admission and after discharge. The proposal will display an evaluation plan, implementation plan and a dissemination of the evidence. Provide at least 1 evidence based literature; for at least 1 evidence based solution. Keywords: congestive heart failure, therapy, education, patient outcomes Description of the Problem Prevention of Hospital Readmissions Related to Symptoms of Congestive Heart Failure Health care providers must ensure skills, knowledge and teaching is effective when providing care to their patients and families about symptoms of CHF. The length of stay for an average hospital visit can be two days however, for more chronic issues warrant an even longer stay. To avoid readmission of the disease processes of CHF warrants additional care and resources during and after discharge. . Some patients cannot follow up with their primary care physician because of...
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...accomplish is explored. I chose to discuss what the role of an advocate as a professional nurse and which set of skills are required for it. My strengths and the area that is needed to improve are identified. There are two examples of what can reinforce my nursing skills and how the ANA Standards of Professional Performance influences it. It is concluded by my understanding the nursing profession. Professional Role Development My understanding of the nursing practice is more focused on my patients’ safety and doing what is most beneficial to my patient. It is necessary to explore our own personal values deep within ourselves and realize principles that will guide our nursing practice. My philosophy of nursing joins the knowledge of nursing practice with spiritual, interpersonal, and compassionate care which takes into consideration each patients individual dignity. Spirituality is a concern in how we define ourselves as individuals and seek meaning and purpose in this life. It influences how we deal with obstacles and how we relate not only to ourselves, but also to others. Nursing is more than what people just assume, it is more than administering medications; rather it is a model of care and service to others, which is continually evolving. As it is stated in the ANA standards of Professional Performance, “Standard 14. Professional Practice Evaluation: The registered nurse evaluates her or his own nursing practice in relation to professional practice standards and...
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...interest of the audience. This is especially true of adult audiences who may find it daunting to change their lifestyles. In order to provide concrete, practical information and to garner interest, creative elements should be used. One fun method to incorporate would be to have a cooking class, or demonstration. This will give people a chance to see lifestyle change in action, and will be fun to take part in. The American Diabetes Association has published many small brochures that have recipes and tips on how to change one's diet. One of them is called “Latin Flavor in the Kitchen”(“Por tu familia”). Using a recipe from the pamphlet and distributing the pamphlet during the class would be a beneficial asset. Planned Evaluation of Objectives (Outcome Evaluation): Describe what you will measure for each objective and how. At the end of presentation, participants will name one healthy food choice in each of the five food groups. Cereal in grain groups, an apple is in fruit groups, vegetable juice in vegetable groups, Yogurt in milk groups, cooked lean meat in meat groups. At the end of presentation, participants will have adequate information to prevent or control diabetes by self-management , and lifestyle changes. This will include dietary regimen, and physical activities, making healthy food choices, understanding portion sizes and learning the best times to eat. Participants will gain knowledge about the effect of food on blood glucose, sources of carbohydrates and fat, appropriate...
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...deliberate actions that cause injury or generate serious risk of harm to a vulnerable older adult by a caregiver or other person who is in charge of the elder. In the United States, 700,000 to 1.2 million of senior are exposed to abuse and there are 450,000 new cases yearly (Bond and Butler, 2013,p.). In fact, elder abuse and neglect is a serious health care matter that must be taken in consideration by health care providers and older adult family members. Specifically the most vulnerable to abuse and neglect amongst this population are elder persons, who are socially isolated, cognitively impaired, or dependent on others for daily personal care. Moreover, older adult is primarily abused, neglected or exploited by caregiver, mostly spouses, adult, children or other family members. Also, Personal care...
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...Educational Preparation May 22, 2011 There are different routes in becoming a Registered Nurse. There is the 2-3 year Associate degree level (ADN), which can be obtained at a community college, and there is the four year baccalaureate degree (BSN), which can be obtained at a university. In both routes after finishing the program the candidate needs to take the licensing examination test called NCLEX-RN. When making a decision of what route to take the difference in competencies need to be taken into consideration. Differences include level of knowledge, skill preparation, and clinical judgment. A BSN degree nurse has a more comprehensive knowledge base than those who have an ADN. The bachelor nursing program includes everything taught to an associate degree nurse plus more detailed studies on physical and social sciences, public and community health, humanities, nursing research, and nursing management. Nurses that obtain a baccalaureate degree in nursing have a broader knowledge of disease prevention, health promotion, and risk reduction (Ellis, 2007). Having a BSN degree prepares a nurse to deal with illness and disease management in a more efficient way than an ADN nurse. In addition, those who obtain a BSN degree must be able to make critical decisions about patient care and learn to understand more in depth about the patho-physiology of disease processes (Forster, 2008). The ADN education is more task orientated, putting less emphasis on applying critical thinking...
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...Agency Nurse Orientation: A Case for Change EBT1-Task 3 Western Governors University A1) Procedure Nationwide there are currently 16,000 certified nursing homes caring for 1.4 million residents (Zhao & Haley, 2011). Due to high nurse turnover rates and persistent staffing shortages, many nursing homes utilize nurse staffing agencies to meet staffing needs. Holliswood Care Center (HCC), a 300 bed nursing home, with five residential floors, located in Hollis, New York is not exempt from such staffing challenges. In fact, according to Yves Pascal, Director of Nursing (DNS) at HCC, “Usually, 2-3 LPN’s per shift are required daily” (Y. Pascal, personal communication, December 15, 2013). Agency nurses are approved to work at HCC once they submit a current physical and complete an in-house facility orientation. During this orientation, agency nurses receive New York State mandated in-services, such as patient abuse and HIPPA. The nurses also receive specific instruction regarding emergency procedures, medication policy, employee conduct and procedures. However, specific unit policies and procedures, location of specific supplies are not included in the general orientation. Upon completion of the orientation, the agency nurse receives no further orientation or precepting. Thus when an agency nurse enters HCC for their first shift they are functioning independently and with limited knowledge. This is clearly a problem, which varies in degree of potential...
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...INTRODUCTION The following is a transcript of the Department of Health’s (DOH) implementing guidelines for the Nurse Deployment Project 2014 (NDP). The DOH Circular No. 2013-0403 is entitled as: Implementing Guidelines on the Nurse Deployment Project for CY 2014. It was issued last September 2013 and was signed by the DOH Secretary Enrique T. Ona. The NDP is a project that will be replacing the RNheals program and will provide more benefits and compensation for the nurses employed. Transcript DEPARTMENT CIRCULAR No. 2013-0403 Issued September 30, 2013 Implementing Guidelines on the Nurse Deployment Project for CY 2014 RATIONALE Relative to the implementation of the Department of Health (DOH) Deployment of Human Resources for Health Program, these guidelines has been developed for the Nurse Deployment Project to standardize its implementation and management. The Department of Health (DOH) has designed the Nurse Deployment Project to improve local health systems that will support the country’s attainment of Universal Health Care or “Kalusugan Pagkahalatan.” The project will hire registered nurses (RNs) under a contract of services with priority deployment in the 20 poorest provinces and 1,233 focus municipalities of the National Anti-Poverty Commission (NAPC) and the Department of Social Welfare and Development’s (DSWD) Pantawid Pamilya Program (3Ps) or Conditional Cash Transfer (CCT) areas. Consequently, the project shall require partnerships with other agencies and...
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...goal and plans when discharged home this afternoon. Patient CommunicationVerbal/Behavioral “Sure, Come in and sit down.”“Well I am happy to go home, but also nervous because I am not sure I am well enough.”I was here before and was sent home and that is when I got the infection.” “Well I don’t know.” “my husband will be there, but I am unsure about my husband having to drive me to the hospital for antibiotics.”“My son, but he doesn’t live here. My neighbor was by to visit yesterday and she is always so helpful.”“I have. I would be completely bored in here otherwise. ““I never thought of that, but that is a great idea.”“That would be great.” ‘even better.”“Thank you so much.”“No, I think you gave me two good options and I will be fine either way. I just like to complain sometimes.” ( as she laughed)“You are welcome.” | Nurse CommunicationVerbal/Behavioral“Hi Mrs. W, I was wondering if you had time for a brief interview?”“Well, lets go and get started.” Can you tell me how you feel about going home today?”“uh huh, go on.”“So you are not sure you want to go home?”“I see you have lots of flowers here.” Do you have any other family here?”“Sounds like you have been staying busy in here.” Well considering your neighbor is such a good friend, maybe she could help drive you so it gives your husband a break?“Or, we may be able to get you a home health nurse to infuse your antibiotics at home.” ‘I will talk with the discharge...
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...Telehealth…. The Future is now Sandra M. Sielinski Chamberlain College of Nursing Abstract Tele-health is defined as “The use of health informatics, disease management, and home telehealth technologies to enhance and extend care and case management to facilitate access to care and improve the health of designated individuals and populations with the specific intent of providing the right care in the right place at the right time.” (Barr, McElnay, & Hughes, 2010) Telehealth services can offer timely and cost effective alternative means to healthcare for a patient, but nurses need to be aware of the less visible potential effects of providing nursing care, thus needing to more specific and more focused in their patient assessment. While telehealth has the potential to offer patients and nurses easier access to each other, privacy and ethical concerns are now more prevalent when it comes to the use of telehealth. (Hebda & Czar, 2013) Properly secured communications are a must-have in the telehealth industry. Advantages and Disadvantages While most people think that telehealth is a more recent venture based on current technology, it actually originated in 1980 when the United States Government ”played a major role in development and promotion of teleheath through various agencies” (Hebda & Czar, 2013)When government funding decreased, interest in telehealth subsided until the Department of Agriculture’s Rural Development Act of 1991 renewed interest with...
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...The Influence of Heritage on Current Culture Evaluation of how family subscribes to these traditions and practices is offered in detail, while offering insight and/or reflection.It is essential for nurses to provide culturally sensitive care to each and every patient in order to establish repor and maintain a safe working relationship with each individual. To provide culturally sensitive care to a nurses patient’s he or she must first assess their own beliefs, values, and culture at large. The nurse can do this by using the Heritage Assessment Tool. This tool shows the nurse how important their heritage is to them and if they have adopted their ways of life from their family’s history and influence. This gives the nurse a starting point for his or her own competency because once the nurse knows their own beliefs they will know what to keep in mind as their own biases that may hinder or limit care of their patients. The Heritage Assessment tool can then be used with the nurses’ patients in assessing how much they follow their cultural heritage. When interviewing families from different cultures one can see the disparities between them and their perception of their health maintenance, health protection, and health restoration. Applying the Heritage Assessment in Evaluating the Needs of the Whole Person The Heritage Assessment is a useful tool in evaluating the needs of the patient and in being able to provide holistic patient care. The Heritage Assessment Tool assesses whether...
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