...Mental Health Interview Eben Ezer Lutheran Care Center This week my clinical rotation was at Eben Ezer Lutheran Care center with my medications and psychosocial interview. In this clinical rotation, I had the opportunity to gain more knowledge on different medications and interview a patient with a psychosocial mental illness. The neighbor that I had the privilege of interviewing was M.M. She is a 79-year-old female with dipolar disorder and mild depression. M.M is an extraordinary neighbor with so much enjoyment in life. She was diagnosed with this illness on September 19,2016. According to the charts at Eben Ezer, the do not do any behavior assessment due to no outbreaks of behavioral problems. This patient current medical history was unknown...
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...the Degree of Competencies for Nurses Prepared at an Associate’s Level and a Bachelor’s Level Nursing care today can be affected by the degree of education a nurse possesses. Licensures for nurses are diploma, associate’s and bachelor’s. Competencies vary depending on the degree obtained. The demand for nurses in healthcare has blossomed over the last twenty years. Unfortunately the amount of nurses with a higher degree of education only amounts to 50% and those with an associate’s 36.1% and 13.9% for diploma nurses. Research has showed registered nurses with a baccalaureate degree and higher have decreased the mortality rate and resulted in fewer adverse reactions in patient (Creating a More Highly Qualified Nursing Workforce. (2009). Nurse Leaders, higher institutions of learning, and employers are raising the awareness for nurses to continue their education in order to create better patient outcomes. Two Year ASN Degree An associate’s of science degree in nursing is a two year program. The duration of the program concentrates on clinical rotation which prepares the nurse for hands on bed side experience in a clinical setting. Core content focuses on a variety of topics but focuses on clinical rotation to introduce the nurse to bed side practice. An ASN degree offers a cheaper tuition for the student if cost is a factor in deciphering between pursuing an ASN or BSN in nursing. Areas of employment can include can include hospitals, long term care...
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...Educational Preparation Association Degree versus Baccalaureate in Nursing ABSTRACT There is so much debate on whether it is important to get BSN or staying working as ADN. If I look at it with my point of view then nurse is a nurse whether she has AND OR BSN.I am a nurse with ADN who took the nclex test just like the other degree schools take and passed my test the first time. I am working with the nurses some that have BSN and some ADN. I have not seen anything difference that a BSN nurse would do for the patient that ADN nurse would not be able to do. Only difference I probably seen is that pay rate is higher and they get to take management position. Difference between ADN and BSN ADN and BSN nurses both work hard to obtain their degrees during nursing school. Both struggles through three or four years of college to complete pre requirements whether it is BSN or ADN program. ADN and BSN nurses both have to take the nclex exam to obtain a nursing license. It is a great start to achieve an ADN and pass the board exam to get a good job to support the family. One benefit of getting ADN is that one can have great paying while going back to school to finish BSN. There is no restriction on when one can start back going to school to get higher education. Although BSN and ADN nurses both perform the same job skills whether they are working on the medical surgical floor or nursing home setting, there is a big difference between obtaining the degree. Association degree can...
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...ADN VS BSN PATRINA HAYES GCU ADN VS BSN The nursing field is a rapidly growing profession that requires many different levels of degrees. Registered nurses can have levels of education ranging from a Associates to Doctorate degree. This paper will give a better understanding to the difference between the Associates degree in nursing (ADN) and Baccalaureate degree in nursing (BSN). The ADN program was established in 1951 due to a nursing shortage in the post war years (Haase, 1990) Since then, the curriculum has changed from teacher or subject oriented to bedside and basic critical thinking skill. The ADN program is a two year program not including the required general education classes. The BSN program is a four year program including prerequisites. The BSN program emphasizes in critical thinking, leadership skills and a professional role away from the bedside. Both programs include their core curriculum of Adult Health, Maternal and Newborn nursing and Pediatrics. BSN Program includes nursing research and nursing informatics. The American Association of Colleges of Nursing(AACN) believes nurse with their BSN degree are more prepared for today’s workforce due to their well-developed critical thinking skills, leadership and ability to practice in different settings The ADN student focuses on providing bedside care to patients with acute and chronic health needs with policy and procedures reflecting current standard of care. The obvious differences between the programs are...
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...the day I was assigned to administer insulin shots to diabetic veterans. Mr. Barnes was notorious within my clinical group for being non-compliant during physical assessments, Foley catheterizations, and blood glucose tests. Before I could even greet him with “good afternoon Mr. Barnes,” he quickly interrupted me by saying, “Why do we have to do this!?” I proceeded to explain how insulin was like a key that opened the doors of his cells to take in sugary fuel. Although he still wasn’t ecstatic, he allowed me to give him his shot with minimal resistance and seemed relatively forthcoming when he was assigned as my patient for physical assessments. This made me realize that establishing rapport with patients is a critical component of effective medical...
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...nurse. You can choose from three different programs. The first one earning your diploma in nursing, however there are few programs like this left today. Typically this is offered through hospitals. You can earn your associates degree in nursing in about three years from any local community college. This is a nice option for those who are older, married and may have children. The degree takes three years to complete, its lower cost and gets you in the work force faster. Then there is a baccalaureate-prepared nurse which takes four years to complete. This program is offered at colleges and universities. Dianne S. Moore phD, CNM, MN, MPH the vice president of nursing Academics at West Coast university always gets asked the question “why should I get a baccalaureate degree in nursing (BSN) when I can get an associate degree in nursing (ADN) and still sit for the same NCLEX-RN exam to get my RN license?” (Moore 2009) Nurses with a BSN have a lot more opportunities to work in many health care facilities. The associate degree nurse is very limited to hospitals, nursing homes and clinics. When looking at the skill preparation between the Associate Degree in Nursing, ADN and the Bachelor of Science in Nursing, BSN, the schools all require prerequisites and required clinical rotations within hospital, nursing home and community settings. Associate degree programs are known for more clinical experience, they also focus on more science and technical skills. Bachelor...
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...THE PROBLEM AND ITS SETTING Background of the Study Learning in clinical environment involves what Jarvis (2006) defines as action learning, which involves “learning by doing... within a specified social context” (in nursing it is the clinical area). It also involves much more complex learning such as learning of concepts, problem solving, decision making, rule learning, critical thinking. The nursing educators and institutions have an ethical obligation to ensure admission criteria and academic standards that are reasonable and fare, yet effective indicators of students’ success. When an educational institution issues a diploma to one of its students, it is, in effect certifying the society that the student possesses all the knowledge and skills that are required in his chosen discipline. To remain competitive and accountable, it is imperative for nursing programmes to have efficient and reliable admission criteria. Quantitative data and research- base facts are essential for the development, revision and modification of the admission criteria to guide nursing educators to identify and select those students who will successfully complete the nursing programme. It also helps in minimizing the wastage of human and material resources that occur due to student failure and attrition (Dr. Romana Idrees, 2008). Furthermore, the students are exposed to a wide variety of clinical settings—including hospitals, outpatient, community clinics, treatment centers...
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...experience in nursing home and group home settings. | Core Qualifications | * CPR/First Aid Certified * SCIP-R Certified * Medication Certified- Oral and G-tube * OPWDD Trained * HIPPA Trained * Computer proficient * Compassionate and driven to care for others * Loyal * Responsible * Reliable * Work well with others * Work well in demanding circumstances | Experience | Direct Support Professional 11/14 to CurrentThe ARC Otsego South New Berlin, NY * Providing patient care for individuals with developmental disabilities in a group home setting. * Bathe, groom, and assist persons in completing activities of daily living. * Accompany residents to medical appointments and bring required documents, or medications. * Administer medications * Assist in meal preparations * Keep home neat and clean interiorly and exteriorly. * Maintain a valid driver’s license to drive agency vehicles.Residential Counselor 07/2013 to 07/2014 Springbrook Morris, NY * Provide patient care for individuals with developmental disabilities in a group home setting...
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...Introduction The ANA describes nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (ANA). Nursing to me means helping a person achieve an optimal level of health in a positive environment. The nurse has a responsibility to teach the patients in a hospital as well as the people in the community. Nursing is not just a job or just a career; it is a way of living. To be a great nurse, one must incorporate physical, mental and spiritual healing into their nursing practice. Choice of Nursing In high school, I narrowed my career path down to two choices: Nursing and Orthodontist. From the beginning, I knew I wanted to help people, I just did not know how. With orthodontia I would be helping people, but the help would primarily be cosmetic. I had to sit down and think if I would be okay with just making people smile better. Nursing would give me more of the “I’m making a real difference in people’s live” type of help. My great aunt was a LVN and she visited often. She was a compassionate woman who was always helping. My favorite memory of her was visiting her at her job. She worked on the medical/surgical floor in a Houston area hospital. The fast pace of the other nurses and noise of all the machines was like heaven to me. I felt at home. As much as I loved the feeling...
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...The Impact of the 2010 Institute of Medicine (IOM) Report on the Future of Nursing Education, Practice and Leadership Aaron Peterson Grand Canyon University Profession Dynamics NRS-430V April 14, 2013 The Institute of Medicine’s (IOM) 2010 report on The Future of Nursing is a vision for ways to evolve nursing to better impact the changes in the world. The IOM was established in 1970 by the National Academy of Sciences. The IOM consists of a group of experts that discuss, debate, and examine future solutions in regards to the many concerns that the nation faces in regards to healthcare. This group’s primary goal is to improving high quality care, reduce medical errors and increase patient safety. In order to achieve these goals the group focuses the need to advance nursing education, nursing practice and nursing leadership. In healthcare nursing is considered one of the most versatile occupations with many different career pathways, a broadening scope of practice and increasing number of responsibilities. Nurses are considered to be the central part of the healthcare system to provide high quality and safe patient care. We must embrace the changes to improve the healthcare sector and provide care for people in all different settings. “The committee envisions a future system that makes quality care accessible to the diverse populations of the United States, intentionally promotes wellness and disease prevention, reliably improves health outcomes, and provides compassionate...
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...Director of Nursing Services for a Home Healthcare Agency who is preparing the agency to be Community Health Accreditation Program (CHAP) certified. KM has a triple Master’s Degree and is preparing to complete her Doctorate in pursuit of a Strategic Planning career path. She has been a working nurse since 1974 with humble beginnings as a Nurse Aide. A leader’s task is to use acquired skills to encourage and motivate others to accomplish a specific goal. “The leader is important in forging links—creating connections—among an organization’s members to promote high levels of performance and quality outcomes” (Sullivan & Decker, 2009). Her insight into the field of nursing, nursing leadership and the fields of home healthcare and acute care provides a level of expertise that not very many have the opportunity to seek and acquire knowledge. As healthcare costs continue to rise, the government is seeking ways to cut costs and provide care more affordably. “Accountable Care Organizations (ACOs) are entities that accept responsibility for both the cost and quality of care provided to a defined population of patients and provide the data on performance” (Shortell, PhD, M.B.A., M.P.H, Gillies, PhD, & Wu, BS, MS, 2010). Home healthcare agencies fall under the umbrella of ACOs and are held accountable to provide the care and services necessary to maintain the patient in the home setting and reduce the risk of re-entering the acute care setting. A leader in the home healthcare...
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...career choice and individuals that were the driven force behind me wanting to be a nurse. I chose nursing because this profession allows me to care for an individual in their most vulnerable state and to gain trust and rapport over time. As a nurse, I will contribute by helping people live longer, richer lives. This decision was made at the age of fifteen in 2004 after becoming a member of the Antigua and Barduda Red Cross Society; which was the first exposure I had to the healthcare sector and where the true meaning of helping a complete stranger was understood. During my tenure I became a Certified Peer Counsellor to teenagers, where I learnt the skill of using effective therapeutic communication to converse with abused teens; be it physically, emotionally or sexually. Being certified gave me the opportunity to educate young adults on current pressing topics such AIDS, HIV and STD prevention. Additional, duties as a peer counsellor included distributing condoms and performing the necessary demonstration to ensure safe and effective usages. As one of the younger active members of The Antigua and Barbuda Red Cross Society, the opportunity was 9ffered to me to become a member of a newly formed youth program based out of the UK called ‘Together We Can’. This program was geared primarily on the youths and implementing fun and effective ways of dealing with, problems at home, handling abuse and preventing teenager pregnancy and contacting HIV, STD or AIDS. With this program...
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...concern because she had developed mild thrombocytopenia which resulted in the elevation and potential bleeding. The physician had to take her off of Lovenox and switch her to an oral anti-coagulant Xarelto at 10mg once daily. During her care I was educated by the interdisciplinary teams managing mobility, safety, and the more modern approaches with a total knee replacement. The purpose of this clinical summary paper is to discuss managing mobility after a total knee replacement. REVIEW OF RELATED LITERATURE In seeking out information on this topic, I used the Amarillo College Library Network and CINAHL database on campus and opened as many articles that I believed would aid in my research. The words I used for searching were: TKR, total knee care, and managing total knee replacement. The contributing factors gave me the articles that related to my patient that I had cared for in clinicals. These searches took me to the information that I was in need of for my paper. Turner’s (2011) primary focus was about care prior to surgery, during, post-operatively, and nursing care. Although this article is a basic overview from preoperative care to discharge, her agenda is clear that importance of risk factors, assessments and labs should be monitored. The main emphasis of this article is to follow assessments and interventions post operatively. Starting with vital signs and trending them as well as pain status and level of consciousness....
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...Unfortunately, only 15% of students learn this way. This makes education difficult for these students, as most education is catered to the majority of students, which is evenly split between visual and auditory learners (Anderson, n.d.). The author of this essay identifies as a kinesthetic learner. Being a kinesthetic learner, the preferred learning strategies have included many that are typical for this learning style. Hands on approaches for nursing skills have been highly successful, as well as return demonstration. The author has also found that teaching other skills has greatly improved her understanding and method. In order to learn ideas that are not skill related, illustrating the idea and explaining it to others has proved very effective. Also, the author will often write about events in clinicals, what actions she took, and then research to see if these were the best actions, or how she could improve upon her practice. The preferred method of studying for exams has been to rewrite notes repeatedly, and recall clinical events and situations in order to reevaluate the actions taken. According to “Kinesthetic Study Strategies” (n.d.), these learners do excel with an approach to learning that incorporates all their senses. When learning, these students retain...
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...Virginia Board of Nursing The Use of Simulation in Nursing Education Introduction This document provides information and guidance to schools of nursing (both PN and RN) in Virginia on the use of simulation in lieu of direct client care hours in the fulfillment of the clinical hour requirements for nursing education programs. As of April 2008, all RN nursing education programs approved in Virginia shall provide a minimum of 500 hours of direct client care supervised by qualified faculty, and all PN nursing education programs approved in Virginia shall provide a minimum of 400 hours of direct client care supervised by qualified faculty [18 VAC 90-20-120.E]. This document will outline the essential components and major concepts that are necessary when using simulation in lieu of direct client care. Background in Simulation Technological innovations are advancing practice across all domains of education and industry, and the same is true in nursing education. Simulation is gaining popularity as a means to provide innovative learning experiences and foster a richer understanding of didactic content. As nursing programs prepare to integrate simulation into nursing education, the Virginia Board of Nursing has prepared this outline of major concepts that need to be addressed when preparing and integrating simulation into nursing curricula. Simulated experiences provide the student with the opportunity to be involved in patient care experiences they may otherwise...
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