...Nurses are a key members of your child’s multidisplinary team. The nurse’s role may vary depending on the medical setting and the type of care your child is receiving. The responsibilities of the nurse may include: giving a physical examination; giving chemotherapy and other medications; Identifying patient needs; coordinating care with the other members of the oncology team; educating and counseling patients and families; performing research as part of a clinical trial. Below are some common nursing inventions the nurse will perform on your child. Nursing Interventions Pain Management - The nurse's goal is to alleviate pain to a level that is comfortable for your child. Ensuring your child is comfortable is an important part of the...
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...nationally and international levels, the exemplar used for this paper is a medical unit in an acute care hospital. ICNP has led to a large database that validates nursing specific diagnoses, interventions and outcomes. It is cross-referenced with different nursing classification systems to compile common information across the continuum. A nurse in the medical unit is able to utilize a care plan that is formulated based on information compiled and translated into best evidenced based practice. “Information gathered is also useful in the educational setting expands nursing knowledge of interventions, outcomes and languages” (Rutherford, 2008). The nurse would choose a nursing diagnosis based on the assessment and collection of patient information. ICNP can be utilized incorporating other systems of classification such as Omaha System, NANDA, NIC, and HHCC (Hynn & Park, 2002). A nursing diagnosis is formulated and a recognized set of interventions would be initiated. With the added benefit of an electronic format at the bedside, the nurse is able to document at the bedside with more precision and timeliness, improving the accuracy of documentation. For example, a patient admitted with the diagnosis of COPD, the nurse could use the nursing diagnosis of impaired gas exchange. A care plan would be created with appropriate interventions and outcome criteria. Care would be more precise based on standardized interventions and outcomes derived from ICNP. A study in 2005 to assess...
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...healthcare. This paper will provide an overview of the Meaningful Use program. An analysis of Meaningful Use implications for nurses, nursing, national health policy, patient outcomes and population health associated with the collection of core criteria will also be discussed. Recommendations for additional core criteria will also be presented. Overview of Meaningful Use NANDA International (NANDA-I) was developed to identify and classify health problems within nursing, increase the visibility of nursing, organize nursing data and allow for accurate reimbursement for nursing care (Thede & Schwirian, 2015). NANDA-I states that it’s diagnoses are intended to communicate the professional judgements that nurses make every day to patients, other healthcare professional and the public (NANDA International, 2015). NANDA-I diagnoses relevant to the patient scenario given are 1) fluid volume deficit related to increased fluid loss and insufficient fluid intake 2) electrolyte imbalance related to increased fluid loss and insufficient fluid intake 3) knowledge deficit. The Center for Nursing Classification and Clinical Effectiveness, CNC (2015) defines the Nursing Intervention Classification (NIC) as a comprehensive, research-based, standardized classification of nursing interventions. “The Classification includes the interventions that nurses do on behalf of patients, both independent and collaborative interventions, both direct and indirect care” (CNC, 2015). NIC interventions relevant to...
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...Introduction According to Farrel, Inturrisi, Bergman, Kenner & Howell (2003), the preterm infant is not only different from the full term newborn based on size. There are various physiological limitations faced by preterm infants that arise due to immaturity in most of its systems. The immaturity of such systems forces the preterm infant to rely upon the nursing interventions and medical technologies for survival before they reach the desired maturity. It is unfortunate that preterm infants are vulnerable during growth because of the small energy reserves. Compared to the full term infant they need much more energy for the physiologic growth and other forms of development. Energy expenditure is part of energy balance and the summation of different...
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...Formal Writing Assignment Final Draft: Nursing Case Study SITUATION: You have a very sick patient. You are using this patient for your case study. The patient has a sister who is a nurse- Lori. Lori has been a nurse for many years, and because your patient is her sister, she is very concerned and even a bit suspicious about the illness and hospital care. She writes a letter to you, expressing concerns about her sister. She copies the letter to the Director of Student Nurses. AUDIENCE: You are writing Lori’s letter to you (a student nurse) with a copy to the Director of student nurses. You are writing your response letter to Lori and copying it as a report to the Director of student Nurses. MAIN POINT AND PURPOSE: In this assignment you will demonstrate your ability to: • identify the correct priority problem and nursing diagnosis for a patient • reflect on a patient’s perspective to accurately assess and analyze a condition or problem • use nursing research to identify a priority nursing problem for a case study • utilize research to formulate a nursing diagnosis and plan of care • apply APA format to the writing of a research paper TASK: 1. Write Lori’s letter (1 page). In the letter: • Describe Lori’s biggest concern/issue with the hospitalization or illness of her sister. • Explain why she thinks this is a big problem. • Include a brief description of the events that led to the hospitalization of her sister and information...
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...Practice Evidence based interventions are playing an increasingly more important role in nursing practice. With the increased utilization of nursing research comes a need for a form of communication that classifies diagnosis, applies interventions, and expected patient outcomes. In order to unify nursing communication and support nursing practice, standardized terminology has been developed. This paper will introduce three forms of standardized terminologies in nursing which are the North American Nursing Diagnosis Association (NANDA), Nursing Outcome Classification (NOC), and Nursing Intervention Classification (NIC). The purpose of this paper is to define the three standardized terminologies, processes developed, and to provide and example of their useful application in patients at risk for or diagnosed with pressure ulcers. The NANDA was established with the goal of enhancing all aspects of nursing practice by refining and promoting terminology to accurately reflect the clinical judgment of nurses (Azzolin et al., 2013). The mission of NANDA if to facilitate the refinement, dissemination, and development, and utilization of nursing standard terminology (Peres et al., 2015). Their main focus is to utilize this communication to promote evidence based practice and care, thereby improving care for everyone. NANDA promotes their missions and goals by publishing the world leading evidence based nursing diagnosis, funding research, establishing a global nursing network, and integrating...
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...Running head: ROY’S ADAPTATION MODEL Nursing theory is an organized framework of concepts that are designed to guide nursing practice and provide a foundation for clinical decision-making. There are many different types of nursing theories. This present paper will focus on one of the Grand theories, the Roy Adaptation model (RAM). The paper is divided into four main sections focusing on the importance of the RAM; summary of key concepts; view of RAM on specialization; and conclusion. There has been an evolution of nursing practice from when Florence Nightingale started. Nurses used to take direct medical direction to an evolution of independence. Today, advanced practice nurses are PHD, DNP, researchers, nurse practitioners, leadership positions in health care organizations, and education . The independence of the nursing profession has occurred in part due to an evolution of nursing theories. The importance of the nursing theories is that they provide framework for nursing practice. There are more than thirty different theorists who have helped contribute to the process. Broadly, these thirty theories can be divided into three major categories Grand theory, Middle theory, and practice. The present paper focuses on the Roy Adaptation Model (RAM) of the Grand Theory. This was chosen as it approaches the care of the patient using a scientific and holistic approach, which aligns with my personal practice as a nurse and belief system. Initially, this model was considered...
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...to deal with women experiencing stress incontinence. In current practice we will teach them behavioral intervention program (pelvic floor exercise and bladder training) to lower the severity of urine leakage. That is why I want to explore more on this issue and see whether the use of vaginal cones also effective in treatment with behavioral intervention program. Obesity is a common problem in developed countries, with an incidence of 33% (Roreyt 1998), this problem may directly leading to stress urinary incontinence (Ouslander 1996) which may hinder the normal daily life of an adult. In Hong Kong Hospital Authority (HA) policy, there are no guideline in related to treatment regarding stress incontinence, it is always depends on surgeon’s preferences. Therefore I want to search for research evidence in associated with treatment of urinary stress incontinence which may beneficial in my working place. Main Body The two answerable questions formulated using PICO tool are: Quantitative Question – In women with obesity, how does behavioral intervention program compared to vaginal cones influence the occurrence of stress urinary incontinence? Qualitative Question – How do obesity women perceive the method of behavioral intervention program in comparison to vaginal cones in regards to stress urinary incontinence? P – Women with obesity I – Behavioral Intervention Program C – Vaginal Cones O – Stress Urinary incontinence In developing these two questions, first...
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...Running Head: THE HEALTH BENEFITS OF MEDITAION The Health Benefits of Meditation Article Critique Part two Paper Rasheedah Long Grand Canyon University NSG 325: Evidence Based Practice 03/30/2015 The purpose of composing this paper is to review one article that supports the PICOT statement. This paper will be written as an essay and will scrutinize major components of the study such as the introduction, the review of literature, the methods used, the findings, and lastly the discussion. This paper will provide an analytical view of the chosen article, determining the applicability of the findings, the clinical importance, the validity and the reliability of the issue addressed in the article. There are many different types of mediation practices. Transcendental meditation and mindfulness based stress reduction meditation are two of the most commonly researched. Meditation is now widely accepted into mainstream and is being used as a way for maintaining health and wellness. Several medical and rehabilitation facilities have proved meditation to be a safe and effective tool for treating: “stress, fatigue, depression, anxiety, fibromyalgia, hypertension, rheumatoid arthritis, diabetes, tinnitus, congestive heart failure, general pain, as well as many other health ailments. (Natural Medicine Database, 2014) Article Introduction The introduction to the study was clear and concise. It clearly identified what the researchers were looking to establish. The introduction...
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...Atrial Fibrillation And Nursing Considerations As a nurse one must provide holistic care. To better understand aspect of providing holistic nursing care one must have an in-depth understanding of primary body systems and their pathology. This paper will educate the prudent nurses who read it with detailed information about the specific cardiac pathology of atrial fibrillation. Written with a basic understanding of human heart function/structure as a prerequisite, this paper will first discuss key terms one must be familiar with before providing researched information explaining the pathophysiology of atrial fibrillation (AF). Next, it will discuss the etiology, clinical manifestations, common laboratory diagnostics, and interventions. Lastly, this paper continues by providing readers with nursing diagnoses and patient teachings associated with AF. Key Terms As a nurse one must become a scientist of sorts and must be familiar with technical nursing terminology. Atrial fibrillation, or AF, is a cardiac dysrhythmia in which “multiple rapid impulses from many atrial foci depolarize the atria in a totally disorganized manner at a rate of 350 to 600 times per minute” [ (Ignatavicius & Workman, 2010) ]. A dysrhythmia is a disorder of the heartbeat involving a disturbance in cardiac rhythm and an irregular heartbeat; whereas an arrhythmia is basically a fast or irregular heartbeat caused by a disorder in the heart's electrical system. Tachydysrhythmia is an abnormal...
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...Guidelines for Course Project Milestone 2: Nursing Diagnosis and Care Plan Assignment Purpose This activity will be a continuation of the Milestone 1: Health History that you submitted in Week 4. In this part of the assignment you will take the information you gathered, analyze the data, and develop a nursing care plan. Course Outcomes This assignment enables the student to meet the following course outcomes: CO #3: Utilize effective communication when performing a health assessment. (PO #3) CO #4: Identify teaching/learning needs from the health history of an individual. (PO #2) CO #5: Explore the professional responsibilities involved in conducting a comprehensive health assessment and providing appropriate documentation. (PO #6) Points This assignment is worth a total of 250 points. Due Date The assignment is to be submitted to the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 6. Post questions to the weekly Q & A Forum. Contact your instructor if you need additional assistance. See the Course Policies regarding late assignments. Failure to submit your paper to the Dropbox on time may result in a deduction of points. Directions 1. Download the NR305_Milestone2_Form from Doc Sharing. You will type your answers directly into this Word document. Your paper does NOT need to follow APA formatting; however, you are expected to use correct grammar, spelling, syntax and write in complete sentences. 2. Save the file by clicking “Save as” and adding your...
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...Nursing Sensitive Indicators (NSIs) and Hospital Consumer Assessment and Healthcare Providers and Systems (HCAHPS) are at the forefront of patient care. These quality measures of nursing care are evaluated in hospital settings. These indicators and survey scores allow nurses and their administrators to assess how the care they are providing is following evidence-based practices, and how they can improve their practices towards a better patient outcome. The American Nurses Association (in promoting these indicators as the definitive standards for patient care and quality ANA) has made steps improvement. The purpose of this paper will define NSIs, HCAHPS and include examples of each from Good Samaritan Medical Center, the outcomes and interventions...
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...RESEARCH DETAIL TITLE : Effectiveness and Appropriateness of Therapeutic Play Intervention in Preparing Children for Surgery: A Randomized Controlled Trial Study. RESEARCHER: 1. Cheung Li, PhD, is an Assistant Professor, Department of Nursing Studies, University of Hong Kong, Pokfulam, Hong Kong. 2. Violeta Lopez, PhD, is a Professor and Head of School, School of Nursing (NSW and ACT), Australian Catholic University, North Sydney, NSW, Australia. SUBMITTED DATE : January 25, 2007 ACCEPTED DATE FOR PUBLICATION : July 21, 2007 PUBLISHED DATE : April, 2008 JOURNAL : Journal for Specialists in Pediatric Nursing INTRODUCTION It can be observed today that nursing is a dynamic profession,both internally and externally due to constant change occurring in the profession. As a dynamic profession, nursing is responsive and is adapting to meets the needs of patients and the public.Nursing is a practice discipline, which is dependant upon a high level of professionalism,ethics and human values that demand for intellect, skills and a high sense of social responsibility.The knowledge and essential skill that increased dramatically make nurses leading and developing new services in health care delivery. Nurses roles and resposibilities will continue to change in line with the health reforms that are improving care for patients.Therefore, nurses need to be encouraged...
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...Running head: HEALTH PROMOTION IN NURSING CARE HEALTH PROMOTION IN NURSING CARE Donna Pisarski Grand Canyon University Family-Centered Health Promotion NRS-429V Ms. Renita Holmes September 21, 2012 Health Promotion in Nursing Care This paper will discuss health promotion and what health care changes are occurring. Through the expanding role in nursing this paper discusses what those roles will entail and the use of primary, secondary, and tertiary care when developing a patient centered care plan. The health care field has been traditionally based around a concept of healing the ill, finding cures, and eradicating disease through immunizations, health being viewed as the absence of disease. Today’s medicine is changing to a new process, a process of promoting health and wellbeing through disease prevention, the teachings of healthy eating and being physically fit. A push to get people involved with and take responsibility for their own health is known as “health promotion”. President Obama signed the Affordable Care Act on March 23,2010, by doing this the whole climate of health care change. A call out for all health care professionals to practice to the full extent of their education and competencies, to streamline health care towards a patient centered system, and deliver a more primary care approach (Institute of Medicine, 2011, pp. 86-87). The goal by doing this is to improve health and wellness, quality of life, and in-turn reduce health care expenditure in...
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...Standard Terminologies in Nursing In home care, Congestive Heart Failure (CHF) is a prevalent diagnosis, encompassing at least fifty percent of our total patient census. ‘Standardized nursing terminologies play a significant role in defining nursing care’ (Park, 2013). I will show how NANDA, NIC and NOC apply to CHF, the elements involved and how it can improve the patient. The purpose of this paper is to show the main nursing diagnoses, interventions and outcomes of NANDA, NIC and NOC (NNN) and its linkages for CHF patients. Following the NNN elements shows improvement in home care patients with CHF. Overview of North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC) and Nursing Outcomes Classification...
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