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Implications for advanced practice nursing
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Assessment 2 Short Essay Question -01 Discuss Mr. Ronald bates systemic assessment and priorities of management Mr. Ronald bates presented to the emergency department with shortness of breath (Respiratory rate- 24 breaths/min) and general discomfort (pain score- 4/10) and it was started in the morning and worsens when doing activities. The above presenting complaints lead to a possible cardiac event, so that this presentation would be triaged as category 2. Therefore, medical officer would be notified regrading patient presentation and put Mr. bates to semi fowler’s position in the Emergency bed if this position is comfortable for him. Further primary systemic assessment of the patient starts with an order with an assessment of
1.0 Introduction Acute respiratory distress syndrome also called adult respiratory distress syndrome. Acute respiratory distress syndrome (ARDS) was originally defined by Ashbaugh et al in 1967 as a condition identify by rapid onset tachypnoea and hypoxaemia with loss of lung compliance and bilateral infiltrates on chest radiograph. ARDS happen both adult and children. ARDS may happen in people of any age. Its rate increases with advancing age, ranging from 16 cases per 100,000 person-years in those aged 15-19 years to 306 cases per 100,000 person-years in those between the ages of 75 and 84 years.
Prof. Roth and class, Since Esther Jackson is a 1-day post-op, presented with those symptoms, a complete focus cardiac assessment need with regard to every details. Client Esther is a 56 year old African American woman, and has a surgery follow with one day of rest, and with a pulse "all over the place." These symptoms may be caused by pulmonary embolism. Pulmonary embolism may describe as follow, pain location " pain can be experienced in chest, back, should, or upper abdomen, pain describe as " sharp, stabbing pain worsening with deep breath." (Javis 2014 P. 493).
5. Approach to the diagnosis. 5.1. Is it cardiac or not? 5.2.
Michaela P. Capulong NU 333-01: Physical Assessment for the Nursing Professional June 29, 2015 Journal 7 When I do my assessment on admission, I always include the assessment findings that I expect to be abnormal if the patient has definite cardiovascular problem. I notify the MD and the nurse practitioner immediately if I find abnormal findings or values. I ensure to chart the education and the correction in response of the abnormal findings. In addition to that, tests and labs should be done to rule out problems. It is essential to know the patient’s health history before conducting the physical exam.
Advanced practice nursing (APN) can be defined in many ways and differs from basic nursing practice. ANA (2010) defines APN as incorporation and application of evidenced based practice that is accomplished during graduate school. The AACN distinguishes the role of the APN by stating that they have a direct clinical focus. AACN states that interventions taken by APNs have an impact on patient care outcomes. APNs must put patient care and health care policy first.
The desired outcome will be having the patient with clear lung sounds, edema free and denies dyspnea on exertion. To achieve these outcomes we need to monitor body weight daily, ? changes in bodyweight reflect changes in body fluid volume? (Methney, 2010). Mean time we need to monitor extension and location of edema?
Recently the advanced practice registered nurse (APRN) became a very important profession due to the major changes in the healthcare system and the Patient Protection and Affordable Care Act (PPACA) goals that focus on providing patients with affordable but quality care, improving patient health outcomes, expanding care to the underserved areas, and lowering the costs. It became apparent that over the years nurses played an important role in healthcare system. According to the National Governors Association (2012) “The demand for primary care services in the United States is expected to increase over the next few years, particularly with the aging and growth of the population and the passage of the Affordable Care Act (ACA)” (p. 1). In addition,
Professional trends in Nursing Assignment -2 Mind Mapping in Nursing Practise Submitted to : DR.Priyalatha Asst. Professor . Submitted by : Lincy. Jose RN-BSN 2ND YEAR 16905054 Date - 27/02/2018 INTRODUCTION
Taking the self assessment helped me to get to know my personality type and based on that personality type it matched me a job. The job it matched me was nursing which was the filled I want to get into. It showed me my strongest part and also it assured me that I am a visual learner. I would not know all this about myself if I did not take the self assessment.
1. What errors did you see in protecting the patient’s privacy? There were several errors done on protecting patient’s privacy. Firstly, when Mildred soaked her bed, nurse shouted loudly asking for the clean bed sheet saying that the patient had soaked herself which is extremely embarrassing to her.
Nurse Practitioner can be defined as a person who has met the qualifications for certified nurse practitioner and has been licensed by the Department. According to the state of Illinois, all Advanced Practice Nurses may only practice according to the national certification and Act. Unlike the other states, Illinois has only one title everyone refers to for Nurse practitioner which is Advanced Practice Nurse (APN). The agency that regulates Nurse Practitioners is the Board of Nursing.
Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.
Throughout the semester, I have gained a better understanding of adapted physical education and sport programs. These programs provide children and adults with an opportunity to participate in sports they may not have thought were possible. The modifications to sport and exercise allows individuals with a range of disabilities to engage in activity. The disabilities can range from a mild learning disability to a permanent condition caused from a serious accident. While observing numerous individuals with disabilities, I was able to obtain a better understanding of the challenges that came with physical activity.
Nursing assessment has a significant role in providing effective, accurate and safe nursing care in clinical practice. Nursing assessment is the first stage of the Nursing Process. It is used to explore the physical, psychological, spiritual and social aspect of the patient’s life. It is therefore a holistic and systematic guide for nurses to obtain a greater understanding of their patient’s wants and needs. It is the underlying foundation of the process, on which other phases of the process are based upon (Foster & Hawkins, 2005).
